HomeMy WebLinkAbout~Form 700 - Massa-LavittSTATEMENT OF ECONOMIC
•
COVER PAGE
DEC 15 2014
Please type or print in ink.
NAME OF FILER (LAST)
(FIRST) CI-W
MASSA - LAVITT
SANDRA CITY OF SEAL BEACH
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF SEAL BEACH
Division, Board, Department, District, if applicable
Your Position
DISTRICT 5
CITY COUNCIL MEMBER
► 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
0 City of SEAL BEACH
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2013, through
❑ Leaving Office: Date Left t
December 31, 2013.
(Check one)
-or-
The period covered is
through O The period covered is January 1, 2013, through the date of
December 31, 2013.
leaving office.
W1 Assuming Office: Date assumed 12 108 / 2014 O The period covered is f , through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "Atone."
► Total number of pages including this cover page: 1
❑ Schedule A -1 - Investments - schedule attached
❑ 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.
n,/ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
211 8TH STREET SEAL BEACH CA 90740
DAYTIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 562 ) 431 -2527
1 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 egoing is true and correct.
-r
�
Date Signed
Signature -
(month, day, year)
lJ (Fie fhe org ni allysignedsfa(ement with ywu fiAng o/fipa1J
FPPC Form 700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
STATEMENT OF ECONOMIC INTEREST. Date Received
CALIFORNIA lout use Only
FAIR POLITICAL ...,•
°'' WEDD
PUBLIC
COVER PAGE ;
Please type or print in ink.
2014
NAME OF FILER (LAST)
(FIRST) j (MIDDL
MASSA- CAVITY
SANDRA ?Ty CLERK
eFAi ACH
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
-or-
CITY OF SEAL BEACH
Division, Board, Department, District, if applicable
Your Position
DISTRICT 5
CITY COUNCIL MEMBER
► 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
Z City of SEAL BEACH
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2013, through
❑ Leaving Office: Date Left I I
December 31, 2013.
(Check one)
.or-
The period covered is
,through O The period covered is January 1, 2013, through the date of
December 31, 2013.
leaving office.
Assuming Office: Date assumed 12 1 08 1 2014
p The period covered is I I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
► Total number of pages including this cover page: 1
❑
Schedule A -1 - Investments —
schedule attached ❑
Schedule C - Income, Loans, 8 Business Positions — schedule attached
❑
Schedule A -2 - Investments —
schedule attached ❑
Schedule D - Income — Gifts — schedule allached
❑
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 w Agency Address Recommended - Pudlk Document)
211 8TH STREET SEAL BEACH CA 90740
( 562 ) 431 -2527
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
)
FPPC Form 700(2013/2014)
FPPC Advice Email: advice @fppc.w.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
• • Official Received
STATEMENT OF ECONOMIC INTERESTS Date Received
Only
�•
COVER PAGE
Please type or print in ink.
i '
NAME OF FILER (LAST)
(FIRST) - - IDDLE)
MASSA - LAVITT
SANDRA ! {TY CLERK
1. Office, Agency, or Court
- - = - --
Agency Name (Do not use acronyms)
CITY OF SEAL BEACH
Division, Board, Department, District, if applicable
Your Position
DISTRICT 5
PLANNING COMMISSIONER
► If fling 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
Z City of SEAL BEACH
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2013, through
i j Leaving Office: Date Left 12 1 08 1 2014
December 31, 2013.
(Check one)
-or.
The period covered is t
through ®The period covered is January 1, 2013, through the date of
December 31, 2013,
leaving office.
❑ Assuming Office: Date assumed —J O The period covered is I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page: 1
❑ Schedule A -1 - Investments - schedule attached ❑ 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 Agency Address; Recommended - Public Document)
211 8TH STREET SEAL BEACH CA 90740
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 562 ) 431 -2527
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
(month, day, year) (File We originally signed statement with your filing official)
FPPC Form 700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
Please type or print in ink.
NAME OF FILER
MASSA - LAVITT
1. Office, Agency, or Court
STATEMENT OF ECONOMIC
COVER PAGE
SANDRA
(FIRST)
Date Received
oRinal Use Only
CITY CLERK
Agency Name (Do not use acronyms)
CITY OF SEAL BEACH
Division, Board, Department, District, if applicable Your Position
DISTRICT 5 PLANNING COMMISSIONER
► If fling for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
F7 City of SEAL BEACH
3. Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2013, through
December 31, 2013.
.or-
The period covered is
December 31. 2013.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments - schedule attached
❑ Schedule A -2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
Position:
(MIDDLE)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
Z Leaving Office: Date Left 12 I 08 I 2014
(Check one)
through • The period covered is January 1, 2013, through the date of
leaving office.
O The period covered is —
the date of leaving office.
and office sought, if different than Part 1:
P. Total number of pages including this cover page: 1
through
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - 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 Agency Address Recommended - Public Document)
2118TH STREET SEAL BEACH CA 90740
( 562 ) 431 -2527
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 th oregoing is true and c rrect.
Date Signed / 2 /S Signature �' � _
(month, day, year) (File the originally signed statement eh yn filing oKcim)
FPPC Form 700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink.
Date Received
ffl.f 2014
CITY CLERK
CITY OF SEAL BEACH
NAME OF FILER (LAST) (FIRST) MIDDLE)
Mass-Lavitt Sandra
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Seal Beach
Division, Board, Department, District, if applicable Your Position
City Council - District 5
r 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)
f-1 State
❑ Multi - County
W1 City of Seal Beach
3. Type of Statement (Check at least one box)
❑ Annual; The period covered is January 1, 2013, through
December 31, 2013.
-or-
The period covered is I I through
December 31, 2013.
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one)
0 The period covered is January 1, 2013, through the date of
leaving office.
F-1 Assuming Office: Date assumed I 1 0 The period covered is I I through
the date of leaving office.
[Z] Candidate: Election year 2014 and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
F-1 Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
Schedule 8 - 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 Agency Address Recommended - Public Document)
13580 Cedar Crest Lane #11 OG Seal Beach CA 90740
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL)
( 714 ) 325-0292 massalavit@aol.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 n correct.
Date Signed 07123/2014
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov