.' Court of ApPea! Firsi /'poellate District 1!-' '. "n. Ir~ /.- . ~ r. it "I

CALIFORNIA FORM 700 STATEMENT OF ECONO G 9 l-.~ , _ ,Date Initial Fi ng Received

IC INTERESTS Offi2 nf ( , . Od

FAIR POLITICAL PRACTICES COMMISSION FEB 22 2016 A PUBLIC DOCUMENT

Please type or print in ink.

NAME OF FILER (LAST) (FIRST)

'St~ujO-vr T h e v-t' k , I (~I?!l~~) I

- fAV1 \~

1. Office, Agency, or Court AgenlY Name (Do not use acronymsr L..

LC04'P (V\, 'u U lAA 1 Division, Board, Department, District, if applicable

fy,s"t-0,

-.... 0 " -1>

~ If filing for multiple positions, list below or on an attachment. (Do not use acronyms) rT1 , "'" {il U ,. #

orr O r ­

~ --,-~:-Agency: __________________ _ Position: ____________ ,-::.,.. _ -:::::..:-. _-1.;..!n::,;

:rO O

2. Jurisdiction of Office (Check at least one box)

~ State

o Multi-County _______________ _

o City of _______________ _

3. Type of Statement (Check at least one box)

® Annual: The period covered is January 1, 2015, through December 31,2015.

·or· The period covered is -----.J----1 ____ , through December 31,2015.

o Assuming Office: Date assumed -----.J----1 ___ _

't9 N N o Judge or Court Commissioner (Statewide Jurisdiction) () ..... ..... o County of ______________ _

o Other _______________ _

o Leaving Office: Date Left -----.J-----.J ___ _ (Check one)

o The period covered is January 1, 2015, through the date of leaving office.

·or· o The period covered is -----.J----1 , through

the date of leaving office.

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

4. Schedule Summary (must complete) ~ Total number of pages including this cover page: __ _

Schedules attached

o Schedule A·1 • Investments - schedule attached

o Schedule A·2 • Investments - schedule attached

o Schedule B • Real Property - schedule attached

-or-O None· No reportable interests on any schedule

5, Verification

o Schedule C • Income, Loans, & Business Positions - schedule attached

o Schedule D • Income - Gifts - schedule attached

o Schedule E • Income - Gifts - Travel Payments - schedule attached

CITY STATE ZIP CODE

⁾†⁾† ⁾†⁽ †⁜⁻

•⁴⁉⁾† •⁾†

Date Signed {P Signature ⁾† (month. day. year)

SCHEDULE C Income, Loans, & Business

Positions

CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

Name

1hert~J1tWl {/u;py-f (Other than Gifts and Travel Payments)

~ 1. INCOME RECEIVED ~ 1. INCOME RECEIVED

NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME

Jc l.u la I etA... u-P ADDRESS (Business Address A epteble)

100 &a.VlSOvUL. ~f.t 5. F_ I CA '1 ~ ( 0 c.f BUSINESS ACTIVITY, IF ANY, OF OURCE I

L~ 0 fV2 J~'v--YOUR BUSINESS POSITION

GROSS INCOME RECEIVED

D $500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000 l8 OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

~ Salary Eia' Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.)

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

D Sale of _____ -:=--,-___ --,-__ --,-____ _ (Real properly. car, boal. etc.)

D Loan repayment

D Commission or D Rental Income, list each source of S10,000 or more

(Describe)

o Other _________________ _

(Describe)

~ 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

YOUR BUSINESS POSITION

GROSS INCOME RECEIVED

0$500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000 0 OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

o Salary 0 Spouse's or registered domestic partner's Income (For self-employed use Schedule A-2.)

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

D Sale of __________ --,-__ ,---____ _ (Real property. car, boat, etc.)

D Loan repayment

D Commission or D Rental Income, list each source of S10,000 or more

(Describe)

o Other _________________ _

(Describe)

* 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

D $500 - $1,000

D $1,001 - $10,000

D $10,001 - $100,000

DOVER $100,000

Comments:

INTEREST RATE TERM (MonthsiYears)

____ % DNone

SECURITY FOR LOAN

D None D Personal residence

o Real Property --------::,---:--:.,.-______ _ Street address

City

D Guarantor -----------______ _

D Other ---------:=---::--:-______ _ (Describe)

FPPC Form 700 (2015/2016) 5ch. C FPPC Advice Email: advice@fppc.ca.gov

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

CALIFORNIA FORM 700 SCHEDULE E Income - Gifts

FAIR POLITICAL PRACTICES COMMISSION

Name

Travel Payments, Advances, and Reimbursements

• Mark either the gift or income box. • Mark the "501 (c)(3)" box for a travel payment received from a nonprofit 501 (c)(3) organization

or the "Speech" box if you made a speech or participated in a panel. These payments are not subject to the $460 gift limit, but may result in a disqualifying conflict of interest.

• For gifts of travel that occurred on or after January 1, 2016, provide the travel destination.

CITY AND STATE

L... #\ . , LA q 00 l1-[)g 501 (C)(3)~r DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

C,V,'( YIlt tM'"\

DATE(S) : .J..!J~ 15"_ ---1---1_ AMT:? :21'1.00

(If gift)

~ MUST CHECK ONE: 0 Gift -or· ~ Income

® Made a Speech/Partic ipated in a Panel

o Other - Provide Description __________ _

~ NAME OF SOURCE (Not an Acronym) I CAAbvru~ S~k--k<;.~~ly

ADDRESS (Businass Address Accaptabla)

cl~lN~1.~TECa,rt\ h> {

o 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S):---1---1_ ----1---1_ AMT: $ MOD est (/fgift)

~ MUST CHECK ONE: 0 Gift -or- 0 Income

o Made a Speech/Participated in a Panel

@ Other - Provide Description rALa1. ('i...r e\{'~ r..oV\~~ wo~~flu..~

~ If Gift, Provide Travel Destination ___________ _

~ NAME OF SOURCE (Not an Acronym)

'''r\: Z "t lA.t{~ ADDRESS (Business Address ceptable)

I eo M"'~ ~ r. I I)"/+. fl· CITY AND STATE '

S.S I CA 4'ilot o 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): 'i) / '1-, Ie; _ ---1---1_ AMT: $ $l5'D (If gift)

~ MUST CHECK ONE: 0 Gift -or· 0 Income

~ NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

CITY AND STATE

o 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): ---1---1_ - ---1---1_ AMT: ,,-$ _____ _ (If gift)

~ MUST CHECK ONE: 0 Gift -or· 0 Income

o Made a Speech/Participated in a Panel

o Other - Provide Description __________ _

~ If Gift, Provide Travel Destination ___________ _

Comments: _ _____ ___ _ _ _____________ _ _____________________ ___

FPPC Form 700 (2015/2016) 5ch. E FPPC Advice Email: advice@fppc.ca.gov

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