Clint Zollinger - Annual 2014D e Inl
• ' • ' STATEMENT OF ECONOMIC INTERESTS eceive
POLITICAL FAIR • . RECEWW 0�,�:
A PUBLIC DOCUMENT COVER PAGE MAR 62015
T
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
—z-0 C It- p4T J
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, goard, Department, Distri , if applicable Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
City of QL ❑ Other
3. Type of Statement (Check at least one box)
`Annual: The period covered is January 1, 2014, through
December 31, 2014.
-or-
The period covered is I I through
December 31, 2014.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments — schedule attached
JR Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
❑ Leaving Office: Date Left I I
(Check one)
0 The period covered is January 1, 2014, through the date of
leaving office.
0 The period covered is —
the date of leaving office.
and office sought, if different than Part 1:
► Total number of pages including this cover page:
through
—Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — 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)
c4- _10-2-0
DAYTIME TELEPHONE NUMBER E- MAILADDRESS
(q'4 ) 917 0107 1
I 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
)
FPPC Form 700 (2014/2015)
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)
o- 1. BUSINESS ENTITY ORTRUST
Fr rux steuc�Z +
Name . fi Titz 4*1
Check one
❑ Trust, go to 2 ["Business Entity, complete the box, them go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
PAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 -- $1,999
sz000 - $10,000 t 114 114
$10;001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
j .-Over $1,000,000
NATURE OF INVESTMENT
N;RoPartnership ❑ Sole Proprietorship ❑
Ily-O
e r
UR BUSINESS POSITION
❑ $0 $499 $10,001 - $100,000
❑ $500- $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
❑ None or ❑'Names listed below
o-
• INTERESTS IN REAL PROPERTY • -
e BY THE BUSINESS,ENTITY •-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, ,Q[
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 4L
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 OF INTEREST
❑ Property Ownership/Deed of Trust
❑ Leasehold re [] Other
Yrs. maining
❑ Stock ❑ Partnership
❑ Check box if additional schedules reporting investments or real property
are attached
Comments
CALIFORNIA FORM 7 ® ®:
FAIR POLITICAL PRACTICES, COMMISSIONL'-
P. 1.�61JSINESS: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 ___J� 14 � / 14
❑ $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
P�- 2 IDENTIFY- THEG�IRO§S, INCOME RECEIVED (INCLUDE YOUR PRO RATA
- SHARE OF -• SS _1N&OME TO
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
None or U Names listed below
1� 4� INVESTMENTS AND INTERESTS IN REAL PROPERTY s •-
•-
Check one bozzr - - -
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity if Investment, 2r
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 2[
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001. - $100,000 1 14 _J_�J 14
❑' $100,001 - $1,000;000 ACQUIRED DISPOSE_ D
❑ 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 (2014/2015) Sch. A -2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline :866 /275 -3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
11 \
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF rANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,600 'OVER $100,000
CONSIDERATION:FOR WHICH INCOME WAS RECEIVED
5J,5e1ary ❑ Spouse's or registered domestic partner's income
c+ (For self - employed use Schedule A -2:)
artnership (Less than 10% ownership. For 10% or greater use
Schedule A -2.)
n- Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑''Rental Income, list each source of $10,000 or more
(Describe)
Name
eL140a Ab"4-wi-ovc—
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
(For self - employed use Schedule A -2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
. ❑ Sale of
(Real Property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other ❑ Other
(Describe) (Describe) _
LOANS o- o -o- - orr
* 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
❑ Guarantor
Street address
City
❑ Other
(Describe)
FPPC Form 700 (2014/2015) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov