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Robert MillerOct 16 12 05:09a Barb Please type or print in ink. NAME OF FILER 6263578990 p.2 STATEMENT OF ECONOMIC INTERESTS 0ricml Use 0rty COVER PAGE a 1. Office, Agency, or Court ' 1141,IU r'Socurd - C- N fa St'c Division., Board, t)6partment District, it applicable Your Positon CiiI O� ecco' ► 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 EE ❑ County of 0 City of 80-e Cack ❑ Other 3. Type of Statement (check at feast one box) ❑ Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left -or- December 31, 2011. (Check ore) The period covered is ----J through O The period covered is January 1, 2011, through the date of December 31, 2011. leaving office. Assuming Office: Date assumed 10 rJ °20 1,4 O The period covered is _�_1 , through the date of leaving orrice. ❑ 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: A Schedule A -1 - Investments- schedule atached ❑ Schedule A -2 - Investments- schedule attached ❑ ❑ Schedule B - Real Property- schedule attached ❑ - or - Schedule C - income, Loans, & Business Positions - schedule attached Schedule D - Income - Gilts - schedule a Schedule E - kicome - Gift - Ravel Payments - schedule attached ❑ None - ft reporrabri interests on any schedule 5. Verification MAWNG ADDRESS STREET c N STATE 21P CCnE (Busiress a Agexy AJ .e Recasm d- MGYC D7 ,enrJ i s 90 �. Co lo rado O%Jd, 1133 e- C A g Iro(o (TW6) s -`666 1 rbrn'Ifs @pasacle edtL 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 schedLleS 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 f ego",sue a �� Date Signed signature (Walk rtzyyear: (FdeNte or�jre „F}rlr�+MSfa2me2uwnyuwubw o.Y�ulJ FPPC Form 700 (2 0 1 112 01 2) FPPC Toll -Free Helpline: 8661275 -3772 %wArfppc.oa.gov Oct 16 12 05:10a Barb 6263578990 p.3 SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or finenmal statements. F T S Fuidt C %pipe GENERAL DESCRIPTION OF BUSINESS ACTIVITY I IL - r"l rIAdIdJ 11 o FAIR MARKET VALUE ❑ $2,000 - $10,000 '� $10,001 - SSoo,ODO ❑ $106,001 - $1,000.000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stpck ❑ Other l0eacntel ❑ Partnership O Income Received of SO - $499 O Income Received or $500 or More (rmpsf on S A, 4) IF APPLICABLE, LIST DATE: _1J 17 J_J 11 ACQUIRED DISPOSED NAME OF BUSINESS ENTITY ,n r'.�1AG '101 (1G5PIa JQenA,4 101A GENERAL DESCRIPTION OF BUSINESSA ITY I' OAq e d- CO STK FO T FAIR MARKET VALUE n pla GENERAL DESCRIPTION OF BUSINESS ACTIVITY 'T'i -rner hccHvs yc ❑ $2,609 - $10,000 ❑ $10,001 - $i m= T1n6 Se�le�1 $100,001 - $1,006,006 ❑ Over $1,000,000 OF INVESTMENT } N�A T TURE L'Y' Stack ❑ Other �esvibe) (0„suiba) ❑ Paralership O Income Received of $0 - S499 O Income Received of $500 or More (Repwrco Scho C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED 1. NAME OF BUSINESS ENTITY r3ac. '-101 ( K) F�An J P�,s;a� p lan GENERAL DESCRIPTION OF BUSINESS ACYLVITY Ce l In set „a M grc ,o T ox FAIR MARKET VALUE $2,000 - $10,000 ❑ $10.001 - $100,000 S100,001 - $1,000,000 ❑ Over $1,000,001) NATURE OF INVESTMENT Stock ❑ Other (0esmbe) ❑ Partnershlp O Income Received of $0 - $499 O Income Received of $500 or More (R*W on Scoud C) IF APPLICABLE LIST DATE: —JJ 1-I —J-0 ACQUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COfdr,:ISSION NAME OF BUSINESS ENTITY ca- pegs uf`7 Moto I ft sL' n pla GENERAL DESCRIPTION OF BUSINESS ACTIVITY 'T'i -rner hccHvs yc Grauait. Siock Fur,js 1 tPrnc tionQ! T1n6 Se�le�1 FAIR MARKET VALUE ❑ S2.00D - 570,000 �$10,�1 . $100,0DO ❑ $100.001 - $1,000,000 ❑ Over$1,DO6,o00 NATURE OF INVESTMENT Sto k ❑ Other �esvibe) ❑ Partnership 0 hrame Received of $0 - 5199 O hvcorne Received of $SOO m Mme piepw( wr Sdodde C) F APPLICABLE, LIST DATE ACQUIRED DISPOSED NAME OF BUSINESS ENTITY a n C- 61 ()C� I �PP/�Si c�rL) ° 10.11 GENERAL DESCRIPTION OF BUSINESS ACTIVITY Co l um lD l ct- Sn CAp- FAIR MARKET VALUE ❑ $2,000 - $10.000 ❑ SI0,001 - $1 D0,000 $100.001 - $1,000 ❑ Over$1,000,00o NATURE OF INVESTMENT tg Skck ❑Othmr (Desoflse) [] PaMereMp O Income Received of $0 -$499 O Incorm Received of $500 or More (Repwr m Sdsacle C) IF APPLICABLE, LIST OATS ACQUIRED DISPOSED NAME OF BUSINESS ENTITY L1 � a a( ".0 ( k)1"I / !� r1sl On P lov1 GENERAL DESCRIPTION OF BUSINESS CTVTIY CoIltfn6 i:f,4 r 1 EaT FAIR MARKET VALUE ❑ $2,000 - $10.000 510,001 - $100,000 © $100,001 -S1.000.000 ❑ Over $1,000,000 NATURE OF INVESTMENT � 1 Stock ❑ Other (e) ❑ PeMOrehip 0 Incom of e Received $0 - S490 -5499 0 O IrlcomB Received of $590 or More (Repwf an $desdule CJ IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: f Lla ( k) p" 4- NlC P r-S;0r Jan 2nrAkge, - K"arkk%r- L A p' , Ant - FPPC Form 709 (20112012) Sch. A -1 PPPG Toll-Free Helo inB: 866rL753rM www.fppc.ca.gov Oct 16 12 05:10a Barb 6263578990 p.4 SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 1(3 %) Do not attach brokerage or financial stadements. ► NAME OF euarNCaa Gri t t I v , / � (K� PIa ( on ) y) GENERAL DESCRIPTION OF BUSINESS ACTIV I n c co 3 F of FAIR MARKET VALUE ❑ $ 2,000 - 510,000 1� S10,U01 - E700,000 ❑ $1W.DO1 - $1,000,000 ❑ Over S1.0m.00D NATURE OF INVESTMENT Stork ❑ Other pleecm) ❑ Parver3ho O Inane Recehed of $D - $499 O Inowrte Received of $500 or Mae (Rpwt on sd*d b q IF APPLICABLE, LIST DATE ACQUIRED DISPOSED ► NAME OF BUSINESS GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2.Dde - S70.WO ❑ $10.001 - $100.000 ❑ $i00,001 - $1.00.000 ❑ OW SIAOD,000 NATURE OF INVESTMENT ❑ Stack ❑ Omer ❑ Pakmmshjp O Income Received of $0 - $499 O Income Received of 350D or More (Retort on SUtmdde q IF APPLICABLE. UST DATE ACQUIRED DISPOSED GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARI(ET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000.00D 510,001 - $100.000 ❑ over $1.8W.Ow NATURE OF INVESTMENT ❑ Stack ❑ Omer 01e®bet ❑ Partnership O Income Rec~ Of ED - $499 O Income Recofuel or $500 oT More f gW on SMad* q IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED :It 6 u OF BUSINESS ENTRY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - 510.000 ❑ $10.001 - $100.WO ❑ $100,001 - 51.000, ❑ OVW 51.000,000 NATURE OF INVESTMENT ❑ Sb* ❑ Otter 10raale) ❑ Parltership O Income Received of 50 - 5499 O Income ReceWW d $500 or Niue Oatya or srneave q IF APPLICABLE, LIST DATE ACQUIRED DISPOSED ► GENERAL DESCPoPRON OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2.000 - $10,000 ❑ $100.001 - $1.000.000 ❑ $10,001 - $100,000 ❑ over $1.a00.000 NATURE OF INVESTMENT ❑ Stock ❑ Other M-Xd*) ❑ I Minership O Income Received of $0 - $499 O Income RewDred of $500 or More lRwM on Sdedde C) IF APPLICABLE LIST DATE ACQUIRED DISPOSED NAME OF OMINE55 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ S2,000 - $10.000 ❑ 500,001 - $100.000 ❑ 3100,001 - 111.00.000 ❑ Over $1,000.000 NATURE OF INVESTMENT ❑ Stock ❑ Oma 07na Del ❑ ParmemhIp O Income Received of $0 - $499 O Inaonre Recofv0tl d 5500 ar Mae rrreyo,u m SOroAdo q IF APPLICABLE, LIST DATE ACQUIRED DISPOSED a 11 .0 I Pf i• MWAA 4 V FPPC Form 700 (201112012) Sch. A -1 FPPC Too -Free iiek)II r~ 88Br275 -3Tr2 w fppc.ca.9w Oct 16 12 05:10a Barb 6263578990 p.5 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME &cpje,lgL>- ar -0- W/rimU..n'�'T., Colle ADDRESS (Business Address Acceptable) 1. 5 - 90 E. Cf� l w rho IQJJG } pas - ada a BUSINESS ACTIVITY'. IF ANY, OF SOURCE g t c�,1 )ASS` STU rti'SL�ivr ll �rYAL�n SN P YOUR BUSINESS POSITI Sec; o,r � i ce. e re5, Ap,-4 GROSS INCOME RECEIVED ❑ &500 - $1,000 ❑ $1,001 - $10,000 ❑ 110,001 - $100,000 DOVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary ❑ Spouses or registered domeaSt partneYs intone ❑ Laan repayment ❑ Partnershlp ❑ Sale of (Real pope/1y. ®. rnaL aa=) ❑Commission or ❑Rectal Income, lislearh$mood of$10,000nr mua ❑ Mer (Oeaa l NAME OF SO URCE OF I 6 o k e) 7 Arner co- ADDRESS (EIUMass Address AcmpraWa) 1000 0. 1 ear,o�P, S'k el- BUSINESS ACTIVnY, IF ANY, F SOURCE Pr r1- S ;n.. Execl�fiv� YOUR BUSINESS POSITION t V P - ProQec-7 MaA rlciPi GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1.001 - $10,000 ❑ $10,001 - 5100,000 J $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary 05pouse7s or registered domestic puherb income ❑ Loan repayment ❑ Padnership ❑ Sale or W. boast OW ❑ Commission or ❑ Renlal Income, at each sauna N SwAro or m ❑ Omer t 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 lenders regular course of business an 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: MAW nF LENDER' ADDRESS (9ushass Address AWW21We) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD rl $soo - $1,wo ❑ $1,001 - $10,Ow n 51o,001 - 5100.000 ❑ OVER $100.OD0 Comments: INTEREST RATE TERM (Month Wears) % ❑ None SFCI IRITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Foaar adrAaxa 0 ❑ Ceer Offy FPPC Forts 700 (2011=12) Sch. C FPPC Toll -Free HelnAne: 8861275 -3712 wwxLippc,® -gov