Margaret Clark03/18/2010 08:08 FAX
IM 001/002
CALIF ORNIA 11
STATEMENT OF ECONOMIC INTERESTS D U" o
FAIR POLITICAL PRACItCES COMMISSION I
AMENDMENT COVER PAGE
Please type or print M ink. A Public Document
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
C I a.r-k M ar are 1 F. 67 ) S 3 3 - C6 T
0 /0? N Pr-o.S,.2ecf -A-vt. ' P�os
1 . Office, Agency, or Court
Name of Office, Agency, or Court:� /
Cr�g � .0 SPAi!'tr° dam.
Divisio , Board, District, if applicable:
Your Position: n
► If fling for multiple positions, list additional agency(iesu
position(s): (Attach a separate Meet if necessary)
Agency:
Position:
2. Jurisdiction Of Office (Check at least one box)
❑ state
❑ County of
p
Lai Of 6
❑ Multi-County
❑ Other
Type
❑ Assuming Office /Initial
(Check at least one box)
Date: J
® Annual: The period covered is January 1, 2009,
through December 31, 2009,
-or-
0 The period covered Is claw 260 through
December 31, 20W. 04)C 7
❑ Leaving Office Date Left: -- --/_J_
(Check one)
O The period covered Is January 1, 2009, through the
date of leaving office.
-OM1
O The period covered is JJJL_, through
the date of leaving office.
❑ Candidate Election Year:
CA I9 I - 7`Zo
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 ❑ Yes - schedule attached
Inmalmenls (Less men fos ownwatV
Schedule A -2 ❑ Yes - schedule attached
Investments (1ou ar theerer ownI
Schedule B ❑ Yes - schedule attached
Real Properly
Schedule C ® Yes - schedule attached
Income, Loons, 8 Business Positions (Income other then an,
and Travel Payments)
Schedule D Yes - schedule attached
Income - Me
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
' or-
El 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 per)ury under the laws of the state
of California that the foregoing is true and correct.
Date Signed d ' 18 - J (�
(montA say: roe•)
Signature � `�l� -� CX�t��i
(Fie the e7p alynea ale 1 Year �9 nl�INel)
FPPC Form 700 Amendment (200812010)
FPPC TolWive Helpllns: 866/ASK.FPPC
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
9lle Fellrrtvtshln T��
ADDRESS r�
� /G 1/erro�uu I� LDS {�y1Q�! 9r�dS
BUSINESS ACTIVITY, IPANY. OF OURCE 4
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1.000 [g $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary 0 Spouse's or registered domestic partner's income
❑ Loan repayment
❑ Sale of
(Properly, cer, beef, etc)
❑ Commission or ❑ Rental Income, list each source or 510.000 or more
❑ Other
AMEND!#,EN.T
NAME OF SOURCE OF INCOME
A rrrir' ii /r.rJ-11 �o�01 L1, VV0.7 I�GEM /CS
ADDRESS
910 K Sir °'f 5� lea �a�,-amp4n a I SM
BUSINESS ACTIVITY. IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
$500 - $1,000 ❑ $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
❑ Loan repayment
❑ Sale of
(Nuperty, car. boeL etc.)
❑ Commission or ❑ Rental Income, list eech source of $to.000 or more
not f r
.1 4
❑ Other (Oescnbe)
You are not required to report loans from commercial tenon
retail installment or credit card transaction, made in the lent
members of the public without regard to your official status.
regular course of business must be disclosed as follows:
NAME OF LENDER
ADDRESS
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
Print Name
office, Agency or Court -� rH drip r,
Statement Type 2007/2008 Annual ❑—� Annual p Assuming [] Leaving E] Candidate
1 have used all reasonable diligence in preparing this statement. I have reviewed this statement and to he 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.
institutions, or any indebtedness created as part of a
is regular course of business on terms available to
Personal loans and loans received not in a lender's
INTEREST RATE TERM (Months(Years)
y, ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property ree ss
❑ Guarantor
❑ Other —
/ Signature - --
Date Signed (manlh, dey, Y—)
FPPC F F PC Free Helpl'me•o8661ASKFPP
SCHEDULE D
Income — Gifts
> NAME OF SOURCE
N ONE:
ADDRESS
ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd /yy) VALUE
��— $
$
DESCRIPTION OF GIFT(S)
>NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddtyy) VALUE DESCRIPTION OF GIFT(S)
��— $
_J —l— $
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy)
VALUE
_J —J—
$
—l _
$
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY IF ANY, OF SOURCE
DATE (mm /ddtyy) VALUE DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY IF ANY, OF SOURCE
DATE (mm/dd /yy) VALUE
$
��— $
DESCRIPTION OF GIFT(S)
Print Name r'I G, f rn
Office, Agency -
or Court —
Statement Type ,200712008 Annual ❑ Assuming ❑ Leaving
❑ 77- Annual ❑ Candidate
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 3 -16 - /Q
(month, tlar yeaq
Signature
Comments:
FPPC Form 700 Amendment (200712006) Sch. D
FPPC Toll -Free Helplipe: 8661ASK -FPPC
STATEMENT OF ECONOMIC INTE
COVER PAGE I� 2 5pp�
Please type or pant in ink. A Public Document Cf � �' -1 x,s Cj, "'CL,
NAME (LAST) (FIRST) (MIDDLE) ONE NUMBER
f Cert� cc cci �fi F (6.2) z88 f73 JS
MAILING ADDRESS STREET ) CITY STATE ZIP CODE OPTIONAL FAX / E -MAIL ADDRESS
(May use business address)
316q N. Pro.5p -cf- Aoe,- `RosLM Cq 9)
1 . Office, Agency, or Court
Name of Office, Agency, or Court
P.t�u i4 eo5Cmeyj
Divisi n, Board, District, if applicable:
Your Position:
If Aling for multiple positions, list additional agency(ies)i
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of office (Check at least one box)
❑ State
❑ County of n
IRCity of R. 0 5 e M 2 CL4
❑ Multi- County
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 ❑ Yes — schedule attached
Investments (Less than 10% Ownership)
Schedule A -2 ❑ Yes — schedule attached
Investments (10% or greater ownership)
Schedule B 5d Yes — schedule attached
Real Property
Schedule C 19 Yes — schedule attached
Income, Loans, 8 Business Positions (income Other than Gifts
and Travel Payments)
Schedule D Qf Yes — schedule attached
Income — Gilts
Schedule E ❑ Yes — schedule attached
Income — Travel Payments
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Officellnitial Date: ___J ---- J_
8 Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is --J --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 ___J ___J ,through
the date of leaving office.
❑ Candidate
-or-
[] No reportable interests on any schedule
S. 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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed
�rw(r th, day, year)
Signature
(File the calrially signed statement with your filing official.)
FPPC Form 700 (200712008)
FPPC Toll -Free Helpline: 866/ASK-FPPC
}
SCHEDULE B
Interests in Real Property
(Including Rental Income)
CITY r
II
R:519 uar�
r - 7 7o
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
NAME OF LENDER'
H310.001 - s1D0,000
J J 07 J_/ 07
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
Ownemhip/Deee of Twat
❑
Leasehold
Yrs remaining
❑ Easement
0
Other
IF RENTAL PROPERTY. GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 15Z $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.
> 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 OF INTEREST
❑ Ownenihip/Deee of Trust
❑ Lessehola
Ym Retaining'
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Easement
OMer
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $t,000 - ❑ $1,001 - $10.000
❑ $10,001 - $100;000 ❑OVER $700,000
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.
Comments:
PRECISE
FPPC Forrn 700 (200712008) Sch. B
FPPC Toll -Free Helpline: 86 6/ASK -FPPC
II
* 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'
NAME OF LENDER'
ADDRESS
ADDRESS
BUSINESS ACTIVITY OF LENDER
BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (MonthslYsam)
INTEREST RATE TERM (MonthslYesm)
% ❑ None
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $500 - $1,000 ❑ $tool - $70,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ $10,001 - $100;000 ❑ OVER $100,000
❑ Guarantor, it applicable
❑ Guarantor, if appricable
Comments:
PRECISE
FPPC Forrn 700 (200712008) Sch. B
FPPC Toll -Free Helpline: 86 6/ASK -FPPC
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
N II OF SOURCE OF INCOME
++
IJ fl7 I'P I' I��p .1vLL
ADDRESS 8
314q WrdLz(ga 'RD . Los hnodes go665
BUSINESS ACTIVITY,49 ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 7K $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary M Spouse's or registered domestic partners income
❑ Loan repayment
❑ Sale of
(Property, or b et,, eto)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1.000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partners Income
❑ Loan repayment
❑ Sale of
(Property, car, boat, etc)
❑ Commission or ❑ Rental Income, dst each source of $10,000 or mere
❑ Other (Oescrlbe) I I ❑ Other (pasrnbe)
2. L OAN RECEIVED
* 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 (MonthslYears)
❑ None
ADDRESS
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence
❑ Real Property a a mea
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
❑ Guarantor
❑ Other
(Oescnba)
FPPC Form 700 (200712008) Sch. C
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE D
Income — Gifts
> NAME OF SOURCE r n rr n
/t () Farnla 111:x' rYvi la ,'N<
ADDRESS
cif 0 K Sir e t 5Iz 1v0 $ zcrc �, CW q 5 Ll
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
J —J— $
JJ_ s
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE
JJ_ a
JJ— s
JJ— s
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY OF SOURCE
DATE (mm/ddlyy) VALUE
JJ_ $
JJ— s
Comments:
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddlyy) VALUE
JJ $
JJ— $
JJ—
$
> NAME OF SOURCE
DESCRIPTION OF GIFT(S)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
JJ— a
JJ_ s
JJ_ $
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddlyy) VALUE
JJ_ �
JJ— s
JJ— a
DESCRIPTION OF
FPPC Form 700 (2007/2008) Seh. D
FPPC Toll -Free Helpline: 8661ASK -FPPC
INSTRUCTIONS - SCHEDULE E
TRAVEL PAYMENTS, ADVANCES,
AND REIMBURSEMENTS
Travel payments reportable on Schedule E include
advances and reimbursements for travel and related
expenses, including lodging and meals.
Gifts of travel may be subject to a $390 gift limit. In
addition, certain travel payments are reportable gifts,
but are not subject to the gift limit. To avoid possible
misinterpretation or the perception that you may have
received a gift in excess of the gift limit, you may wish
to provide a specific description of the purpose of your
travel. See the FPPC fact sheet entitled "Limitations and
Restrictions on Gifts, Honoraria, Travel, and Loans," which
can be obtained from your filing officer or the FPPC
Web site at www.fppc.ca.gov.
You are not required to disclose:
• Travel payments received from any state, local, or
federal government agency for which you provided
services equal or greater in value than the payments
received
• Travel payments received from your employer in the
normal course of your employment that are required to
be reported on Schedule C
• Payments or reimbursements for transportation within
California in connection with an event at which you
gave a speech, participated in a panel or seminar, or
performed a similar service
• Food, beverages, and necessary accommodations
received directly in connection with an event held inside
or outside California at which you gave a speech,
participated in a panel, or provided a similar service.
Note that payments for transportation outside of
California are reportable
• A travel payment that was received from a nonprofit
entity exempt from taxation under Internal Revenue
Code Section 501(c)(3) for which you provided equal or
greater consideration
TO COMPLETE SCHEDULE E:
• Disclose the full name (not an acronym) and address
of the source of the travel payment.
• Identify the business activity, if any, of the source.
• Check the box to identify the payment as a gift or
income, report the amount, and disclose the dates) if
applicable.
Travel payments are gifts if you did not provide
services that were equal to or greater in value than
the payments received. You must disclose gifts
totaling $50 or more from a single source during
the period covered by the statement. Gifts of
travel are reportable without regard to where the
donor is located.
When reporting travel payments that are gifts,
you must provide a description of the gift and the
date(s) received.
Travel payments are income if you provided
services that were equal to or greater in value than
the payments received. You must disclose income
totaling $500 or more from a single source during
the period covered by the statement. You have
the burden of proving the payments are income
rather than gifts.
When reporting travel payments as income,
you must describe the services you provided in
exchange for the payment. You are not required
to disclose the date(s) for travel payments that are
income.
Example:
w E SOUn
Lmq_ye of Califomia Goes _
1400 K Street_Swde 900 -----------.___--
Sacramento, CA
smnr=s; pcmmv, s axr c� swmc�
Assodadon of city officials
�9 �17 07 um s 588.00
N�WU`Y,
�w;xwexr.4w9.rnek mel ❑r+w $fie
_ Travel reimbursement for board
meeting
o erexpenses
associated with board meetings. If Rick provides equal
or greater consideration for the travel and lodging when
he participates in the meeting, the reimbursements are
reported as income.
City council member
Rick Chandler is a
board member of the
League of California
Cities. The League
reimburses its board
members for travel
and lodging, as
well as meals and
th
FPPC Form 700 (2007/2008)
FPPC Toll -Free Helpline: 866 /ASK -FPPC wwwfppc.ca.gov
Instructions -10