HomeMy WebLinkAboutPerry Woodward - Annual 2015STATEMENT OF ECONOMIC INTERESTS Date) Ire, use
• PUBLIC DOCUMENT COVER PAGE ,;
Please type or print in ink.
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NAME OF FILER (LAST) (FIRST)
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Wood WA*0 PEAR Y
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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)
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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
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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
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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