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Darel KeltyCALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION. COVER PAGE ... �1 Please type or print in ink A Public Document NAME (LAST) - (FIRST) ( MIDDLE) ---­-°-DAY-Ttfilt K G (--r7 QA2fLeL VArct -rs� ( c 7 76r-67 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS (May use business address) 4 44 3 1Zc-)5 ff'D, C` g17 1 . Office, Agency, or Court Name of Office, Agency, or Court . CITz of 1L056 F -0 Division, Board, District, if applicable: P t "s COMhCI s3CCH & 1 Your Position: CUP Ac SS 1C.4$ 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 City of C) MC - A. Q Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: Annual: The period covered is January 1, 2006, through December 31, 2006. -or- 0 The period covered is —J_J through December 31, 2006. Q Leaving Office Date Left: —/ � (Check one) O The period covered is January 1, 2006, through the date of leaving office. -or- 0 The period covered is through the date of leaving office. El Candidate STATEMENT OF ECONOMIC INTEF 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 [ff / Yes - schedule attached investments (Less then 10% ownership) Schedule A -2 ❑ Yes - schedule attached Investments (10% or greeter Ownership) Schedule B Lry"7es - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (income other man Gins and Travel Payments) Schedule D Q Yes - schedule attached Income - Gifts ' Schedule E ❑ Yes - schedule attached Income - 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 underthe laws of the State of California that the foregoing is true and correct. Date Signed 31 - tA-il 07 G /�� / (Month, day. year) Signature °�t "°-`"� ff/ I z"` 7 (File the originally signed statement with your filing official.) FPPC Form 700 (200612007) FPPC Toll -Free Helpline: 866/ASK-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 I� S7 - t � L 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 V/A L IL1` i5' L k� NATO E OF INVESTMENT [Stock — Fh 4;Zj 0 �W ❑ Other (Descrhe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $too, 001 - $1000,000 NATURE OF 114VESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1000,000 IF APPLICABLE, LIST DATE. �_J 06 J_J 06 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ over $1,000,000 IF APPLICABLE. LIST DATE: ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION - > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10.000 ❑ $1D0,001 - $1,000000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE ❑ $10,001 - $100,000 ❑ Over $1,000,000 �_ J U6 __J_J 06 - ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100 . 001 - $1,000000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $10D'000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $t 000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: —J__J 06 ACQUIRED DISPOSED FPPC Form 700 (200612007) Sch. A -1 FPPC Toll -Free Helpline: 866/ASK-FPPC SCHEDULE B Interests in Real Property (Including Rental Income) > STREET ADDRESS OR PRECISE LOCATION CITY IZ05C- r4-'-Aaa C 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 IF APPLICABLE, LIST DATE: 06 ACQUIRED DISPOSED ❑ Easement u 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. > '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 ❑ Ownership /Deed of Trust IF APPLICABLE, LIST DATE: —I _ j 06 _/ ACQUIRED . DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs, remaining IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10000 ❑ $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 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` 6 , h lC � 0 F A M-E.2 i' cq - ADDRESS ADDRESS BUSINESS ACTIVITY OF LENDER 140(-,OS Thy. I�Q T 4'A04 F INTEREST RATE TERM (Months /Years) J 1/f, % ❑ None - 3 a y r r HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: BUSINESS ACTIVITY OF LENDER INTEREST RATE TERM (Months /Years) % ❑ None, HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1.001 - $10,000 ❑ $10,001 - $log000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (200612007) Sch. B FPPC Toll -Free Helpline: 866 /ASK -FPPC CALIFORNIA OR STATEMENT OF ECONOMIC INTERS ' 5't �''.; ° FAIR POLITICAL PRACTICES COMMISSION COVER PAGE j OCT' 0 5 A Public Document j L.- •- __._._ Please type or print in ink. f � 4 I " CU K S ,r +ate 41 L NAME (LAST) - (FIRST) (MIDDLEL_ - $Ry' DAYTIME TELEPHONE NUMBER MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS (May use business address) 9943 ��r:« ��� r��,�l���.o, <�. 7/ 1 . Office, Agency, or Court Name of Office, Agency, or Court : 1 t W N Flt LS1 C -0luw Division, Board, Distict, if applicable: Your Position: Al HN Co S 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 KI • : • u e ❑ Multi- County ❑ Other 3. Type of Statement (Check at feast one box) ❑ Assuming Office /Initial Date: ---- /_J- 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 )o % Ownership) Schedule A -2 ❑ Yes - schedule attached Investments (10% w greater Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (Income Other Than Gifts and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income — Travel Payments -or- No reportable interests on any schedule 5. Verification ❑ Annual: The period covered is January 1, 2007, through December 31, 2007. -or- 0 The period covered is ��_, through December 31, 2007. Leaving Office Date Left: - s - 1 Zl / 01 (Check one) O The period covered is January 1, 2007, through the date of leaving office. -or- 0 The period covered is —J —, through the date of leaving office. ❑ 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 °' 6_ 0C?_ d e PtAJ // / /� (monthday, year) Signature (mile the originally signed statement with your filing official.) FPPC Form 700 (200712008) FPPC Toll -Free Helpline: 8661ASK -FPPC STATEMENT OF ECONOMIC COVER PAGE OCT 0 6 ?00 Please type or print in ink. A Public Document � E � 9. � ✓,� -�� +-� rkl NAME (LAST) (FIRST) (MIDDLE BY D AYTIME TELEPHONE NUMBER MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) 11 g43 1 vfzI, c 7/77 1 . Office, Agency, or Court Name of Office, Agency, or Court: 1 ( 64 " K f t-kl C -O Arras Division, Board, District, if applicable: Your Position: P (w l�[Itf�j Conte l'SS'tukci 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 I� City of ( TTY OF ROSF.MFAT) ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: --J --J ❑ Annual: The period covered is January 1, 2007, through December 31, 2007. -or- 0 The period covered is _ /_—J_, through December 31, 2007. rf Office Date Left: 5 21 / 01 (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. 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 to% ownership) Schedule A -2 ❑ Yes - schedule attached Investments (70%or greater ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (Income other man Gifts and Travel Payments) Schedule D ❑ Yes - schedule attached Income -. Gifts Schedule E ❑ Yes - schedule attached Income - Travel Payments -or- Noreportable 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. / //- D 6_OC7- de Date Signed �" "" (month, day, year) Signature A 4q J (File the originally signed statement with your fling official) ❑ Candidate FPPC Form 700 (2007/2008) FPPC Toll -Free Helpline: 8661ASK -FPPC MAYOR: JOHN TRAN MAYOR PRO TEM: JOHN NUNEZ COUNCILMEMBERS: MARGARETCLARK POLLY LOW GARY A. TAYLOR October 6, 2008 Attn: Elaine Anderson FPPC 428 J Street, Suite 620 Sacramento, CA 95814 Dear Elaine, Pp semc ad 8838 E. VALLEY BOULEVARD • P.O. BOX 399 ROSEMEAD, CALIFORNIA 91770 TELEPHONE (626) 569 -2100 FAX (626) 307 -9218 Enclosed, is an original statement of Economic interest 700 leaving office for former Planning Commissioner Darrel Kelty. If there are any questions, please feel free to contact the office of the City Clerk at (626)569 -2177. Thank You. Sincerely, Ericka Hernandez Assistant to the City Clerk