HomeMy WebLinkAboutForm 700 - ScottSTATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
Filing OfiWaf Use Only
COVER PAGE Ck ; �.z.� r� ; _;� - ,
A PUBLIC DOCUMENT' I tip` `'' "
Please type or print in ink. 2024 JUL 19 AM
NAME OF FILER (LAST) (FIRST) (MIDDLE)
SCn 14- C> rJSA)ev
1. Office, Agency, or Court
Agency Name (Do not use
Division, Board; -Bbpadment, District, if applicable Your Posl
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Z KI Agency: A Position:
2. Jurisdiction of Office (check at feast one box)
, State
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
Multi -County ❑ County of
tsi City of M) &-5e-ri ❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2023, through ❑ Leaving Offlce: Date Left I I
December 31, 2023. (Check one circle.)
-or-
The period covered is I I through ❑ The period covered is January 1, 2023, through the date
December 31, 2023. -or- of leaving office.
Assuming Office: Date assumed i fi The period covered is 1. 1 through
the date of leaving office.
K�Candldate: Dale of Election S and office sought, if different than Part 1:
Schedule Summary (required)
Schedules attached
► Total number of pages including this cover page:
Schedule A-1 - Investments - schedule attached
Schedule A-2 - Investments - schedule attached
KSchedule B - Real Property - schedule attached
-or- - None - No reportable interests on any schedule
5. Verification
Schedule C - Income, Loans, 8 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
(Business or Agency Address Recwm&Wed - Pubk Docuawtwlt)
EMAIL
,
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 Califomla that the foregoing is true and correct.
Date Signed r,�l�(, 2 / Signature
ay, yearl (Fh fha cooin* s+9 Paper slat—# wm your fang offlow.)
FPPC Form 700 -Cover Page (2023/20241
advice@fppc.ca.gov - $66-275-3772 - www.fppc.ca.gov
Page - 5
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
W 1. BUSINESS ENTITY OR TRUST
Name
d
Address (Business Address Acceptable)
Check one
Trust, go to 2 VC 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 OOD /23 z_ /23
5�-$10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000.000
Over $1.000 000
NATURE OF INVESTMENT
Partnership n Sole Proprietorsh p Other
��]ey 45 O-
YOUR BUSINESS POSITION
0- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF •SS INCOME TO THE ENTITY1TRUST)
$0 - $499 A $10 001 - $100 000
$500 - $1,000 OVER $100.000
$1,001 - $10,000
0- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Alt-h
None or K Names listed below
SrP-
4. INVESTMENTS AND INTERESTS IN REAL PROPERTYHELD OR
LEASED BY THE BUSINESS ENTITY .- TRUST
Check one box:
.INVESTMENT REAL PROPERTY
Name of Busin ss Entity, if Investment, 41
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 2E
City or Other Precise Location or Real Properly
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2.000 - $10.000
$10.001 - $100.000 __j /23 L __j --- j22
$100.001 - $1,000.000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
�] Property Ownership/Deed of Trust Stock Partnership
F-1 Leasehold Other
Yrs. remaining
] Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
•
0- 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
Trust go to 2 ILV'Business Entity, complete the box, then go to 2
GENERAL DES C PTION OF THIS BUSINESS
� v
FAIR MARKET VALUE IF APPLICABLE, LIST DATE
$0 - $1.999
$2,000 - 510 000 t _j23— .—/__j2.3_
$10.001 - $10o,000 ACQUIRED DISPOSED
$100,001 - $1 000.000
Over $1.000,000
NATURE OF INVESTMENT
Partnership K Sole Proprietorship
r
YOUR BUSINESS POSITION
SHARE OF -•SS INCOME TO THE ENTITYITRUST)
$0 - $499 X$10,001 - $100,000
$500 - $1 000 OVER $100,000
$1 001 - $10.000
1� 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF
None or I Names Ili 40-5elow
P, 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
INVESTMENT PR'REAI PROPERTY
I10V 200
Name of Business Entity, if Investment, 4i
Assessor's Parcel Number Or Street Address of Rea, Property
�l o C14
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 /23
�$100.001-$1,000,000 ACQU RED DISPOSED
Over $1.000,000
NATURE OF INTEREST
k Property Ownership/Deed of Trust Stock Partnersh p
Leasehold ether
Yrs. remaining
Check box if additional schedules reporting investments or real property
are attached
Comments:
FPPC Form 700 - Schedule A-Z (2023/2024)
advice@fppc.ca.gov • 866-275.3772 • www.fppc.ca.gov
Page - 9
5C�e
,Jjx le
Coldwell Banker
Michael & Shelley "sup
Kerr Topielec
Michael Sythe
Superior Real Estate Group
SCHEDULE B
Interests in Real Property
(Including Rental Income)
to. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
JJL_
llezl 7
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
$2,000 - $10.000
$10,001 - $100,000
/23
EC<$100,001 - $1,000,000
ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
Ownership/Dead of Trust Easement
Leasehold
Yrs- remaining 01her
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
$0 - $499 $500 - $1.000 $1.001 - $10.000
C1 i-si0,001 - $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
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
i
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
U $2.000 - $10.000
❑ $10,001 - $100 000
$100,001 - $1.000 000
F Over $1.000,000
NATURE OF INTEREST
OwnershiplDeed of Trust
IF APPLICABLE, LIST DATE:
�/23— /23
ACQUIRED DISPOSED
❑ Easement
Leasehold _ El
Yrs remaining
=1
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
$0 - $499 $500 - $1,000 ❑ $1,001 - $10.000
$10.001-$100000 OVER $100,000
SOURCES OF RENTAL INCOME: If you awn 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 a commercial fending institution 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'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% None
TERM (MonthslYears)
HIGHEST BALANCE DURING REPORTING PERIOD
n $500 - $1,000 $1.001 - $10,000
$10.001 - $100,000 OVER $100.000
[I Guarantor, if applicable
Comments:
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
7 Guarantor, R applicable
FPPC Form 700 -Schedule B (202312024)
advlce"pc.ca.gov • 266-275-3772 • wwwfppc.ca.gov
Page - 12