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Home My WebLink AboutPeter Arellano - Form 700 - Annual 2011STATEMENT OF ECONOMIC INTERESTS 1\;VN 2� 2 COVER PAGE g CLARK; Please type or print in ink. NAME OF FILER A j (LAST) (FIRST)/ (MIDDLE) 1. Office, Agency, or Court Agency Name G T A, Ago Division, ► If filing for mulfigle positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County City of 3. Type of Statement (Check at least one box) 7�Annual: The period covered is January 1, 2011, through December 31, 2011. .or- The period covered is _I _I December 31, 2011. ❑ Assuming Office: Date assumed ❑ Candidate: Election Year Your Position Position: do,,, ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left — I (Check one) through O The period covered is January 1, 2011, through the date of leaving office. O The period covered is _ the date of leaving office. Office sought, if different than Part 1: through 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 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 ❑ Schedule 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 CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document 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 a i ornia that the foregoing is true - .and - cVre Date Signed Z— Signature `_!G m onth. day. year) _- ;F etfe d allysignedst W1Ti yourfiilingofricia. FPPC Form 700 (2011/2012) FPPC Toll -Free Helpline: 866/275 -3772 wwwv.fppc.ca.gov SCHEDULE A -1 CALIFORNIA FORm Investments FAIR PCILITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. No NAME OF B )INESS ENTITY r lj n GENERAL DEMRIPTION OF BUSINESS ACTIVITY fv) x" = Gr FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 / ❑ Over $1,000,000 NAT E OF INVESTMENT r7 _ % — / ��/ Stock Other C (Descr e) ❑ Partnership Q Income Received of $0 - $499 Q 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 Q Income Received of $0 - $499 Q 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 Q Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 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 Q Income Received of $0 - $499 Q 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 Q Income Received of $0 - $499 Q 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 Q Income Received of $0 - $499 Q 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 C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCO �f /- , ,'l e ADDRESS (Business Address Acceptable) 7� A'/()70 C, (-Ze (, a BUSINESS ACTIVITY, IF AIN4, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 X-OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ;-9-salary ❑ Spouse's or registered domestic partner's income ❑Loan repayment ❑ Partnership ❑ Sale of (Real property, car. boat. etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) NAM OF SOURCE INCOME 0 zx-:2�) ADDRESS (Business AddressAcceQjablp) l G BUSINESS AC I Y, F ANY, OF SOURCE / YOUR B SINESS POSITIO�N / GROSS INCOME RECEIVED ❑ $�1,000 ❑ $1,001 - $10,000 $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATIO�V�/HICH INCOME WAS RECEIVED E] Salary pouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of .510,000 or more ❑ Other (Describe) LOANS 2. OR OUTSTANDING DURING THE REPORTING •D * 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 INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ Guarantor ❑ $10,001 - sioox0 ❑ OVER $100,000 ❑ Other _ Comments: city (Describe) FPPC Form 700 (2011/2012) Sch. C FPPC Toll -Free Helpline: 866/275 -3772 wwv.fppc.ca.gov