HomeMy WebLinkAboutPeter Arellano - Form 700 - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE
"~ate Received
~~ Use Only
~?R '"
rrN ClE~~S c:
STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink.
A Public Document
NAME (lAST)
(FIRST)
fe--+e...v-
A,
MAILING ADDRESS STREET
(Business Address Acceptable)
":f-l DO {\ +-0 ""-4-<- P L
CITY
G ,'/ ro
1. Office, Agency, or Court
Name of Office, Agency, or Court:
(;:Irn~ Cz'l~
Division, Bo rd, Distr ct, If applicable:
Co (;Vh ",,7 WI ~
Your Position:
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
~ity of {-,.' ( rlT)
o Multi-County
- D Other
3. Type of Statement. (Check at least one box)
o Assuming Office/lnitial Date: ---..1---..1_
WAnnual: The period covered is January 1, 2009,
~rough December 31,2009.
-or-
a The period covered is ---..1---..1_, through
December 31, 2009.
o Leaving Office Date Left: ---..1---..1_
(Check one)
a The period covered is January 1, 2009, through the
date of leaving office.
-or-
a The period covered is ---..1---..1_, through
the date of leaving office.
o Candidate Election Year:
(MIDDLE)
DAYTIME TELEPHONE NUMBER
() . ()i1 I "f
STATE ZIP CODE
o ) 3'V2--)..~T
OPTIONAL: E-MAil ADDRESS
c~ 9s-oLD
4. Schedule Summary
~ Total number of pages
including this cover page:
3
~ Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:/
Schedule A-1 ~es - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or Greater Ownership)
Schedule BOYes - schedule attached
Real Property
Schedule C ~ - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - Gifts - Travel Payments
-or-
D No reportable interests on any schedule
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
FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE A-'
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
f:"t~v {I r ~{( tM1 0
~ NAME OF BUSINESS ENTITY
~ NAME OF BUSINESS E~ dA J r I
ih f fvrlfA+~ J"I I W 6/O~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
{Jvt ~,JA: D~(
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
~$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
t8r Stock 0 Other
NATURE OF INVESTMENT
o Stock 0 Other
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
o $10,001 - $100,000
DOver $1,000,000
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
-1-1..J)fL
ACQUIRED
-1-1..J)fL
DISPOSED
-1-1..J)fL
ACQUIRED
--.-l--.-l~
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
o $100,001 - $1,000.000
NATURE OF INVESTMENT
o Stock 0 Other
NATURE OF INVESTMENT
o Stock 0 Other
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
o $10,001 - $100,000
DOver $1,000,000
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
(Describe)
IF APPLICABLE, LIST DATE;
IF APPLICABLE, LIST DATE:
--.-l--.-l..J)fL
ACQUIRED
-1-1..J)fL
DISPOSED
--.-l--.-l..J)fL
ACQUIRED
--.-l--.-l..J)fL
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
o $100,001 - $1,000,000
o $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 D Other
NATURE OF INVESTMENT
o Stock 0 Other
(Describe)
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
o $10,001 - $100,000
DOver $1,000,000
o Partnership 0 Income of $0 - $500
o I ncome Received of $500 or More (Repon on Schedule C)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
-1--.-l..J)fL
ACQUIRED
--.-l-1.Jlli....
DISPOSED
--.-l--.-l.Jlli....
ACQUIRED
Comments:
--.-l-1.Jlli....
DISPOSED
FPPC Form 700 (2009/2010) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
Name
~J{fMvO
~ 1. INCOME RECEIVED ~ 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME ,1.4 1-
-nv..f.RK~A.-v\~+~'J G(1)~
ADDRESS (Business Address Acceptable) ,
~S:t.o ,1rro~o C,'rt-k G./ni qJO~
BUSINESS ACTIVITY. IF AN , OF SOURCE
J!l e~~ a1-
YOUR BUSINESS POSITION
ft..,s~' CA'{Wv
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 J2{OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
"fil.Salary 0 Spouse's or registered domestic partner's income
o Loan repayment
o Sale of
(Property, car, boat, etc.)
o Commission or
o Rental Income, list each source of $10,000 or more
o Other
(Describe)
NAME OF SOURCE OF INCOME
~..t..r ~Ih.^j T; c~/,;)/jJ-j" 6~~
ADDRESS (Business Address Acceptable) , 9 JO'l-O
t- J 33 S 1"/ ft Ad fu-l.A-~ C 6, /,-.~ '
BUSINESS ACTIVITY, IF ANY, OF SOURCE /
\)' ILL}, +r-e. h' -f i'I1 ~ If It A,tAJGe ~ t-&
YOUR BUSINESS POSITION I / /
t+f( ~o~ rd.-I V't1J-7u/
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 - $10,000
~10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
M Salary ~ Spouse's or registered domestic partner's income
o Loan repayment
o Sale of
(Property, car, boat, etc.)
o Commission or
o Rental Income, list each source of $10,000 or more
o Other
(Describe)
~ 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
o $500 - $1,000
o $1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
Comments:
INTEREST RATE
TERM (MonthsfYears)
% 0 None
SECURITY FOR LOAN
o None 0 Personal residence
o Real Property
Street address
City
o Guarantor
o Other
(Describe)
FPPC Form 700 (2009/2010) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov