HomeMy WebLinkAboutPeter Arellano - Form 700 - Assuming Office 2005
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
D.'~lved
t:nr ~~al4f/UtIY
6~E1lKS OFFICE
Or, CA
Please type or print in ink
A Public Document
NAME
(LAST)
(FIRST)
(MIDDLE)
D.6.YTIME 1'ElEPI-lONE NUMBER
.t e.. r-- J)
CITY
G 1\ Ir19
1. Office, Agency, or Court
Name of Office, Agency, or Court: .
(, /Ira '7 [I'ry C, ~ vJ (
Division, Board, District, If applicable:
Your Position:
C ~..(- I Co\Ml\c:..{ ~b er
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Community Development Agency
Member
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
13 City of C-r'- I r 0 r
o Multi-County
o Other
3. Type of Statement (Check at least one box)
g Assuming Office/Initial
Date: J :J-,..1..!JJ25
o Annual: The period covered is January 1, 2005,
through December 31, 2005.
-or-
e The period covered is ---1---1_, through
December 31, 2005.
o Leaving Office Date Left: ---1---1_
(Check one)
C The period covered is January 1, 2005, through
the date of leaving office.
-or-
e The period covered is ---1---1_. through
the date of leaving office.
o Candidate
ell- ~so~o
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 ~ - 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 0 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - 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 perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
FPPC Form 700 (2005/2006)
FPPC Toll-Free Helpline: 866/ASK-FPPC
P e-+-e,
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests NA~~I ~ i\ -- ./I~
(Ownership Interest is Less Than 10%) ~ ~
Do not attach brokerage or financial statements.
> NAME OF BUSINESS ENTITY
.~
> NAME OF BUSINESS ENTITY
Th, 'of 1..-1'-..4 f\ ,.-kr}{JL(JI, I G rtJo/
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
IJ1 e JA'-~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
S $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
~ 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---1...]L
ACQUIRED
---1---1...]L
ACQUIRED
---1---1...M..-
DISPOSED
---1---1~
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
o $10.001 - $100,000
DOver $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)
(Oesc;ribe )
---1---1~
ACQUIRED
---1---1~
DISPOSED
---1---1...]L
ACQUIRED
---1---1~
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000.000
FAIR MARKET VALUE
o $2,000 - $10,000
o $100,001 - $1,000,000
o $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock
NATURE OF INVESTMENT
o Stock
o Other
o Other
o $10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
(Desc;ribe)
(Describe)
---1---1...]L
ACQUIRED
---1--1...]L
ACQUIRED
--1---1...]L
DISPOSED
Comments:
---1--1...M..-
DISPOSED
FPPC Form 700 (2005/2006) Sch. A-1
FPPC Toll-Free Helpline: 8661ASK-FPPC
SCHEDULE C
Income, Loans & Business
Positions
(Other than Gifts and Travel Payments)
> 1. INCOME RECEIVED > 1 INCOME RECEIVED
NAME OF SOURCE OF INCOME
~ik '- (J vrrwt Q r1;1 ~A-rf._ M t)A {~ (; ';"O~f
ADDRESS
"fS""J.....Q l4-r(D '1 0 G\r~ G,'{rfj~ 9soJ-o
BUSINESS ACTIVITY, IF ANY. OF SOURCE
M -t.ll'- r.4.- t
YOUR BUSINESS POSITION
NAME OF SOURCE OF INCOME
~A-rt'\ W ~fl}("){,tL 6~oksejlerJ
ADDRESS
{;8 :l-rCA-WlI'/LO IJrro't 0 (1th~ fjJ7>2.1O
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Rn €) k..s. e...1I er J
YOUR BUSINESS POSITION
~(t geK"J'orv
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
~ $iO,OO1 - $100,000 0 OVER $100,000
<;:+ I+--P-t' P h y..s .. LA n-NI'
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 g,OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~ Salary 0 Spouse's income. 0 Loan repayment
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 13' Spouse's income 0 Loan repayment
o Sale of
o Sale of
(Property. car, boat, etc.)
(Property, car, boat, etc.)
o Commission or 0 Rental Income, list each source of $10,000 or more
o Commission or 0 Rental Income, Ost each source of $10.000 or more
o Other
{Desaibe}
o Other
(Describe)
> 2 LOAN RECEIVED
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 RATE TERM (MonthslYears)
% 0 None
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF LENDER
SECURITY FOR lOAN
o None 0 Personal'residence
o Real Property
Street ecJdrsss
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000
o $1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
City
o Guarantor
o Other
(Describe)
Comments:
FPPC Form 700 (2005/2006) Sch. C
FPPC Toll-Free Helpline: 8661ASK.FPPC