Carolyn Chu RECEIVED
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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS MVF t
FAIR POLITICAL PRACTICES corm/ISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink CITY CLERKS OFFICE
NAME OF FILER MAST) (FIRST) " 1
C v CAPoc/ U fl
1. Office, Agency, or Court
Agency Name (Do not use acronyms) p
Clzy oP RO5001 0) F ( i )A33d: VU1RCeTo(L
Division, Board, Department, District, if applicable Your Position
F If filing for multiple positions,list below or on an attachment. (Do not use acronyms)
Agency: Position'
2. Jurisdiction of Office (Check at least one box)
❑State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
actyof. R-0._'�IY1Eq D — 111 Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1,2015,through ❑ Leaving Office: Date Left
December 31, 2015. (Check one)
-or- 0 The period covered is January 1, 2015,through the date of
Dec embed covered is—J_J ,through office.
December 31,2015. -or-
leaving oO The period covered is JJ ,through
❑ Assuming Office: Date assumed�� the date of leaving office.
❑ Candidate: Election year and office sought, it different than Part 1•
4. Schedule Summary (must complete) Total number of pages including this cover page: 2
Schedules attached
Schedule A-I•Investments-schedule attached []Schedule C•Income, Loans, &Business Pas@ans-schedule attached
❑ Schedule A-2-Investments-schedule attached ❑Schedule 0-Income-Gifts-schedule attached
❑ Schedule B•Real Property-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-schedule attached
-or-
0 None-No reportable interests on any schedule
5. Verification
MAIUNG ADDRESS STREET CITY STATE ZIP CODE
(Business n Agency AEOress Reccnm2Mtd•Punk Document)
8'8'3S C . AALi_ p, Kcs T, AP c tf770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
(Cz6 ) 5 9 - 91% cctiOc c- t O Rcs6MEAC. c tec
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 3 2 o `G - Signature 9 \ P
g �i Ike the o oily signed antenna urAn your Ding official.)
(mRwn,Olt gal
FPPC Form 700(2015/2016)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.a.gov
SCHEDULE A-1 CALIFORNIA FORM 700
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements. —
NA OF BUSINESS ENTITY a NAME OF BUSINESS ENTITY
la 2-I t e._( LNC. cry Nry �E- RTS
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
.'NAP-roAC-EL'71cALE, }+c rtL-
FNR MARKET VALUE FAIR MARKET VALUE
-$2000-$10000 ❑$1o,o01 -$100,000 -K-S 2,000-$10000 ❑$10,001 -$100,000
❑ $IDo,001 -s1,000.000 ❑over$1.000.000 ❑$100.001 -$1,000,000 Li over 51 000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
• Stock ❑other ❑ Stock ❑other
_ (Wrnm) --
lmemcol
O Partnership 0 Income Received of$0-$499 ❑ Partnership C)Income Received of$0-$499
0 Income Received of$500 or More(Report an Schedule C) 0 Income Received of$500 or More(Report an Schedule c)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE.
--JJ 15 _l__/ 15 ____/_r 15 _J_l 16
ACQUIRED DISPOSED ACQUIRED DISPOSED
le NAME OF BUSINESS ENTITY • NAME OF BUSINESS ENTITY
TESC.A MOT-COS
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
At rt))A1cTWE
FAIR MARKET VALUE FAIR MARKET VALUE
462 000-510.000 ❑$10,001 -5100,000 ❑52.000-$10,000 ❑ $10.001 -swum
D$mo,001 -$+000,000 ❑over 51,000,000 ❑$100,001 -$1,000,000 ❑Over$1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
E Stock ❑Other t] Stock ❑Other ceemce
(Descnm)
U PadneMip O Income Received of$0-$499 ❑ Partnership O Income Received of$0-$499
O Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 More(Report on Schedule c)
IF APPLICABLE,LIST DATE: IF APPLICABLE. LIST DATE.
_1_1 15 —J-1 15 _1_1 16 _/___/ 15
ACQUIRED DISPOSED ACQUIRED DISPOSED
NAME OF BUSINESS ENTITY la NAME OF BUSINESS ENTITY
V- isA1 - NT•
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
F/to P�«
FAIR MARKET VALUE FAIR MARKET VALUE
.8,$2,000-$10,000 ❑$10,001 -$100,000 0$2.000-$10000 ❑$10001-$100,000
❑$100,001-$1,000,000 ❑over$1,000,000 ❑ swum-$1000000 ❑over 51000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
E Stock ❑Other E Stock ❑Other ce mml
(Desaae)
fl Partnership 0 Income Received of$0-$499 ❑ Partnership O Income Received of$0-$499
O Income Received of$500 or More(Report on Schedule C) C)Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE.
JJ 15 J_./ 16 _1—J 15 __lit 15
ACQUIRED DISPOSED ACQUIRED DISPOSED
Comments:
FPPC Form 700(2015/2016)Sch.A-1
FPPC Advice Email:advice @fppc.ca.gov
FPPC Toll-Free Helpline:866/225-3222 www.fppc.ca.gov