HomeMy WebLinkAboutAnnual 2007
,
STATEMENT OF ECONOMIC INTERESTS
A Public Document
COVER PAGE
Please type or print in ink.
NAME (LAST)
P l10fr ((L0
MAILING ADDRESS STREET
(May use business address)
(FIRST)
A-L
CITY
7 () rrlL-s r
/J
(0 Ie f2ti
.-
I
1. Office, Agency, or Court
Name of Office, Agency, or Court:
IV! fr17 JR rJP e I N of G !l/V1
Division, Board, District, if applicable:
Your Position:
jY) /1~ J1\-
,
- 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 6!! L fLJ/
o Multi-County
,fi(Other IlL IfvVs/tN'l !m7,^- 1rr;"\/c 7
3. Type of Statement (Check at least one box)
ssuming Officellnitial
Date: ---.--1---.--1_
Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
a The period covered is ---.--1---.--1_, through
December 31, 2007.
o Leaving Office Date Left: ---.--1---.--1_
(Check one)
o The period covered is January 1, 2007, through the
date of leaving office.
-or-
a The period covered is ---.--1---.--1_, through
the date of leaving office.
o Candidate
(MIDDLE)
STATE ZIP CODE
sold
4. Schedule Summary
,rb'0~:;;;2 T3~z&)\>;)
i\ Dat~eceived uoci.'....
o::lFuse Only ~~:j'>
..V\\ ~~. ~ 't.-.r.:....\)
'" cG.G (ff\~ ,....
c\11 ~~ ~ ('>
Q\'U\"'.o !>l
ft.;;
/,p /
(1,/
DAYTI' ~t?..'~g'~~~.E.~....... t:l~a~/
......, 'vI t ':"'" ," -;,.J> '/"
fleE) ..~2'-.t~/
- Total number of pages L
including this cover page:
- Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 0 Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B *es - schedule attached
Real Property
Schedule C 0 Yes - 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 - Travel Payments
D No reportable interests on any schedule
-or-
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
'/-//- 0 rr
(month, day, year)
t with your filing officiaL)
FPPC Form 700 Amendment (2007/2008)
FPPC Toll-Free Helpline: 866/ASK-FPPC
,
SCHEDULE B
Interests in Real Property
(Including Rental Income)
). STREET ADDRESS OR PRECISE LOCATION
Ii lA (\.({1 S r
S S'l/ 1.{)
IF APPLICABLE, LIST DATE:
--'--' 07 --,--,07
ACQUIRED DISPOSED
NATURE OF INTEREST
~wnershiP/Deed of Trust
o Leasehold
o Easement
o
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
..~10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
IhJ\ /l I~"'-l)v,- \. l\"-C< SVl/J{ '(
f
* 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 ACTIVITY OF LENDER
INTEREST RATE TERM (MonthslYears)
% 0 None
HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
o Guarantor, if applicable
). STREET ADDRESS OR PRECISE LOCATION
CITY
FAIR MARKET VALUE
0$2,000 - $10,000
o $10,001 - $100,000
o $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
--'--' 07 --'--' 07
ACQUIRED DISPOSED
NATURE OF INTEREST
o OwnershipiDeed of Trust
o Easement
o Leasehold
o
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
Verification
Print Name
Office, Agency
or Court
Statement Type 02007/2008 Annual 0 Assuming 0 Leaving
o lYir Annual 0 Candidate
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 u- 11- () Y
l (month, day, year)
~
Signature
PPC Form 700 Amendment (2007/2008) Sch. B
FPPC Toll-Free Helpline: 866/ASK-FPPC
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
(MIDDLE)
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(-I. _!c>(),SC..,
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DAYTIME TELEPHONE NUMBER
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A Public Document
Please type or print in ink.
NAME (LAST)
(FIRST)
j rJ~//k)
trL
MAILING ADDRESS STREET
(May use business address)
CITY
S'J
(;fLIL "
r
1. Office, Agency, or Court
Name of Office, Agency, or Court:
MIf}l)/L o-F C-1f7 tlf t:/tllv7
Division, Board, District, if applicable:
Your Position:
('v\ ~ 0 (L
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
ClT'1 O~ ~/(ft-j
fV\- f\\.; () f\--
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
g City of c; / l. fLtr-J
o Multi-County
~Other TIL;'tyV~tl!tllJ'r77o~ jt(jr~c 7
3. Type of Statement (Check at least one box)
o Assuming Officellnitial Date: ----1----1_
~nnual: The period covered is January 1, 2007,
. through December 31,2007.
-or-
a The period covered is ----1---.--1_, through
December 31, 2007.
o Leaving Office Date Left: ----1---.--1_
(Check one)
o The period covered is January 1, 2007, through the
date of leaving office.
-or-
o The period covered is ----1---.--1_, through
the date of leaving office.
o Candidate
STATE ZIP CODE
( Ocr) g 'I '). -
OPTIONAL FAX i E-MAIL ADDRESS
C/f
c; ~7J)V
4. Schedule Summary
- Total number of pages ~
including this cover page: .
- Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 (~rYes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 ~Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B );6Yes - schedule attached
Real Property
Schedule C sz:i Yes - schedule attached
Income, Loans, ~siness Positions (Income Other than Gifts
and Travel Payments)
Schedule D 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - 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
3-/7-tJY
(m6nth, day, year)
FPPC Form 700 (2007/2008)
FPPC Toll-Free Helpline: 866/ASK-FPPC
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
FAIR POLITICAL PRACTICES COMMISSION
Name
!tL flr//tf//LU
). NAME OF BUSINESS ENTITY
P ( rJ N'IK ( ( 13 frrJ ,<:-
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
). NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
g~
FAIR MARKET VALUE
o $2,000 - $10,000
J<;[ $100,001 - $1,000,000
NATURE OF INVESTMENT
g Stock
.B. Other l'r1,)ill~iJ"1 aottfL])
(Describe)
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
o Other
o $10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
(Describe)
_~_/.2SJ__9f:
ACQUIRED
---.l.--,_QL.._
DISPOSED
__.I---.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
FAIR MARKET VALUE
o $2,000 - $10,000
0$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:
(Descri be)
(Describe)
---.l---.l..!!L
ACQUIRED
---.l---.l..!!L
DISPOSED
---.l---.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
o Othfilr
NATURE OF INVESTMENT
o Stock
o nthAr
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---.l---.l..!!L
ACQUIRED
---.l---.l..!!L
DISPOSED
---.l---.l~
ACQUIRED
Comments:
o $10,001 - $100,000
DOver $1,000,000
(Describe)
---.l---.l~
QISPOSED
FPPC Form 700 (2007/2008) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
,. 1. BUSINESS ENTITY OR TRUST
f\-1... P (rJltf 1M
W.slA-1~C,- /lJi,v'( /
,
~ / LIlY( elr '>5'12
Name
- c-)
-----l q 0 rl {\. 5 r ->
Address
Check one
o Trust, go to 2
Business Entity, complete the box, theh go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
D $2.000 - $10,000
o $10,001 - $100,000
g.s100,001 - $1,000,000
DOver $1,000,000
I
I NATURE OF INVESTMENT
EOle Proprietorship 0 Partnership 0
YOUR BUSINESS POSITION {)I~'(IJ t.1\-.
IF APPLICABLE, LIST DATE:
---.1 ---.1 07
ACQUIRED
---.1 ---.1~
DISPOSED
Other
D $0 - $499
D $500 - $1,000
D $1,001 - $10,000
o $10,001 - $100,000
?-oVER $100,000
,. 3, LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (attach a separate sheet" necessmyl
,. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST -
Check one box:
o INVESTMENT
D REAL PROPERTY
Name of Business Entity gr
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity gr
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2,000 - $10,000
o $10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
---.1 ---.1 07 ---.1---.1 07
ACQUIRED DISPOSED
NATURE OF INTEREST
o Property Ownership/Deed of Trust
o Stock
o Partnership
o Leasehold
o Other
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attached
Comments :
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
A-L PlfIJ!tf l,w
,. 1. BUSINESS ENTITY OR TRUST
'tn/hIfL
C/tfLt'rV ( C CE W"> VLL P
Name
t~ 0 fr(\.Y,.s rJ
Add ress
Check one
o Trust, go to 2 ~ Business Entity, complete the box, then go to 2
e {(IV? efr 1f~2-.i)
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
.l8-i10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
_1---.1 07
ACQUIRED
---.1---.1 J!L
DISPOSED
NATURE OF INVESTMENT
ole Proprietorship 0 Partnership 0
8U)~
D $0 - $499
o $500 - $1,000
D $1,001 - $10,000
other
g$10,001 - $100,000
DOVER $100,000
,. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Bttach a separate sheet If necessary)
Check one box:
o INVESTMENT
,. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
o REAL PROPERTY
Name of Business Entity gr
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity gr
City or Other Precise Location of Real Property
FAIR MARKET VALUE
o $2,000 - $10,000
0$10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE
---.1---.1 07 ---.1---.1 07
ACQUIRED DISPOSED
NATURE OF INTEREST
o Property Ownership/Deed of Trust
o Leasehold
Yrs. remaining
D Stock
o Partnership
o Check box if additional schedules reporting investments or real property
are attached
D Other
FPPC Fonn 700 (2007/2008) Sch. A-2
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE B
Interests in Real Property
(Including Rental Income)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
A'L f It/ Jtti 1M
> STREET ADDRESS OR PRECISE LOCATION
E 71ft 51
> STREET ADDRESS OR PRECISE LOCATION
/Vb ~ 0vIJ5Lf7 D 1"\,
CITY
~S-:s 7.5", srS',
CITY' ' ,
a/LfV(
FAIR MARKET VALUE
o $2,000 - $10,000
o $10,001 - $100,000
Q::,l100,001 - $1,000,000
tJ Over $1,000,000
Wt <1 ')1 L';;;
IF APPLICABLE, LIST DATE:
c: I LfL7
FAIR MARKET VALUE
o $2,000 - $10,000
0$10,001 - $100,000
g$100,001 - $1,000,000
DOver $1,000,000
C Ir <7 S1J 2.. t.J
IF APPLICABLE, LIST DATE:
----.l----.l 07 ----.l----.l 07
ACQUIRED DISPOSED
----.l----.l 07 ---.J ----.l 07
ACQUIRED DISPOSED
NATURE OF INTEREST
~Ownership/Deed of Trust
o Easement
NATURE OF INTEREST
~wnershiPiDeed of Trust
o Easement
o Leasehold
Yrs. remaining
o
Other
o Leasehold
o
Other
Yrs, remaining
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0 - $499 0 $500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
o $0 c $499 0 $500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
J 0 fLJ i ,.t". ~ jfv...J:> c)J't\l-
* 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'
WA-s H"'/~ 'Tb-r- ~
ADDRESS
NAME OF LENDER'
~
. W vk'S 1 fL1 ']l)vv-
ADDRESS
BUSINESS ACTIVITY OF LENDER
:r /Vsn 1U77i)r/1fL LEr-']) 0-'<.
c: /(J1./7
BUSINESS ACTIVITY OF LENDER Lc7..r--D { /l
71'- 5 n'~ f7 /Jto/tr\- l ' "
INTEREST RATE
TERM (MonthsiYears)
INTEREST RATE
TERM (MonthsiYears)
~:.L%
o None
:5 () Y I'Ll:>
,
S --r
%
o None
So 7 VL~
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 ~OVER $100,000
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 . $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 ~VER $100,000
o Guarantor, if applicable
o Guarantor, if applicable
Comments:
FPPC Form 700 (2007/2008) Sch, B
FPPC Toll-Free Helpline: 866/ASK-FPPC
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE 8
Interests in Real Property
(Including Rental Income)
> STREET ADDRESS OR PRECISE LOCATION
170 n/ls, S I
CITY
)' ~o 2-..)
r: t Lfl/7
Cff
FAIR MARKET VALUE
o $2,000 . $10,000
o $10,001 . $100,000
W100,001 . $1,000,000
DOver $1,000,000
IF APPLICABLE, LIST DATE:
---1---1 07 ---1---1 07
ACQUIRED DISPOSED
NATURE OF INTEREST
$ownership/Deed of Trust
o Easement
o Leasehold
o
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0. $499. 0 $500. $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
Name
,4-L p ( ,..; f1! /~
> STREET ADDRESS OR PRECISE LOCATION
7~8V v ItYb C-lM'l( (7 .s \
CITY
c; IlfV] ek
FAIR MARKET VALUE
o $2,000 - $10,000
0$10,001. $100,000
o $100,001 . $1,000,000
DOver $1,000,000
'7 )V"2- i:)
IF APPLICABLE, LIST DATE:
--1--107 --1--107
ACQUIRED DISPOSED
NATURE OF INTEREST
~nershiPiDeed of Trust
o Easement
o Leasehold
o
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o $0. $499 0 $500 - $1,000 0 $1,001 - $10,000
~10,001 - $100,000 0 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
/t7Yl fl '- frvvR I.tL/f'-Cf J ~-2c1/C C.
* 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'
NAME OF LENDER'
L fnVV]
ADDRESS
C,t~~( L <-
t1-J<.. ~ Itfi7
(l vn- fJ J717l
7750 fYl/l L [J'-
BUSINESS ACTIVITY OF LENDER
/2.. ~ 1711 t'D
INTEREST RATE
-4-_0/0 0 None
TERM (MonthsiYears)
S-
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000 0 $1,001 - $10,000
0$10,001. $100,000 ~ OVER $100,000
o Guarantor, if applicable
Comments:
~)~ f:t1JV"{TDr-' (YLLA- T7A./IZ-.
ADDRESS
C5 I LfV? cZ.- A-
BUSINESS ACTIVITY OF LENDER
~ i7 j?A17otJ/l~ LF~1'Jl.
INTEREST RATE
TERM (MonthslYears)
3D
6
o None
%
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 ~ OVER $100,000
o Guarantor, if applicable
FPPC Form 700 (2007/2008) Sch. B
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
f\-L ..pI t/ Itti 1/0
NAME OF SOURCE OF INCOME
.
.
NAME OF SOURCE OF INCOME
~~ ~c.....c 7
C/ltfVJ
BUSINESS ACTIVITY, IF ANY, OF SOURCE
~~ ftJ(~C /'
YOUR BUSINESS POSITION
~~fr-
f I ~ frt:;, r1.. 0
ADDRESS
(10 f7 /L.J ) .s 7-
pn....
~ l'~7YrL
AD RESS
7 f( 80, 7f'f~ c- fr/A./lC/f ST
BUSINESS ACTIVITY, IF ANY, OF SOURCE
R~~5
YOUR BUSI ESS POSITION
S'{,J.-S /J-,J:Y,s
; -
{ 7'T7-t- S (
~ ~r/'-
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 ~VER $100,000
GROSS INCOME RECEIVED
D $500 - $1,000 D $1,001 - $10,000
~0,001 - $100,000 DOVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary D Spouse's or registered domestic partner's income
D Loan repayment
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary D Spouse's or registered domestic partner's income
D Loan repayment
D Sale of
D Sale of
(Property, car, boat. etc)
~commission or
D Rental Income, lis! each source of $10,000 or more
D Commission or
(Property, car, boat. etc)
~ntal Income, list each source of $10,000 or more
/l>--8/,A l ~Cl..., .J CMf 1,tV't?- {fr-j)(J)/)'n..
/
ITfrt-f(
,
DOther
(Describe)
D 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)
ADDRESS
% D None
BUSINESS ACTIVITY, IF ANY, OF LENDER
SECURITY FOR LOAN
D None D Personal residence
D Real Property
0treet aaaress
HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000
D $1,001 - $10,000
D $10,001 . $100,000
DOVER $100,000
City
D Guarantor
D Other
(Describe)
Comments:
FPPC Form 700 (2007/2008) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC