HomeMy WebLinkAbout2014-08-13 Form 700 - GlaabDate Received
CALIFORNIA FORM7001 STATEMENT OF ECONO�jq I offidni Ilso 0114,
FAIR P01.111CA1 PPAC I ICE—S, COMMI",SION �Ls () IF
0 FICE
A PUBLIC DOCUMENT COVER PAG9 A LN DIIER T, CA
Please type or print in ink. 2914 AUG 13 PH i.* 19
NAME OF FILER (LAST) (FIRST) (WOOLE)
G t C4Ckb 'RiLAA Cerr,
1. Office, Agency, or Court
Agency Name
lif (ponol MoDtxy- , C,:L\A q,[ �&�n VY-zuf
Division, Board, Depbrtment, District, it applicable Ybdr Position
* If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
F1 State
M Judge or Court Commissioner (Statewide Jurisdiction)
M Multi -County
F1 County of
'R city of PAA in fYStft
El Other
3. Type of Statement (Check at least one box)
F] Annual: The period covered is January 1, 2012, through
El Leaving Office: Date Left I I
December 31, 2012.
(Check one)
-Or- The period covered is I I
through 0 The period covered is January 1, 2012, through the date of
December 31, 2012.
leaving office.
El Assuming Office: Date assumed I 1
0 The period covered is I I through
the date of leaving office.
Candidate: Election year C and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
o- Total number of pages including this cover page:
Schedule A-1 - Investments — schedule attached
\V� Schedule C - Income, Loans. & Business Positions — schedule attached
/54�
Schedule A-2 - Investments — schedule attached
n Schedule D - Income — Gifts — schedule attached
Schedule 8 - Real Property — schedule attached
n Schedule E - Income — Gifts — Travel Payments — schedule attached
'Or.
0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(BusTness or Agency Address Recomimnded - Pubi c Document)
pa�m owt oa)� I I
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the4est 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
FPPC Form 700 (2012/2013)
FPPC Advice Email: adviceCo)fppc ca.gov
FPPC 'Vl-Free Helpline. 866 275-3772 www.fppc ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
W 1, BUSINESS EN I I I Y OR I PUS I'
Glag) 5,
Name
Nam Cevirt
Address (Business Address Acceptable) CA C4 ;14 1
Check one
[__1 Trust, go to 2 X Business Enlily, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
cone.Llvhfl� [�Wo
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
so - $1,999
$2.000 - $10,000 /12
slo 001 - $100,000 ACQUIRED DISPOSED
�$100,001 - $1,000,000
Over $1.000,000
NATURE OF INVESTMENT
Partnership E] Sole Pruprielor%hip t cofovLfi 00
01hpr
YOUR BUSINESS POSITION
RECEITED (INCrr7rT7TT`=O RATA
SHARE OF THE GROSS INCOME TO THE ENTITYiTRUST)
[:1 $0 - $499 El sl000l - si00000
M sroo - $1,0M VOVER $100,000
El $1.001 - S10,000
0. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF S1 0,000 OR MORE (A:�ar.hl 5h; Ir ti--ary)
None
Canciefifive- T�wtr Vimtum � Wfi�)(
AM ba 44 o ca. _T__5h(ARt11 MaL15-WS4__
5ovfl-) �h Wes tht4ffl-i I Walkirs S. Co.
1- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
-Me-cro-ne —bo)u
INVESTMENT REAL PROPERTY
Name of Business Entity, I Investment, gL
Assessor's Parcel Number or Street Address of Real Prop"
N I C,_
Descilption of Business Acliv ty p-r
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE LIST DATE:
r 1 S2,000 - $10.000
Q S10,001 - sloo.000 ___j .. J_12 1 _12
19 S100.001 - S1.000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
F] Property oymership/Deed of Trust Stock Partnershtip
f-1 Leasehold __ )R Other
Yr, 11-1-9
F1 Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORm 700
FAIR POL.111CAL PRACIWES COMMISSION
11- 1. BUSINESS ENTITY OR TRIJSF
Name
Address (Business Address Acceptable)
Check one
El Trust, go to 2 C] Business Entily complete the box then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
[] so -$I 999
E] $2,000 - $10,000 /12
sio,00i - slon,000 ACQUIRED DISPOSED
$100,001 - S1.000,000
Over $1,000,000
NATURE OF INVESTMENT
[:] Partnership [:] Sole Proprietor,�hip Ej 01hpf
OUR BUSINESS POSITION
iv�s TUN77M
SHARE OF THE GROSS INCO.ME TO THE ENTITY/TRUST)
$0-$499 El sio 001 - sloo 000
El sgoo - si oon OVER $100 000
El $1,001 - sio 000
1- 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF S10,000 OR MORE (Auacha patate 5he�; t'riecc--ry)
None
v- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
FlINVESTMENT REAL PROPERTY
Name of Business Enlily, If Investment gi
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE LIST DATE
n S2,000 - $10 000
El S10-001 - $100,000 1 1 12 __j j12
F1 sloo-001 - $1000 000 ACQUIRED DISPOSED
n Over S1,000,000
NATURE OF INTEREST
Property Ownership/Deed of Trust E] Stock Partnership
Leasehold Yrs. (emairting [:) Other
Check box if additional schedules reporting investments or real property
are attached
Comments: FPPC Form 700 (201212013) Sch. A-2
FPPC Advice Email: advice9fppc.ca.gov
FPPC Toll -Free Hclplinc7 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Gk"b 5i Assoc-, airs, aA�
ADDRESS (Business Address Acceptable)
Aki9tv- flfftwcs C0-\CL1,kA I flo
BUSINESS ACTIVITY, IF ANY, OF SOURCE If
Tpesi &,f\
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
El $500 - s1,00o n S1 001 - $10,000
F1 $10,001 - $100,000 'I&OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
)t�'Salary [] Spouse-s or registered domestic partner's income
Loan repayment Partnership
Sale of
(Realproperty, car, boat. etc.)
r-1 commission or R Rental Income, list each source of Ste 000 or more
n Other
(Describe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
$500 - S1,000 Ej $1,001 - S10,000
$10.001 - $100,000 [:] OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
E] salary f-I Spouse's or registered domestic partner's income
Loan repayment Partnership
sale Of
(Real properly, car, boat etc.)
commission or F1 Rental Income, list each source of S10,000 or more
F1 Other
(Describe)
11- 2. LOANS RECEIVED OR OUTSTANDING DURING TME REPORTING PERIOD
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'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - S1,000
$1,001 - $10,000
$10,001 - S100.000
OVER S100,000
Comments:
INTEREST RATE TERM (Months/Years)
% M None
SECURITY FOR LOAN
E] None E] Personal residence
Rt-al Property
Street address
F] Guarantor
[:] Other
City
(Describe)
FPPC Form 700 (2012/2013) Sch. C
FPPC Advice EmaH. advicegfppc.ca gov
FPPC Toll -Free Helpline: 8661275-3772 www-fppc.ca.gov