HomeMy WebLinkAbout2012-08-10 Form 700 - MoersRECEIVED 0
CITY CLERK'S OFFICE
STATEMENT OF ECONOMIC INTERESIrSLM DESERT'.,CA-.:'-
COVER PAGE 2012 AUG 10 PM 1: 44
Please type or print in ink.
NAME OF FILER ILAS7) V IRST) (MIDDLE)
rn o
1. Office, Agency, or Court
Agency Name
(� I -� V o4 &), e a--t—
Division, Board, Department, District, if applicable Your Posill o*n I
P. If filing for multiple positions, list below or on an attachment.
Agency: Position: 0, I'l, P-,-V
2. Jurisdiction of Office (check at least one box)
(:] State 0 Judge or Court Commissioner (Statewide Jurisdiction)
0 Multi -county El county of
city of Oe 4 -0- 0 Other
Type of Statement (check at least one box)
C] Annual: The period covered is January 1, 2011, through
December 31, 2011.
.or -
The period covered is 1 1. through
December 31, 2011.
El Assurning Office: Dale assumed I I
0 Leaving Office: Date Left I I
(Check one)
0 The period covered is January 1, 2011, through the date of
leaving office.
0 The period covered is I I through
the date of leaving office.
9 Candidate: Election Year 92C 1 2=, — Office sought if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None. Total number of pages including this cover page.-
rhedule A-1 - Investments - schedule attached 0 Schedule C - Income, Loans, & BL&ness Po9gons - schedule attached
schedule A-2 - Investments - schedule attached E] Schedule 0 - Income - Gifts - schedule attached
edulle 8 - Real Propeity - schedule attached 0 Schedule E - Income - Gifts - Travel Pkments - schedule attached
-or-
None - No rqwahle interests on any schedule
5. Verification
(&akxw or Agwxy Ad*m Rwwwnmw - Pum Doaomm)
NUMBER
—
the information contained
FPPC Form 700 (2011/2012)
FPPC Toll -Free HelplIne: 8681275-3772 www.fppc.ca.gov
SCHEDULE A-1 CALIFORNIA FORM
700-7
Investments FAIR POLITICAL PRACTICES COMMISSION -
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statement&
11- NAME OF BUSINESS ENTITY
A :f'4a " L k
I —PA LLg�
i,�ENERAL DESCRIPTIONf OF BUSINtSS ACTIVITY
FAIR MARKET VALUE
f] $2,000 - $10.000 C3 slo,00, - sloo,000
'�$100'001 - $1,000,000 over 51.000,00o
NATURE OF INVESTMENT
Stock that — ±1±-±
q0 j0eschtw)
Partnership 0 income Received of 30 - $499
Te—rie Received of $500 or More (Repod on schadLL4g c)
IF APPLICABLE, LIST DATE:
/' 11 — t
ACQUIRED DISPOSED
0- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
$2,000 - $10,000 C3 $10,001 - $100,000
$100.001 - $1,000.000 [] Over $1,000,000
NATURE OF INVESTMENT
Stock Other
(0eacnbe)
C] Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Reporr an sdmdLds C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
0, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
$2,000 - $10,000 E] $10,001 - $100.000
$100.001 - $1.000,000 E] Ovar $1,000,000
NATURE OF INVESTMENT
Stock Other
(Desenbe)
Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Repat on sched�je C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
01 NAME OF BUSINESS
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
Ej $2,000 - $10,000 E] $10.001 - $100,000
[] $100,001 - $1,000.000 [] Over $1,000,000
NATURE OF INVESTMENT
Stock Other
(Desenbe)
Partnership 0 Income Received of So - $499
0 Income Received of $500 or More (Report an Sdwduld C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
1W NAMF= OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
$2,000 - $10.000 C3 $10,001 - $100,000
$100,001 - $1,000,000 [] over $1,0W.000
NATURE OF INVESTMENT
Stock Other
1136soft)
Partnewship 0 Incame Received of $0 ' $499
0 Income Received of $500 or More (Report an SdWub C)
IF APPLICABLE, LIST DATE.
I t -u— /, /, 1111
ACQUIRED DISPOSED
1P NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
$2,000 - $10.W0 31o.001 - sloo,000
$100,001 - $1,000,000 over $1.000,000
NATURE OF INVESTMENT
Stock Other
;99)
Partnership 0 Income Received of $0(D soft
0 Income Received Of $500 Or MOrG lRepod an Schedids C)
IF APPLICABLE, LIST DATE --
ACQUIRED DISPOSED
FPPC Form 700 (2011/2012) Sch. A-1
FPPC To[I-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(including Rental Income)
P- ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
�
CITY
Z��ffl e- PttA-
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
F-1 $2.000 - $10,000
F-1 $10.001 - sloo,000
100.001 - $1.000,000
ACQUIRED DISPOSED
Las—
j ver $1,000,000
NATURE OF INTEREST
nership(Deed of Trust
E] Leasehold
Yrs. remairaq
C3 Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
C3 $0 - $499 C3 $500 - $1,000 P0,001 - $10.000
[] $10,001 - $10o,000 E] OVER 3100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that Is a single source of
Income of $10,000 or more.
0- ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
[] $2,000 - $10,000
E] $10,001 - $100,000
$100,001 - $1,000,000
over $1,000,000
NATURE OF INTEREST
C3 Ownership/DeW of Trust
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
[] Easement
E] Leasshold El
Yrs. remeftV Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
Ej 30 - $499 [] $500 - $1.000 E] $1,001 - $10,000
[] $10.001 - $100,00o E] OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
Interest. list the name of each tenant that Is a single source of
income of $10,000 or more.
You are not required to report loans from commercial lending institutions 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'
y1n 41 10 �� ±31A
ADDRESS (Business Ad&ess Acceptable)
X) "k &� t±�x o-
BUSINESS ACTIVITY� IF ANY. OF LENDER
INTEREST FRT-E TERM (AcnihslYears)
—% [] None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1.00o [] $1,001 - $10,000
$10,Ool - sloo,000 r�_OVER $1100,000
[] Guaramor, if applicable
Comments:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY. IF AW. OF LENDER
INTEREST RATE TERM (Months/Years)
[] None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1.000 E] $1,001 - $10,000
$10,001 - $100,000 E] OVER $100,000
C] Guarantor, N applicable
FPPC Form 700 (2011/2012) Sch. B
FPPC Toll -Free Helpllne: 8661275-3772 www.fppc.ca.gov