Joan Karns - Leaving Office 2014• ' • ' 1 1 STATEMENT OF ECONOMIC INTERESTS Date Received
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POLITICAL FAIR
• •
DOCUMENT A PUBLIC
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COVER PAGE V14
Please type or print in ink.
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NAME OF FILER (LAST)
(FIRST) (MIDDLE
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
x Yv ar- 6 % Le- oy
Division, Board, Department, District, if applicable
Your Position
�,6+.� a✓`e��a L �z..a rJ �� � . s o tzy � � � i T �� /�" `f IYI �CJ� %e
► If filing for multiple positions, list below or on an attachment.
(Do not use acronyms)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
❑ County of
E?City of �1 L-Q V ��A L r AQ
,t� l ¢� ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2013, through
Leaving Office: Date Left A&V,�
December 31, 2013.
(Check one)
-or-
The period covered is I
through O The period covered is January 1, 2013, through the date of
December 31, 2013.
leaving office.
❑ Assuming Office: Date assumed I 1
® The period covered i �� �, through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
KI Schedule A -1 - Investments - schedule attached rK Schedule C - Income, Loans, & Business Positions - schedule attached
E9 Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
•or-
❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
(421 —,,sv,eAsie -tvg eflwaoy e—,a SOZ,p
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
(4,06) 337- ISSo IJOA�0 ( C n fWOT OSM-V ILA
have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date Signed AIPr21L Signature A &uAIJ-)
(month, day, year) (File the originally signed statement with your filing official.)
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE A -1 CALIFORNIA .
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10 %) -:'aAjj r'A,1ZKj c
Do not attach brokerage or financial statements.
► NNAA�E OF BUSINESS ENT IT
Lark Q— L'34e' RIW At2fl S79%?L*k
GENERAL DESCRIPTION OF THIS BUSINESS
l.,P+�-.l►.� -ZW 1 Ari - � ..1- <'-E'<TW'Tr .
FAIR MARKET VALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
g Partnership @PIncome Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J / 13 1 1 13
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� / 13 / 13
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J— / 13 _/ 13
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 1 13 / 13
ACQUIRED DISPOSED
► NAME OF BUSINESS
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_j--j 13 _/ / 13
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� / 13 / 13
ACQUIRED DISPOSED
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE A -2 CALIFORNIA FORM 700
Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION
of Business Entities /Trusts Name
(Ownership Interest is 10% or Greater) sklm Ld'a-sl
10- 1. BUSINESS ENTITY OR TRUST
Hn•ros 6% -V e
Name
I4zti I�L.
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 �� 13 � /13
El ;o01 - $100,000 ACQUIRED DISPOSED
1100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership Q'bole Proprietorship ❑
Other
YOUR BUSINESS POSITION "' " y
!DE tOIR •
SHARE OF • SS INCOME IQ THE ENTITY/TRUST)
❑ $0 - $499 21,10,001- $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
I� 3. LIST THE NAME OF •- TABLE SINGLE SOURCE OF
INCOME OF 000 OR •
❑ None
L
b- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY ..
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
❑ INVESTMENT 2'tEALPROPERTY
�' E)-TD S b t-•. kX
Name of Business Entity, if Investment, Qt
Assessor's Parcel Number or Street Address of Real P erty
Description of Business Activity Qt
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
000 - $10,000
$10,001 - $100,000 13 /13
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NAT E OF INTEREST
Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Comments:
P 1. BUSINESS ENTITY OR TRUST
'f_'N 11 Z
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
do 1" vV 0 e
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 113 113
Q $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Qn�.y,
ter
YOUR BUSINESS POSITION
!S PC tqLsv, 63o)
E00 $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
$1,001 - $10,000
11� 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF
INCOME OF 000 OR •
+ None
..
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box.•
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, 21
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Qj
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 13 __j__/_L3_
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2013/2014) Sch. A -2
FPPC Advice Email: advice @fppc.ca.gov
FPPCToll- FreeHelpline:866 /275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 1
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSIO�
Positions Name
(Other than Gifts and Travel Payments) '76 A ." �A2 v S
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property, car, boat. etc.)
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
❑ Other
(Describe)
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER'
-r (1 �j 1 O tJ
ADDRESS (Business Address Acceptable) rJ� 6-Ty
2-\t) —c"inw
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthsNears)
1.{�% ❑ None 20 VGAR—S
Ir
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ Guarantor
$10,001 - $100,000
❑ OVER $100,000
❑ Other
Comments:
Street address
City
(Describe)
FPPC Form 700 (2013/2014) Sch. C
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov