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HomeMy WebLinkAbout2016-07-21 Form 700 - MartinDate Initial Filing Received STATEMENT OF ECONOMIC INTERESTS offical Use Only RECEIVED CITY CLERK'S OFFICE COVER PAGE PALM DESERT, CA Pbase type or print In ink MME OF FILER (LW FM L Lo' 1 6 /V, 4 47 -.1 � � 1. Office, Agency, or Court Agency Name (Do not use a Division, 136ard, Department, District, if applicable Your Position v041A 4 . 6 t � �p e 77— / -/ 7 —1 f / ",-P' c, W / A14H, C - F D. If Sing for multiple positions, list below or an an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) r-1 State El MUM -County [Acity0f agi,6t 3. Type of Statement (Check at kast one box) El Annual: The PeW covered is January 1, 2015, through December 31, 2015. -or- The period covered is I I through December 31, 2015. [I Assuming Office: Date assumed I I Position: El Judge or Court Commissioner (Statewide Jurisdiction) El County of [I Other — El Leaving Office: Date Left I I (Check one) 0 The period covered is January 1, 2015, through the date of -or- leaving office. 0 The Period covered is I I through the date of leaving office. 'Z Candidate: Election year e 4 - and ofka sought, 9 different than Part 1: 4. Schedule Summary (must complete) P. Total number of pages including this cover page. Schedules attached D9 Schedule A-1 - Investments - schedule adached Schedule A-2 - Investments — schedule attached Schedule B - Red PmPerly — schedule attached -or- [I None - No reportable interests on any schedule Qj Schedule C - Income, Loans, & Business Posfts - schedule attached E] Schedulle D - lncww - Gifts - schedule attached E] Schedule E - Incom — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREEr CITY STAT E 23P CODE (Mine= or Apncy Add= RemmmwxW - Pu* Domm" :-5'0Pe7— t",4 , ( I have used all reasonable diligence in preparing this statement I have reviewed this Statement and to the best of my 6m herein and in any attached schedules is true and complete. I acknowlAe this Is a public document. I certify under penalty of pedury under the laws of the State of Calffornia that the foregoing Is true and correct. -7 ZZ '/ /-z Date Signed Signature A;e (M-&, * YW 0*90-dea"W the information contained FPPC Form 700 (2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Do not attach brokerage or financial statements. 11� NAME OF BUSINESS ENTITY ,& PksiE� eiltg4SF IV.,Ae7— GENER& DESCRIPTION OF THIS BUSINESS , a e:ff. L,,;M eA #Z g r i /.. <-/ y 7 FAIR MARKET VALUE 0 $Z000 - $10.000 S10.001 - $100.000 [] $100.001 - $1.000.000 Over S1,W0.000 NATURE OF INVESTMENT El skxk Ig ou, (E i%jc PA2 675AYW, pbsu") PaMembiP 0 [name Received of $0 - S499 0 Income Received of $WO or More 0hpod on sdiedw L) IF APPLICABLE. LIST DATE. 1 1, 15 f. 1. 15 ACQUIRED DISPOSED W NAME OF BUSINESS ENTrrY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE f 52.0G0 - $10,000 EM $10,001 - $100.ODO $100.001 - S1.0W.0GO [] Over S1.0D0,000 NATURE OF INVESTMENT Stock Ou., -g-4 Ad, P 121 g .0 '(Dawlim) PWMOMIP 0 Income ReceMW of so - $499 a Income R a r pi P of SSW or Mom pa!pw an sdadL#e c) IF APPLICABLE, LIST DATE: ACOUIRED DISPOSED NAME OF BUSINESS ENTITY GENERAL DESCRPTION OF THIS BUSINESS 712, P FAIR MARKET VALUE rl SZ000 - $10,000 $10.001 - 5100,001D [13100.001 - $1.0W.0G0 Over Si.M.00() NATURE OF INVESTMENT st,* Pwtne�0 0 Income Rectived of so - $499 0 Inc a R i - of S= or Atom (RapW an SdNxu* C) IF APPLICABLE. LIST DATF- 1, /. 15 1 1. 15 ACQUIRED DISPOSED Comments: CALIFORNIA FORm 700 FA j ame 10� NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE SZODO - $10,WO 0 $10.001 - $100.W0 S1GO-001 - $1.000.000 [] Over $1.00D.W0 NATURE OF INVESTMENT sbx* F-1 Otter mesoft) PaWar3hip 0 Income Recamw of So - $499 0 Income Rec&MW of S500 or Mom p%pw an sd*dL6 0 F APPLICABLE. LIST DATE. I J� 15 1 1.15 ACOUIRED DISPOSED W NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF MS BUSINESS FAIR MARKET VALUE [] W-WO - S10.0DO 510,001 - S100,000 [j $100.001 - S1.000.000 000W S1.0W,D00 NATURE OF INVESTMENT sloa O"M M-oft) 0 Partnership 0 Income Received oF so - $499 0 Income Received of &WO or More (Fbpw cc sdmd.6 q IF APPLICABLE. LIST DATE. 1, 1,15 1.15 ACOUIRED DISPOSED 10- NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE SZDW - $10.000 El $10.001 - 3100,000 $100.D01 - S1.000.000 0 Over $1.000.00o NATURE OF INVESTMENT sttx* Dow (On-tn) 0 Pad"WJWP 0 10=ft Received of 50 - $499 0 Income Receivect of $500 or Mofe pe.Mt on sdmwto q IF APPLICABLE, LIST DATE 115 ACGUIRED 04SPOSED FPPC Form 700 (201512016) SCIL A-1 FPPC Adivice Email; adwIceftpcca-Lrov FPPCTafl-Free l4elplina: 866/275-3772 wwmfppQca.gav SCHEDULE A-2 C' AUFURNIA FCRr,l 700! Investments, Income, and Assets Name of Business Enfitiesfrrusts (Ownership Interest is 10% or Greater) '02 Name Addrew ffltafirm= Addrew A=vplabb) check One Cl Tmst go lb 2 19 BU*M" ERRY. —qlk& RM b0K ftW go 0 2 GENSIAL DESCRIPTION OF: TmIS BUSINESS og j:�j2o.; f ",4 e2- Ft4:x, �/ FAIR MARKET VALUE IF APPLICABLF- LIST OATF- n so - si.999 0 szow - 110.000 Ila 115 $10.001 - S100.0w ACQUIRED DISPOS ED $100.001 - S1,000.000 O%W $1.000.00D NATURE OF INVESTMENT C] Pubmship ad SWe PmWkbnWp over YOUR BUSINESS POSITION 0$0-3499 0 slkwl - $100'aw 0 sm - 31.0w GIVEll $10D.OW JE $1.0m - $10.= Now or " Neon lided Lam= cm b= M wvEsruamT 0 REAL PROPERlY 144.4 MR I of BW*W= Enrity. N lnvM. A&SM550ft Pai Number or g;;;A'dd%. of Real Property DescrtRIM of B-m*W= Acffift IN Ck or OlW Precise I oc2rwn d ROM Flopmq FAR MARKET VALUE IF APPUCABLF- LIST OATF- [3 sz000 - 510.0w $10.001 - $100'Wo $100.001 - S1.000.0m ACQUIRED DISPOSED Over $1,000Wo NATURE OF LNTEREZr 0 Property OW—hWOMW of Trug El stcft 0 Parlimid [-] I -im— —..*v rl 0#. bheck bMc F WOW" Lin 'ePmft kmemmerift or mW properly are 11 ' I -At AlwwE �.Zizae: AzhJron Piccept3ble) Check arm 0 Tnnt go to 2 DR Bu*mz Eaft. 9: 1 ft 91 b1l. 0M go 60 2 GENERAL DESCRIPTION OF THIS BUSINM Z,=- 7- o- FAR MARKET VALUE IF APPLICABLE. LIST DATE. so - S1.9" SZOOO - 310.00D - 115 $10.001 - $11MODO ACQUIRED DISPOSED 51W,001 - 31.m.ow 0 over 51.0".000 MATURE OF INVESTMENT Opaw—hip Imsdepropftmblo Cl YOUR BUSINESS POSITION ose-S499 SIOXII - $100.0m 0 sm - si.Gw OVER 3100.0W 0 SIAM - 510.000 Norio or [_l Narnes fided Cfmlc* one b= [3 INVESTMENT REAL PRoPERw elleg Nwk d Su*mm EnW. 9 -01 ME Assewmes Pm Number or Skeet Admu of Rom Property n %, 6 C* lb Acbftjx CRY or Dow Locadon of Raw Property FAIR MARKET VALUE IF APPLICABLE. LIST DATE. W,= - 510.000 510mol - S100,0W 1.15 115 s1w,001 - 3I.M'Wo ACQUIRED DISPOSED ova 6l.W0.0W NATURE OF INTEFESr [] ftVftty Owm**Veed of Thest 0 Sbx:k Panwmj9p Lowehold — [] o9w Yr.L ramw" Check bwc If ad&WW schoWules nqporft krie*mft or reW property am aftched Comment&- FPPC Form 700 (201S/2016) Sch. A-2 r-PPC Advke Emalft adYlceftpc.C&9GV FPPCTall-Fm HelplIne W6/273-3772 wwvi.�ppcA3Lgav SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) Name ? RUH b r--Q E 1W —ew AddnISS gkm%M Addram Acceptable) Check ow 0 Tn-L go to 2 1A BUSIVIM E"*, =r#eb Me bcK Hm go lb 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPUCABLF- LIST nATF- El so - 51 ."q C] $Z000 - $10.000 In 510.001 - $100.000 ACOUIRED DISPOSED 1$10D.001 - 31.0G0.000 0M Over S1.000.000 NATURE OF INVESTMENT [3 Perknership Up Sol. PrqprWorwp 0 YOUR BUSINESS POSITIONAIA!eezR�&. 0 $D - $499 W 43CLOCI - $10Q.W0 0 um —11.000 0 OVER 51011.000 El $1.0m - $10.0W 140M or El Hamm listed below WMVF am DW 0 INVESTMENT 0 REAL PROPEMY eA Nam of Bkakms Entily. iF 10 or 2=Z,2 Assessor's Parcel Number km of Real Prop" Descrkrtion at Bushm Ac*Aty 2E City Or O#w Precise Location of Flea Prop" FAIR MARKET VALUE IF APPLICA13LF, USr DATE. C] 32.GDO - $10.GDD E] $1().001 - $100.000 C] $100.001 - staw.ow ACINARED 0 iPOSED [] Over $1.0D0.000 NATURE OF INTEREST 0 PmPm* Ownenship/Deed of Truat EISIock PaMmstlip 0 LmwtKgd Ym rarnalning; [] odw Cho(* box if adatiorw sdoduies reporting hvesimenh or real property are alledled Name CAL1F0RNJAFCW4 700 F,',-�-" P'CUT112AII. CO3.*.'.,jS5j0!; .�M vin-ow-'em, Address glutsban Ad*&= Acca%ftbk) Check ow 0 Tn4 go to 2 EJ Bu!anaas EnIKY- CWWWR Me bQW. Men go 6D 2 GENERAL DESCRIPTION OF THIS BUSINESS '7 FAIR MARKET VALUE IF APPLICABLF- LIST DATE. [] so - 3I.M $2.000 - $10.000 1. 1,15 1 115 $10.00i - Sioaoo ACQUIRED DISPOSED $100.001 - 51,0D00000 Over $1.000.000 NATURE OF INVESTMENT OP-MM-Wi, 0S-I.PmprL-WW* YOUR BUSINESS POSITION L0 0 v 0,001 - 6100'Wo 0 S5;10 1.000 0 OVER SIDO.000 3 (1 .001 $10,0W OS, 'U Now or Lj Namft lixted below Ghec* am b= 0 INVESTMENT REAL PROPERTY Name of Business Er*. if kmMWMIL 21 Assenoes Pas Numbor or Street Addren d Real Property Description of Buskmw Acrn* IN City or Odw Precise Locatim of Real Propaq FAIR MARKET VALUE 0 $Z000 - $10,0W C1 $10,001 - $100.000 D $100.001 - 31,W0,000 C] over $1, G00,000 IF APPLICABLE. LIST DATE. —i—i-ML —j--j-L5- ACQUIRED DISPOSED NATURE OF INTEREST Property OWnMAWD=d of Taml. I ea hold Ym rernaining [] Outer E] Slock E] PartnersNp Check box if adalonal sciteddes reporting; investm� or real prop" we aftecited Comments- FPPC Form 700 (ZOIS/2016) Sch. A-Z FPPC Advice Email: advice@fppc.ca.gov FPPCT01I-FrseHe1pfine:866/Z75-3772 www.fppc.c3l.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Ar'z PILE4-2 C-401-Sk A-2,145W7 ADDRESS (BUSFnm Address AcceptaNe) BUSINESS ACTIVITY. IF W OF SOURCE d ea4vig;C L'-'412- v- 7— YOUR BUSINESS POSITION /-r,-fu aM— GROSS INCOME RECEIVED 0 sm - $1.000 N 31,G01 - 510,OW 0 $10.001 - $100.000 0 OVER $IKOW CONSIDERATION FOR VMICH INCOME WAS RECEIVED 13 SM-$Ws Or mgmlenld dornesbc PWhWS income (For seff-emPloyed use Schedule A-2-) El P-MaWdP (Len Om 10% owner4hip. For 10% or greater use Schedule A-2-) sale or f1w pqw* W boat shai Loan repaymerit F1 Caffmftsbn or 0 Rental income. ht nam amme or.Sloow oraxv& 7— NAME OF SOURCE OF INCOME ADDRESS fflusiness Addrew Accep&bje) ,�6//- 2L� �A,4JZL AFAJ BUSINESS ACTMTY. IF ANX OF SOURCE �xz YOUR BUSINESS POSITION -:54ASt-o 'gj:-K '4'ff)0'VC5 GROSS INCOME RECEIVED [] M - $1.0m C1 S1,001 - 510,000 09 SIG-001 - S100.0W [] OVERS100.0DO CONS40ERATION FOR WHICH INCOME VIAS RECEIVED Salmy Spa-Wa or mgweped d=mr. pftel,. (For &ell-amployW ow SdWdLde A-2-) 0 Pea-ership (Le. the. 10% c.WMtgP. For 10% or grtr use Schedule A-2.) saie of MW pup". CK hftL OW Loan repayment [:) Commission or [3 Rental Income, ia eam mxww GrSj[tVW,, am" M-Who You are not required to report loans from commercial lending insftfions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business an 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 (Bushen Addnm Accq#awa) BUSINESS ACTIVITY. IF ANY. OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD rl 5500 - $1.W0 $1.001 - 510.0m $10.001 - 5100.0W OVER $100.000 comments: INTEREST RATE TERM (Monft"eam) —% [3 None SECURITY FOR LQAN 0 Nam 0 Persona; 0 Real Propsay 0 Gwmnw Am 1-M mesuffiel FPPC Form 700 (2M/2MG) Sch. C FPPC Advice Email: adviceftiac ra gaw FPPC Toll4m Helpline: 866/27S-3772 wWw.fppcxa.g0v SCHEDULE C Income, Loans, & Business Positions (Other than Gft and Travel Payments) NAME OF SOURCE OF INCOME ADDRESS (&0kM=AddRWA0m9p1aW) BUSINESS ACTIVITY. IF ANX OF SOURCE /4p/,'c7 T-9A!:jtZ- Zro,& /W YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 sm - 51,000 0 31.001 - $11woo 0 $10.001 - 3100= 0 OVER $100.0W CONSIDERAMON FOR MICH INCOME WkS RECEIVED 0 samv SPCU. or 9- ' 4 In eqli� paruwe3' PR (For self-employed use Schedule A-2.) Pmbteml* (Lns than 10% awnwsW For 10% or gmater use Schedute A-Z) [] swe d ftdpupft cac h*K ek-4 [] LWn mprflnerd I-] C--ftsbn - [] Ren Incmm rw too ==n ar siqow or mm Magog" 00,.r maa&d /�z NAME OF SOURCE OF INCOME ADD (Bushmm A Id P qq AcceplaW BUSINESS ACTIVITY. IF ANY. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0SM-SiXG 0 0 910,D01 - $1W,000 0 OVER $100.0W CONSIDERATION FOR MICH INCOME VJAS RECEIVED El SAM El SPO—s - -111510-d ftnesft Wrwes incom ffw muff-enwifted use Schedule Amt) PaMmahip (Less than 10% awnemhtL For 10% or greatw um SdmdLde A-2-) [] Sale of (F-di3mPft CIK b=L aw [] Loan repayment oc=mbsionor oRankidk=ner-stanchmumeafsyaowor=m [] Other ;�Jjj 11 You are not required to report loans from commercial lending Institutions, or any Indebtedness created as part Of a retail installment or credit card transacdon, 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 fbIlows: NAME OF LENDER' ADDRESS fflusknw Ad*m AccepbbAg) BUSINESS ACTIVITY. IF ANY. OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD WU0 - $1,000 $1.W1 - $10.000 310.001 - 5100.0W OVER SM.= Comments: INTEREST RATE TERM OftntlWYlem) —% 0 Nam SECURITY FOR LOAN [] Nam 0 perzanw Real Pmp&V [] Gmwftr [] Other In FPPC Form 700 (2ft5/ZM6) Sdt. C FPPC Advice Email: advlceftp&GLgav FPPCTCS� Helipline: M/275-3772 www.fppc.ca.gov