Loading...
Su TanSTATEMENT OF ECONOMIC COVER PAGE Please type or print in ink. I i NAME OF FILER (L /� (FIRST) ' °" — - (MIDDLE) -' - -- 1 ale, 1. Office, Agency, or Court ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ Stale ❑ Judge (Statewide Jurisdiction) ❑ Multi - County p^�I El County of City of t f r 1 ❑ Other 3. Type of Statement (check at least one box) ❑ Annual: The period covered is January 1, 2010, through December 31, 2010. -or- The period covered is 2010 through December 31, Assuming Office: Date 2_ ❑ Leaving Office: Dale Left (Check one) O The period covered is January 1, 2010, through the date of leaving office. O The period covered is ��� through the date of leaving office. ❑ Candidate: Election Year Office sought, if different than Part 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 allached �C ❑ F1 chedule A -2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached s chedule B - Real Property - schedule attached El E - Income - Gilts - Travel Payments - schedule attached -or- ❑ None - No reportable interests on any schedule 5. V eri fi cation MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) Y 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 acknowledge this is a public document. - I certify under penalty of perjury under the laws of the State of California that the foregoing is t Did correct. Date Signed � tit Signature FmnMl day, ye.) (File he angina talement with yrow Bing official) FPPC Form 700 (201012011) FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION gC5 CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 0100,001 - $1,000,000 ❑ Over $1,000000 ,N o OF INTEREST /} Ownership/Deed of Trust Trusl ❑ Lea Yrs. remaining IF APPLICABLE, LIST DATE: __J__J 10 __J__J 10 ACQUIRED DISPOSED ❑ Easement 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. Name �_ o T(t ► STREETADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Olher 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. " 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/Yeam) % ❑ 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 (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 FPPC Form 700 (201012011) Sch. B FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov