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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