Clint Zollinger - Annual 2013,or,
E] None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities /Trusts
(Ownership Interest is 10% or Greater)
1. BUSINESS ENTITY OR TRUST
Name OCZ-L4 Prn-; ,,, .ten^`
Check one
❑ Trust, go to 2 5jr Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
-'P!123 s K47- % 0VM f�a- rw�tvrL 11 vc� i
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 3 3
❑ $10,001 - $100,000 ACQUIRED DISPOSED
El �$$1100,001 - $1,000,000
nnnWIler $1,000,000
NATO E OF INVESTMENT
artnership ❑ Sole Proprietorship El ter
YOUR BUSINESS POSITION u'►`'y V"
❑ $0 - $499
❑ $500 - $1,000
❑ $1,001 - $10,000
None
c
M $10,001 - $100,000
❑ OVER $100,000
Check one box.' •
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, QC
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Q[
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OFINTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold E] Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Comments:
10, 1. BUSINESS ENTITY OR TRUST
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
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑
so-$1,999
❑ $2,000 - $10,000 3 3
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION
• • . • • -• Mm
SHARE OF THE GROSS • • THE ENTITY/TRUST)
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
ll� 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF
INCOME OF 000 OR •
None
PROPERTY 0 4. INVESTMENTS AND INTERESTS IN REAL . OR
LEASED BY OR
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, gl
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Qi:
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__/ 13
❑ $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
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS P SITION
GROSS INCOME RECEIVED
$500 - $1,000 ❑ $1,001 - $10,000
,10,001 - $1 0 OVER $100,000
i°,c We
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Aralary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment APartnership
❑ Sale of
(Real property car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
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)
* 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`
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
❑ Guarantor
❑ Other
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