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Home My WebLink AboutForm 700 - Statement of Economic Interests - Candidate 07212022CALIFORNIA FORM FAIR POLITICAL PRACTICES COMMISSION Please type print in ink. NAME OF FILER (LAST) J.. 1. Office, Agency, or Court � ir►i �rrr�r� r yr wviwrrm. m r �t\��Jr�+�� .�«��ca COVER PAGE A PUBLIC DOCUMENT JUL 21 2022 CITY CII.Ar Air' (FIRST) Agenc ame (Do not use acronyms) r r,' E -'AcL, Division, Boaro(Department, District, if applicable Your Position i P. If filing for multiple positions, list belowor on an attachment. (Do not use acronyms) Agency: A Position: 2. Jurisdiction of Office (Check at least one box) j State 1L, BEACH d -h 'e Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi -County I County of City of ! Other 3. Type of Statement (Check at least one box) -or-The period covered is January 1, 2021, through Leaving Office: Date Left I December 31, 2021. (Check one circle.) -or- The period covered is I I through December 31, 2021. Assuming Office: Date assumed I I The period covered is January 1, 2021, through the date of -or- leaving office. The period covered is I through the date of leaving office. Candidate: Date of Electionzb'%c�b'7o7eA and office sought, if different than Part 1: Schedule Summary (must complete) P- Total number of pages including this cover page: Schedules attached Schedule A-1 - Investments — schedule attached Schedule A-2 - Investments — schedule attached Schedule B - Real Property — schedule attached -or- � _ � None - No reportable interests on any schedule Schedule C - Income, Loans, & Business Positions — schedule attached _] Schedule D - Income — Gifts — schedule attached [_] Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency A ReCamme Public enq 0�1I S I Ic •d 3G� yeeq_/ DAYTIME TELEPHONE NUMBER EMAIL ADDRESS I have used all reasonable diligence in preparing this statement. I have reviewed this statement 9Id to the best of m&owledge 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 O FU Signature [mom , y -F) the originally signed papersl emanl wdlr FPPC Form 700 - Cover Page (2021/2022) advice0fooc.ca.eov - 866-275-3772 - www.fooc.ca.eov InvestmentsCALIFORNIA FOR�',111f FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) Investments must be itemized. Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY ,(Y -55 ate, -�'Z�L1116WS-;Jr1.51/P 11`7L'G' �9 GENERAL DESCRIPTION OF THIS BUSINESS 15ty V'�e 5 t/J�,err FAIR MARKET YJALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 _I Over $1,000,000 NATURE OF INVESTMENT Stock ! tither +� t^� I��[3(rI A710 -.h (Describe) Partnership ] Income Received of $0 - $499 j Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J— /21 �1_ 121 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 j $10,001 - $100,000 $100,001 - $1,000,000 1 Over $1,000,000 NATURE OF INVESTMENT Stock Other (Describe) Partnership [ j Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE. LIST DATE 1 /21— 1 /21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 j $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Stock Other (Describe) j Partnership I Income Received of $0 - $499 !_ j Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE; ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Stock Other (Describe) Partnership 1 1 Income Received of $0 - $499 1� I Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _J /21 1 /21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Stock Other (Describe) Partnership 1. 1 Income Received of $0 - $499 _i Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Stock Other (Describe) I Partnership 1 Income Received of $0 - $499 1 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /21 1 /21 ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NA E.-0FSOURCE C]F�� E? ��t��. ADQBES S (8Axioms cc bfe)',) W J ,tea sap f BU7a,o SS ACTIVITY, ANY. OF OURCE /e, h YOUR BUSINESS POSITION A ie f"r-4 rn g GROSS INCOME RECEIVED J No Income - Business Position Only )45500 - $1,000 (.� _ j $1,001 - $10,000 I $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Sale of (Real property, car, boat, etc.) Loan repayment I 1 Commission or F -J Rental Income, list each source of $10,000 or more (Describe) NAME OF SOURCE OF INCOME 0A ' a6 Ae rS 5Sa� AQD!�, S (Business A I is _ hl/eJ BUSINESS ACTIVITY, IF ANY, SOURCE k 0 5 o A-1 YOUR BUSINESS POSITION k',eie GROSS INCOME RECEIVED No Income - Business Position Only _I $500 - $1,000 ! j$1,001 - $10,000 $10,001 - $100,000 CA Y Ir. ' I OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED �_] Salary fl' Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) I Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Sale of (Real property, car, boat, etc.) j Loan repayment J Commission or Rental Income, list each source of $10,000 or more (Describe) Other } f nfno (Describe) I I (Describe) 00- 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* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 j_ $10,001 - $100,000 OVER $100,000 Comments: — INTEREST RATE TERM (Months/Years) None SECURITY FOR LOAN None I _J Personal residence L I Real Property I Guarantor .I Other Street address City (Describe) FPPC Form 700 -Schedule C (2021/2022) advice0 fooc.ca.eov • 866-275-3772 • www.fooc.ca.eov