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cALtFoRNtA FoRM 700FAIR POLINCAL PRACTICES COMMISSION
A PUBLIC DOCUMENT'TATEM
E N T oF EcoN oM r c r NrE RES?3Y onearnrH$yffi8ls
covER PAGE AUG I .r,tB
ea
Please type or pint in ink.
NAME OF
Potter
(LAsT) (FTRST)
Dave L
'1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Carmel-by-the-Sea
Division, Board, Department, Diskicl, if applicable
City Clerk
Your Position
Mayor
> lf flling for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position
2. Jurisdiction of Office lctec* at teast one box)
I State
E Multi-county
I city otCarmel-by-the-Sea
[ ..tuOge or Court Commissioner (Statewide Jurisdiction)
E County of
l-l O*rer
3. Type of Statement Gheck at least one box)
! Annual: The period covered is January 1, 2017, through
December 31, 2017.-or-
The period covered is
December 31, 2017 .
I Assuming Office: Date assumed
S Candidate: Date of Election11t6t2018
5. Verification
Q The period covered is January 1, 2017, through the date of
leaving office.-or-
Q The period covered is Ithe date of leaving office.
! Leaving Office: Date Left
(Check one)
through
through
4. Schedule Summary (must complete) > Iotal number of pages including this cover page:
-
Schedules attached
I Schedule A-1 - /nvesfrnenls - schedule attached
S Schedule A-2 - /nvesfments - schedule attached
! Schedule B - Real Propefty - schedule attached
I Schedule C - lncome, Loans, & Euslness Posiftons - schedule attached
I Schedule D - lncone - Gifrs - schedule attached
[ Schedule E - lncome - Gifls - Travel Paynents - schedule attached
inferests on any schedu/e
-or-
tr None - lto
MAILINGAODRESS STREET
(Eusiness ot Agency Add,ess F€commended ' Public Docunenl)
Post Office Box 4317
CITY STATE ZIP CODE
Carmel-by-the-Sea CA 93921
TELEPHONE
avepotterformayor. com
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 the foregoing is true and cofrect"
(Fte the originally signed stalerent wth yout tiling officigl.)Date Signed
81712018
(nonLa, day. yealSignature
FPPC Form 7OO l2OL7l2Ol8lFPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866 I 275-3772 www.fppc'ca'gov
and office sought, if difierent than Pad 1:
Potter Construction
SCHEDULE A.2lnvestments, lncome, and Assets
of Business Entities/Trusts(Ownership lnterest is 10% or Greater)
Potter Consulting
l.-:2)
6=,<Name
CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION
Name
215W. Franklin Street, Suite 316Name
215W. Franklin Street, Suite 316
> 1. BUSINESS ENTITY OR TRUST
SHARE OF THE GROSS INCOME I9 THE ENTITYTTRUST)> 2. IDENTIFY THE D ONCLUDE YOUR PRO RATA
INCOME OF $10,000 OR MORE (Ahch a epade shoet if nocsary]NAME OF EACH REPORTABLE SINGLE SOURCE OF
4 INVESTMENTS AND INTERESTS IN REAL PROPERry HELD ORLEASED EI THE BUSINESS ENTITY OR,TRUST
Address f8uslress Address Acceptable)
Check one
tr Trust, go to 2 @ Business Enlity, complete the box, then go to 2
Address fBusness .Address Acceptable)
Check one
! Trust, go lo 2 [ Business Entity, complele the box, then go to 2
ntrtr
$0 - $4e9
$s00 - $1,000
$1,001 - $10,000
E $to.oot - $1oo,ooo
I oven $1oo,ooo
$0 - $499
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000ovER $100,000
En
! None or I Names listed below
Enviro lnternational, Grupo Flor, Duncan & Duncan,
one box:
I TNVESTMENT ! nenl PRoPERTY
None or Names listed below
check one box:
E TNVESTMENT ! nenl PRoPERTY
GENERAL OESCRIPTION OF THIS BUSINESS
Construction Company
FAIR I\4ARKET VALUE IF APPLICABLE. LIST DATE:
trtrtrEtr
$0 - $1,999
$2,000 - $10,000
$10,001 - $100,000$100,001 - $1,000,000Over $1,000,000
---J----J 17 -J--Jll-ACOUIRED DISPOSED
NATURE OF INVESTMENT
E Partnership S Sole Proprietorship !
OwnerOths
YOUR BUSINESS POSITION
GENERAL DESCRIPTION OF THIS BUSINESS
Consulting Company
NATURE OF INVESTI\.IENT
! Partnership I Sole Propnetorship l-.| Other
ACQUIRED
YOUR BUSINESS POSITION
___)___J17_DISPOSED
nL]EtrD
Owner
IF APPLICABLE, LIST DATE:FAIR I,4ARKET VALUE
t t17s0 - $1.999s2.000 - $10,000
$10,001 - $100,000
$100,001 - $1.000,000
Over $1,000,000
> 1. BUSINESS ENTITY OR TRUST
> 2. IDENTIFY THE GROSS INCOME RECEIVED ONCLUDE YOUR PRO RATASHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST)
INCOME OF 510,000 OR MORE (Ahch a ¶te sd i, nocessary.)
OF EACH REPORTABLE SINGLE SOURCE OF
> 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD ORLEASED q THE BUSINESS ENTIW OR TRUST
Name of BusinessAssessor's Parcel
Enhty, if lnvestment, eINumber or Street Address of Real Property
Entity, if lnvestment, eINJmber or Skeet Address of Real Property
Name of BusinessAssessor's Parcel
Description of Business Activity QICrty or Other Precise Location of Real ProPerty
Description of Business Activity QICity or Other Precise Localion of Real Property
FAIR MARKET VALUE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000Over $1,000,000
NATURE OF INTEREST
E Property Ownership/Deed of Trust ! Stocf ! Partnership
FAIR IVIARKET VALUE IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
--J--JJZ- --1----Jll-ACOUIRED DISPOSEO
$2,000 - $10,000
$10,001 - $100,000
$100,001 - s1,000,000Over $1,000,000
--r_-Jl7-ACOUIRED
__)__) 17DISPOSED
NATURE OF INTEREST
! eroperty Ownership/Deed of Trust ! Stocf I Partnership
I Leasehold f] otnerYre, remaining
!Leasehold
-
!otnerYrs. remalnlng
! Cnecf box if additionat schedules teporting investments or real propertyare attached
E Check box if additional schedules reporting investments or real propertyare attached
FPPC Form 7OO l20t7 l2OL8) Sch. A-2
FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 865/21 5-3772 wwwf ppc.ca.gov
Gomments
SCHEDULE Clncome, Loans, & Business
Positions(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Portola Hoteland Spa
ADDRESS (8us,ness Address Acceptable)
2 Porlola Plaza
BUSINESS ACTIVITY IF ANY OF SOURCE
Hospitality
YOUR BUSINESS POSITION
General Manager
GROSS INCOME RECEIVED ! No lncome - Business Position Only
! $soo - $r,ooo ! sr,oor - $1o,ooo
! sro,oor - sloo,ooo I ovrn $1oo,ooo
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
! Satrry I Spouse's or registered domestic partner's income(For self-employed use Schedule A-2.)
E Partnership (Less than 1O% ownership. For 1O% or greater useSchedule A-2.)
I Sale of(Real propefty, caa b@L etc.)
I roan repayment
! Commission or ! Rental lncome, ,isl each source ol $1a.0oo or moe
(Descdbe)
! oti,er{Describe)
NAME OF SOURCE OF INCOIVIE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY IF ANY OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ! No lncome - Business Position Only
[ $soo - $r,ooo E $r,oor - slo,ooo
I sro,oor - $1oo,ooo ! oven $1oo,ooo
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
! Sata.y ! Spouse's or registered domestrc partner's income(For self-employed use Schedule A-2.)
! Partnership (Less than 1O% ownership. For 10% or greater useSchedule A-2.)
f, sale ot(Real prcpefty, @t, b@L etc.)
f Loan repayment
I Commission or E Rental lncome, /6, each sourca ot $1o.ooo ot more
(Describe)
! otnet(Desctibe)
r . tl :-1..L-\
Name
CALTFoRNIA FoRM 700FAIR POLITICAL PRACTICES COMiiIISSION
> 1. INCOME RECEIVEO > 1. INCOME RECEIVED
> 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 aretail installment or credit card transaction, made in the lender's regular course of business on terms available tomembers of the public without regard to your official status. Personal loans and loans received not in a lender'sregular course of business must be disclosed as follows:
NAME OF LENDER' INTEREST RATE
-,/.
I None
SECURITY FOR LOAN
! ttone
I Real Property
TERM (lvlonths/Years)
ADDRESS (Eusrness Address Acceptable)
BUSINESS ACTIVITY IF ANY OF LENDER ! Personal residence
addressHIGHEST BALANCE DURING REPORTING PERIOD
[ $soo - $t,ooo
! sr,oor - $ro,ooo
! $ro,oot - gloo,ooo
! oven $1oo,ooo(Desctibe)
Comments:
f, otner
FPPC Form 7OO l20l7 12078) Sch. C
FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 8661275-3772 www.fppc,ca.gov
City
[-l Guarantor
SCHEDULE Dlncome - Gifts
> NAI\4E OF SOURCE (Not an Acronym)
AT&T ProAm Tournament
ADDRESS (Buslness Address Acceptable)
27A 17 Mile Drive, Pebble Beach, CA 93953BUSINESS ACTIVITY, IF ANY OF SOURCE
Charity Golf Tournament
DATE (mmldd/yy) VALUE
> NAME OF SOURCE (Not an Acronym)
ADDRESS (Buslness Address Acceptable)
BUSINESS ACTIVITY IF ANY OF SOURCE
DATE (mm/dd/yy) VALUEDESCRIPTION OF GIFT(S)
100 Ticket and lunch
_-J__)_
__)__)_ s_
2 01 18___J___J_
08 05 'r8I
150.00
$_
_---J_--)- s-
---J-J- s-
DESCRIPTION OF GIFT(S)
DESCRIPTION OF GIFT(S)
DESCRIPTION OF GIFT(S)
> NAI\4E OF SOURCE (Not an Acronym)
Pebble Beach Company
ADDRESS (8us/ress Address Acceptable)
Post Office Box 1522, Pebble Beach, CA 93953BUSINESS ACTIVITY, IF ANY OF SOURCE
Hospitality
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
Concourse brunch
> NAME OF SOURCE (Not an Acronym)
ADDRESS (8usir?ess Address Acceptable)
BUSINESS ACTIVITY, IF ANY OF SOURCE
DATE (mm/dd/yy)
-__J__J_
_J__)_
VALUE
> NAME OF SOURCE (Not an Acronym)
ADDRESS (Busr,hess Acldress Acceptable)
EUSINESS ACTIVITY IF ANY OF SOURCE
DATE (mm/dd/yy) VALUE
$_
_---J_-J- s-
DESCRIPTION OF GIFT(S)
> NAME OF SOURCE (Not an Acronym)
ADDRESS (Buslness Address Acceptable)
BUSINESS ACTIVITY IF ANY OF SOURCE
DATE (mm/ddiyy) VALUE
Name
4 r^
CALIFORNIA FORM 700FAIR POLITICAL PRACTICE9 COMiil|SSION
Gomments
FPPC Form 7OO 12017 12018) Sch. D
FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 8661275-3772 www,fppc.ca.gov
_J-)- s-
$_
$_
$_
$_
--J--J- $-
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