HomeMy WebLinkAbout2020-07-27 Form 700 - TrubeeSTATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE !h E C C1 y 00"ca` use of"y
A PUBLIC DOCUMENT L DF f- ' F)F
Please type or print in ink. Ma jA
NAME OF FILER (LAST) �� � {� � (FIRST)
A 0 V CL
f. Office, Agency, or Court
Agency Name (Do not use ronyms)
G ; �s
Division, Board, Department, Distri, if applicable Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (check at least one box)
❑ State
Position .
❑ Judge Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County El County of
City of �� ,iyi De C ❑ Other
I Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2019, through
December 31, 2019.
•or
❑ Leaving Office: Date Left —I— I
(Check one circle.)
The period covered is _1 I through O The period covered is January 1, 2019, through the date of
December 31, 2019. -or-
leaving office
❑ Assuming Office: Date assumed O The period covered is —JI , through
the date of leaving office.
�( Candidate: Date of Election and office sought, if different than Part 1. ,
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 B • Real PrWdy — schedule attached
-Or- ❑ None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D • Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Busmness or Agency Address Reoom&Med - PuW Document}
DAYTIME TELEPHONE
I have used all reasonable diligence in preparing this statement I have reviewed this statement
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 Califomia that the foregoing Is true and correct.
Date Signed r7 1 Z -1 Z b Signature
0 Pxv* d xy*
FPK FOM 700 - cover Pase (za19/2020)
adviea ftmca.Sov • 866-275•3772 - www.fppc.n.Zov
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REUiTIEU
C1T f CLERK'S OFF iCf
PALM DES�.I,
20 JUL 28 P-4 3: 21
SCHEDULE A-2 'CALIFORNIA FORM 700
Investments, income, and AssetsCOMMISSION
of Business Entities/Trusts Namee
(Ownership Interest is 10% or Greater) �Va n
j� 1. BUSINESS ENTITY OR TRUST
4
N\�laV!
a a
Check one
❑ Trust, go to 2 Business Entity, complete the box, then go to 2
GE ER L DE CRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE'
❑ s0 - $1,999
❑ $2,000 - $10,000
ELsio'001 - s100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
Over $1,000.000
NATURE OF INVESTMENT
✓❑ Partnership Q Sole Proprietorship ✓❑ Co 6i�
YOUR BUSINESS POSITION W t1cc
GROSS2. IDENTIFY THE • YOUR PRO -
SHARE •F THE: GROSS INCOME• THE ENTITY)TRUST)
❑ $0 - $499 JU $10.001 - $100,000
❑ $Sao - $1.000 ❑ OVER $100,000
❑ $1,001 - $10,000
10- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF
INCOME OF $1 0000 OR MORE
KI None or ❑ Names listed below
Check one box,
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, d Investment, 21
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 4[
City or Other Precise Location of Real Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
[] $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ over sl,oao,aoo
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. rertfaiNng
❑ Check box if additional schedules reporting investments or real property
are attached
Comments:
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity complete the box then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE LIST DATE
❑ s0 - $1,999
❑ $2,000 - $10 000 _/119 i )-a
❑ s10,001-$100000 ACQUIRED D SPOSED
❑ $100,001 - $1,000,000
❑ Over $1.000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship []
1 YOUR BUSINESS POSITION
❑ $0 - $499 ❑ s1Q001 - s100 000
❑ $Soo $1,000 ❑ OVER $100000
❑ $1,001 - $10,000
None or I I Names
L'necx one WK.,
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if inYestmenL �
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 2C
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE LIST DATE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100.001 - $1,000,000 ACQUIRED DISPOSED
❑ Over s1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
[] Leasehold ❑ Other
Yra. remaining
❑ Check box if additional schedules reporting Investments or real property
are attached
FPPC Form 700 - Schedule A-2 (2019/2020)
•dvloeftpc.co.gov • W6-275-3772 • www.fppc .pv
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,� Elr)�-�E�tCE SCHEDULE C • -FORM 1 1
cII � �L---1� Income, Loans, & Business '
R `� ,�
i' -M DFSEPositions Name rr
2020 JUL 2$ 2� (Other than Gifts and Travel Payments) �A u 6+-
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable) TC0 r„`
� 'w
Q Sa
D
YOUR BUSINESS POSITICFIN
•7b
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
)($10,001 - $100,000 ❑ OVER $100 000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
�CSalary g Spouses 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
❑ Loan repayment
(Rea) property! car. boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or - re
(Describe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No income - Business Position Only
❑ $500 - $1.000 ❑ $1,001 - $10.000
❑ $10,001 - $100,000 ❑ OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouses or registered domestic partners income
(For self-employed use Schedule A-2 )
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
LJ Sale of
(Real property, car boat, etc)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each aowce or Sto.ow or more
(Desdfbe)
❑ Other I Other
rDescnbe) (Describe)
RECEIVEDLOANS . OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from a commercial lending institution, 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 - $io,000
❑ $10.001 - $100.000
❑ OVER $100.000
Comments:
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
❑ Guarantor
❑ Other
City
(Describe)
FPPC Form 7W - Schedule C (2019/20201
adviee@fppc.ca.gov • US-275-3772 • www.fppc ca.$on
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