HomeMy WebLinkAboutJacqueline Bretschneider - Annual 2014Please type or print in ink.
NAME OF FILER \ `_ (LAST)
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1. Office, Agency, or Court
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
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Agency Name ( o not use acronyms)
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Division, Board, Depart t, District, if applicable ' _ Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
City of
Position:
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❑ Judge or Court Commissioner (Statewide Jurisdiction)
I-1 (lniinty of
❑ Other
3. Type of Statement (Check at least one box)
j Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left I I
December 31, 2014. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2014, through the date of
December 31, 2014. leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments – schedule attached
❑ Schedule A -2 - Investments – schedule attached
❑ Schedule B - Real Property – schedule attached
and office sought, if different than Part 1:
► Total number of pages including this cover page:
0 Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule D - Income – Gifts – schedule attached
❑ Schedule E - Income – Gifts – Travel Payments – schedule attached
'or-
E] None - No reportable interests on any schedule
5. Verification
E- MAILAD RESS 1
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I have used all reasonable diligence in preparing this statement. I have reviewed this statem nt 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 California
)
FPPC Form 700(2014/2015)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
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SCHEDULE C
Income, Loans, & Business '
Positions Name
(Other than Gifts and Travel Payments) �(�(
NAME OF SOURCE OF INC E I
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ADDRES (Business Add ss Acceptable) e
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BUSINESS ACTIVITY. IF ANY, SOURCE
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YOUR BUSINESS POSITION
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GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 T,$,,tVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary V_Spouse's or registered domestic partner's income
T (For self - employed use Schedule A -2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A -2.)
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For self- employed use Schedule A -2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A -2.)
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other
(Describe) I I (Describe)
m� 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
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
❑ Guarantor
❑ Other
City
(Describe)
FPPC Form 700 (2014/2015) Sch. C
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
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