HomeMy WebLinkAbout2012-07-23 Form 700 - TannerRECEIVED 0
CITY CLERK'S OFF�QE
STATEMENT OF ECONOMIC INTERt�tq D E S E R T, C A
COVER PAGE 2012 JUL 23 PM 1: 58
Please type or print In Ink.
NAME OF FILER IFIRST) (MIDDLE)
/ A ALL(L. "i
1. Office, Agency, or Court
Agency Name I
L/ (qu 'Ir.
Division, Board, Department, District, if applicable
w If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
Position
Position:
F� State D Judge or Court Commissioner (Statewide Jurisdiction)
El Multi -County
City of
3. Type of Statement (check at least one box)
F] Annual: The period covered is January 1, 2011, through
December 31, 2011.
.or -
The period covered is I I through
December 31, 2011.
El Assuming Office: Date assumed I
El County of
El Other
El Leaving Office: Date Left
(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.
[] Candidate: Election Year 2 19 t 2— — Office sought, I different than Part 1:
4. Schedule Summary
Check applicable schedules or "None. III,. Total number of pages including this cover page.
ff"ichedule A-1 - Investments - schedule attached edule C - Income, Loans, & Business Positions - schedule attached
2"Schedule A-2 - Investments - schedule attached Owdule D - Income - Gifts - schedule attached
VSOO
Schedule 8 - Real Property - schedule attached ER' 'Schedule E - Income - Gilts - Travel Payments - schedule attached
-or-
El None - No reportable interests on any schedule
5. Verification _?� q / 6 cot/p_
MAILING ADDRESS STREET CITY STATE ZIP CODE
01shless of Agency Adftss Recummided - Put& Document)
P,41,7�\ 't> -e- _5'if C-4 9 2- Z11
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL)
(760) 6 74 - 60 2- a - A ri - (?- A4 Q /^!I
I have used all reasonable diligence in preparing this statement. I have rev�ewed this statement and to the best of my knowledge tfie 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 foregoing is true and correct. ------
Date Signed Siqnature
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866/275-3772 www.fopc.ca gov
101
SCHEDULE A-1 CALIFORNIA FORm 700
FAIR POLITICAL PRACTICES COMMISSION
Investments
Stocks, Bonds, and Other Interests Name,
(Ownership Interest is Less Than 10%) e
Do not attach brokerage or financial statements.
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MA9KET VALUE
F-1 $2,000 - $10.000 $10.001 - $100,000
F-1 $100.001 - $1,000,000 Over $1.000,000
N4TURE OF INVESTMENT
Stock n Other Describe)
Partnership 0 income Received of So -$499
0 Income Received of $500 or More (Report an Schedule C)
IF APPLICABLE. LIST DATE:
ACQUIRED DISPOSED
0, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
n $2,000 - $10.000 El $10,001 - sloo,000
F-1 $100,001 - $1.000,000 El over $1.0oo,otio
NATURE OF INVESTMENT
E:] Stock F-1 Other
(Describe)
E:] Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
0, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
E] $2,000 - $10,000 $10,001 - $100,00o
F-1 $100,001 - $1.00o,000 Over $1,000,000
NATURE OF INVESTMENT
Stock Other
(Descnbe)
E] Partnership 0 Income Received of $0 - Z9
0 Income Received of $500 or More (Report on schedule q
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
0, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
[3$2,000 - $10,000 $10,001 - $100,000
[] $100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
Stock Other
[Descnbe)
El Partnership 0 income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
0- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
E] $2,000 - $10,000 $10,001 - $100,000
El $100,00, - si,000,000 over $1,000.000
NATURE OF INVESTMENT
El Stock F-1 Other
(Describe)
Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report an schedule c)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
0, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
E] $2.000 - $10,000 El $10-00, - sloo,000
[] $100,001 - $1.000.000 n Over $1,000 000
NATURE OF INVESTMENT
El Stock Other
LDescnbe)
El Partnership 0 Income Received of $0 - 3499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
--J---i 11 - 1� / 11
ACQUIRED DISPOSED
FPPC Form 700 (2011/2012) Sch. A-1
FPPC Toll -Free Helpline: 886/275-3772 www.fOpc.ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
Name
Address (Business A Acceptable)
Check one
0 Trust, go to 2 2-ru.nees Enfity� complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
-I- r, CL 6- P ;2 e
f,�Q --r-A S U y/+7,,C / Zgf
FAIR MARKET 6LUE IF APPLICABLE, LIST DATE:
El so - $1,999
Fj $2.000 - $10,000
F1 $10 001 - sloo 000 ACQUIRED DISPOSED
$100.001 - $1.000,000
Over $1,000,000
NATURE OF INVESTMENT
E] sale Proprietorship [:) Partnership
YOUR BUSINESS POSITION
[:1 $0 - $499
El ssoo - st000
El stooi - sio,000
E5 CO,- Po.-4fqi
Other
El spool - $100,000
R'OVER $100,000
Check one box.
INVESTMENT REAL PROPERTY
o P-r () Re r +L,
Name of Business Entity, if Investment, gE
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity gr
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE-
[:] $2,000 - $10,000
F-1 $10,001 - $100.000
F-1 $100,001 - $1.000.000 ACQUIRED DISPOSED
[] Over $1,000,000
NATURE OF INTEREST
E] Property ownershiplDeed of Trust E] Stock E] Partnership
F� Leasehold El Other
F1 Check box if additional schedules reporting Investments or real property
�re attached
Name
— 1/4,Y7 L14)1,vl iI
I I
'10- 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
[I Trust, go to 2 Business Entity. complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
so - $1,999
$2,000 - $10,000
$10,001 - $100.000 ACQUIRED DISPOSED
$100,001 - $1,000,000
E] Over $1,000,000
NATURE OF INVESTMENT
El Sole Proprietorship [:] Partnership E]
Other
YOUR BUSINESS POSITION
b- 2. IDENTIFY FHE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITYrTRUST)
$0-S499 $10,001 - $100,000
$500 - $1,000 OVER $100.000
$1,001 - $10,000
11- 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF S10.000 OR MORE
0- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY FITE
BUSINESS ENTITY OR TRUST
Check one box.
E]INVESTMENT E] REAL PROPERTY
Name of Business Eritlty� if Investment, 2E
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity al
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
[:] $2.000 - $10,000
El $10-001 - sloo 000 —i—JAIL
[] $100,001 - $1.000,00o ACQUIRED DISPOSED
E] Over $1,000,000
NATURE OF INTEREST
El Prop" Ownership/Deed of Trust E] Stock Partnership
E] Leasehold — E] other
Yrs remairung
Check box if additional schedules reporting investments or real property
ire attached
Comments: FPPC Form 700 (201111=12) Sch. A-2
FPPC Toll -Free HelplIne: 866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
W ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
6 26 37000
CITY
P,4i,yi CA
FAIR MARKET VALUE
[:] $2.000 - $10,000
Q $10-001 - $100,000
EI$100,001 - $1,000,000
F-1 Over $1,000,000
NATURE OF INTEREST
O.OwnershipiDeed of Trust
F-1 Leasehold
Yrs remaining
IF APPLICABLE, LIST DATE:
_J__/_L1_ _j_j_L1_
ACQUIRED DISPOSED
E] Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
[:] $0 - $499 [:] $500 - $1,000 [:] S1.001 - $10,000
F1 $10.001 - $100,000 [] 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.
Name
--lAy
0, ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
2 -7 l000
CITY en
-C,,, t)o kseq j-z ell
FAIR MARKET VALUE
$2,000 - $10,000
$10.001 - $100,000
$100,001 - $1,000,000
Over $1.000,000
NATURE OF INTEREST
[:] Ownership/Dead of Trust
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
F-1 Easement
Leasehold F-1
Yrs. remaining
Mr.
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
$0 - $499 [:] $500 - $1,000 F-1 $1.001 - $10,000
$10.001 - $100,000 F1 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* I I NAME OF LENDER'
welis Z,74,-q a -�3
ADDRESS (Business Ad&eG Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
iNTEREST RATE
------- No F-1 None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
F1 $500 - $1.000 E] $1,001 - $10,000
[:] $10,001 - $100,000 [] WER $100,000
[:] Guarantor. if applicable
Comments -
ADDRESS (Busfriess Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
.% [3 None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1.000 $1,001 - $10,000
$10,001 - $100.0D0 OVER $100,000
E] Guarantor, if applicable
FPPC Form 700 (2011/2012) Sch. B
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 _rA4z_
De so -P-yl A �e -uz 5 t4 v*" -, t si�nl, czs-
ADDRESS (Business Address Acceptable)
-7 am ItAt,,T-
BUSINESS ACTIVITY, IF ANY, OF 'SOURCE
_!; t.( j/ 4-2-Ir— (f
YOUR BUSINESS POSITION
v w sj e .- - tPresc, -i e,.,
GROSS INCOME RECEIVED
F1 $500 - $1,000 $1.001 - $10.000
F1 $10.001 - $100,000 OVER $100,000
CONSIDERATION FOR WHICH iNCOME WAS RECEIVED
O'Salary [:] SpousWs or registered domestic partner's Income
[31-oan repayment 0 Partnership
11 Sale of
iReal property, car. boat era)
F-Icommissionor F-1 Rental Income, Met each source ofsio.000orl""
F-1 Other
(00—be)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
$500 - $1,000 $1.001 - $10.000
$10,001 - $100,000 OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
[:] Salary [:] Spouse's or registered domestic partner's income
E] Loan repayment [1 Partnership
Sao of
(Real property car, boat, eta)
[:] commission or [:] Rental Income, list each source of S 10,000 or more
Other
(Desodbel
1w 2. LOANS RECEIVED OR OUTSTANDING DURING THE 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 - $1.000
$1.001 - $10.000
El $10.001 - $100,000
[] OVER $100,000
C omments:
INTEREST RATE TERM (MonthelYears)
_% F1 None
SECURITY FOR LOAN
[:] None E] Personal residence
E] Real Property Sbeet address
E] Guarantor
f-I Other
C-ly
jDasaft)
FPPC Form 700 (2011/2012) Sch. C
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE D
Income — Gifts
10- NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mffVdd/yy) VALUE DESCRIPTION OF GIFT(S)
0, NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mnVddlyy) VALUE DESCRIPTION OF GIFT(S)
$
0, NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dcVyy) VALUE
$
Comments:
DESCRIPTION OF GIFT(S)
Name
0, NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mni/ddlyy) VALUE DESCRIPTION OF GIFT(S)
__j --- /_ S_
b- NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY. IF ANY, OF SOURCE
DATE (mffgdd/yy) VALUE DESCRIPTION OF GIFT(S)
S_
$
b- NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY. IF ANY, OF SOURCE
DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S)
$
FPPC Form 700 (2011/2012) Sch. D
FPPC Toll -Free Helpline- 866/275-3772 www fppc.ca.gov
SCHEDULEE FAIR POLITICAL PRACTICES COMMISSION
Income — Gifts Name
Travel Payments, Advances,
and Reimbursements
• You must mark either the gift or income box.
• Mark the 501(c)(3) box for a travel payment received from a nonprofit 501(c)(3)
organization. These payments are not subject to the $420 gift limit, but may result
in a disqualifying conflict of Interest.
W NAME OF SOURCE
ADDRESS (Business Address Acceptable)
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE 0 501 (c)(3)
DATE(S): - --J---J— AMT. It
(if gift)
TYPE OF PAYMENT: (must check one) E] Gift E] Income
F-1 Made a Speech/Participated in a Panel
F-1 Other - Provide Description
IN- NAME OF SOURCE
ADDRESS (Business Address Acceptable)
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE C] 501 (c)(3)
DATE(S): --J—J— - --I---J— AMT S
(if gift)
TYPE OF PAYMENT. (must check one) E] Gilt E] Income
Made a SpeechlParticipated in a Panel
Other - Provide Description
Comments: 14"017'�P-- e r-
0, NAME OF SOURCE
ADDRESS (Business Address Acceptable)
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
0 501 (cX3)
DATE(S): --]--J— - AMT. 1
(if gift)
TYPE OF PAYMENT: (Must check one) [:] Glft
E] Made a Speech/Parucipated In a Panel
Other - Provide Description
income
IN- NAME OF SOURCE
ADDRESS (Business Address Acceptablo)
CITY AND STATE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
F] 501 (c)(3)
DATE(S): —J—J— - —J—J— AMT $
(if gift)
TYPE OF PAYMENT- (must check one) E:] Gift
E] Made a Speech/Pardclpated In a Panel
Other - Provide Description
income
FPPC Form 700 (2011/2012) Sch. E
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca-gov