Marie Blankley - Candidate 2018eh ate tliitialihng vad
CALIFORNIA O- 700 STATEMENT OF ECONOMIC INTER S �L ora��iJSe
CIIYGLERk,
FAIR POLITICAL PRACTICES COMMISSION A PUBLIC ■ • COVER PAGE r GILRpy CA
Please type or print in ink. A
NAME OF FILER (LAST) (FIRST)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
6, 1LRV'.V C(: L-k/ C.Du -NLir_
Division, Board, Departmerf, District, if applicable Your Position
ti j & C (T-q Cum e�l r111 �1?,
► 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)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County /+ El County of
City of (_J 9 0 ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is I I through
December 31, 2017.
❑ Assuming Office: Date assumed l I
❑ Leaving Office: Date Left —J —I
(Check one)
0 The period covered is January 1, 2017, through the date of
leaving off ce.
.or-
0 The period covered is I I through
the date of leaving office.
%J Candidate: Date of Election 1 I I It ,l 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
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities /Trusts
(Ownership Interest is 10% or Greater)
li� 1. BUSINESS ENTITY .-
t C P.
Name
2-ZG ?L CDUN- 13aL- (j'1 (-I C4 jam,
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 �� 17 �� 17
0' $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership [Z Sole Proprietorship ❑
Other
YOUR BUSINESS POSITIONl'�li�i�3°
SHARE OF r SS INCOME 19 THE ENTITY)TRUST)
❑ $0 - $499 H $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
li� 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF 1 1 I 1
None or ❑ Names listed below
0- 4. INVESTMENTS ■ INTERESTS IN REAL PROPERTY ■ OR
LEASED BY •-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 _I� 17 � 117
❑ $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
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
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;
❑ $0 - $1,999
❑ $2,000 - $10,000 --J_-_.1 17 .-1- 17
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,0Co
NATURE OF INVESTMENT
❑ Partnership ❑ Sale Proprietorship ❑
Other
YOUR BUSINESS POSITION
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
INCOME hl� 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE Or
OF $10,000 OR MORE (Attach _ separate sheet it necea-W)
❑ None or 0 Names listed below
0- 4. INVESTMENTS ■ INTERESTS IN REAL PROPERTY ■ OR
LEASED BY OR
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessors Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 17
❑ $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 (2017/2018) 5ch. A -2
FPPC Advice Email: advice @fppc.ca.gov
FPP[Tol1- Free Helpline:866 /275 -3772 www.fppc.ca.gov
10
SCHEDULE B
Interests in Real Property
(Including Rental Income)
ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
,.Z�j u C o"L_ ., A LL_ C7
CITY
iL��
FAIR MARKET VALUE IF APPLICABLE, LIST DATE,
❑ $2,000 - $10,000
S4 $10,001 - $100,000 17 __j .. j 17
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOMF: 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.
Is. None
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE;
❑ $2,000 - $10,000
❑ $10,001 - $100,D00 17
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $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
* 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 TERM (MonthsNears)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY. OF LENDER
INTEREST RATE TERM (MonthslYears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700 (2017/2018) Sch. B
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov