HomeMy WebLinkAboutPeter Arellano - Form 700 - Annual 2001
Date Received
STATEMENT OF ECONOMIC INTERESTS
Ott/cla,l Use Onry'
COVER PAGE
A Public Document
Please type or print in ink
NAME
(LAST)
(FIRST)
Are- {~
MAILING ADDRESS STREET
(May be business address)
Po fo II'Ifl c- f'L
'.v/-.v-
CITY
61' I/'o
1. Full Name of Office Sought or Held,
Agency or Court:
Co ~I/.J!/Jflr/
DiviSion, Board, Disfrict, if applicable:
Position:
r .' n ~ I II -,
I , i -r't, \......0 (1_,,-,,-- t -\. t-f .p ,r.l V A./
- If filing for ultlple pOSitions, list additional agencY(les)/
position(s): (Attach a separate sheet if necessary.)
Agency: (0 1'0'1 I'l'- v..-'~ Opt/pi?!' k-v..-v-I A;~<'7
Position Title:
(t) (A >1."- C;.. { h>'\ f.__~Lv"'"
2. Jurisdiction of Office (Check one box)
o State
o County of
[6CTtyof (; I -; rO 7
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial Date: ----1----1_
~nual: The period covered is January 1, 2001,
through December 31, 2001.
-or-
e<~t::r1od cuvt::lt::a IS ~~. ~ e, through-
December 31, 2001.
o Leaving Office Date Left: ----1----1_
(Check one)
a The period covered is January 1, 2001, through
the date of leaving office.
-or-
a The period covered is ----1----1_, through
the date of leaving office.
o Candidate
(MIDDLE)
-J)
4. Schedule Summary
(Check applicable schedules or .No reportable interests.")
- During the reporting period. did you have any reportable
interests to disclose on:
Schedule A-1 ~ - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (Greater than 10% Ownership)
Schedule B
Real Property
DYes - schedule attached
Schedule C ~ schedule attached
Income & Business Positions (Income Other than Loans. Gifts. and Travel)
Schedule 0 ~- schedule attached
Income - Loans
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
- 0 No reportable interests on any schedule
Total number of pages completed including this
cover page: '-I
5. Verification
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 certify under
penalty of perjury under the laws of the State of California
that the foregoing is true and correct.
Date Signed
,Q
ally Signed statemenl wrth your filing offICIal.)
FPPC Form 700 (2001/2002)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-'
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Name
&l-v ,4r~lI~
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
Th' 'e.- P Jl..N~ vY\ &..- H e A-J--< (M ~ J4' ( il jJ G /1; (,{
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
HMO
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
EJ$10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
0$2,000 - $10,000
o $100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock
c:rQ;her 8.J-nc_klo i tL,r I e-M- V I D '7~ '(
(Deslribe)
NATURE OF INVESTMENT
o Stock
o Other
o $10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
(Oescribe)
---"__LQL
ACQUIRED
---"---"~
DISPOSED
---"---"~
ACQUIRED
----1----1...QL
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
o $10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
0$10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
(Describe)
(Describe)
~----1~
ACQUIRED
----1----1~
DISPOSED
---"---"~
ACQUIRED
----1----1~
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAl DESCRIPTION OF-BtJSINESSACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
o $100,001'$1,OOO,ObO
D $10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
o $2,000 - $10,000
o $100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
o $10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
(Describe)
(Describe)
~----1~
ACQUIRED
----1----1~
DISPOSED
---"---"~
ACQUIRED
Comments:
----1----1~
DISPOSED
FPPC Form 700 (200112002) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE C
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
Name
( ef-er A-v--~ t l~/'O
> NAME OF SOURCE
-rh ~. f..f if' 1m () ,,,-
ADDRESS
7.f- s- ?--o It y rO~11 C I VD 1-('_
BUSINESS ACTIVITY, IF ANY, 0 SOURCE
1
~t-1 &J. ;,- (c.,A fA:A. ."'L.- ~ I+;VI 0
YOUR USINESS POSITION
S'T p-If <\,f,- _' ,).r yJ/j1' r " L"/ 14-/VI
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 . $10.000
0$10,001 - $100,000 ~R $100,000
.. 4--".t!L1.(LuJ7 G. ro".p
I
ATION FOR WHICH INCOME WAS RECEIVED
o Spouse's income 0 Loan repayment
o Sale of
(Properly. car, boat, etc.)
o Rental Income, list each source of $10.000 or more
o Commission or
o Other
(Describe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY. OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
o $10,001 . $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's income 0 Loan repayment
o Sale of
(Properly, car, boat. elc.)
o Rental Income, list each source of $70,000 or more
o Commission or
o Other
(Describe)
> NAME OF SOURCE
(-Z. ~ I\rv + we L V\ C"; .1^-Z-
ADDRESS
If D r- O/t-r'+ ~O(~ -It S'T /l11:zr~('llUr9('--( I./J1
BUSINESS ACTIVITY, IF ANY, OF SOURCE I /
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ~
0$500' $1.000 0'$1.001 - $10.000
0$10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's income 0 Loan repayment
o Sale of
(Properly. car. bOat. etc.)
~ Income, list each source of $10.000 or more
o Commission or
o Other
(Describe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
0$500. $1.000 0 $1,001 . $10.000
o $10,001 ' $100.000 0 OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's income 0 loan repayment
. -DSale of ---
(Properly, car, boat. etc.)
o Commission or
o Rental Income. list each source of $10,000 or more
o Other
(Describe)
Comments:
FPPC Form 700 (200112002) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE D
Income - Loans
(Received or Outstanding)
> NAME OF LENDER
u.. ) ~. ~t.' I y'\ ,,--I-h Y\ 11-1 v'-- + L/L-tA-l
ADDRESS
~t1
{5'hl it
4 ()o D, fv1 A...; AS' of. .r Toc-/c 10" I ct4
~ ,
9.s-~ tj 0 tllsr
~USI~S ACTIVITY OF LENDER
[f1-f'inancial Institution
o Other
INTEREST RATE
TERM (MonthslYears)
30 >/'~' /1 dj{..~ 0 Lc
~5: X'" C/C
o NonE
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 [B"'6VER $100,000
SECURITY FOR LOAN
o None 0 Automobile ~onal residence
~I Property -1-100 .t'O ~ lrr-H~ {' L
f-- Street address
b,'l r~7 cf4
( City
Q . 1"1) 'Z.---t.7
,
o Guarantor
o Other
(Descflbe)
> NAME OF LENDER
fA J rLS ~~ A.\ +o.~ Mill..- -tv-.-,vl \SA-t\ k..- P4
ADDRESS 0
I.f Q 0 f. t~ ~h.'\.. f'-f , J+oL. Ie fa.'\. . (J4
/ I
___ BUSJf\lESS_ACIIVJIY- OF'LENDER ___----.i'r.62Q ,- () /
--g-financiaHnstitution - ----
o Other
INTEREST RATE
TERM (MonthhS! .. ...
3 0 ,-, 9 4J~A /; l-
f
- HIGHESTBAtANCE DURING REPORTING PERIOD
- -0$506 -;-$1,006------0$;,001 - $10,000
~0,001 - $100,000 0 OVER $100,000
C; .r
%
o None
SECURITY FOR LOAN
o None 0 Automobile
~onaltesidence
o Real Property
Street address
CUy
o Guarantot
o Other
(Describe)
Comments:
> NAME OF LENDER
ADDRESS
BUSINESS ACTIVITY OF LENDER
o Financial Institution
o Other
INTEREST RATE
TERM (MonthsfYears)
,
"
o None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
SECURITY FOR LOAN
o None 0 Automobile
o Personal residence
o Real Property
Street address
City
o Guarantor
o Other
(Descflbe)
> NAME OF LENDER
ADDRESS
--Bt1S1NESS-ACTIVITY OFtENDE~c-.
DFinanrnllnstitutiorl
[] -Other
INTEREST RATE TERM (MonlhslYears)
% 0 None
HIGHEST S.~LANCE DURING REP()Fr:U_N9 PERI~tD
0$500 - $1,000 0 $1,001 - $10.000
0$10,001 - $100,000 0 OVER $100,000
SECURITY FOR LOAN
o None 0 Automobile-- -~U Personal residence
o Real Property
Street address
City
o Guarantor
OOlhet
(Descflbe)
. FPPC Form 700 (200112002) Sch. 0
FPPC Toll-Free Helpline: 866/ASK-FPPC