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Paul Duran - Annual CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date IFnit9�1[g.Ie eived kly ef COVER PAGE tOSEMEAD FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. A PUBLIC DOCUMENT MY 2 8X2'020 NAME OF FILER (LAST) (FIRST) (119 CSQFFME \Q 1. Office, Agency, or Court - Agency Name (Do not u acronyms) (_,\?� to oc cumin i s 3 l -e iv- Division, roa d, Department, District, if applicable ` Your Position C.\\kNQC,.k\vim QUNIYINNWSS1CA ► 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, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑Multi-County County IIICounty of ( City of `"�0 SQ `k- G\ cA ❑Other 3. Ty • of Statement (Check at least one box) �`j Annual: The period covered is January 1, 2019,through ❑ Leaving Office: Date Left_/_/ December 31, 2019. (Check one circle.) -or- The period covered is___/_/ , through 0 The period covered is January 1, 2019,through the date of December 31, 2019. -or-leaving office. ❑ Assuming Office: Date assumed_/_/ 0 The period covered is_l_J ,through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 -Investments—schedule attached 12/Schedule C-Income, Loans, &Business Positions—schedule attached ❑ Schedule A-2-Investments—schedule attached ❑ Schedule D-Income—Gifts—schedule attached ❑ Schedule B-Real Property—schedule attached ❑ Schedule E-Income—Gifts—Travel Payments—schedule attached -or- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agen cy Address Recommended-Public Document) /eCiu('G / . di/ 1oe6i^ i el G 91770 DAYTIME LEPON�NUMB EMAIL ADDRESS ( I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best rtly 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 631// a o l o Signature A��'v , XQJ (month,day year) (File the originally signed paperstatement with your tiling official.) FPPC Form 700-Cover Page(2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-5 Instructions Cover Page Enter your name, mailing address, and daytime telephone • If your agency is a multi-county office, list each county in number in the spaces provided. Because the Form 700 is which your agency has jurisdiction. a public'document,you may list your business/office • If your agency is not a state office, court, county office, city address instead•of your home address. office, or multi-county office(e.g., school districts, special Part 1. Office,Agency, or Court districts and JPAs), check the"other" box and enter the • Enter the name of the office sought or held, or the agency county or city in which the agency has jurisdiction. or court. Consultants must enter the public agency name Example: rather than their private firm's name. (Examples: State This filer is a member of a water district board with jurisdiction Assembly; Board of Supervisors; Office of the Mayor; in portions of Yuba and Sutter Counties. Department of Finance; Hope County Superior Court) 1.Office,Agency,or Court • Indicate the name of your division, board, or district, if Agency Name(Du not use eaonmu) applicable. (Examples: Division of Waste Management; Feather Rirerlrrigation District Durston,Board,Deparhnent,Disbic4 if applicable Your Poston Board of Accountancy; District 45). Do not use acronyms. N/A Board Member • Enter your position title. (Examples: Director; Chief eB(Eng for mulodeposuons,E4bal.oronanattachment.(Do not use acronyms) Counsel; City Council Member; Staff Services Analyst) Agency.N/A P�. • If you hold multiple positions (i.e., a city council member 2.Jurisdiction of Office(Check eefeast ono bo) ❑ misa Stede ❑Judge a Court Comaner(Statende Judsdicnon) who also is a member of a county board or commission), ©M�ycOemy Yuba&Saner Counties ❑Count/of you may be required to file statements with each agency. ❑Cd,of ❑Other To simplify your filing obligations, you may complete an Part 3. Type of Statement expanded statement. Check at least one box.The period covered by a statement • To do this, enter the name of the other agency(ies) is determined by the type of statement you are filing. If you with which you are required to file and your position are completing a 2019 annual statement, do not change the title(s) in the space provided. Do not use acronyms. pre-printed dates to reflect 2020. Your annual statement is Attach an additional sheet if necessary. Complete used for reporting the previous year's economic interests. one statement covering the disclosure requirements Economic interests for your annual filing covering January 1, for all positions. Each copy must contain an original 2020,through December 31, 2020,will be disclosed on your signature. Therefore, before signing the statement, statement filed in 2021. See Reference Pamphlet, page 4. make a copy for each agency. Sign each copy with an original signature and file with each agency. Combining Statements: Certain types of statements may be If you assume or leave a position after a filing deadline, combined. For example, if you leave office after January 1, you must complete a separate statement. For example, a but before the deadline for filing your annual statement, you city council member who assumes a position with a county may combine your annual and leaving office statements. File special district after the April annual filing deadline must file by the earliest deadline. Consult your filing officer or the a separate assuming office statement. In subsequent years, FPPC. the city council member may expand his or her annual filing to Part 4. Schedule Summary include both positions. • Complete the Schedule Summary after you have reviewed Example: each schedule to determine if you have reportable Brian Bourne is a city council member for the City of Lincoln interests. and a board member for the Camp Far West Irrigation • Enter the total number of completed pages including the District—a multi-county agency that covers Placer and cover page and either check the box for each schedule you Yuba counties. Brian will complete one Form 700 using full use to disclose interests; or if you have nothing to disclose disclosure(as required for the city position) and covering on any schedule, check the"No reportable interests" box. interests in both Placer and Yuba counties (as required for Please do not attach any blank schedules. the multi-county position) and list both positions on the Cover Page. Before signing the statement, Brian will make a copy Part 5. Verification and sign both statements. One statement will be filed with Complete the verification by signing the statement and City of Lincoln and the other will be filed with Camp Far West entering the date signed. All statements must have an original Irrigation District. Both will contain an original signature. "wet"signature or be duly authorized by your filing officer to Part 2. Jurisdiction of Office file electronically under Government Code Section 87500.2. • Check the box indicating the jurisdiction of your agency When you sign your statement,you are stating, under and, if applicable, identify the jurisdiction.Judges,judicial penalty of perjury,that it is true and correct. Only the filer candidates, and court commissioners have statewide has authority to sign the statement. An unsigned statement jurisdiction. All other filers should review the Reference is not considered filed and you may be subject to late filing Pamphlet, page 13,to determine their jurisdiction. penalties. FPPC Form 700-Cover Page(2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-6 SCHEDULE C CALIFORNIA FORM 700 Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name 1l `� k, A (Other than Gifts and Travel Payments) c�1,\1\\ t Qn ► 1.INCOME RECEIVED I. 1:INCOME RECEIVED NAME OF SOUR E OF INCOME NAME OF SOURCE OF INCOME r CCA\\ N C(xl 61/4 clncrd\ tl c ADDRESS (Business Address Acceptable) ADDRESS (BAiness Address Acceptable) 3\Vv \ Q J bit p\ s 9`1sp T1Sv 1 14/1.00( [ Qnell( ( J BUSINESS ACTIVITY, IF ANY, OF SOURCE , BUSINESS ACTIVITY, IF ANY, OF SOURCE k\r) . `\1,4CyCin LL \\M.. \ .4 \1 of 1. —I•e '3(� I �1 e;; c YOUR BU,SINESS POSITION YOUR BUSIN�SS POSITION 011 -eJ/ 4-11\NV-5 111\1\0 bYk./. GROSS INCOME RECEIVED No Income-Business Position Only GROSS INCOME RECEIVED ❑No Income-Business Position Only ❑$500-$1,000 $1,001 -$10,000 ❑$500-$1,000 ¶$1,001 -$10,000 ❑$10,001 -$100,000 ❑ OVER$100,000 ❑$10,001 -$100,000 ❑ OVER$100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED tikSalary ❑Spouse's or registered domestic partner's income ❑ Salary 1J4 Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) For self-employed use Schedule A-2.) ❑ Partnership(Less than 10%ownership. For 10%or greater use ❑ Partnership(Less than 10%ownership. For 10%or greater use Schedule A-2.) Schedule A-2.) ❑Sale of ❑Sale of (Real property,car;boat,etc.) (Real property,car boat,etc.) ❑ Loan repayment ❑ Loan repayment ❑ Commission or ❑ Rental Income,list each source of$10,000 or more ❑ Commission or ❑ Rental Income,list each source of$10,000 or more (Describe) (Describe) ❑ Other ❑Other (Describe) (Describe) 2.LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a commercial lending institution, 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' INTEREST RATE TERM(Months/Years) • ❑ None ADDRESS (Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence ❑ Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑$500-$1,000 City ❑$1,001 -$10,000 ❑ Guarantor ❑$10,001 -$100,000 ❑OVER$100,000 ❑ Other (Describe) Comments: FPPC Form 700-Schedule C(2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-13 Instructions — Schedule C Income, Loans, & Business Positions (Income Other Than Gifts and Travel Payments) Reporting Income: You are not required to report: Report the source and amount of gross income of$500 or • Salary, reimbursement for expenses or per diem, or more you received during the reporting period. Gross income social security, disability, or other similar benefit payments is the total amount of income before deducting expenses, received by you or your spouse or registered domestic losses, or taxes and includes loans other than loans from a partner from a federal, state, or local government agency. commercial lending institution. (See Reference Pamphlet, • Stock dividends and income from the sale of stock unless page 11.) You must also report the source of income to your the source can be identified. spouse or registered domestic partner if your community • Income from a PERS retirement account. property share was$500 or more during the reporting period. The source and income must be reported only if the source (See Reference Pamphlet, page 12.) is located in, doing business in, planning to do business in, To Complete Schedule C: or has done business during the previous two years in your Part 1. Income Received/Business Position Disclosure agency's jurisdiction. (See Reference Pamphlet, page 13.) Reportable sources of income may be further limited by • Disclose the name and address of each source of income your disclosure category located in your agency's conflict of or each business entity with which you held a business interest code. position. • Provide a general description of the business activity if the Reporting Business Positions: source is a business entity. You must report your job title with each reportable business • Check the box indicating the amount of gross income entity even if you received no income during the reporting received. period. Use the comments section to indicate that no income was received. • Identify the consideration for which the income was received. Commonly reportable income and loans include: • For income from commission sales, check the box • Salary/wages, per diem, and reimbursement for expenses indicating the gross income received and list the name of including travel payments provided by your employer each source of commission income of$10,000 or more. • Community property interest(50%) in your spouse's (See Reference Pamphlet, page 8.) Note: If you receive or registered domestic partner's income-report the commission income on a regular basis or have an employer's name and all other required information ownership interest of 10% or more,you must disclose • Income from investment interests, such as partnerships, the business entity and the income on Schedule A-2. reported on Schedule A-1 • Disclose the job title or business position, if any, that you. • Commission income not required to be reported on held with the business entity, even if you did not receive Schedule A-2(See Reference Pamphlet, page 8.) income during the reporting period. • Gross income from any sale, including the sale of a house Part 2. Loans Received or Outstanding During the or car(Report your pro rata share of the total sale price.) Reporting Period • Rental income not required to be reported on Schedule B • Provide the name and address of the lender. • Prizes or awards not disclosed as gifts • Provide a general description of the business activity if the • Payments received on loans you made to others lender is a business entity. • An honorarium received prior to becoming a public official • Check the box indicating the highest balance of the loan (See Reference Pamphlet, page 10.) during the reporting period. • Incentive compensation (See Reference Pamphlet, page • Disclose the interest rate and the term of the loan. 12.) - For variable interest rate loans, disclose the conditions of the loan (e.g., Prime+2)or the average interest rate paid during the reporting period. - The term of the loan is the total number of months or Reminders years given for repayment of the loan at the time the • Code filers—your disclosure categories may not require loan was entered into. disclosure of all sources of income. • Identify the security, if any,for the loan. • If you or your spouse or registered domestic partner are self-employed, report the business entity on Schedule A-2. • Do not disclose on Schedule C income, loans, or business positions already reported on Schedules A-2 or B. FPPC Form 700 (2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-14