HomeMy WebLinkAboutPeter Arellano - Form 700 - Annual 2009 CDA
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
A Public Document
COVER PAGE
STATEMENT OF ECONOMIC INTERESTS
NAME (lAST)
Ac-~
MAILING ADDRESS STREET
(Business Address Acceptable)
::;z / 00 u/u .t/1/1 C
p~
CITY
~ C//u
1. Office, Agency, or Court
~ 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
%city of r; ,(,--7
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: --------1--------1_
Annual: The period covered is January 1, 2009,
ough 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)
jJ~.
STATE ZIP CODE
((/0
OPTIONAL: E-MAil ADDRESS
C4 9JolO
4. Schedule Summary
~ Total number of pages /}....
including this cover page: .......:..L
~ Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-l 0 Yes - 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 0 Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule 0 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - Gifts - Travel Payments
-or-
o 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 peljury under the laws of the State
of California that the foregoing is true and correct.
~/6
Date Signed _
_/. .' .....:---
c:--- /
//
Signat
"".---:::..
FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK.FPPC www.fppc.ca.gov
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIH POLITICAL PRACTices COMMISSION
f;'t~v II r ~If tM/t 0
~ NAME OF BUSINESS ENTITY
~ NAME OF BUSINESS E~ It. J r I
l~ f .p JlKttA+ya rl I W 6ro~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
{lttt ~,JA~ (.;~
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
(8f 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)
0$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_/~
ACQUIRED
---1---1..JrL
DISPOSED
---1---1~
ACQUIRED
----.l----.l....EL
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 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~
ACQUIRED
----.l---1..JrL
DISPOSED
----.l----.l~
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
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 0 Olher
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
IF APPLICABLE, LIST DATE:
o Partnership 0 Income of $0 - $500
o Income Received of $500 or More (Report on Schedule C)
(Describe)
IF APPLICABLE, LIST OATE:
_J ----.l...illL
ACQUIRED
_J ----.l..JJfL
DISPOSED
----.l____.J~
ACQUIRED
Comments:
_J---1..JrL
DISPOSE[)
FPPC Form 700 (2009/2010) Sch, A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
~d{~o
NAME OF SOURCE OF INCOME ,if 1-
~f.RKIIh/l--V\~+~'J G/t)WI/
ADDRESS (Business Address Acceptable) , -,
B~lrS}A~TIV~~~:To~s~~[E~k G./ri 9JO~
~~
YOUR BUSINESS POSITION
fl.-'1S; CA' /MJ
GROSS INCOME RECEIVED
0$500. $1,000 0 $1,001 . $10,000
o $10,001 - $100,000 j2i(OVER $100,000
NAME OF SOURCE OF INCOME
t;..t,r tf-\ Ih' ^ j ~ C ~ of' ~ / iJ-J-" 6 n~
ADDRESS (Business Address Acceptable) , q j7J1.-CJ
t' J 33 SWIlAI.Cfu-I.A.;JC 6/lr9 '
BUSINESS ACTIVITY, IF ANY, OF SOUR E I
-I-. 1..,t/1Jc't!, ~ ~
YOUR BUSINESS POSITION I /
t+ f( (! 0 ~ (' d-,' vt IJ- to-/'
GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 . $10,000
BJl0,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
t)l.Salary 0 Spouse's or registered domestic partner's income
o Loan repayment
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
M Salary ~ Spouse's or registered domestic partner's income
o Loan repayment
D Sale of
(Property. cer, boat, etc.)
o Sale of
(Property, car, boat, etc.)
o Commission or 0 Rental Income, list each source of $10,000 or more
D Commission or
o Rental Income, list each source of $10.000 or more
o Other
(Describe)
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'
INTEREST RArE
TERM (MonthsfYears)
% 0 None
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
SECURITY FOR LOAN
o NOlle D Personal residence
o Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
o $500. $1,000
D $1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
City
o Guarantor
o Other
(Describe)
Comments:
FPPC Form 700 (2009/2010) Sch. C
FPPC Toll-Free Helpline: 866/ASK.FPPC www.fppc.ca.gov