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Home My WebLink AboutKai Lai - Annual 2011CALIFORNIA • - 700 STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMMISSION A PUBLIC Q C �ybu5 l y� V�i DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) AL ' `� � - - l. Office, Agency, or Court Agency Name _ - I _\ / �,- n 0 c (� �,/ iA -J, C, f -,) 7 - r rC 7� 1_� r: I � "14 , Division, Board, Department District, if applicable Your Position r�jlLt�l`>✓ SS t .0 O 4 ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County �r El County of (� City of ❑ Other • 3. Type of Statement (check at least one box) Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left I -or- December 31, 2011. (Check one) The period covered is I I through O The period covered is January 1, 2011, through the date of December 31, 2011. leaving office. ❑ Assuming Office: Date assumed It 1 O The period covered is It I through the date of leaving office. ❑ Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or 'None." ► Total number of pages including this cover page: el/schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached VSchedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY DAYTIME TELEPHONE NUMBER _ E -MAIL ADDRESS (OPTIONAL) 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. Date Signed ( Signature month, day, year) (File Me aigina(y signed statement withyourRing offxial.) FPPC Form 700 (2011/2012) FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -1 CALIFORNIA FORm Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10 %) , Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY F t 4 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 1610,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATO PE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O 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 BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 [ $10,001 - $100,000 [J Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED P. NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: I 1 11 l— / 11 ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O 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 BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O 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 BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED FPPC Form 700 (2011/2012) Sch. A -1 FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) CITY rr. FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED 6E 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 X] $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. S Name KAI 5. 1--A1 ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLI LE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _/ 11 ---� 11 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST E] Ownership /Deed of Trusf / ❑ Easement ❑ Leasehold ❑ Y . remaining Other IF RENTAL PROP RTY, GROSS INCOME RECEIVED ❑ $0 - $499 ,r" ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - 100,000 ❑ OVER $100,000 SOURC OF RENTAL INCOME: If you own a 10% or greater interes , list the name of each tenant that is a single source of into a of $10,000 or more. * 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' ,r ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, 9F LENDER INTEREST RATE F TERM (Months/Years) %f ❑ None HIGHES BALANCE DURING REPORTING PERIOD ❑ $ 0 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER' s� ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthslYears) ,[,I None HIGHEST{13ALANCE DURING REPORTING PERIOD 0$ SQii - $1,000 ❑ $1,001 - $10,000 ❑ 10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (201112012) Sch. B FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov