Margaret ClarkSTATEMENT OF ECONOMIC
COVER PAGE
Please type or pant ur ink
1. Office, Agency, or Court
Agency Name j
�' •t I\ s { C nr NCV✓1�12i
s•o 9oard Department Dlat a if applicable your Position
. If filing for multiple positions, list below our on an anammem.
Agency Position:
� tt Y tt E
STS LTeteeRecel4
I
2. Jurisdiction of Office fCheck at least one box)
❑ State ❑ Judge a Court Commissioner (Statevnde Junsdi giion)
❑ Multi Counpty 1 ❑ County of
ES City of Rc�dmeula ❑Other
3. Type of Statement (Clock at least one heX)
Annual: The period covered is January 1, 2012, through
December 31, 2012.
-or-
The period covered is through
December 31, 2012.
❑ Assuming office: Date assumed
❑ Leaving office: Date Left ff
(Check one)
O The beard covered is January 1, 2012, through the date of
leaving office .
O The period covered is through
the date at leaving office.
0 Candidate: Elecion year
and office sought, if Mercer than Part 1
4. Schedule Summary
Check applicable schedules or "Now.'
►Total number of pages including this cover page:
Schedule A-1 - Investments - schedule attached
® Schedule C - Income Loans, & Buvness Podvide, - schedule attached
❑ Schedule A -2 - Investments - schedule attached
® Schedule D - Income - GiBs - schedule attached
❑ Schedule a - Real Property- schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-Or-
❑ None - No reperfable interests on any schedule
5. Verification
(9.Nen our Ai ndd,acv R,commm0,d, w,vv )vcomem)
(�O ZW7 833 —603 Clcv -Iceee Sew yad v0 X"a ry
I have used all reasonable diligence in preparing this statement I have reviewed this statement and to the bes of my
knowledge the iblormatlrn contained
herein and in any anact ed schedules is We and complete. I ackno ledge this is a public document
I certify under penalty of perjury under the lam of the State of California that the foregoing is true and correct.
Date Signed 3 - ) to
(mom.
Signature
FPPC Form 700 (201 212 01 3)
FPPC Advice Email: adviceerfppc. ca.gov
FPPC mull Free faid,irm 866/275 3772 m. mpcca gov
SCHEDULE C
1
Income, Loans, &
Business
Positions
Name
(Other than Gifts and Travel Payments)
1. INCOME RECEIVED W
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME
its Ct P. i :S, -Ai SI, TPIC.
ADDRESS (ausineu AMress A1.11a'dble)
ADDRESS Iauvness Atltlress ASMAAbM)
3(wq �d.!�ArReii CA42a6s
BUSINESS ACTIVITY. I NY, OF SOURCE �
BUSINESS ACTIVITY, IF ANV OF SOURCE
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
GROSS INCOME RECEIVED
®$500- S1,W0" [jS1,odal $lo,om
❑$500- SI'ma, ❑Sl,ol -S10I
s 10001 , $100,00 [] OVER $1000m
❑ S10.001 - nov,do ❑ OVER SIDQWO
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Z spouses or registered domestic partner s'mcome
❑ Salary ❑ spouse's or ragstered Foretaste partners Income
Loan repayment ❑ PICINCSnip
❑ Loan repayment ❑ Paaravel"I
❑ sale o!
0 Sale of
/reeel pmpertv. ., enac arcp
mev PAcero as
[]ODmmrssono Rental Income. list sxn worts of dtgOCO ar more
r
[]C— Fra,iono `'.Rental Income, wcacti murte o /PtO.roo or mom
Ogler
ONer
t�eq
l��1
2 LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
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 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.
NAME OF LENDER
INTEREST RATE TERM Oiorlo. —)
% No.
ADDR`_SS (Business AM,- Accepfadie)
SECURITY FOR LOAN
❑ None ❑ Personal residanrc
BUSINESS ACTIVITY IF ANY, OF LENDER
Real Property
9 xb ss
HIGHEST BALANCE DURING REPORTING PERIOD
Ll $500 - $1 am
Simi - $loom
GuaranM
❑ 810,001 - zleo.aoo
J t OVER SIDC00O
IXM,
14a�Ee1
Comments:
FPPC Form 700 (2012/2013) Sch. C
FPPC Advice Email: ativice9fppcCa.gov
FPPC Toll Free Helpline. 8661275 -3772 www.fppc.ce COY
SCHEDULE D
Income - Gifts
NAME OF SOURCE (Not an(AAcmnym)
ADD S (BUSiness Rtltlress Acreptahk)
i4JkS����SacivvierUlo C(k55 f'
BUSINESS ACTIVITY, IF ANY, OF SOURCE
-LC T• l
GATE (mmled )) VA UE DESCRIPTION OF GIFT(S)
-Lj19J12 . 28. x9 pkF-+� Lk .
_3j]jJL 2I271 [EIKFefl Lu nFJh
1_LU1- s 36".Lld l5k(sJ L,-d,
li, NAME OF SOURCE (NCI an Aeror Er)
ADDRESS (BUSNSs Addms Acceptable)
BUSINESS ACTIVITY. IF ANY OF SOURCE
DATE (mMdd/yy) VALUE DESCRIPTION OF GIFT(SI
IE JJ_
NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptahb)
BUSINESS ACTIVITY IF ANY. OF SOURCE
DATE LOMddlyy) VALUE DESCRIPTION OF GIFTIS)
+.
�J—
JJ— s
Comments
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
. NAME OF SOURCE (Nw an AWlrym)
ADDRESS (Boons Address Acreptahle)
BUSINESS ACTIVT)t IF ANY OF SOURCE
DATE (mmleeay) VALUE DESCRIPTION OF GIFT(S)
JJ— s
JJ-
F NAME OF SOURCE (No/ as Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY. IF AN[ OF SOURCE
DATE (mMddlyy) VALUE DESCRIPTION OF GIFTS)
JJ— %
pi� NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Addres A.00")
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmMdlyy) VALUE DESCRIPTION OF GIFTS)
—I —J_ S
JJ_
FPPC Form 700 (2UI212015) Sch. G
FPPC Advice Email, advice @fppcca.gcv
FPPC Toll -Free Helpline :866)275 -3772 mvw.fppC,ca. go,