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HomeMy WebLinkAboutPerry Woodward - Annual 2015STATEMENT OF ECONOMIC INTERESTS Date) Ire, use • PUBLIC DOCUMENT COVER PAGE ,; Please type or print in ink. QA NAME OF FILER (LAST) (FIRST) (yp LA Wood WA*0 PEAR Y E 5 . 1. Office, Agency, or Court Agency Name (Do not use acronyms) G; j � &C of : Ito y Division, Bo ard, Department, District, if applicable Your Position GovwC /L -*tE-'1 $Ere ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Snwh- cke^ ✓ *thy 7-~rjP&4.*f7r -i A- +1 -ow► ty 'rsN�►ytrf•�„ 1M+-/� .. G.rr.e%I.�es'MF PI~5 Bo•vj 30144 A�ta��C Agency: M M Cli C Position: d y 2. Jurisdiction of Office (check at least one box) State P.C. J - P. a ❑ � El Judge or Court Commissioner (Statewide Jurisdiction) Multi- County 54 x- C4 I--. � ,'County of 0­-� 6A Vr'* ;W City of C t L K e Y ❑ Other 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2015, through ❑ Leaving office: Date Left I I December 31, 2015. (Check one) -or- The period covered is I I through O The period covered is January 1, 2015, through the date of December 31, 2015. -or- leaving office. ❑ Assuming office: Date assumed 1 O The period covered is through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached 'Schedule A -1 - Investments - schedule attached °Schedule C - Income, Loans, & Business Positions - schedule attached ja�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- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Pubic Document) a4 16 za ,et Io6E rw ��c,eo Y CA use Zo 7 ( 4oS ) 9111 —9204 UL AUUH&bb �woedwg,rdc,c; . I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best herein and in any attached schedules is true and complete. I acknowledge this is FPPC Form 700(2015/2016) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 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. ► NAME OF BUSINESS ENTITY POF Sotui'iodS , Z)e- GENERAL DESCRIPTION OF THIS BUSINESS 1 SCM-Go✓ope,4ve Cssj$t*1 64 seF ♦I.�erG FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 '1100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: �' 15 1 /' 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS 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 O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: I /.15 _1 J�15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS 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 O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / /� 15 �� 15 ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS 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 O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /� 15 1 1 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS 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 O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _/_/ 15 /. 15 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS 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 O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /' 15 _l, 15 ACQUIRED DISPOSED FPPC Form 700 (2015/2016) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) :0- 1. BUSINESS ENTITY .- TEIVA I-A0.1 bL P Name i ;-7 Pgoaa Ave-, 3 °O PI • , S.-e J ®Sc, CA Address (Business Address Acceptable) Check one [I Trust, go to 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS La Vj C.YAvs FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 F-] --j--j-L5 $2,000 - $10,000 �� 15 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 Wover $1,000,000 NATURE OF INVESTMENT Iartnership ❑ Sole Proprietorship ❑ other YOUR BUSINESS POSITION f®1r4*jC.%-' 0- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -• SS INCOME TO THE ENTITYITRUST) ❑ $0-$499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 1- 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate Sheet it necessary.) ❑ None or ❑ Names listed below 0- 4. INVESTMENTS ■ INTERESTS IN REAL PROPERTY LEASED BY THE BUSINESS ENTITY •- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 �� 15 _�_/ 15 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: 0- 1. BUSINESS ENTITY OR Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 7$0-$1,999 ❑ $2,000 - $10,000 �_/ 15 � /15 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION li� 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -• SS INCOME TO THE ENTITY/TRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 11� 3. LIST THE NAME OF -•- - SOURCE INCOME OF $1 O000 OR MORE jAnach a separate Sheet it necessary.) ❑ None or Names listed below PROPERTY 1p 4. INVESTMENTS AND INTERESTS IN REAL • LEASED BY •- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -J-J-15 --J-j 15 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attacned FPPC Form 700 (2015/2016) Sch. A -2 FPPC Advice Email: advice@fppc.ca.gov FPPCToll- FreeHelpline:866 /275 -3772 www.fppc.ca.gov A' r,4cp mg-A►T -m s- coEauttz A -2 /0/pgwnr�/� aoS E+n' .fee..i S� - ✓vaLC 3 lq/ :BOeq�a 54,v4 4- ?i® V4 Tare i rmc J ,,Mc.S Wzle-4 Al :Y /14 aty /i�os ✓• $ j r-,vl 14,% c Pit&cA sti® ✓cluay, LLe- Zfq s.w '44a,^' 44,k. c 647,4A7 o X414. FPS r-*AAA 70c PcRity dWoopta .*Ro FeSRmay l , L615 1. SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 12.1 CRY 4' 1.,ay r C� FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST P'OwnershipfDzed-ef*nst ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 R$10,0o1 - $100,000 ❑ 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 $10,000 or more. ❑ None FlfgAile 9-a/662-dL EVA- AfB /.h4W2- ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 7 "/ A-Ao$i .S+. CITY /.1 °y, CA FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST N°Ownership9eed- ef4i tal IF APPLICABLE, LIST DATE: /.15 /._1.15 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 "$10,001 - $100,000 ❑ 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. ❑ None e� ,o •_ e 3 ^9 4.1 a e eo lyN 7 /40-P P. / /,., i YQ✓6,/ co A * You are not required to report loans from commercial lending institutions 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 HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthslYears) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,o0o ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, 'rf applicable FPPC Form 700 (2015/2016) Sch. B FPPC Advice Email: advice@fppc.ca.gov 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 INCOME %RRA eAt. U e ADDRESS (Business Address Acceptable) 177 PAS -a 3",f�1, 5 BUSINESS ACTIVITY, IF ANY, OF SOURCE LA'JA/ fi YOUR BUSINESS POSITION "-rvE'P, GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 `Q bVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, flat each source of S10,000 or more ( Desaibe) other �i�' �- (Describe) JERAY AJ60,00 RD NAME OF SOURCE OF INCOME I w _50,1wh,.i$ f X�MCra ADDRESS (Business Address Acceptable) 333 A/. S a b i /a5 3-t. W700 5f 41 J ®Se BUSINESS ACTIV17Y, IF ANY, OF SOURCE c ®a.���r �a�,Avlfslgq, 4 YOUR BUSINESS POSITION ('ea esw l fod...sc O GROSS INCOME RECEIVED ❑ $500 - $1,00o ❑ $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, cal boat etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source or $10,000 or more (Desodbe) ❑ Other (Describe) • • * 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 Sheet address ❑ Guarantor ❑ Other Airy (Describe) FPPC Form 700 (2015/2016) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov