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