700 Batavick 2017Please type or print in ink.
NAME OF FILER (LAST)
8,2±. %/ I *,rk
1. Office, Agency, or Court
STATEMENT OF ECONOMIC INTERESTS
(FIRST)
COVER PAGE
Agency Name (Do not use acronyms)
t�
Division, Board, Dep ent, District, i applicabte Your Position
f7l ;k
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction Of Office (Check at least one box)
❑ State
❑ Multi -County
Vity of 1,
3. Type of Statement (Check at least one box)
$Annual: The period covered is January 1, 2017, through
l� December 31, 2017.
.or -
The period covered is ---J---J
December 31, 2017.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
RECEIVED
Date Initial Filing Received
Official Use Only 5
JAN 3 12018 IIIf
CrrY OF LA QVIN A
rETv ni C �• S
G' ka v r
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left 1 1
(Check one)
through O The period covered is January 1, 2017, through the date of
-or-
leaving office.
O The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page: * 1
Schedules attached
[Schedule A-1 - Investments - schedule attached
Schedule A-2 - Investments - schedule attached
Schedule B - Real Property - schedule attached
.or -
El None - No reportable interests on any schedule
5. Verification
5/schedule C - Income, Loans, & Business Positions - schedule attached
gichedule D - Income - Gifts - schedule attached
chedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(BusinessorAgencyAddressRecommended- PublicDocument)
k.MAIC ADtR
JEES�a 01 �
( �
I have used all reasonable diligence in preparing this statement. I have reviews statement and to the best of my knowledg ile 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 correct.
Date Signed —B-ceb. --Lz 2, d log Signature
(month, day, year) - F f originally signed statement will; your filing official.)
/ FPPC Form 700 (2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-1 CALIFORNIA FORm 700
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%) 0ce;iC
Do not attach brokerage or financial statements.
► NAME OF BUSINESS EN ITY
7"11- d QIP,04P
GENERAL DESCRIPTION OF 7 BUSINESS
-..r,a ft+10r'0t Qjtsoj� Co.
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
Stock Other RilltJ OU
Fu i)A y (Describe)
El Partnership D Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_I_ / 17 �_� 17
ACQUIRED DISPOSED
► NAME OFMUSINESS ENTITY
GENERAL DESGRI i OF THIstca SS4 ey
-Vtav"-kme*.+ Nvalvp� r�
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 Over $1,000,000
NATURE OF INVE TMENT
Stock Other
❑ Partnership Q Income Received of $0 - $499 IJ�x7
Q Income Received of $500 or More (Report on schedule C)
IF APPLICABLE, LIST DATE:
1 1 17 _� 1 17
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
17 I 1 17
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,0oo
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ 17 / 17
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
l 17 1�1. 17
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on schedule C)
IF APPLICABLE, LIST DATE:
( ) 17 _� 1 17
ACQUIRED DISPOSED
FPPC Form 700 (2017/2018) Sch. A-1
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
NONE SCHEDULE A-2 A •- A•- 11
Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION
Name
of Business Entities/Trusts •
(Ownership Interest is 10% or Greater) iQeuptuie
r.�
10- 1. BUSINESS ENTITY
OR • TRUST
-
Name Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ 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 - $10,000 -j--j-L7- -j-17
[, $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Other
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
F-1 $0-$1,999
❑ $2,000 - $10,000 -J-/ 17 � /17
❑ $10,001 - $100,000 ACQUIRED DISPOSED
[J $100,001 - $1,000,000
[] Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑ Other
YOUR BUSINESS POSITION - -ii YOUR BUSINESS POSITION
SHARE OF THE GROSS INCOME TO THE ENTiTY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITYiTRUST)
❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000 ❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000 ❑ $1,001 - $10,000
• ••- c .• • • •• ••• -• a.
,INCOMEOF I111 • - MORE All INCOMEOF 1111 • • MORE
❑ None or ❑ Names listed below ❑ None or [ Names listed below
LEASED BY THE BUSINESS ENTITY OR TRUST■ •'
Ctwck one box: Cherk one box:
❑ INVESTMENT ❑ REAL PROPERTY ❑ INVESTMENT ❑ REAL PROPERTY
Name of Buelness Entity, if Investment, Q
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Q
City or Other Precise Location of Real Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
-j---/-L7 -j--j-L7-
j--j17$100,001
$100,001- $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs- rornarning
❑ Check box if additional schedules reporting investments or real property
are attached
Comment -
Name of Business Entity, if Investment, Q
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Q
City or Other Precise Location of Real Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
11 17 --j .. j 17
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs, remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2017/2018) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPCToll-FreeHelpline:866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS ,
. •
CITY ^r T
/
CIA
FAIR MARKET VALUE APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 -1 117
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
Ownership/Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
$10,001 - $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
cbzru t I - L adfi ' &)
evNk80i'e F►>aS
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
❑ Leasehold
Yrs. remaining
IF APPLICABLE, LIST DATE:
-J-J-17 -J_/17
ACQUIRED DISPOSED
❑ Easement
1:1
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $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
You are not required to report loans from commercial lending institutions 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
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
❑ Guarantor, if applicable
Comments:
NAME OF LENDER"
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
❑ Guarantor, if applicable
FPPC Form 700 (2017/2018) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
D n 1SCHEDULE C CALIFORNIA FORm700
' V Income, Loans, & Business TAIP POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments)
1INCOME RECEIVED 1- INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
(Real property, car, boat, sic.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $90,000 or more
(Describe)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $90,000 or more
(Describe)
❑ Other ❑ Other
(Describe) (Describe)
"1 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
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` INTEREST RATE TERM (Months/Years)
a ❑ None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence
❑ Real Property
HIGHEST BALANCE DURING REPORTING PERIOD Street address
❑ $500 - $1,000
City
❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ Guarantor
❑ OVER $100,000 ❑ Other
(Describe)
Comments:
FPPC Form 700 (2017/2018) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE D
Income - Gifts
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
�-1 c
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
Comments:
ALIFORNIA FORM 700
IR POLITICAL PRACTICES COMMISSION
■
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
c
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
FPPC Form 700 (2017/2018) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
CALIFORNIA�O�F, SCHEDULE E FAIR POLITICAL PRACTICES COMMISSION
Income — Gifts 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 gift limit, but may result in a disqualifying conflict of interest.
• For gifts of travel, provide the travel destination.
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): - __J ---)` AMT: c
(if gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
O Other - Provide Description
► If Gift, Provide Travel Destination
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): __J__J_ - __J__JAMT:
(If gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
O Other - Provide Description
► If Gift, Provide Travel Destination
Comments:
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): ��- - ��- AMT:
(if gam)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
O Other - Provide Description
► If Gift, Provide Travel Destination
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): - __J__J_ AMT: c
(if gift)
► MUST CHECK ONE: [:]Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
O Other - Provide Description
► If Gift, Provide Travel Destination
FPPC Form 700 (2017/2018) Sch. E
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov