Kai Lai - Annual 20143
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CALIFORNIA •-
1 1 STATEMENT OF ECONOMIC INTERESTS �1 -;; ,.
2011
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) IDDLE)
LA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable Your Position '
► 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 - •�,,,... - -Ei1 or ourt Commissioner (Statewide Jurisdiction)
El Multi-County
❑ County of
❑ City of w ❑ Other
3. Type of Statement (Check at least one box)
[Annual: The period covered is January 1, 2014, through - "❑ Leaving Office: Date Left
December 31, 2014. (Check one)
The period covered is I I through O The period covered is January 1, 2014, through the date of
December 31. 2014. leaving office.
❑ Assuming Office: Date assumed lz' J O The period covered is I I through
/ the date of leaving office.
❑ Candidate: Election year
4. Schedule Summary
Ck applicable schedules or "None."
Schedule A -1 - Investments - Aaedule a!tack�asl
chedule A -2 - Investments - schedule attached
�I Schedule B - Real Property - schedule attached
5. Verification
and office sought, if different than Part 1:
► Total number of pages including this cover page:
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Guts - Travel Payments - schedule attached
-or-
❑ None - No reportable interests on any schedule
(Business or Agency Address Rnrnmm " O.,hl(n r,^cument)
DAYTIME TELEPHONE NUMBER E- MAILADDRESS,om;°1 '
152-All, tc,. - le 61
I have used all reasonable diligence in preparing this statement. I have reviewed this statement antttdthe 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 Sign Signature �- "� �,�'� -^✓
(month, day, year) (File the o y sgne s went w th your filing o ua .
FPPC Form 700(2014/2015)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
st
SCHEDULE A -1 . - A-1 0.
Investments
Stocks, Bonds, and Other Interests Name
(ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY A ` )KI
GENE AL DESCRIPTION OF THIS BUSINESS N
✓'J T'j C. 1 tx _....
FAIR MARKET VALUE $10,001 - $100,000
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NA E OF INVESTMENT
Stock ❑ Other (Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule Q
IF APPLICABLE, LIST DATE:
1 14 —J_J 14
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS 1
FAIR MARKET VALUE 0 001 - $100,000
❑ $2,000 - $10,000 Over $1,000,000
❑ $100,001 - $1,000,000
NATURE OF INVE❑STM
[� Stock er
(Describe)
❑ Partnership Income Received of $0 -$499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
F1 $2,000 - $10,000 ❑ $10,001; = $100,000
r-1 $100,001 - $1,000,000 ❑ Over,.$1,000,000
v'
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income'Received of $0 - $499
O Income Received of $500 or More (Report on Schedule Q
IF APPLICABLE, LIST DATE
14 _ 1_l 14
ACQUIRED DISPOSED
comments:
NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE $1A0$100,000
❑ $2,000 - $10,000 []
El $100,001 - $1,000,000 ,.Over $1,000,000
NATURE OF INVESTMENT i'
❑ Stock ❑ Othf (Describe)
El Partnership 0 "Income Received of $0 - $499
,,C) Income Received of $500 or More (Report on Schedule Q
IF APPLICABLE, LIST DATE:
_
1___j 14 _J-_J 14
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other.
❑ Partnership O Income
O Income
❑ $10,001 -
❑ Over $1,(
(Describe)
of $0 - $499
Of $500 or More (Report on Schedule r
IF APPLICABLE, LIST DATE:
14 __j_1 14
ACQUIRED DISPOSED —
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10 $c
❑ $100,001 - $1,000,000 +Over $1,000,000
wA`
NATURE OF INVESTMtry, R
❑ Stock Other
(Describe)
Partnership Income Received of $0 - $499
n Income Received of $500 or More (Report on Schedu
IF APPLICABLE, LIST DATE:
_J_! 14 ___/__1_14
ACQUIRED DISPOSED
FPPC Form 700 (2014/2015) Sch
FPPC Advice Email: advice @fppc -r
FPPC Toll-Free Helpline:866 /275 -3772 vrtnrw.fppc.c:
SCHEDULE B
Interests in Real Property
(Including Rental Income)
ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET 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
Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑ Other
Yrs, remaining
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
610,001 $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
None
Name
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
$10;001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust
❑ Leasehold
Yrs. remaii
IF APPLICABLE, LI DATE:
__j 14
AroUIRW DISPOSED
❑ Easement
Other
IF RENTAL PROPERTY, ROSS INCOME RECEIVED
F1 $0 - $499 ❑X00 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $10000 0 OVER $100,000
SOURCES OF E /NTAL INCOME: If you own a 10% or greater
Interest, list A a name of each tenant that is a single source of
income of 10,000 or more.
[I Non
* You are not required to report loans from commercial lending institutions 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
INTEREST RATE
E] None
HIGHEST BALANCE DUURfN G
�] $500 - $1,000
❑ $10,001 - $� 0,000
i
❑ Guarantor, if applicable
i
(MonthsNears)
REPORTING PERIOD
❑ $1,001 - $10,000
OVER $100,000
NAME OF LENDER' /
ADDRESS (Business Address Acceptable
BUSINESS ACTIVITY, IF ANY, F LENDER
INTEREST RATE , TERM (Months/Years)
❑ None
HIGHEST BA NCE DURING REPORTING PERIOD
r-1 $500- '51,000 ❑ $1,001 - $10,000
❑ $10/,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments: FPPC Form 700 (2014/2015) Sch. B
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov