HomeMy WebLinkAbout2016-08-09 Form 700 - NestandeSTATEMENT OF ECONOMIC INTjfl�CEI nlbal PUReceived
RK'S OFFICE se ortn Use
COVER PAGE PALM DE$ERT r, R
Please type or print In Ink 2016 AUG -9 PM 5- 49
NAME of FILER Msn r (FIRM
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I. Office, Agency, or Court
Agency Nam (Do not use acronyms)
ALAA CL�q (064ia - c
Division, Board, Department, District, a applicable
Your Position
► If filing for multiple positions, list be,ow or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County
Cily of —p L RA D494:pk
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
❑ County of
❑ Other
❑ Leaving Office: Date Left 1. 1
(Check one)
The Period covered is -._JI through O The period covered is January 1, 2015, through the date of
December 31, 2015. leaving office.
•or-
❑ Assuming Office: Date assumed —J 1 O The period covered is _- r,Jthrough
the date of leaving office.
j Candidate: Election year =L- __ and office sought, if different than Part 1:
�4. Schedule Summary (must complete) ► Total number of pages Including this cover page.
Schedules attached
® Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule 8 - Real Property - schedule attached
-or-
[I None - No reportable interests on any schedule
G 11—_r.—_ae
W. l5" UOUV11
i9 Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gilts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING AGGRESS STREET CITY STATE ZIP CODE
(Busirrass oLAgercy Afters ReowowdW -
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 fo i g Is true and correct.
Date Signed - � (� t & Signature � tao-�
hnWM. day, yes) Um wonary speed sta nwo mm ya ►mw osddj
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline:866/275-3772wwwfppc.ca.gav
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements,
► NAME OF BUS NESS NTITY
tkLA
GENERAL DESCRIPTION OF THIS BUSINESS
�Q a I f-k (0 r-2
FAIR MARKET VALUE
❑ S2,o00 - 510,00o CE=510,001 - $100,000
❑ s100,0o1 - $1,000,000 ❑ Over $1,000.000
NATURE OF INVESTMENT LL C.
❑ Stock ® Other
(DesMbe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Repot on sched1de C)
IF APPLICABLE, LIST DATE/ 9 00�
�/1. 15 1 1 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,0o1 - 5100,000
❑ s1100,001 - $1,000.000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(D-chbe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Repot on schedule c)
IF APPLICABLE, LIST DATE
—1 . 15 �J . 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,aa1 - a10o coo
❑ $100.001 - $1,000,000 ❑ Over $1,000.000
NATURE OF INVESTMENT
❑ Stock ❑ Other
IDescnbel
❑ Partnership O Income Received of So - $499
Q Income Received of $500 or More (Repon on Schedule C)
IF APPLICABLE, LIST DATE.
_1 1 15 J— 1 15
ACQUIRED DISPOSED
Comments:
► NAME
ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - slo0,0o0
❑ $100 001 - $1,000,000 ❑ over $1,000.000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received or So - $429
O Income Received of $500 or Morn (Report an Schedule C)
IF APPLICABLE, LIST DATE
_I 1 15 �1�1 15
ACQUIRED DISPOSED
IN, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ S2,000 - $10,000 ❑ s10,001 - 5100,Oo0
❑ $100,001 - $1,000,000 ❑ Over $1.000,000
NATURE OF INVESTMENT
❑ Stork [] Other
(Describe)
[] Partnership ] Income Received of So - $499
i Income Received of $500 or Mora {Report on Schedule C)
IF APPLICABLE, LIST DATE:
-_ 1.1 15 1. 1 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10 000 0 51o,001 - $100,000
❑ $100 001 - S1,000,000 ❑ Over $1,000 000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(DesWbe)
❑ Partnership ' ; Income Received of so - S499
-`? Income Received of $500 or More (Repot on Schedate C)
IF APPLICABLE, LIST DATE:
I,1. 15 1. 15
ACQUIRED DISPOSED
FPPC Form 700 {203S/2015} Sch. A-1
FPPC Advice Email; advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
ADDRESS (Business AddBess Acceptable)
Y � n PA
BUSINESS ACTIVITY, IF ANY, OF SOURCE R L d
YOUR BUSINIfSS POSITION
GROSS INCOME RECEIVED
❑ $Soo - $1,000 ❑ $1,00l - s10,000
E $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 or
(Real pmPetly. car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, fist each soaree or $10,000 or more
(Describe)
❑ Other
fDeserbbe)
NAME OF SOURCE OF INCOME
k PtLT1[ 0xrlrt U Vc
ADDRESS (Business Address Acceptable)
10-0&5 wive 44
BUSIN SS ACTIVITY, IFMY, OF S URCE
Q �-ke
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - 31,000 ❑ $1,001 - 510.000
&410,001 - $100.000 0 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
fRea)property, car, boat, arc)
❑ Loan repayment
Commission or ❑ Rental income, lost each source or sln,aao or more
❑ Other
(Destrlbe)
(Describe)
* You are not required to report loans from commercial lending institutions, 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*
N E 6L—
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $Soo - s1,o00
❑ s1,001 - s10,0o0
❑ $10,001 - $100,000
❑ OVER S1o0,000
Comments:
INTEREST RATE TERM (Months)Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
❑ Guarantor
❑ Other
City
rDescribe)
FPPC Form 700 (2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline:8661275-3772 wwwfppr-ca.gov