UC Regent Zettel - Financial Disclosure

  • Upload
    spotus

  • View
    222

  • Download
    0

Embed Size (px)

Citation preview

  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    1/7

    -

    ALIFORNIA FORM 700R ~OLlTICAL PRACTICES COMMISSION

    S T A T EM E N T O F E C O N O M I C IN T E R E S TS

    o

    C O V E R P A G E

    .A Public Documd'iit: .i--~ s ~ : :) 4 - ; /'. - ~ . '~ ~-ase type or print in ink. ~~~j~fl';; ~D

    ME (lAST) (FIRST)(MIDDLE) DAYTIME TELEPHONE NUMBER

    -Z t:.T'TE'-LING ADDRESS STREETy use business address)

    . Office, Agency, or Court

    Name of Office, Agency, or Court:

    c . . . 2 > o h -~ ~ Pi=- R.~

  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    2/7

    SCHEDULE A-1

    Investments

    Stocks, Bonds, and Other Interests(Ownership Interest is Less Than 10%)

    00 not attach brokerage or financial statements.

    ~ N710F BUSINESS ENTITY

    E:S Q .V & e 9.. So r - t . OJ tV D\kSGENERAL DESCRIPTION OF BUSINESS ACTIVITY

    ELt~,Lt-. 0 ND

    (Describe)

    IF APPLICABLE, LIST DATE:

    ~ NAME OF BUSINESS ENTITY

    .,J' 0\5C ~c.rH)e < 0 ( , LtS~l? 6'1~DIf,GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    FAIR MARKET VALUE

    0$2,000 - $10,000

    o $100,001 - $1,000,000

    ,-51 $10,001 - $100,000o Over $1,000,000

    NATURE OF INVESTMENT

    o Stock

    fXl Other V O N .D?

    (Describe)

    IF APPLICABLE, LIST DATE:

    ~~~DISPOSED

    ~ NAME OF BUSINESS ENTITY

    StJ6TDi\J Sc'IEMTtE/C 5.yst I i . JGENERAL DESCRIPTION OF BUSINESS ACTIVITY

    FAIR MARKET VALUE

    0$2,000 - $10,000

    0$100,001 - $1,000,000

    ff$10,001 - $100,000

    o Over $1,000,000

    NATURE OF INVESTMENT

    o Stock, . Q f Other ~ ~ L \ J ..:t)

    (Describe)

    IF APPLICABLE, LIST DATE:

    ~~~ACQUIRED

    ~~~DISPOSED

    Comments: _

    FPPC Form 700 (2008/2009) Sch. A-1

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

    http://www.fppc.ca.gov/http://www.fppc.ca.gov/
  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    3/7

    SCHEDULE A-1

    Investments

    Stocks, Bonds, and Other Interests(Ownership Interest is Less Than 10%)

    Do not attach brokerage or financial statements.

    ~ NAME OF BUSINESS ENTITY

    ~ l~'" G -e LTD Fllv S.J % I S b O i \ J $ENERAL DESCRIPTION OF BUSINESS ACTIVITY

    _ F i !V A -IVC o IA I.-

    FAIR MARKET VALUE

    0$2,000 - $10,000

    o $100,001 - $1,000,000 ,@ $10,001 - $100,000DOver $1,000,000NATURE OF INVESTMENT

    o Stock[B Other &t . J D

    (Describe)

    IF APPLICABLE, LIST DATE:

    --.J--.J~

    ACQUIRED--.J--.J~

    DISPOSED

    NAME OF BUSINESS ENTITY

    QVp.,L?r~l.LATt\.l .B&ND 7..~s~o {b~GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    FAIR MARKET VALUE

    o $2,000 - $10,000o S100,001 - $1,000,000 ..B $10,001 - $100,000DOver $1,000,000NATURE OF INVESTMENT

    o Stock~ OtherJ; ON D

    (Describe)

    IF APPLICABLE, LIST DATE:

    --.J--.J~

    ACQUIRED--.J---.J~

    DISPOSED

    CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION

    Name

    \"\A& LE.~P - ZETJ:E.'

    ~ NAME OF BUSINESS ENTITY

    _tR,5:E PD&t f\\l = :1 \\ oflA.N ' > 6 , 'J.S,? ISGENERAL DESCRIPTION OF BUSINESS ACTIVITY

    (ho L. \:) 5I/...II F.:fl. (0 pe& )9IlD.ot,K E:I(~ .FAIR MARKET VALUE

    o $2,000 - $10,000o $100,001 - $1,DOD,OOO ..0'$10,001 - $100,000DOver $1,000,000NATURE OF INVESTMENT

    o StockOther ~b IV i:)

    (Describe)

    IF APPLICABLE, LIST DATE:

    --.J--.J~

    ACQUIRED---.J--.J~

    DISPOSED

    ~ NAME OF BUSIN~NTITY

    I:: Art l.. A 'P Eft Co 7, 't ~oGENERAL DESCRIPTION OF BUSINESS ACTIVITY

    1 '2

    FAIR MARKET VALUE

    o $2,000 - $10,000o $100,001 - $1.000,000 .0$10,001 - $100,000DOver $1,000,000NATURE OF INVESTMENT

    o Stock

    ~ Other > i 4 1 ) I V : t > 5 (Describe)IF APPLICABLE, LIST DATE:

    ~ Jo;08ACQUIRED

    ---.J---.J~

    DISPOSED

    NAME OF BUSINESS ENTITY

    ~t.4 MQt\2Q:. 3". b;;(S~o l ~ ~ ) i . ; i -GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    -tOOl) f . . . . . . , t i = - t ) _ J ) - . : . i t _ C ~ T _ 5 _AIR MARKET VALUE

    $2,000 - $10,000

    $100,001 - $1,000,000 -ffi $10,001 - $100,000DOver $1,000,000

    ATURE OF INVESTMENT

    o StockOther ..,8 Q N~

    (DeSCribe)

    APPLICABLE, LIST DATE:

    --.J---.J~

    ACQUIRED---.J---.J~

    DISPOSED

    ~ NAME OF BUSINESS ENTITY

    0DNEs bt'lB-f;.l- it ~'0 % { )'f Nb 1GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    FAIR MARKET VALUE

    0$2,000 - $10,000

    0$100,001 - $1,000,000

    .~ $10,001 - $100,000

    DOver $1,000,000

    NATURE OF INVESTMENT

    o StockJ 8 . Other$C ~ ,: p

    (Describe)

    IF APPLICABLE, LIST DATE:

    ---.J---.I~

    ACQUIRED---.J---.I~

    DISPOSED

    ments: _

    FPPC Form 700 (2008/2009) Sch. A-1FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov

    http://www.fppc.ca.gov/http://www.fppc.ca.gov/
  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    4/7

    SCHEDULE A-1

    Investments

    Stocks, Bonds, and Other Interests(Ownership Interest is Less Than 10%)

    Do not attach brokerage or financial statements.

    ~ NAME OF BUSINESS ENTITY

    L 3 (;PM-MouN c c .I\:" I JoN: > 7.baskGENERAL DESCRIPTION OF BUSINESS ACTIVITY

    /' ~ 1/1f::.Il.05f?ItCE' \.J::l!'''''\'y\J( c J4.T j DI\t 5 fl

  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    5/7

    SCHEDULE A-2

    Investments, Income, and Assets

    of Business Entities/Trusts(Ownership Interest is 10% or Greater)

    1. BUSINESS ENTITY OR TRUST

    O O d . . NeeruNr:: E t Y r =Address

    Check one

    o Trust, go to 2 i l 8 1 Business Entity, complete the box, then go to 2

    GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    C.,.E.NE.gAt. -DENT1S;8Y IR~'IR.al)AIR MARKET VALUE IF APPLICABLE, LIST DATE:

    D$2,000 - $10,000$10.001 - $100.000

    o $100,001 - $1,000,000Over $1,000,000

    ---.1~ DB

    ACQUIRED~ --- '.J .J &

    DISPOSED

    ATURE OF INVESTMENT

    Sole Proprietorship D Partnership 131------- _

    ROther

    OUR BUSINESS POSITION . . . l . . l , . . O E ~ t . . J . I . . . . , R " , E C W J . l ) . . . . . . . . _I

    D$0 - $499D $500 - $1,000

    D $1,001 - $10,000

    0$10,001 - $100,000

    DOVER $100,000

    3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

    INCOME OF $10,000 OR MORE (attach a separate sheet If necessary)

    CALIFORNIA FORM 70FAIR POLITICAL PRACTICES COMMISSIO

    Name

    ~ 1. BUSINESS ENTITY OR TRUST

    Check one box:

    o INVESTMENT

    Name

    o Business Entity, complete the box, then go

    GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    IF APPLICABLE, LIST DATE:

    NATURE OF INVESTMENT

    D Sole Proprietorship D Partnership D -,- _

    Other

    YOUR BUSINESS POSITION

    FAIR MARKET VALUE

    D$2,000 - $10,0000$10,001 - $100,000

    D$100,001 - $1,000,000DOver $1,000,000

    Address

    Check one

    o Trust, g o t o 2

    D$0 - $499o $500 - $1,000D$1,001 - $10,000

    ---.1---.1 DB

    ACQUIRED

    ---.1---.10B

    DISPOSED

    0$10,001 - $100,000

    DOVER $100,000

    ~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OFINCOME OF $10,000 OR MORE (anach a separate sheet If necessary)

    . INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THEBUSINESS ENTITY OR TRUST

    heck one box:

    o INVESTMENT

    ~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THEBUSINESS ENTITY OR TRUST

    o REAL PROPERTY

    me of Business Entity Q[

    eet Address or Assessor's Parcel Number of Real Property

    scription of Business Activity Q[

    or Other Precise Location of Real Property

    R MARKET VALUE

    $2,000 - $10,000

    $10,001 - $100,000

    $100,001 - $1,000,000

    er $1,000,000

    IF APPLICABLE. LIST DATE:

    ---.1---.1 DB ---.1--'!.B

    ACQUIRED DISPOSED

    TURE OF INTEREST

    Property OwnershiplDeed of Trust D Stock D Partnership

    Leasehold o Other _Yrs. remaining

    Check box if additional schedules reporting investments or real propertyare attached

    o REAL PROPERTY

    Name of Business Entity Q[

    Street Address or Assessor's Parcel Number of Real Property

    Description of Business Activity Q[

    City or Other Precise Location of Real Property

    FAIR MARKET VALUE

    0$2,000 - $10,000

    D$10,001 - $100,000D $100,001 - $1,000,000DOver $1,000,000

    NATURE OF INTEREST

    D Property OwnershiplDeed of Trust

    D Leasehold

    IF APPLICABLE, LIST DATE:

    ---.1---.1 DB ---.1---.1 DB

    ACQUIRED DISPOSED

    D Stock D Partnership

    Yrs. remaining

    D Check box if additional schedules reporting investments or real property

    o Other _

  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    6/7

  • 8/14/2019 UC Regent Zettel - Financial Disclosure

    7/7

    SCHEDULE A-2

    Investments, Income, and Assets

    of Business Entities/Trusts(Ownership Interest is 10% or Greater)

    -

    Name

    IOO~NE:-pntNE.. AvaAddressCheck one

    ~ Tr us t, go to 2 o Business Entity, complete the box, then go to 2

    FAIR MARKET VALUE

    0$2,000 - $10,000

    8$10,001 - $100,000

    0$100,001 - $1,000,000

    DOver $1,000,000

    IF APPLICABLE, LIST DATE:

    ---.!---.! O B

    ACQUIRED---.!----.J O B

    DISPOSED

    NATURE OF INVESTMENT -r.

    oSole Proprietorship 0Partnership 1 . & I& U . 5r

    Other

    YOUR BUSINESS POSITION' _ : D - L J : Q . l I o . ! l l . I d : > ; i L l r L , ! " e . . " " e c . . . . _

    0$0 - $499

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

    o $10,001 - $100,000DOVER $100,000

    Check one box:

    o INVESTMENT o REAL PROPERTY

    Name of Business Entity Q[

    Street Address or Assessor's Parcel Number of Real Property

    Description of Business Activity Q[

    City or Other Precise Location of Real Property

    FAIR MARKET VALUE

    0$2,000 - $10,000

    0$10,001 - $100,000

    0$100,001 - $1,000,000

    DOver $1,000,000

    IF APPLICABLE, LIST DATE:

    ---.!---.! DB ----.J ---'!.BACQUIRED DISPOSED

    NATURE OF INTEREST

    o Property Ownership/Deed of Trust o Stock o Partnership

    [JLeaseholdYrs. remaining

    o Check box if additional schedules reporting investments or real propertyare attached

    o Other - _

    CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION

    Name

    .. 1. BUSINESS ENTITY OR TRUST

    Name

    o Business Entity, complete the box, then go to 2

    IF APPLICABLE. LIST DATE:

    GENERAL DESCRIPTION OF BUSINESS ACTIVITY

    FAIR MARKET VALUE

    0$2,000 - $10,000

    0$10,001 - $100,000

    0$100,001 - $1,000,000

    DOver $1,000,000

    ---.!----.JOB

    ACQUIRED

    Address

    Check one

    o Trust, go to 2

    OtherYOUR BUSINESS POSITION _

    0$0 - $499

    o $500 - $1,0000$1,001 -, $10,000

    o $10,001 - $100,000DOVER $100,000

    o REAL PROPERTY

    Name of Business Entity Q[

    Street Address or Assessor's Parcel Number of Real Property

    IF APPLICABLE, LIST DATE:

    ---.!---.! 08 ----.J---.! DBACQUIRED DISPOSED

    o Stock o Partnership

    .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THEBUSINESS ENTITY OR TRUST

    Description of Business Activity Q[

    City or Other Precise Location of Real Property

    Check one box:

    o INVESTMENT

    o Leasehold Yrs, remaining

    o Check box if additional schedules reporting investments or real propertyare attached

    o Other - _

    Comments: FPPC Form 700 (2008/2009) Sch. A.2FPPC Toll-Free Helpline: 866/ASKFPPC www.fppc.ca.gov

    FAIR MARKET VALUE

    0$2,000 - $10,000

    o $10,001 - $100,0000$100,001 - $1,000,000

    DOver $1,000,000

    NATURE OF INTEREST

    o Property Ownership/Deed of Trust

    http://www.fppc.ca.gov/http://www.fppc.ca.gov/