John ScottSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST)
1. Office, Agency, or Court
Agency Name
3Y
Division, Board, Department, District, 'd applicable Your Position
P inb)14 16/ eKS. Publi't 5E2ViG -e5 Sin D6R1''k1+emc4,nr
► If fling for multiple positions, list below or on an attachment
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County p p
$'City of &geMl lit
❑ Judge (Statewide Jurisdiction)
County of _=
❑ Other
3. Type of Statement (check at least one box)
nual: The period covered is January 1, 2010, through December 31, E] Leaving Office: Date Leh
2010. -or- (Check one)
The period covered is __J__J through December 31,
2010.
❑ Assuming Office: Date
❑ Candidate: Election Year
O The period covered is January 1, 2010, through the date of
leaving office.
O The period covered is __J - — - J_ through the date
of leaving office.
Office sought, if different than Pert 1:
4, Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Grits - Travel Payments - schedule attached
-or-
No on any scTeZuTe
5. V
MAILING ADDRESS STREET CITY STATE ZIP CODE
fBasinaw a Agency Add'ess Rwomnwdad - Publk Dwumenp
735 L 6Lfie, L5f Cl ago men / %171 /
1 70 y) -0 - If Y_5`7 • 1 / ) co7T(ev, e.rryn)`I eN 1PgG( , or
I have used all reasonable diligence in preparing this statement I have reviewed this statement and to the best of my knowledgefie information contained
herein and in any attached schedules is We and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct
2
Date Signed 0 5 - 3 / ?.,t4l / Signature �
(aonM, day yam) F11, Me origxuly sened sldement War your fift o&W)
FPPC Form 700 (2 01 012 011)
FPPC Toll -Free Helpline: 8661275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
N OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME
—
ynIAND V(n��(Y �I.1MRA/ S C;G�
ADD (Business ddres � 1 s ", A c cceptable)
ADDRESS (Business Address Acceptable)
✓d� IfNMMVG `vyAy, pO MOn/A, e'4.
BUSINESS ACTIVITY, IFANY O S URCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
<}n(Mal5l7tlfck/ Mea(l1 ;mac
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
V e fie ri nc ripw
GROSS INCOME RECEIVED
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 � $100,000 XOVER $100,000
❑ $10.001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary ❑ Spouse's or registered domestic partner's income
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Loan repayment ❑ Partnership
❑ Sale of
❑ Sale of
(Property, car, boat ems)
(aropMy, car, boss ek.)
Commission o ❑ Rental Income, list each source 0/810,000 a more
❑ Commission or [ Income, luf each source or 310,000 w more
\L❑
�l Other 9 SC /n e'a M-2
❑ Other
/ � I (Describe)
L OANS D OR OUTSTANDING - -O-
(DesalbeJ
•r
` 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 (MonthsNears)
% ❑ None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER
❑ None ❑ Personal residence
❑ Real Property
Sneer edaross
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
Ctiy
❑ $1,001 - $10,000
❑ Guarantor
❑ $10,001 - $100,000
❑ OVER $100,000
❑ Other
(Describe)
Comments:
FPPC Form 700 (2010!2011) Sch. C
FPPC Toll -Free Helpline: 866 /276 -3772 www.fppc.ca.gov