Joseph MontesSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
Montes
Joseph T
1. Office, Agency, or Court
nv
Agency Name
--
Rosemead Community Development Commission
Division, Board, Department, District, r applicable
Your Position
Assistant General Counsel
► If filing for multiple positions, list below at on an attachment.
Agency:
Position: _
2. Jurisdiction Of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑Multi -County
_ ❑ County of
City of Rosemead
❑ Other
3. Type of Statement (check at least one box)
❑ Annual: The period Covered Is January 1. 2011, through
Fx] Leaving Office: Dale Left 01 , 31 / 2012
December 31, 2011.
(Check one)
-or-
The period covered is
through g The period covered is January 1, 2011, through the date of
December 31, 2011.
leaving office.
Assuming Office: Date assumed
O The period covered is I , through
the date of leaving once.
Candidate: Election Year .___.____ Office sought, if different than Part 1: ________,.. _ ----
4. Schedule Summary
Check applicable schedules or "None."
► Total number of pages including this cove! page: 3
Ex] Schedule A -1 - Investments - schedule attached
❑X Schedule C - Income, Loans, & Business Positions- schedule attached
❑ Schedule A -2 - investments- schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Propeny- schedule attached
❑ Schedule E - Income - Gilts - Travel payments- schedule attached
-or-
None - No repalable infaests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(nusines5 xAgsxy Address AYcwnmmdod - Pub!k Oo,u P.,J
-
BWS, 444 South Flower, Suite 2400
Los Angeles CA 90071
CA'fTIME TELEPHONL NUMBER
1 E -MAIL. ADDRESS (OPT'IONAL)
( 213 ) 236 -2736
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 allached 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 true and correct. .
Date Signed March 1, 2011
Signature_
t.•nw::iA day' fa=r/
rndnaCysi ..'s1a:e .,n ..rlhywr';Dig'. NiuiaL;
F t C
FPPC Form 700 (2011/2012)
FPPC Toll -Free Flelpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE A -1
Investments
Stocks, Bands, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
L '
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES, COMMISSION '
► NAME
Burke, Williams & Sorensen LLP
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Law Firm
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
[]x $100,001 - $1,000,000 ❑ over $1,000,000
FAIR MARKET VALUE.
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1.000,000
NATURE OF INVESTMENT
❑ Stock ❑ Olhel'
(Describe)
I]X Partnership O Income Received of $0 - S499
® Income Received of $500 or More (Raper! on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
$2,000 - $10,000 [;] $10:001 - $1no.000
❑ $100,001 - $1,000,000 ❑ Over $1000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Deeoribe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report an Schedule C)
IF APPLICABLE, LIST DATE:
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
(Deehil:e)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report oo schedu;e C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
NATURE OF INVESTMENT
❑ Stock. ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report an SC,eduio C)
IF APPLICABLE, LIST DATE:
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 ooaxo ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
- ( Desaibe) -
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More Tenpvf on Schodula c)
IF APPLICABLE. UST DATE:'
ACQUIRED DISPOSED
► NAME Uh tlU51NtJJ tNIIIY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1000,000
NATURE OF INVESTMENT
❑ Stork ❑ Other
(Der,.ribe)
❑ Partnership O Income Received of SO - $499
O Income Received of $500 or More (Report a: Srhed'vre q
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
FPPC Form 700 (2011/2012) Sch. A -1
FPPCToll -Free Helpline :666 /275 -3772 www.fppc.c .gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Burke, Williams & Sorensen LLP
ADDRESS (Business Address Acceptable)
444 South Flower Street, Suite 2400, L.A. CA 90071
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Law Firm
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑� $1,001 - $10,000
❑ $10,001 - $100,000 LI OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment J Partnership
❑ Sale of
(Real propaPi, car, beer, etc)
❑ Commission or ❑ Rental Income, bst each se=e of$10,000 a
❑ Other
(Opscribe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
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
EI Salary ❑ Spouses or registered domestic partner's income
❑ Loan repayment U Partnership
❑ Sale of
(Real properly, car host, etc.)
❑ Commission or ❑ Rerrlal locome, Irst aad� source oI $18000 prmme
❑ Other
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'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑. $500 - $1,000 .
❑ S1,001 - $10,000 -
❑ $10,001 - $100,000
E] OVER $100,000
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None . ❑ Personal residence
❑ Real Property
City
❑ Guarantor
❑ Other
Comments:
(DO.mbe)
FPPC Form 700 (2 0 1112 0 1 2) Sch. C
FPPC Toll -Free Helpline: 8661275.9772 xww.fppc.ca.gov
MAYOR:
STEVEN LY
MAYOR PRO TEM:
SANORAARMENTA
COUNCIL MEMBERS:
BILL ALARCON
MARGARET CLARK
POLLY LOW
March 1, 2012
Secretary of State
Political Reform Division
1500 11 Street, Room 495
Sacramento, CA 95814
To Whom It May Concern:
f icy osesnead
8838 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
Enclosed, is an original 700 Statement of Economic Interest for Rosemead's Assistant
City Attorney and Assistant Agency Counsel. If there are any questions, please feel free
to contact the office of the City Clerk at (626)569 -2171. Thank You.
Sincerely,
Ericka Hernandez
Assistant to the City Clerk
I
• 1 1 STATEMENT OF ECONOMIC INT R T 1 I ��� "_� �Lj
CITY 01 >_ IvTI -D
= • • COVER PAGE
Please type or print in ink. MAR �
NAME OF FILER (LAST) (FIRST)
Montes Joseph CITY C 7 EIWI<
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Assistant City Attorney
► If thing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ Stale
❑ Multi-County
City of Rosemead
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other _
3. Type of Statement (Check at least one box)
0 Annual: The period covered lks January 1, 2011, through Cl Leaving Office: Date Left —0 31 1 2012
December 31, 2011. ( Cheeck one)
-or-
The period covered is i J through O The period covered is January 1, 2011, through the dale of
December 31, 2011. leaving office.
❑ Assuming Office: Date assumed 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."
P. Total number of pages including this cover page. 3
U Schedule A -1 - Investments - schedule attached
X Schedule C - Income, Loans, & Business Positions- schedule attached
❑ Schedule A -2 - Inves(rnents- schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property- schedule attached
❑ Schedule E - income - Gifts - Travel Payments- schedule attached
-or-
L] None -
No reportable interests on any schedule
5. Verifica
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(ausinuss vA3m yABlress Recmnnwnred - Public Document)
BWS, 44 4 South Flower, Suite 2400
Los Angeles CA 90071
OAYrIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 213 ) 236 -2736
_
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 true and correct.
Date Signed Ma rch. 1, 2011
Signature
—.
—
(rnonl6 rfcy, ye'�:l
efiw uyi:r�;ly sip slalerrienl:vdhymrfirrg: M/kialj
FPPC Fond 700 (201112 0 1 2)
FPPC Toll -Free Helpline: 866 /275 -3772 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.
Burke, Williams & Sorensen LLP
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Law Firm
FAIR MARKET VALUE
1 $2,000 - $10,000 ❑ $10,001 - $100000
❑X $100,001 - $1,000,000 ❑ over $1 000,000
NATURE OF INVESTMENT
❑ Stack ❑ Other
(omen.)
❑X Partnership O Income Received of $0 - $499
0 Income Received of $500 or More (P.epoa on Schedme C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0 $2.000 - $10,000 [;] $10,001 - 4100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Dewdbe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on schodule c)
IF APPLICABLE, LIST DATE:
_tt 11 _J� 11
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
(Dewnhe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (P.apon a: sdmdwl C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
► NAME OF
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE.
❑ $2,000 - $10,000 $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $i
NATURE OF INVESTMENT
❑ Stock. ❑ Other
(Doscrihe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on S'chadu'e C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAMI= OF HUJINtbJ LN I I I T
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
F] $2,000 - $10,000 '] $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
newribe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (ROpor, w Sch0op r)
IF APPLICABLE, LIST DATE:'
J� 11 J� 11
ACQUIRED DISPOSED
�QI_ AMGIi -ml�L Mb IIIW
GENERAL DESCRIPTION OF BUSINESS ACl'IVITY
FAIR MARKET VALUE
❑ $2,000 - $10,090 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 [] Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report o:: sohaduln qi
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
F PPC Form 700 (2 01112 01 2) Sch. A -1
FPPC Toll -Free Helpline: 0061275 -3772 www.fppc.ca,gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Bu Wi lliam s & Sorens L_L
ADDRESS (Business Address Acceptable)
444 South Flower Street, Suite 2400, L.A. CA 90071
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Law Firm
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED
❑ $600 - $1,000 ❑ $1.001 - $1,000
❑ $10,001 - $100,000 [X] OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary [] Spous" or registered domestic partners income
❑ Loan repayment [X] Partnership
❑ Sale of
(Rral proFerly ca.; boar, vta.)
❑ Commission or [ Income, list each source or$1o,000 ormaE
❑ Other
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
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 ❑ Spousds or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Reel Properly, car, boat, e6.)
❑ Commission or ❑ Rental Income, list eacb source o/slo,oea or more
❑ Other
r • r r •�• sr
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'
ADDRESS (Business Address Acceptable)
ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑. $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
[� OVER $100,000
INTEREST RATE TERM (MonlhsrYears)
—, I — _� None - - -_
SECURITY FOR LOAN
❑ None . ❑ Personal residence
❑ Real Property _
Street eddrass
City
❑ Guarantor
[] Other_—___.___ _...__._.._._.._ ---- .........._
(Oos,nbe)
Comments:
FPPC Farm 700 (201112012) Sch. C
FPPC Toll -Free Helpline :866 /2753772 WWW.fppaca.g0V
• 1 1 STATEMENT OF ECONOMIC INTERESTS'., ',
'
-
• •
COVER PAGE
Please type or print in ink.
rr�� 7 }u, ! t'
��IU ! Gli'lu,
NAME OF FILER (IAST)
(FIRST) f__ (MIDDLE)
Monies
-,v"_V _
Joseph y M, ' 3 'i �
1. Office, Agency, or Court
nw
—^
Agency Name
City of Rosemead
Division, Board, Department, District, lt applicable
Your Position
Assistant City Atto
► If filing for multiple positions, list below Or on an attachment.
Agency: —
_ Position: _-
2. Jurisdiction of Office (Check at Least one box)
❑ State -
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
❑ County of
i] City of Rosemead
❑ Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2011, through
❑ Leaving Office: Date Left �!
December 31, 2011.
(Check one)
-or-
The period covered is _� I
through O The period covered is January 1, 2011, through the date Of
December 31, 2011.
leaving office.
• Assuming Office: Date assumed
O The period Covered is through
the dale 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: 3
U Schedule A -1 - investments - schedule attached
[x] Schedule C - Income, Loans, & Business Positions- schedule attached
❑ Schedule A -2 - Investr7ents- schedule attached
❑ Schedule D - Income - Gifts - schedule attached
Schedule B - Real Properly- schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
El None - No reportable interests on any schedule
5. V e r i fi cat i on
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(au5mes m Agency Addles Rmomm, m,ded - PulNic Dmanm nn
BWS, 444 South Flower St, Suite 2400
Los Angeles CA 90071
DAYTIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 213 ) 236 -2736
jmontes @bwslaw.com
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 true and correct.
March 26, 2012
Date Signed --
/� y�
Signature _f - -
ramm d yw,l
_
fs�rv•or..ua:7+. ne ,9 men - 111 Y- i , ' 1170 alQ31,%
e
FPPC Form 700 (20112012)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.a.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
Burke, Williams & Sorensen, LLP
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Law Firm
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
(Decnbe)
❑X Partnership O Income Received of $0 - S499
& Income Received of $500 or More rP.epoa a, Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
i] $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Dew - nCe)
I _] Partnership O Income Received of $0 - $499
O Income Received of $500 or More ( Report w schedule C)
IF APPLICABLE, LIST DATE:
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
(Dt,.nbe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or Moro (Report nn Schedu% e)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
► NAME OF
CALIFORNIA FORM 700
FAIR POLITICAL: PRACTICES COMMISSION
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
(Desalho)
❑ Partnership O Income Received of $0 - $499
O Income Received Of $500 Or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
— J � 11 JJ 11
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
(DessiSe) -
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 Or More (Ropon m Scdedulo C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTTY
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
(DOSCnbo)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Repo, nr Schedule ^,I
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
FPPC Form 700 (2 01112 0 1 2) Sch. A -1
FPPC Toll -Free Helpline: 6661275 -3772 www.fppc.Ga.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Burke, Wil liams & Sorensen, LLP
ADDRESS (Business Address Acceptable)
444 South Flower, St. Suite 2400, L.A. CA 90071
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Law Firm
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 OVER $700,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
[_) Salary ❑ Spouses or registered domestic partner's Income
❑ Loan repayment LX] Partnership
❑ Sale of
I 1 (Rost uroprvdy, ce, .)
arm, etc
E Commleslon or ❑ Rental Income, list each source o/ $10,(}00 er mare
C Other
(Dase nhe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
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 Partnership
❑ Sale of
(keal pepedy, car, hod, e!eJ
❑ Commission or u Rental Income, fist arch woes of $10,900 or rows
❑ Other
L OANS r OR OUTSTANDING DURING THE REPORTING OD
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'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
U $1,001 - $10,000
❑ $10,001 - $100,000
OVER $100,000
Comments:
INTEREST RATE TERM (MonlhslYears)
h ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
Street address
City
[] Other __._
(Descnhtn
FPPC Form 700 (2011/2012) Sch. C
FPPC Toll -Free Helpline: 8661275 -3772 "m,fppc.ca.gov