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700 Van Ligten 2019 Leaving Office: Date Left // (Check one circle.) The period covered is January 1, 2019, through the date of leaving office. The period covered is //, through the date of leaving office. Annual: The period covered is January 1, 2019, through December 31, 2019. The period covered is //, through December 31, 2019. Statement of economic intereStS cover Page A PubliC DoCument 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed (month, day, year) 3. Type of Statement (Check at least one box) State Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) (Statewide Jurisdiction) Multi-County County of City of Other 2. Jurisdiction of Office (Check at least one box) Candidate: Date of Election and office sought, if different than Part 1: Assuming Office: Date assumed // Date Initial Filing Received Filing Official Use Only Please type or print in ink. 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM Agency Name (Do not use acronyms) Division, board, Department, District, if applicable Your Position 1. Office, Agency, or Court name of filer (laSt) (firSt) (middle) MAiLiNg ADDRESS STREET CiTY STATE ZiP CODE ( ) DAYTiME TELEPhONE NuMbER EMAiL ADDRESS (business or Agency Address Recommended - Public Document) Signature (File the originally signed paper statement with your filing official.) 5. Verification ► 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. Schedule Summary (must complete) Schedules attached Schedule A-1 - investments – schedule attached Schedule A-2 - investments – schedule attached Schedule B - Real Property – schedule attached ► Total number of pages including this cover page: -or- Schedule C - income, loans, & business Positions – schedule attached Schedule D - Income – Gifts – schedule attached Schedule E - Income – Gifts – Travel Payments – schedule attached FPPC Form 700 - Cover Page (2019/2020) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5 NAME OF LENDER* ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF LENDER IF APPLICABLE, LIST DATE: // // ACquIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACquIRED DISPOSED 19 1919 19 SCHEDULE B Interests in Real Property (Including Rental Income) Name ► ASSESSOR’S PARCEL NuMBER OR STREET ADDRESS ► ASSESSOR’S PARCEL NuMBER OR STREET ADDRESS CITY CITY INTEREST RATE TERM (Months/Years) % None 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. 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. NATuRE OF INTEREST Ownership/Deed of Trust Easement Leasehold Yrs. remaining Other NATuRE OF INTEREST Ownership/Deed of Trust Easement Leasehold Yrs. remaining Other Comments: FAIR MARkET vALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 FAIR MARkET vALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 IF RENTAL PROPERTY, GROSS INCOME RECEIvED OvER $100,000 $500 - $1,000 $0 - $499 $1,001 - $10,000 $10,001 - $100,000 IF RENTAL PROPERTY, GROSS INCOME RECEIvED OvER $100,000 $500 - $1,000 $0 - $499 $1,001 - $10,000 $10,001 - $100,000 HIGHEST BALANCE DuRING REPORTING PERIOD Guarantor, if applicable OvER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM NAME OF LENDER* ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % None Guarantor, if applicable HIGHEST BALANCE DuRING REPORTING PERIOD OvER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 * You are not required to report loans from a commercial lending institution made in the lender’s regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender’s regular course of business must be disclosed as follows: None None FPPC Form 700 - Schedule B (2019/2020) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 11 (Real property, car, boat, etc.)(Real property, car, boat, etc.) 6&+('8/(& ,QFRPH/RDQV %XVLQHVV Positions 2WKHUWKDQ*LIWVDQG7UDYHO3D\PHQWV *5266,1&20(5(&(,9('1o,ncome - Business Position Only 1o,ncome - Business Position Only*5266,1&20(5(&(,9(' 1DPH 29(5 29(5 700 )$,532/,7,&$/35$&7,&(6&200,66,21 &$/,)251,$)250 Ź,1&20(5(&(,9(' 1$0(2)6285&(2),1&20( ADDRESS (Business Address Acceptable) %86,1(66$&7,9,7<,)$1<2)6285&( <285%86,1(66326,7,21 Ź,1&20(5(&(,9(' 1$0(2)6285&(2),1&20( ADDRESS (Business Address Acceptable) %86,1(66$&7,9,7<,)$1<2)6285&( <285%86,1(66326,7,21 1$0(2)/(1'(5 ADDRESS (Business Address Acceptable) %86,1(66$&7,9,7<,)$1<2)/(1'(5 ,17(5(675$7(7(500RQWKV<HDUV 1RQH +,*+(67%$/$1&('85,1*5(3257,1*3(5,2' 29(5 &RPPHQWV Ź/2$165(&(,9('2528767$1',1*'85,1*7+(5(3257,1*3(5,2' *<RXDUHQRWUHTXLUHGWRUHSRUWORDQVIURP a FRPPHUFLDOOHQGLQJLQVWLWXWLRQRUDQ\LQGHEWHGQHVVFUHDWHGDVSDUWRI DUHWDLOLQVWDOOPHQWRUFUHGLWFDUGWUDQVDFWLRQPDGHLQWKHOHQGHU¶VUHJXODUFRXUVHRIEXVLQHVVRQWHUPVDYDLODEOHWR PHPEHUVRIWKHSXEOLFZLWKRXWUHJDUGWR\RXURႈFLDOVWDWXV3HUVRQDOORDQVDQGORDQVUHFHLYHGQRWLQDOHQGHU¶V regular course of business must be disclosed as follows: 6(&85,7<)25/2$1 1RQH Personal residence Real Property Guarantor Other Street address City (Describe) &216,'(5$7,21)25:+,&+,1&20(:$65(&(,9(' Salary 6SRXVH¶VRUUHJLVWHUHGGRPHVWLFSDUWQHU¶VLQFRPH )RUVHOIHPSOR\HGXVH6FKHGXOH$ 3DUWQHUVKLS/HVVWKDQRZQHUVKLS)RURUJUHDWHUXVH 6FKHGXOH$ Sale of Other &216,'(5$7,21)25:+,&+,1&20(:$65(&(,9(' Salary 6SRXVH¶VRUUHJLVWHUHGGRPHVWLFSDUWQHU¶VLQFRPH )RUVHOIHPSOR\HGXVH6FKHGXOH$ 3DUWQHUVKLS/HVVWKDQRZQHUVKLS)RURUJUHDWHUXVH 6FKHGXOH$ Sale of Other (Describe)(Describe) (Describe)(Describe) 5HQWDO,QFRPHlist each source of $10,000 or more 5HQWDO,QFRPHlist each source of $10,000 or moreCommission or Commission or Loan repayment Loan repayment &WW&ŽƌŵϳϬϬͲ^ĐŚĞĚƵůĞ(2019/2020) ĂĚǀŝĐĞΛĨƉƉĐ͘ĐĂ͘ŐŽǀͻϴϲϲͲϮϳϱͲϯϳϳϮͻǁǁǁ͘ĨƉƉĐ͘ĐĂ͘ŐŽǀ WĂŐĞͲϭϯ Travis Van Ligten Rutan & Tucker, LLP 611 Anton Blvd., #1400, Costa Mesa, CA 92626 Law Firm Associate College Hospital 24300 El Toro Rd, Bldg. A-#2000, Laguna Woods Mental Health Therapist/Case Manager Clear Page Print