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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