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HomeMy WebLinkAbout2018-07-17 Form 700 - Jonathan0 Date Initial Filing Received CALIFORNIA ' ' STATEMENT OF ECONOMIC INTERESTS P EC9fV'ttp* COMMISSIONFAIR POLITICAL PRACTICIFS CITY CLERK'S OFFICE ' PUBLIC DOCUMENT COVER PAGE PALM DESERT, Cl, Please type or print in ink. NAME of FILER {LAST) (FIRST) (IDD Jonathan 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Palm Desert Division, Board, Department, District, if applicable City Council Sabby Your Position Member of the City Council ► 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 ❑ Multi -County 0 City of Palm Desert 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2017, through December 31, 2017. -or- The period covered is �� I through December 31, 2017. ❑ Assuming Office: Date assumed I I Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other _- ❑ Leaving Office: Date Left (Check one) p The period covered is January 1, 2017, through the date of -or- leaving office. p The period covered is —_ lam through the date of leaving office. ® Candidate: Date of Election 11/06/2018 and office sought, if different than Part 1: 4, Schedule Summary (must complete) ► Total number of pages including this cover page: 17 Schedules affached ❑ Schedule A-1 - Investments — schedule attached 0 Schedule A-2 - Investments — schedule attached m Schedule B - Real Property — schedule attached -or• ❑ None - No reportable interests on any schedule ® Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached o. venricatfon MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) Palm Desert CA 92260 UAY I IME 1 ELEPHUNE NUMBER E-MAIL ADDRESS ( I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best 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 that Date Signed � Z� Signat ur ( Form 700 (2017/2018) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov CSCHEDULE A-2 ` JCALIFORNIA FORm1 1 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) Sabby Jonathan P� 1. BUSINESS ENTITY OR TRUST Cook Street Associates, LLC Name Palm Desert, CA 92260 Address (Business Address Acceptable) Check one ❑ Trust go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1 999 ❑ $2,000 - $10.000 �� 17 � / 17 ❑ sloxi - $100.000 ACQUIRED DISPOSED © $100,001 - $1.000-000 ❑ Over $1.000 000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ©LLC they YOUR BUSINESS POSITION Manager/Member P- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTiTYffRUST) 0$0 . $499 © 510,001 - $100,000 ❑ $500 - $1 Duo OVER $100.000 ❑ $1.001 - $10.G00 ho3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOMEOF r rrr OR MORE ❑ None or © Names listed below SEE ATTACHED AND INTERESTS IN REAL PROPERTYHELD .- LEASED BY THE BUSINESS ENTITY . TRUST - Check one box: ❑ INVESTMENT © REAL PROPERTY 42600 Desert. CA Name of Business Entity, if Investment, Dr Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Description of Business Activity Q City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2.000 - $10.000 ❑$to001-$100.000 1�17 � 117 Q $100 001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1.000.000 NATURE OF INTEREST © Property Ownership;Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaiving ❑ Check box if additional schedules reporting investments or real property are attached 101. BUSINESS ENTITY OTRUST R Associates, LLC Name 73301 Fred Waring 92260 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity complete the box. then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10.000 / 17 __j___/ 17 ❑ $10,001 - $100.000 ACQUIRED DISPOSED ® $100.001 - $1 000 000 ❑ Over $1 ,000 000 NATURE OF INVESTMENT LLC ❑ Partnership ❑ Sole Proprietorship 91 Other YOUR BUSINESS POSITION Manager/Member GROSS• . (INCLUDE YOUR-• RATA SHARE OF ••SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 © $10,001 - $100 000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ stool - $10.000 1� 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOMEOF r rrr OR MORE ❑ None or Names listed below SEE ATTACHED PROPERTYHELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: []INVESTMENT © REAL PROPERTY 73271 Fred Waring Name of Business Entity, if Investment g; Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Descnption of Business Activity 2 City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _1 / 17 1. j 17 K] $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1.000,000 NATURE OF INTEREST © Property Ownership/Deed of Trust ❑ Stock ❑ Partnersh p ❑ Leasehold — ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: FPPC Form 700 (2017/2018) 5ch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 0 SCHEDULE A-2 1 CALIFORNIA • - 1 1 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) Sabby Jonathan 0- 1. BUSINESS ENTITY OR TRUST J & W Associates LLC Name Palm Desert, CA 92260 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Investments FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $0 - $1,999 ❑ $2,000 - $10,000 17 17 ❑ $10,0ol - $400,000 ACQUIRED DISPOSED © $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT © LLC ❑ ❑ Partnership Sole Proprietorship Other YOUR BUSINESS POSITION Manager/Member 1- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 ® $10,001 - $100.000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ S1,001 - $10,000 1� 3. LIST THE NAME OF -•-TABLE SINGLE SOURCE OF INCOMEOF err OR MORE ❑ None or © Names listed below Christopher Baskin PROPERTY111- 4. INVESTMENTS AND INTERESTS IN REAL HELD .- LEASED BY THE BUSINESS ENTITY . TRUST - Check one box ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity f Investment 2[ Assessor's Parcel Number or Street Address of Real Property Description of Business Activity 2[ City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE LIST DATE: ❑ $2,000 - $10.000 ❑ $10.001 - $100,000 / 17 ❑ $100001 - $1,000.000 ACQUIRED DISPOSED ❑ Over $1 000,000 NATURE OF INTEREST ❑ Property Ownership;Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs remam�r+� ❑ Check box if add tional schedules reporting investments or real property are attached 10- 1BUSINESS ENTITY OTRUST R & Associates, Inc. Name 73301 Fred CA 92260 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS CPA Firm FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $0 - $1 999 ❑ $2.000 - $10 000 . 17 ❑ $10.001 $1o0.000 ACQUIRED DISPOSED ❑ $100 001 - $1 000.000 © Over $1 000,000 NATURE OF INVESTMENT Corporation ❑ Partnership ❑ Sole Proprietorship 91 Other YOUR BUSINESS POSITION Employee/Shareholder P� 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1 000 © OVER $100,000 ❑ $1,001 - $10 000 0- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF © None orLj Names listed below • INTERESTS IN REAL PROPERTYHELD .- LEASED BY THE BUSINESS ENTITY . TRUST - Check one box: ❑ INVESTMENT REAL PROPERTY Name of Business Entity, if Investment. lu Assessor's Parcel Number or Street Address of Rea Property Description of Business Activity Qr City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE- LIST DATE ❑ $2,000 - $10.000 ❑ $10,001 - $100,000 117 117 ❑ $100.001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownersh'p;Deed of Trust ❑ Stock Partnership ❑ Leasehold ❑ Other Yrs. remaF-irtg ❑ Check box if additional schedules reporting investments or real property are attached Comments: FP PC Form 70012017/2018) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 0 SCHEDULE A-2 CALIFORNIA FORm 700 Investments, Income, and Assets FAIR Name COMMISSION of Business Entities/Trusts (Ownership Interest is 10% or Greater) Sabby Jonathan a- 1, BUSINESS ENTITY OR TRUST Manufacturing Road Investors, LLC Name Palm Desert, CA 92260 Address (Business Address Accepta&e! Check one ❑ Trust go t❑ 2 ® Busiress Ent.ty, comptele the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1.989 ❑ $2.000 - $10,000 _j`/ 17 / 17 ❑ $10.001 - $100 000 ACQUIRED DISPOSED © $100.001 - $1,000.000 ❑ Over $1.000.000 NATURE OF INVESTMENT ❑ Partnership El sole Proprietorship ©LLC er YOUR BUSINESS POSITION ManagerlMember GROSS1� 2, IDENTIFY THE • • (INCLUDE YOUR-• RATA SHARE OF -•SS INCOME TO THE ENTITY1TRUST) ❑ $0 - $499 ® $10,o01 - $100,000 ❑ $500 - $1 000 ❑ OVER $100,000 ❑ $1.001 - $10,00o It- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOMEOF $10,000 OR MORE ❑ hone or © Names listed below Conserve LandCare, Inc. 101 4, INVESTMENTS AND INTERESTS IN REAL PROPERTY • OR LEASED BY THE BUSINESS ENTITY . TRUST - Check orte box; ❑ INVESTMENT © REAL PROPERTY Thousand Palms, CA Name of Business Entity, if Investment, 2 Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Description of Business Activity Q City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2.000 - $10,000 ❑ slo,00l - $1oo,000 / 17 K] $100,001 - $1,0o0,000 ACQUIRED DISPOSED ❑ Over $1.000,000 NATURE OF INTEREST © Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached 111- 1. BUSINESS ENTITY OTRUST R Sphere Associates, LLC Name 73301 Desert, CA 92260 Address ,.Business Address Acceptable) Check one ❑ Trust. go to 2 ® Business Entity, complete the box then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ s0 - $1 999 ❑ $2 000 - $10.000 / 17 1 / 17 ❑ $10 001 - $100 000 ACQUIRED DISPOSED ® $100 001 - $1,00C,000 ❑ Over $1 000 000 NATURE OF INVESTMENT LLC ❑ Partnership ❑ Sole Propretorship 91 I •r YOUR BUSINESS POSITION Manager/Member GROSS1� 2, IDENTIFY THE • . JINCLUDE YOUR^• RATA SHARE OF -•SS INCOME TO THE ENTITYfTRUST) ❑ $0 - $499 © $10 001 - $100,000 ❑ $500 - $1 000 ❑ OVER $100.000 ❑ $1 001 - $10 000 111, 3. LIST THE NAME OF ••'TABLE SINGLE SOURCE OF INCOMEOF $10,000 OR MORE ❑ None or Names listed below SEE ATTACHED •- LEASED BY THE BUSINESS ENTITY .. TRUST Check one box; ❑ INVESTMENT © REAL PROPERTY 73750 Desert, CA Name of Business Entity, if Investment, Q Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Description of Business Activity grr City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE. LIST DATE ❑ $2,000 - $10,000 ❑ $10,001 - $100.000 17 __jJ 17 lt❑ $100.001 - $1 000.000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST © Property OwnershiplDeed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs remaining ❑ Check box if additional schedules reporting investments or real property are attached Comments: FPPC Farm 700 (2017/2018) Sch. A-2 FPPC Advice Email: advice ftpc.ca-gov FPPC Toll -Free Helpline: 866/275-3772 www.fppe.ca.gov 0 SCHEDULE A-2 C CALIFORNIA FORm700 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSIOrI of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) Sabby Jonathan 10- 1. BUSINESS ENTITY • TRUST - PVJ Associates. LLC Name Palm Desert, CA 92260 Address (Business Address Acceptable) Check one ❑ Trust. go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $0 - $1.999 ❑ $2.000 - $10,000 1 17 1 117 ❑ $to 001 - $100.000 ACQUIRED DISPOSED © $100,Oo1 - $1,000,000 ❑ Over $1.000,000 NATURE OF INVESTMENT ❑ Partnership ❑ ❑X Sole Proprietorship LLC t �r YOUR BUSINESS POSITION Manager/Member 1� 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO SHARE OF -• • • THE ENTITYITRUST) © $0 - $499 n $10,001 - $100,000 ❑ $500 - $1 00D ❑ OVER $100.000 ❑ $1.001 - $10 000 im, 3. LIST THE NAME OF -a-TABLE SINGLE SOURCE OF © None or ❑ Names I sted below W 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY ..- LEASED BY THE BUSINESS ENTITY • TRUST - Check one box: ❑ INVESTMENT © REAL PROPERTY Palm Desert, CA Name of Business Entity, if Investment, pl Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Description of Business Activity Q City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100.000 / 17 117 R $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000.000 NATURE OF INTEREST ® Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached 11� 1. BUSINESS ENTITY . TRUST - S & W Investment Group, LLC Name Palm Desert, CA 92260 Address (Business Address Acceptable) Check one ❑ Trust. go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $o - $1.999 ❑ $2 000 - $10.000 �—/ 17 ❑$to001-$100000 ACQUIRED DISPOSED ❑ $100001-$1,000,00o © Over $1 000,000 NATURE OF INVESTMENT LLC ❑ Partnership ❑ Sale Proprietorship 91 t er YOUR BUSINESS POSITION Manager/Member GROSSii2. IDENTIFY THE • • JINCLUDE YOUR-• RATA SHARE OF -•SS INCOME TO THE ENTITYITRUST) [� $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1 090 © OVER $100,000 ❑ $1 0ol - $10 00t. 1� 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOME OF S10,0D0 OR MORE iAtl-h. ❑ None or LVj Names listed below SEE ATTACHED 11- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY ..- LEASED BY THE BUSINESS ENTITY • TRUST - Check one box ❑ INVESTMENT © REAL PROPERTY SEE ATTACHED Name of Business Entity, if Investment, gj Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Description of Business Activity Q[ City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE LIST DATE; ❑ $2.000 - $10 O00 ❑ $10,001 - $100.000 17 .__.J__j17 ❑ $100.001 - $1 000.000 ACQUIRED DISPOSED © Over $1,000 000 NATURE OF INTEREST © Property Ownership/Deed of Trust ❑ Stack ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining © Check box if additional schedules reporting investments or real property are attached Comments: FPPC Farm 700 (2017/2028) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPCToll-Free Welpline:866/275-3772 www.fppc.ca.gov SCHEDULE A-2 a CALIFORNIA FOR M 700 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) Sabby Jonathan I� 1. BUSINESS ENTITY OR TRUST Spyder Circle Associates, LLC Name Palm Desert, CA 92260 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Investment FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10.000 17 / 17 ❑ $10.001 - $100,000 ACQUIRED DISPOSED © $100-001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ©LLC Ottl@f YOUR BUSINESS POSITION Manager/Member 1� 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITYiTRUST) © $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100.000 ❑ $1,001 - $10,000 0- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOMEOF 10,000 OR MORE © None or ❑ Names listed below ■ INTERESTS IN REAL PROPERTY■ OR LEASED BY THE BUSINESS ENTITY • TRUST - Check one box: ❑ INVESTMENT © REAL PROPERTY in the City of Palm Desert, CA Name of Business Entity, if Investment, Q Assessor's Parcel Number or Street Address of Real Property Real Estate Investment Description of Business Activity gj City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 __ j_j 17 _/ 17 7c❑ $100.001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST © Properly Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached P. 1. BUSINESS ENTITY . TRUST - 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 ❑ $0 - $1,999 ❑ $2,000 - $10,000 17 _j—j_17 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,00o,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorsh-p n Other YOUR BUSINESS POSITION m- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 ❑ $10 001 - $1oo,000 ❑ $500 - $1,000 ❑ OVER $1oa,000 ❑ $1,001 - $10,0o0 3. LIST THE NAME OF -•-TABLE SINGLE SOURCE OF ❑ Nane or Names listed below ■ INTERESTS IN REAL PROPERTY■ OR LEASED BY THE BUSINESS ENTITY OR TRUST Check orte box ❑ INVESTMENT ❑ REAL PROPERTY Name of Busyness Entity, if Investment, 2[ Assessor's Parcel Number or Street Address of Real Property Description of Bus ness Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE LIST DATE, ❑ $2,000 - $10.000 ❑ $10,001 - $100 000 lr i17 117 ❑ $100.001 - $1.000,000 ACQUIRED DISPOSED ❑ Over $1 000 000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 70012017/2018) Sch. A-2 Comments: FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov Q SCHEDULE A-2 C Attachment Name Sabby Jonathan BUSINESS ENTITY OR TRUST: Cook Street Associates, LLC BUSINESS ENTITY OR TRUST: Desert Associates, LLC BUSINESS ENTITY OR TRUST: North Sphere Associates, LLC BUSINESS ENTITY OR TRUST: S & W Investment Group, LLC C SCHEDULE A-2 O Attachment Names of Business Entities, if Investments, or Assessor's Parcel Numbers or Street Addresses of Real Properties Palm Desert, SCHEDULE B Interests in Rea! Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Palm Desert FAIR MARKET VALUE ❑ $2.000 - $10.000 ❑ $1o001 - $1o0000 © $100.001 - $1.000.000 ❑ Over $1 000 00'] NATURE OF INTEREST © Ownership/Deed of Trust ❑ Leasehold IF APPLICABLE LIST DATE ... 1___j 17 17 ACQUIRED DISPOSED ❑ Easement of„a, IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1 001 $10 0 0 © $100ol - $100.000 ❑ OVER $100 000 SOURCES OF RENTAL INCOME if you own a 10 or greater interest, list the name of each tenant that s a single source of income of $10 000 or more. ❑ None SEE ATTACHED Name Sabby Jonathan ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Thousand Palms FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,00o © $100,001 - $1 000.000 ❑ Over $1,000,000 NATURE OF INTEREST © OwnershiplDeed of Trust IF APPLICABLE, LIST DATE- /— j 17 / -_ / 17 ACQUIRED DISPOSED ❑ Easement ] Leasehold ❑ Yrs. remaining p,her IF RENTAL PROPERTY GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10.000 © $10,001 - $100,Ooo ❑ 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. ❑ None Conserve LandCare, Inc. * 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' ADDRESS (business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years, ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $' ,000 U $1.001 - $10,000 ❑ $10.001 - $100,000 ❑ OVER $107,;,00 ❑ Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY IF ANY, OF LENDER INTEREST RATE TERM (MonthslYears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1 001 - $10.o00 ❑ $10.001 - $100 000 ❑ OVER $100 000 j Guarantor. if applcable FPPC Form 700 (2017/2018) Sch. B FPPC Advice Email: advice@fppc,ca.gov FPPC Tolt-Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR S PARCEL NUMBER OR STREET ADDRESS CITY Palm Desert FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2 000 - $10,000 El $10.001 - $100.000 �� 17 �� �7 © $100 001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1 000.000 NATURE OF INTEREST © Ownership: peed of Trust ❑ Easement ❑ Leasehold „.. —„a,,,—M El Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10.000 © $to 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. ❑ None SEE ATTACHED Name Sabby Jonathan ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Palm Desert FAIR MARKET VALUE ❑ $2 000 - $10,000 ❑ $10.001 - $100 000 ❑ $100 001 - $1 000.000 ® Over $1.000.000 NATURE OF INTEREST © Ownership/Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE LIST DATE � / 17 1 / 17 ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1 000 ❑ $1.001 - $10.000 ❑ $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. ❑ None SEE ATTACHED * 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' ADDRESS (Business Address Acceptable.. BUSINESS ACTIVITY IF ANY, OF LENDER INTEREST RATE TERM rMonthsftarsi °h ❑None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 $1 001 - $10.000 ❑ $10,001 - $100 000 ❑ OVER $100 003 ❑ Guarantor if applicable Comments: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY IF ANY OF LENDER INTEREST RATE TERM (MonthslYears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1 xi - $10.000 ❑ $10 001 - $100,000 ❑ OVER $100 000 ❑ Guarantor, if applicable FPPC Form 700 (2017/2018) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSORS PARCEL NUMBER OR STREET ADDRESS CITY Palm Desert FAIR MARKET VALUE ❑ $2 000 - $10,000 ❑ $10.001 - $100,000 © $100 001 - $1 000 000 ❑ Over $1.000,000 NATURE OF INTEREST © Ownership:Deed of Trust ❑ Leaseho d Yre. rE4�anuig IF APPLICABLE LIST DATE 17 17 ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10.000 ❑ $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. © None Name Sabby Jonathan ► ASSESSORS PARCEL NUMBER OR STREETADDRESS CITY - - ---- Palm Desert FAIR MARKET VALUE ❑ $2 000 - $10,000 ❑ $10,001 - $10o,000 © $100.001 - $1.000,000 ❑ Over $1,000,000 NATURE OF INTEREST © Ownership/Deed of Trust ❑ Leasehold ns. remairnng IF APPLICABLE LIST DATE � .17 / 17 ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1 000 ❑ $1 001 - $10,000 ® $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. ❑ Ncne Hyperseal, Inc. * 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` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1.000 ❑ $1.001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthslYears) °h ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10 00o ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Farm 700 (2017/2018) 5ch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 31 SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSORS PARCEL NUMBER OR STREETADDRESS CITY Palm Desert FAIR MARKET VALUE ❑ $2 000 - $10.000 ❑ $10,001 - $100.000 © $100.001 - $1.o00000 ❑ Over $1 000.000 NATURE OF INTEREST © Ownership/Deed of Trust IF APPLICABLE, LIST DATE: _j_j17 __j__j17 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY GROSS INCOME RECEIVED ❑ $0 - $499 [] $500 - $1.000 ❑ $1,001 - $10,00D © $10.001 - $1o0 000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that :s a single source of income of $10,000 or more ❑ None Ben Clymer's The Body Shop Palm Desert Name Sabby Jonathan ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS Lots 14, Desert FAIR MARKET VALUE ❑ $2 000 - $10 000 ❑ $10.001 - $100,000 ❑ $100001-$1,000,000 © Over $1 000.000 NATURE OF INTEREST © Ownership/Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE. LIST DATE J 117 __j__j I__j 17 ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1 000 ❑ $1 001 - $10.000 ❑ $10 001 - $10o,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. ® None * 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' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM f.MonthsNears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1.001 - $10,000 ❑ $10001 - $100.000 ❑ OVER $10a.oco ❑ Guaranto• if applicable Comments: NAME OF LENDER' ADDRESS .,Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthslYears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10.000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2017/2018) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE 6 Attachment Name Sabby Jonathan ASSESSOR PARCEL NUMBER OR STREET ADDRESS: 42829 Cools Street ASSESSOR PARCEL NUMBER OR STREET ADDRESS: 73271 Fred Waring Drive ASSESSOR PARCEL NUMBER OR STREET ADDRESS: 73301 Fred Waring Drive 0 o SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Cook Street Associates, LLC ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Real Estate Investment YOUR BUSINESS POSITION Manager/Member GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1 001 - $10,000 © $10,0ol - $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 101!-� ownership For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boar etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income. tst each source of $10000 or more Name Sabby Jonathan NAME OF SOURCE OF INCOME Desert Associates, LLC ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Real Estate Investment YOUR BUSINESS POSITION Manager/Member GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1 000 ❑ $1,o01 - $10,000 ® $10 001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnersh p (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, lest each source or sio,ow or more (Describe) (Describe) ® other LLC Distributions x❑ other LLC Distributions (Descnbe) (Describe) 1� 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 ❑ $1D,001 - $100,000 ❑ OVER $100.000 Comments: INTEREST RATE TERM (MonthsNears) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address c+ry (Describe) FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice@fppc.ca.gov 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 J & W Associates, LLC ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY IF ANY OF SOURCE Investments YOUR BUSINESS POSITION Manager/Member GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $50o - $1 o0o ❑ $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 (For self-employed use Schedule A-2 ) ❑ Partnership (Less than 10'.-0 ownership For 10% or greater use Schedule A-2) ❑ Sale of Rea' property tar boat eh: ❑ Loan repayment ❑ Commission or ❑ Rental Income --st ea-h s; urm or $t o mare (Describe) p Other LLC Distributions Name I Sabby Jonathan NAME OF SOURCE OF INCOME Jonathan & Associates, Inc. _ ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE CPA Firm YOUR BUSINESS POSITION Employee/Shareholder 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 partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10°A. or greater use Schedule A-2.) ❑ Sale of _••, ••__ (Rea) property, car boat etc.)' ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each soe.rrce or $10,000 or rwre fPescr+be) X❑ Other Salary and Dividends f e-abe) I I (Doscribe3 :0- 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 ❑ $10.001 - $100,000 ❑ OVER $100.000 Comments: INTEREST RATE TERM (MonthsNeatQ % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address C'ty ,, escnbe- FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE C CALIFORNIA Income, Loans, & Business FAIR POLITICAL PRAC' Positions Name (Other than Gifts and Travel Payments) Sabby Jonathan NAME OF SOURCE OF INCOME Manufacturing Road Investors, LLC ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY IF ANY, OF SOURCE Real Estate Investment YOUR BUSINESS POSITION Manager/Member GROSS INCOME RECEIVED ❑ No Income - Bus ness Position Only ❑ $500 - $1.000 ❑ $1.001 - $10.000 © s10.001 - $100 000 ❑ OVER $100.000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's 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 ,Rea property car, boat, ercj ❑ Loan repayment ❑ Commission or ❑ Rental Income, list ear h S^wce of $1 c rw or more (Describe) © Other LLC Distributions NAME OF SOURCE OF INCOME North Sphere Associates, LLC ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY IF ANY, OF SOURCE Real Estate Investment YOUR BUSINESS POSITION Manager/Member 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 ❑ Spouse's or registered domestic partner's Income (For self-employed use Schedule A-2 ; ❑ Partnership (Less than 101�a ownership. For 10 '. or greater use Schedule A-2.) ❑ Sale of (Real preoerr/, car boat. etc! ❑ Loan repayment ❑ Commission or ❑ Rental Income, fist each source of S10000 or more rDe8cnbe, x❑ other LLC Distributions (Describe) I I (pascribel LOANS RECEIVED OR OUTSTANDING DURING THE REPORTINGPERIOD * 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 00o ❑ $1,001 - $10.000 ❑ $100ol-$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 rownbal FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 wwwJppc.ca.gov x SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME S & W Investment Group, LLC ADDRESS (Business Address Acceptable) Palm Desert, CA BUSINESS ACTIVITY IF ANY, OF SOURCE Real Estate Investment YOUR BUSINESS POSITION Manager/Member GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - S10,000 ❑ $10-001 - $100 000 © OVER $100 000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 100/. ownership. For 10% or greater use Schedule A-2.) ❑ Sale of -Rea, property. car boat etc i ❑ Loan repayment ❑ Comm ssion or ❑ Rental Income, sr each source of $toano or more Name I Sabby Jonathan 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 ❑ Spouse's or registered domest c 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 (Rea. P-perty, car, boat, et,.} ❑ Loan repayment ❑ Commission or ❑ Rental Income, list ea&. ss,Me or sto000 or more {Describe) (Describe: © Other LI_C Distributions ❑ other (Describe) (Describer RECEIVED.-. -., 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 ❑ $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 700 (2017/2018) 5ch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov