700 Batavick 2018STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
EJ . ► r• F
(FIRST)
Initial RgLRGE-WED ed
Official Usc Only
MAR 12019
r•:Tv me i n Q iiUTA
CiT 'UE9RK DEPARTMENT
Division, Board, DepartrOnt, District, If applld%ble Your.Rosition
F4 KArl Its f_4n. 414I Lsd r-4 eft fri;}SSi&mv-aJf�PIi�
► 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
I Alty of
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left —J 1.
-or-
December 31, 2018. (Check one circle.)
The period covered is I I through O The period covered is January 1, 2018, through the date of
December 31, 2018 -or- leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is 1. 1. through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
Fhedule A 1 investments -schedule attached edule C -Income, Loans, &Business Positions -schedule attached
hedule A-2 - Investments - schedule attached edule D - Income - Gifts - schedule attached
hedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached
-Or- ❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE
(Business or AddrRecommend - Pubhe Gxumsnti
1 i� tCj
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
c ) 1 - D
rang drrdal.)
FPPC Form 700(2028/2019)
FPPC Advice Email: advicepfppc.r .goy
FPPCToll-Free Helpline:866/275-3772www.fppc.ca.gov
Page - 5
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
► NAME OF BUSINESS
NT1TY r
tq p� 0 w4a e
GENERAL DESCRIPTION OkJP IS BUSINESS
pumsy
FAIR MARKET VALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
$100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
%St k 10 Other - _ =&wi J S
r���iJ (Describe)
Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I_. 18 18
ACQUIRED DISPOSED
► NAME MSINESS ENTITY
e r cc 14 S+
GENERAL DESCRkWION OF THIS BUSINESS
T fAteJ+-hest PhAVIA-03 &2
FAIR MARKET VALUE
$2,000 - $10,000 10,001 - $100.000
$100,001 - $1,000,000 Or ver $1,000,000
y� NATUREck INVESTMENT
uu .I —jj Iy jrg,
(Desrribn)/Na
Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
�. 18 18
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
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I / 18 —J 8
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
l.ti.. 0
► 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 O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
. 18
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,00, - $100,000
$100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT
Stock Other
(Describe)
Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
( . 18 1 118
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
Ej Stock ❑ Other
(Describe)
Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule Q
IF APPLICABLE, LIST DATE:
I-118 —J—J 8
ACQUIRED DISPOSED
FPPC Form 700 (2028/2029)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline:866/275-3772www.fppc.ca.gov
Page - 7
N 04E
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
11- 1. BUSINESS ENTITY OR TRUST
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 -%18 /.18
❑ $10,001 - $1o0,000 ACQUIRED DISPOSED
❑ $10o,00l - $1,00o,o00
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION
GROSSli� 2. IDENTIFY THE • YOUR • RATA
SHARE OF •SS INCOME TO THE ENTITY1TRUST)
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
1� 3LIST THE NAME OF ••TABLE SINGLE SOURCE OF
INCOMEOF $10,000 OR •-
❑ None or ❑ Names listed below
PROPERTY1- 4. INVESTMENTS AND INTERESTS IN REAL . OR
LEASED BY THE BUSINESS ENTITY • TRUST
-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business EnIlty, if Investment, or
Assessor's Parcel Number or Sheet Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remalning
❑ Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
- a
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 - $10,000 11$ 1 /1 8
❑ $10,001 - $1o0,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Omar
YOUR BUSINESS POSITION
GROSS1- 2. IDENTIFY THE • YOUR •
OF -•SS INCOME TO THE ENTITY/TRUST)
❑ so- $499 ❑ $1o,00l - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,o01 - $10,000
0- 3. LIST THE NAME OF •••TABLE SINGLE SOURCE OF
INCOMEOF r err OR MORE
❑ None or ❑ Names listed below
PROPERTY.1- 4. INVESTMENTS AND INTERESTS IN REAL . •-
LEASED BY THE BUSINESS ENTITY • TRUST
-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Y7s remaining
❑ Check box if additional schedules reporting investments or real property
are attached
'Comments: FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPCToll-Free Helpline:866/275-3772www.fppc.ca.gov
Page - 9
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
un
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑$10,- $100,000$100,001
- $1,000,000
90var
ACQUIRED DISPOSED
$1,000,000
,,,NATURE OF INTEREST
Ownership/Deed of Trust
❑ Leasehold
Yrs remaining
❑ Easement
n
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
X$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
0,64%vi Noore- antillmktn
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
r
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $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
* You are not required to report loans from a commercial lending institution 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,OOO ❑ $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(2018/2019)
FPPC Advice Email: adviceLWfppc.ca.gov
FPPCToll-Free Helpllne:866/275-3772 www.fppc.ca.gov
Page -11
KoNE SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
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
❑ Loan repayment
❑ Commission or
(Reel property, car, boat, etc_)
❑ Rental Income, list each source of $10,000 or more
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
❑ Loan repayment
❑ Commission or
(Real property, car, boat, etc.)
❑ Rental Income, list each source of $10,000 or more
(Describe)
❑Other Other
(Describe) ❑ (Describe) -
.02. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from a commercial lending institution, 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
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (MonthsNears)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Chy
(Describe)
FPPC Form 700(2018/2019)
FPPC Advice Email: advlce@fppc.ca.gov
FPPC Toll -Free Helpllne:866/275-3772www.fppc.ca.gov
Page -13
N o NE
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)
$
No. 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:
► 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)
$
► 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)
$
$
/—J $
FPPC Form 700(2018/2019)
FPPC Advice Emall: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page -15
SCHEDULE E
Income — Gifts
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. Per Government Code
Section 89506, these payments may not be subject to the gift limit. However, they 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--J- / / AMT.,5
(If gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
p 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): /_ AMT: $
(If gam)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
p Other - Provide Description
P. 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, IFANY, OF SOURCE
DATE(S):./ / - --J--J- AMT: S
(if gift)
No. MUST CHECK ONE: ❑ Gift or- ❑ Income
O Made a Speech/Participated in a Panel
p 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, IFANY, OF SOURCE
DATE(S): - I AMT: g
(If gam)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
p Other - Provide Description
► If Gift, Provide Travel Destination
FPPC Form 700(2018/2019)
FPPCAdvlce Email: advice@fppc.ca.gov
FPPC Toll -Free Helpllne: 866/275-3772www.fppcca.gov
Page -17