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Steven LySTATEMENT OF ECONOMIC Please type or print in ink. NAME (LAST) COVER PAGE A Public Document (FIRST). (MIDDLE) DEC 0 @ 2000 u) )DAYTIME TELEPHONE NUMBER ( 24 ) 32 a -5486 OPTIONAL: FAX I E -MAIL use Co 1 . Office, Agency, or Court Name of Office, Agency, or Court: Gil Guot;l, u52w,ewd Division, Board, District, if applicable: G Your Position: C." l If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of �,, x City of pse eo x ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: ❑ Annual: The period covered is January 1, 2007, through December 31, 2007. -or- 0 The period covered is — / —J —, through December 31, 2007. ❑ Leaving Office Date Left: __J—_J (Check one) - O The period covered is January 1, 2007, through the date of leaving office. -or- 0 The period covered is - --- through the date of leaving office, Candidate 91170 -Me lelicty o� gynoi1. 4. Schedule Summary Total number of pages including this cover page: '• Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A -1 XYes -schedule attached Investments (Less than 70% Ownership) Schedule A -2 ❑ Yes - schedule attached Investments po% or greater Ownership) Schedule B Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (income Omer than Gies and Travel Payments) Schedule D ❑, Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Travel Payments -or- F No reportable interests on any schedule 5. Verification 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. 200$ Date Signed e L U Q f (month, day, year) Signature (File o' ally signed slalemenl win your filing alTival.) FPPC Form 700 (200712008) FPPC Toll -Free Helping; 8661ASK -FPPC 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 GENERAL DESCRI ION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 E070,001 - $100.000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT W Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: I'O l _ Ij L J 07 _yam 07 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY 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) IF APPLICABLE, LIST DATE: ___j__j 07 _j__j 07 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 ( Descnbe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2.000 - $10,000 ❑ $100,001 - $1,000,000 ❑ $10,001 - $100,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: __I__j 07 __J ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,00o ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: _j_ j _27 _/_J 07 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10.000 ❑ $100,001 - $1,D00,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 (Desrnbe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED FPPC Form 700 (2007/2008) Sch. A -1 FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE B Interests in Real Property (Including Rental Income) > STREET ADDRESS OR PRECISE LOCATION 5631 I�f Anp Sk , CITY (As I �vieFc� IF APPLICABLE, LIST DATE: FAIR MARKET VAL& IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 07 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OFINTEREST ''Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Ogler IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0$0-$499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 Fa $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. O a wl e `7he dr'A GAVI > STREET ADDRESS OR PRECISE LOCATION 328 S flue 51 CITY Los Anr.�s FAIR MARKOVALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000- ❑ $10,001 - $100,000 $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST a - Ownership /Deed of Trust ❑ 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 / inc ome of $10,000 or more. ores C1 l_ 4, AOC'L- * You are not required to report loans from commercial lending institutions, or 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 ACTIVITY 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 ACTIVITY OF LENDER INTEREST RATE % ❑ None TERM (MonthsNeam) 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 (200712008) Sch. B FPPC Toll -Free Helpline: 866 /ASK -FPPC SCHEDULE B Interests in Real Property (Including Rental Income) > STREET ADDRESS OR PRECISE LOCATION 3*so E - ' Sk . CITY Los FAIR MARKET VALUkJ IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 10,001 - $100,000 l 07 JJ 07 V 100,001 - $1.000.000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST Ownership /Deed of Trust ❑ 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. > STREETADDRESS OR PRECISE LOCATION CITY IF APPLICABLE, LIST DATE: _ /_/ 07 _/J 07 ACQUIRED DISPOSED ❑ Easement 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 ❑ 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. * You are not required to report loans from commercial lending institutions, or 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 ACTIVITY 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 TERM Months/Years) NAME pF LENDER' ADDRESS BUSINESS ACTIVITY OF LENDER INTEREST RATE % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10.001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, 'd applicable Comments: FPPC Form 700 (200712006) Sch. B FPPC Toll -Free Helpline: 6661ASK -FPPC 0 1 . Office, Agency, or Court Name of Office, Agency, or Court: G{, C� Gkj Division, Board, District, if appli able: G 1-, 04 `lz. osten e& � Your Posiion: C -O(AAC ttrliilh ► If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of IN City of _?-PSCV`4fA a ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) Apr Assuming Office /Initial Date: �J 7� - ❑ Annual: The period covered is January 1, 2008, through December 31, 2008. -or- 0 The period covered is ��, through December 31, 2008. ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2008, through the date of leaving office. -or- 0 The period covered is __J___J_ , through the date of leaving office. ❑ Candidate Election Year: 4. Schedule Summary I. Total number of pages including this cover page: ► Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A -1 STATEMENT OF ECONOMIC INTERE$T Investments (Less ' ' t p alvse Schedule A - 2 I;§ Yes - schedule attached I� or greater ownership) C OMMISSION COVER PAGE Real Property APR 09 7009 Schedule C A Public Document Income, Loans, & I Please type or print in ink. I _ I NAME (LAST) (FIRST) (MIDDLE) II ' "DAY-TIME-TELEPHONE-NU 4 : 1 ate &N (bzb ) 5 - 7oS" f MAILING ADDRESIS STREET CITY STATE ZIP CODE OPTIONAL: FAX t E -MAIL ADDRESS (May use business address) 'Z04n P( V_0se P__ft1 1 . Office, Agency, or Court Name of Office, Agency, or Court: G{, C� Gkj Division, Board, District, if appli able: G 1-, 04 `lz. osten e& � Your Posiion: C -O(AAC ttrliilh ► If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of IN City of _?-PSCV`4fA a ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) Apr Assuming Office /Initial Date: �J 7� - ❑ Annual: The period covered is January 1, 2008, through December 31, 2008. -or- 0 The period covered is ��, through December 31, 2008. ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2008, through the date of leaving office. -or- 0 The period covered is __J___J_ , through the date of leaving office. ❑ Candidate Election Year: 4. Schedule Summary I. Total number of pages including this cover page: ► Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A -1 I& Yes - schedule attached Investments (Less than 10% ownership) Schedule A - 2 I;§ Yes - schedule attached Investments (10% or greater ownership) Schedule B EN Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (Income Omer than Gins and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gins Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments -or- [:] No reportable interests on any schedule 5. Verification 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 01 (month, day, year) Signature (File the finally signed si ement with your filing official.) FPPC Form 700 (200812009) FPPC Toll -Free Helpline: 8661ASK -FPPC 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 _aed M GENERAL DESCRIPTION OF BUSINESS ACTIVITY mr liJUEr►.P.c} e a 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) IF APPLICABLE, LIST DATE: i— 1 _ 1 6 08 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE: ❑ $10,001 - $100,000 ❑ Over $1,000,000 (Describe) — . /. 08 ACQUIRED DISPOSED � r [W� Ur MUDINtbb LN II I GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $1oo,o i - $1,00g000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: —J_l OB —J —J 08 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,00,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAML Ur BUSINESS ENTITY ULNERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,D00 - $10,000 ❑ $1oo,00l - $1,000,oOD NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: — , t 08 ACQUIRED DISPOSED Comments: GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,D00,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ( Describe) IF APPLICABLE, LIST DATE: _J— 1 08 __J 08 ACQUIRED DISPOSED FPPC Form 700 (2008/2009) Sch. A -1 FPPC Toll-Free Helpline: 8661ASK -FPPC wvvw.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) Name Biel A .11 L I.ft Try Address Check one ;10 Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY 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 INVESTMENT ❑ Sole Proprietorship ❑ Partnership ❑ Other BUSINESS POSITION ❑ $0-$499 I] $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity g Street Address or Assessors Parcel Number of Real Property Description of Business Activity ,pt City or Other Precise Location of Real Property 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 ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached N �61- LLL Address Check one � El Trust, go to 2 1�' Business Entity, complete the box, then go to 2 JERAL DESCRIPTIOP v tSIA (�++1q I OF BUSINESS ACTIVITY C. rgmer Ga l 2 MARKET VA E IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 URE OF INVESTMENT Sole Proprietorship [)g Partnership ❑ (rSt [6A+ Other JR BUSINESS POSITION ❑ $0 - $499 $10,001 - $100,000 ❑ $50D - $1,000 OVER $100,000 ❑ $1,001 - $10,000 Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity sr Street Address or Assessor's Parcel Number of Real Property Description of Business Activity Qr City or Other Precise Location of Real Property 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 ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: FPPC Form 700 (2008/2009) Sch. A -2 FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION 5 CITY Los M^`��eS 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 ► STREETADDRESS OR PRECISE LOCATION 3 S. Ave. sti CITY Los / FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _j_j 08 J_j OB $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST R 'tbwnership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Ym. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $ass ❑ $$00 - $1,000 ❑ $1,001 - $10,000 ls'$10 001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. & ^q Tito NATURE OF INTEREST 'Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME' If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. - NUeSov C4, You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $$00 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable NAME OF LENDER' ADDRESS BUSINESS ACTIVITY 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: FPPC Form 700 (2008/2009) Sch. B FPPC Toll -Free Helpline: B66/ASK -FPPC www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION 1 345 - 0 E. 9. 5-A CITY ���y �n� FAIR MARKET VALYJE 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 5 POwnershiptDeed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 U$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. ► STREET ADDRESS 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 OFINTEREST ❑ Ownership/Deed of Trust ❑ Leasehold IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ❑ Easement ❑ 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. " 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 ACTIVITY 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 ACTIVITY OF LENDER INTEREST RATE ❑ None TERM (Months/Years) 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 (200812009) Sch. 6 FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov