CALIFORNIA FORM 700 StAtement Of eCOnOmiC …...boeing industrial 16 16 gilead pharma 16 16 pats restaurant restaurant S corp 16 16 blackstone finance ... $2,000 - $10,000 $2,000 -

LeavingOffice: Date Left / / (Check one)

The period covered is January 1, 2016, through the date of leaving office.

The period covered is / / , through the date of leaving office.

Annual: The period covered is January 1, 2016, through December 31, 2016.

The period covered is / / , through December 31, 2016.

StAtementOfeCOnOmiC intereStS

COverPAge

FPPC Form 700 (2016/2017)FPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

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.

icertifyunderpenaltyofperjuryunder the lawsof theStateofCalifornia that the foregoing is trueandcorrect.

DateSigned (month, day, year)

3. typeofStatement (Check at least one box)

State Judge or Court Commissioner (Statewide Jurisdiction)

Multi-County County of

City of Other

2. JurisdictionofOffice (Check at least one box)

Candidate: Election year and office sought, if different than Part 1:

AssumingOffice: Date assumed / /

Date InitialFilingReceivedOfficial Use Only

Please type or print in ink.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

Agency Name (Do not use acronyms)

Division, board, Department, District, if applicable Your Position

1.Office,Agency,orCourt

nAmeOffiLer (LASt) (firSt) (miDDLe)

MAiLiNg ADDrESS STrEET CiTY STATE ZiP CODE

( )DAYTiME TELEPhONE NuMbEr E-MAiL ADDrESS

(Business or Agency Address Recommended - Public Document)

Signature (File the originally signed statement with your filing official.)

5.verification

A PuBLIC DOCuMENT

► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position:

-or-

-or-

None - No reportable interests on any schedule

4. ScheduleSummary(mustcomplete)Schedules attached

ScheduleA-1 - Investments – schedule attached ScheduleA-2 - Investments – schedule attached ScheduleB- Real Property – schedule attached

► Total number of pages including this cover page:

-or-

ScheduleC- Income, Loans, & Business Positions – schedule attached ScheduleD- Income – Gifts – schedule attached Schedulee - Income – Gifts – Travel Payments – schedule attached

Melmed Shlomo

California Institute of Regenerative Medicine

ICOC Board Member

✘

11

✘ ✘

8700 Beverly Blvd # 2015 West Hollywood CA 90048-1804

310 423-4691 [email protected]

02/12/2017 02:24 PM

✘

Filed Date: 02/12/2017 02:24 PMSAN: FPPC

Electronic Submission

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED











16 16 16 16

1616

161616

Name

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS











Comments:

SChEDuLE A-1Investments

Stocks,Bonds,andOther Interests(Ownership Interest isLessThan10%)

Do not attach brokerage or financial statements.


CALIFORNIA FORM

FPPC Form 700 (2016/2017) Sch. A-1FPPC Advice Email: [email protected]


FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000






16

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)


(Describe) Partnership IncomeReceivedof$0 -$499














1616

Shlomo Melmed

neurocrine

biotech

✘

✘

16 16

apple

tech

✘

✘

16 16

boeing

industrial

✘

✘

16 16

gilead

pharma

✘

✘

16 16

pats restaurant

restaurant

✘

✘S corp

16 16

blackstone

finance

✘

✘

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Shlomo Melmed

Patarson energy

energy

✘

✘

16 16

ares capital

finance

✘

✘

16 16

morgan stanley

finance

✘

✘

16 16

alphabet

tech

✘

✘

16 16

att

telecom

✘

✘

16 16

visa

finance

✘

✘

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Shlomo Melmed

colfax corp

energy

✘

✘

16 16

16 16

16 16

oaktree

finance

✘

✘

16 16

16 16

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Shlomo Melmed

philips66

energy

✘

✘

16 16

citigroup

finance

✘

✘

16 16

16 16

occidental oil

energy

✘

✘

16 16

amazon

tech

✘

✘

16 16

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Shlomo Melmed

facebook

tech

✘

✘

16 16

pico

waterworks

✘

✘

16 16

kitov pharma

pharma

✘

✘

16 16

GE

industrial

✘

✘

16 16

seagate

tech

✘

✘

16 16

spirit air

airline

✘

✘

16 16

FPPC Form 700 (2016/2017) Sch. CFPPC Advice Email: [email protected]


(Real property, car, boat, etc.) (Real property, car, boat, etc.)

SChEDuLE CIncome, Loans, & Business

Positions(Other than Gifts and Travel Payments)

GROSSINCOMERECEIvED No Income - Business Position Only No Income - Business Position OnlyGROSSINCOMERECEIvED

Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000


CALIFORNIA FORM

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION





NAME OF LENDER*


BuSINESSACTIvITY, IFANY,OFLENDER

INTERESTRATE TERM(Months/Years)

% None

HIGHESTBALANCEDuRINGREPORTINGPERIOD

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:

► 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 retailinstallmentorcreditcardtransaction,madeinthelender’sregularcourseofbusinessontermsavailabletomembersofthepublicwithoutregardtoyourofficialstatus.Personalloansandloansreceivednotinalender’sregular course of business must be disclosed as follows:

SECuRITYFORLOAN

None Personal residence

Real Property

Guarantor

Other

Street address

City

(Describe)

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other




Sale of

Other

(Describe) (Describe)


Rental Income, list each source of $10,000 or more Rental Income, list each source of $10,000 or moreCommission or Commission or

Loan repayment Loan repayment

Shlomo Melmed

chiasma

masachusetts

biotech

consultant

✘

✘consultant

ipsen

consultant

pharma

consultnt

✘

✘consultant







Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000


CALIFORNIA FORM









NAME OF LENDER*




% None


$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:



SECuRITYFORLOAN


Real Property

Guarantor

Other

Street address

City

(Describe)




Sale of

Other




Sale of

Other





Shlomo Melmed

novartis

new jersey

consultant

✘

✘consultant

pfizer

NY

pharma

consultant

✘

✘consultant







Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000


CALIFORNIA FORM









NAME OF LENDER*




% None


$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:



SECuRITYFORLOAN


Real Property

Guarantor

Other

Street address

City

(Describe)




Sale of

Other




Sale of

Other





Shlomo Melmed

ionis

carlsbad

biotech

consultant

✘

✘consultant

ceadrs-sinai medical center

8700 beverly blvd los angeles 90048

executive VP and Dean

✘

✘







Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000


CALIFORNIA FORM









NAME OF LENDER*




% None


$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:



SECuRITYFORLOAN


Real Property

Guarantor

Other

Street address

City

(Describe)




Sale of

Other




Sale of

Other





Shlomo Melmed

USC

Los Angeles 90089

university

spouse

✘

✘

strongbridge

trevose PA

pharma

consultant

✘

✘consultant







Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000


CALIFORNIA FORM









NAME OF LENDER*




% None


$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:



SECuRITYFORLOAN


Real Property

Guarantor

Other

Street address

City

(Describe)




Sale of

Other




Sale of

Other





Shlomo Melmed

reset

south san francisco

biotech

consultant

✘

✘consultant

Monday,February13,2017at1:22:13PMPacificStandardTimeAmyCheung

Page1of1

Subject: No#fica#on-YourSubmi1edForm700Date: Sunday,February12,2017at2:25:10PMPacificStandardTimeFrom: [email protected]: ShlomoMelmedCC: MariaBonneville,AmyCheung

Dear Shlomo Melmed, Congratulations! Your Statement of Economic Interest, Form 700 has been successfully filedwith our office on 02/12/2017 02:24 PM.

Electronic Confirmation #: 3865

Agency: California Institute of Regenerative MedicinePosition: ICOC Board MemberFiling Type: AnnualFiling Year: 2016Number of pages: 11

If you need to view, print or amend your filed form, a copy of your filing has been saved in yourprofile under 'Previous Filings' in the eDisclosure System. Hope you enjoyed your online filing experience. System Logon Link: https://form700.fppc.ca.gov/

https://form700.fppc.ca.gov/

Documents

CALIFORNIA FORM 700 StAtement Of eCOnOmiC …...boeing industrial 16 16 gilead pharma 16 16 pats restaurant restaurant S corp 16 16 blackstone finance ... $2,000 - $10,000 $2,000 -