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Richard Gullen - Leaving Office 2017'r- , Qate Inita ing Received • - • - 700 STATEMENT OF ECONOMIC INXEREST�S or, a Only FAIR POLITICAL PRACTICES COMMISSION N - -� DOCUMENT A PUBLIC COVER PAGE a ��G 2o /� Please type or print in ink. NAME OF FILER ST) (FIRST) 1. Office, Agency, or Court Agency Name (Do not use acronyms) 6;' , -� B - Division, Board, Department, District, if applicable I 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County / ❑ County of [City of v r �� y ❑ Other 3. Typ f Statement (Check at least one box) nnual: The period covered is January 1, 2016, through Leaving Office: Date Left / / 2 3 Z C7 l 7 -or- The period covered is I I through he period covered is January 1, 2016, through the date of December 31, 2016. -or- leaving office. ❑ Assuming Office: Date assumed _! 1 O The period covered is —J I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached .or- El None - No reportable interests on any schedule Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Pudic Document) O S'- S t"r,C' ��rt G� ira y DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS L ("WR ) Z Lt Z Cr %` G �C- Pi 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 foregoing is true and correct C e7 Date Signed Signature (month, day, year) (File the originally signed statement with your fling olfidaO FPPC Form 700 (2016/2017) 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 /a l42G ADDRESS (Business Address Acceptable) N D a 4 / 3 6 E 7A "4 0 s!i BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION JI GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 2-6V--ER $100,000 CON IDERATION 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 ❑ Loan repayment (Real property, car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source or $10,000 or more ❑ Other (Describe) (Describe) Name NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) //1 � ////v BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 54-1-0�001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOB WHICH INCOME WAS RECEIVED E] Salary ,L-�, SSppouse'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 ❑ Loan repayment (Real property, car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source or $10,000 or more ❑ Other (Describe) (Describe) 0- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * 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 (MonthsNears) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other City (Describe) FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 700 1 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received CALIFORNIA • OXia -' Use Only :017 PUBLIC DOCUMENT COVER PAGE CITY atplh'_3 'TIC Prease type or print In k-*. NAVE OF mm &an � 1. Office, Agency, or Court Agency Name (Do not use acronyms) C: �—'i .0e /•s rro y Division, Board, De0artment, District, if applicable Your Position �i p.riAN j /� g �wLw�sS.S•`�a Cp we�r't% S�✓: �O"1e -.r ► If filing for multiple positions, Gst below or on an attachment (Do not use acronyms) Agency. Position: 2. Jurisdiction of Office (check at least one box) ❑ Slob ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Muki- County KP4 of ❑ County of ■• 3. Typ1„�f Statement (ct►sck at Least one bob nnual. The period covered is January 1, 2016, through Leaving Office: Date Left December 31, 2016, (�) •or- The period covered is through G 'e period covered is January 1, 2016, through the date of December 31, 2016. -or- leaving office. ❑ Assuming Office: Date assumed __! —� O The period covered is J 1. through the date of leaving office. ❑ Candidate: Election year and office sought, r.' different than Part 1. 4. Schedule Summary (must complete) I► Total number of pages including this cover page: Schedules attached ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule A-2 - investments - schedule attached ❑ Schedule B - Real Property - schedule attached -or- -0 None - No reportable interests on any schedule 5. Verification L'J rule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached MAIUNG ADDRESS BTREET CITY STATE ZIP CODE Onk mt orAg WAd*w Remmmendid - Puhrc tapwmr4 - ( 0 3 S' c e,.,.- 600'- f-- CTJ 1 Co " (W? ) Z G C ^ C{' -'t. Cr .0 I C—%' G VL 0 kf— �% W— G . it v -� 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 foregoing is true and correct. toe 7 Data S�nad Signature (monN+, deX (% the adptaaRyskmd steremed Kau YO Ur fATV mfflCM) FPPC Form 700 (2016/2017) 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 14 2 G ADDRESS (8uaineW Address Acceptabk) yga/ I� g© vl e. o /0 j._wk ot: 2 47 0 9' BUSINESS ACTIVITY, IF ANY. OF SOURCE -�"l e- ~t YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Busineab Position Only ❑ $300 - $1.000 ❑ $1,001 - $10,o0O ❑ $10,001 - $1oo,000 'OVER $100,000 CO/NSIDERATION FOR WHICH INCOME WAS RECEIVED E celery ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10'i6 aw. ea at ip. For 10% or greater use Schedule A-2.) ❑ sale of (Roof pmperty, car, boat, etc.) ❑ Loan repayment Commission or ❑ Rental Income, irrt each source or $10,000 or more rz+escribe; (-,4 S&be) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) loo Z r jaw �-�s A/, BUSINESS ACTIVITY, IF ANY, OF SOURCE 11,eelFX41 bra Z3 YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No income - Businan Position Only ❑ $300 - $1,000 ❑ $1,001 - $10,000 U510,001 - $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 1046 or greater use Schedule A -2.) ❑ Sale of (Rea! property, car, boat etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list eats aance ofSfo,000 or more ❑ Other i^s= ::::rbe! (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 (Susrness 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 ❑ Guara.or ❑ O"r FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll-Free Helpline: 866 /275 -3772 www.fppc.ca.gov Shawna Freels From: Richard Gullen <rick @rhrc.net> Sent: Tuesday, June 06, 2017 9:34 AM To: Shawna Freels; Shawna Freels Cc: Carmen Mendez Subject: Form 700 for Richard Gullen Attachments: rbg.form.700.pdf Hi Shawna — Hope all is well. Sorry for the delay. Attached is my Form 700. The original is coming to you by mail. Have a great day, Rick ROSSI HANIERSLOUGH REISCHL l CHUCK RICHARD B. GULLEN, ESQ. 1960 The Alameda, Suite 200 San Jose, CA 95126 Direct Dial: (408) 261 -4240 1 Fax: (408) 261 -4292 Email: rickarhrc.net Visit RHRC's website I Get RHRC's latest legal updates on Facebook The information contained in this e-mail message Is intended only /or the perronal and confidential are of the reapientO named above. Tins message maybe an attorney -client communication and ar such it pritileged and crmfrdentiaL I1 tfie reader of this me.crage it not the intended recipient or an agent re.+ponsible for delivering it to the intended recipient, you are hereby notified lhaiyou /care recrirrd this document in error and that any review, &ssemination, distribution, or eopying of this message t.r .+rrrdly pmliibited fyou hart reteitrd thrs communication in emir, p/eme notify iu immediatey by e -mail and delete the or final message. 1