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UC Regent - Kozberg - Financial Disclosure
UC Regent - Kozberg - Financial Disclosure
if
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
"COVER PAGE
.. ~
7~ I No.
1. Office, Agency, or Court 4. Schedule Summary
Name of Qffice, Agenc~, or Court: ~ Total number of pages
including this cover page:
0l'O
t<. n / V6£SJ ;-'-t ~F (!AI-I fl)R.-N'
~ Check applicable schedules or "No reportable
Division, Board, District, if applicable:
interests."
--.I2 e.-~ e{) t I have disclosed interests on one or more of the
Your POSIIon: attached schedules:
o Other -or-
O No reportable interests on any schedule
3. Type of Statement (Check at least one box)
l! ~ N~h
- ~'AAl1Z.
GENERAL DESCRIPTION
BUSINESS ENTITY
OF BUSINESS ACTIVITY
U Ot~er -----;;:;::::::-::-:-:----
(Describe)
o Other ------------------------------------
(Oescribe)
GENERAL
JYlc~( {jifJ:krT6ftYcfl7Zod!
DESCRIPTION OF BUSINESS ACTIVITY
~~ Lbocr'
GENERAL DESCRIPTION OF. BUSINESS ACTIVITY
X~
o
p?( Stock
Other
(Describe)
__
o Other ------------------------
(Describe)
FAIR-"MARKET VALUE
f:,(( 6 ci. d cD'
052,000 - 510,000 25 $10,001 - $100,000
~ ~-;:-;;-j--!- o S100,001 - $1,000,000 '0 Over $1,000,000
v..-'AIUR"
" • ~ 0".. INVI=STM=N-I
- .~
AS:=£<
--:._-------------- ~==--------------------
----,~
=S":JSE::l
D Other -----------------
D Other _
(Describe) (DeSCribe)
---.l---.l~ -1~~
ACQUIRED DISPOSED
~ NAME 0 SUe::NESS ~ C
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
o Other _
o Other ----------------
(Describe) (Describe)
A-CJ(.6L'01'!E eA-LE,gf;LLC~
GENERAL DESCR!PTION OF BUSINESS ACTiVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY
o Other ------------------
o Oiher - _
(Describe) (Describe)
Comments:
CH£V!8..Gr 1[ ~
etcl&b,&;(~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DE: ;CRIPTION f
o O~er __ o Other -- __
(Describe) (Describe)
I f'£~().£.Ad~
FAIR MARKET VALUE
o $2,000 - S10,OOO ~'0,001 - $100,000
o $100,001 - $1,000,000 o 'Over $1,000,000
0$10,001
DOver
- $100,000
$1,000,000
NATURE OF INVESTMENT
~ Stock
o Other -------- __
(Describe) (Describe)
CJ~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY
NATURE OF iNVESTMENT
~ Stoc' %
NATURE OF INVESTMENT
Stock
~s'
(Describe)
_
o Other ------ _
(Describe)
~~~: ---------------------------------------------------------------------------------------------------------------
FPPC Form 700 (2008/2009) Sch. A-I
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE A~1 .CAUFORNIA FORM1'oOi,;
investments <FAIR POUnCAL PRACnCES COM!I'lISSION
Name
Stocks. Bonds, and Other Interests
(Ow~ership Int~rest is Less Than 10%) :s6~HHI (../ I 1'-'p..g?C/\O: .1
00 not attach brokerage or financial statements.
NATURE OF INVESTMENT
% Stock ~
NATURE OF INVESTMENT
Stock
o Other _
o Other --------- _
{Describe)
(Describe)
C..A6WI'1
GENERAL DESCRIPTION
~6P(J<
OF BUSINESS ACTIVITY
~. .£26tJ VU)(e. !=N,c;
GENERAL DESCRIPTION OF BUSINESS,
~1f'lG-
FAIR MARKET VALUE
U77&rr
LJ $2,000 - S10,000 l2r $1 0,001 - $100,000 IX( $10,001 - $100,000
I ! S100.001 - 51,000,000 t:1 Over $1,000,000 Ll'Over $1,000,000
NATURE OF INVESTMENT
~ Stock
o Other ----- _
(Oescribe)
f ~
NATURE OF INVESTMENT
~ Stock
[] Other _
(Describe) (Describe)
ElflG
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
[J Other
----------~-------- [] Other _
(DesCribe) (Describe)
Comments: _
Name
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%) -:ro~Yl n V OO:Z1!X:;t?& I
00 not attach brokerage or financial statements.
6-&JJ£NTE=CH
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
1 r 6qJr5{A ( I1CrL6U
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
f;I6Ti2:x£'l c {&~
FAIR MARKET VALUE FAIR MARKET VALUE
n $2,000 - 510,000 ~$10,001 - $100,000 J8[ $2,000 - $10,000 o 510,001 - $100,000
LJ S100,001 - $1,000,000 0 Over $1,000,000 t:!' $100,001 - $1,000,000 DOver $1,000,000
NATURE OF INVESTMENT
~ Stock
o Other _
(Describe) (Describe)
6-£6/G;1! CXJf'C;£
GENERAL DESCRIPTibN OF BUSINESS ACTIVITY
a}lv£l?610d
FAIR MARKET VALUE
lc'1dU;$VL£1
o $2,000 - $10,000 ~ 510,001 - $100,000 ,l81$10,001 - $100,000
o $100,001 - 51,000,000 n 'Over $1,000,000 DOver $1,000,000
NATURE OF INVESTMENT
~ Stock
o Other _
(Describe) (Describe)
<::5/EdMA/
GENERAL DESCRIPTION
Nt
OF BUSINESS ACTIVITY
(..f &MA-:C
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
NATURE OF INVESTMENT
'P Stock o
NATURE OF INVESTMENT
Stock
~~~enr~: ~---------------------------------------------------------------- _
FPPC Form 700 (2008/2009) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK·FPPC www.fppc.ca.gov
SCHEDULE A~1
Investments
Stocks, Bonds, and Other Interests I Name 1/
(Ownership Interest is Less Than 10%) JOI4V\n4-- n ()~6-1
00 not attach brokerage or financial statements. I I
1[ ~
NAME OF BUSINESS ENTITY I
~CJ&d/6(
GENEF :AL
NATURE OF INVESTMENT
% Stock
o Other -- _
(Describe) (Describe)
H6;e-5'
I
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
HD6fT!'~/ty
FAIR MARKET 'VALUI:: FAIR MARI<<=T lit
~2,000 - $10,000 0 $10,001 - $100,000 ~$2,000 - $10,000 0 $10,001 - $100,000
U $100,001 - $1,000,000 iiOver $1,000,000 tJ $100,001 - $1,000,000 0 Over $1,000,000
NATURE OF INVESTMENT
~ Slock
(DesCribe)
o Other -- --;;::::-:-:----:- _
(De,eribe)
:£611
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
.:z::ilts
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
r- ~Cl.ef
------------~~----------
(O~scribe)
o Other -- _
{Describe)
c~~~~: _
NAM~SINESS ENTITY~
Hed111 (.4¢-
FAIR MARKET VALUE FAIR MARKET VALUE
082,000 - $10,000 iR'SI0,001 - 8100,000 o $2,000 - $10,000 ~$10,001 - $100,000
08100,001 - $1,000,000 tlover $1,000,000 0$100,001 - $1,000,000 DOver $1,000,000
NATURE OF INVESTMENT
% Stock
o Other _
(Describe) (Describe)
J t'
GENERAL
MoA6-M - CtrMcf
DESCRiPTION OF BUSINESS ACTIVITY
£-
GENERAL DE,CRIPTION OF. BUSINESS ACTIVITY
~
~ NAMg;;Zh-EN/i rsds
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Comments:
---.-;
)1' BUSINESS EN111Y
JRE OF INVESIMENI
o Other ------------------- (Describe I
StocK
IF APPliCABLE, LIST DATE:
Other----------------------~~::~---------------
tOescribe)
~~~
DISPOSED
Ji4- StocK
_ _____,It G~"LC~
GENERAL DESCRIPTION OF BUSINESS ACTIViTY
f5t $10,001 - $100,000
JU!--- FAIR-MARKET
o $2,000 - $10,000
0$100,001
VALUE
- $1,000,000
o Over $1 ,OOO,QOO
~URE OF INVESIMENT
r
-bZ Other f ..... ......,~
(DeScribe)
'f"l- Stock
o Other ------------------ (Describe)
IF APPLICABLE, LIST OATS:
~~~
OISPOSEO
IF APPLICABLE, liST DATE:
~~~
DISPOSED
FPPC Form 700 (2008
FPPC Toll-Free Helpline', 866fA5K-FPPC \"
SCHEDULE A~1
investments
Stocks, Bonds, and Other interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
MtcA(y;3ey;=-r 1[ ~
(\JOt)'!A
GENERAL DESCRIPTION OF BUSiNESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY
NATURE OF INVESTMENT
~ Stock
(Describe)
o Other ------ _
(Describe)
IY M:7ffl{ot:
GENERAL DEE CRIPT!ON F
c::5~ V/hdU!r'
o Otoer _
o Other ------ _
(Describe) (Describe)
------.l------.l ~
ACQUIRED
------.l------.l ~
ACQUIRED
~r6/~ DISPOSED
C()~;;Ufi76{
FAIR MARKET VALUE
.6cx:Ju-C;rf 111( r[lY OJ!
FAIR MARKET VALUE
o $2,000 - $10,000 ~ $10,001 - $100,000 ~ $2,000 - $10,000 o $10,001 - $100,000
o S100,001 - $1,000,000 tJ'over $1,000,000 0'$100,001 - $1,000,000 DOver $1,000,000
o Other _
o Other --- -::-~_::_-----
(Describe) (Describe)
COn1n1ents: _
~6!tc
GENERAL DESCRIPTION
6~6._.
OF BUSINESS ACTIVITY
__
&1 £G~&7J;f:.
FAIR MARKET VALUE
n S2,000 - $10,000 ~10,001 - $100,000 o $2,000 - $10,000 ~$10,001 . $100,000
LJ $100,001 - $1,000,000 U Over $1,000,000 0$100,001 - $1,000,000 tJ' Over $1,000,000
NATURE OF INVESTMENT
J8:( Stock
(Describe)
o Other ------------------
(Describe)
----1----1...J)L
ACQUIRED
~J8J~DISPOSED
----1----1-.illL
ACQUIRED
GH
{fo!;Z~€
I !
~URE OF iNVESTMENT
~ Stock
(Describe) (Describe)
~ NA~~
A
Ui£:NT7d I SS ENTITY ~ NA~F
6"\ D
BUSINESS EN
o Other __
(Describe) (Describe)
Comments: _
o Other -----------------
o Other _
(Describe) (Describe)
~/l;fA
GENERAL DESCRIPTION
L~
OF BUSINESS ACTIVITY
Gu
GENERAL DESCRIPTION OFBUSI~S ACTIVITY
o Other __
o Oiher --------------------
(Describe) (Describe)
NATURE OF INVESTMENT
~ Stock 'fi.
NATURE OF INVESTMENT
Stock
D Other
(Describe)
_
o Other ----------------
(Describe)
Comments: __
I%fI-£ ::r:tvYa<:wrt6N'r! 1 r ~
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
c2!ec:rIf 6t'f{ C$
FAIR M'!,RKET VALUE
FAIR MARKET VALUE
~S2,OOO - $10,000 0$10,001 - S100,000 l2($2,000 - $10,000 0$10,001 - S100,000
D S100,001 - $1,000,000 DOver $, ,000000 U $100,001 - $1,000,000 DOver $1,000,000
!111M.
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
I Nd().>'T~ M/ MHTr%!Ak
FAIR MARKET VALUE FAIR MARKET VALUE
o 52,000 - $10,000 .P<r$10,001 - $100,000 g$2,000 - $10,000 o
o $100,001 - $1.000,000 "EJ Over $1.000,000 0$100,001 - $1,000,000
$10,001 - $100,000
DOver $1,000,000
%
NATURE OF iNVESTMENT
S:ock
%NATURE OF INVESTMENT
Stock
o Other __ o Other __
(Describe)
(Describe)
NATURE OF INVESTMENT
t?f Stock
~RE
y\ Stock
OF INVESTMENT
Comments: _
F."<IRM.o,RKET VALUE
I! 52.000 - $10.000
II &¢UCCrMt4:if
FAIR MARKET VALUE
Grn-ry
n S100.001
~ 310,001 - 3100,000
Ag 32.000 - $10,000 0 S10.001 - S100,000
- 31.000,000 DOver $1.000.000
o $100,001 - $1.000,000 0 Over $1,000,000
NATURE Or INVESTMENT
NATURE OF iNVESTMENT
~ Stock
o Stock
o Other __
% Other 60f:-{d.s
(Describe)
(Describe)
----1----1~ ----1----1~
ACQUIRED
----1----1~
DISPOSED
ACQUIRED
Eif'i/fiV'Cf/l( ~~VtCGY
FAIR MARKET VALUE
FAIR MARKET VALUE
032,000 - $10,000 9($10.001 - $100.000 t1 $2,000 - $10,000 0$10,001 - $100,000
0$100.001 - $1,000,000 U'Over $1,000,000 'lJ $100,001 - $1,000,000 DOver 31,000,000
NATURE OF INVESTMENT
o Stock
NATURE OF INVESTMENT
o Stock
o Other -- :::----::--:-:--
(Describe)
_
~ Other /JON dJ (Oescribe)
----1----1~
ACQUiRED
----1----1~
DISPOSED
~M;~ ----1----1
DISPOSED----
08
ACQUIRED
NATURE OF INVESTMENT
NATURE OF INVESTMENT
~ Stock
o Stock
o Other __
rW Other ;fide' e0
(Describe)
r (Oescribe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
----1----1~
DiSPOSED L.f!b~ L-.J~
ACQUIRED DISPOSED
~nuJnents: __
(Describe) (Describe)
D Other _ [] Other __
(Describe) (Describe)
Comments: __
Name
Address
II 80 .:5oufu
Address
Check one
Check one
[] Trust. go ;0 2 ~ Business Entity, complere rhe box, (hen go ro 2 o Trust, go ro 2
'/ FAIR MARKET VALUE IF APPLICABLE, liST DATE FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
1 0 S2,000 - S10,000
0$2,000 - $10,000
In S10,001 - $100,000 ---.l---.l~ ---.l---.l !&... 0$10,001 - $100,000 ---.l---.l~
,gS100,001 - $1,000,000
---.l---.l~
ACQUIRED DISPOSED gJ $100,001 - $1,000,000 ACQUIRED DISPOSED
ItJ Over $1,000,000
DOver $1,000,000
I
i NATURE OF INVESTMENT
NATURE OF INVESTMENT
10 Sole Proprietorship 0 Partnership o Sole Proprietorship 0 Partnership 0 _
Ii YOUR BUSINESS POSITION
Other
YOUR BUSINESS POSITION --'~=ipe"""",-,U",--,,~==- _
NATURE OF INTEREST
o Property Ovmership/Deed of Trust o Stock ~artnershiP
NATURE OF INTEREST
o Property Ownership/Deed of Trust o Stock ~ Partnership
n Leesehc!d n Other _
o Leasehold o Other _
Yrs. remaining
-: ~~~~:: ::.:nc:1C2 SSfleCt;les reporting investments or real property
o Check box if additional
are attached
schedules reporting investments or real property
~
'_:,'
'
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
•
= _ K'g2
N2me
-'Iddress
Check one
o
Trust, [fo to 2
ii36~
to
o
0 "
5nve~~~
'"
Address
Check one
o
Trust. go to 2 o Business Entity, complele [he box, Ihen go [0 2
_
I
i-----------------------------------------------------
i FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
I I $2,000 - 510,000 0$2,000 - $10,000
Ir:.- $10,001 - $100,000 ----f----f~ ----f ----f Jill.. o $10,001 - $100,000 ----1----1~
0 $100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000,000 DISPOSED
o $1,001 - $10,000
$1,00·, - $10,000
.. 3. UST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF .. 3. UST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (.... 00 • separale sheel ;r neco_SillY) INCOME OF $10,000 OR MORE (.... ch a separale sheel if necessary)
.. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD §Y THE .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD §Y THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000 - $10,000 o $2,000 - $10,000
~10,001 - $100,000 ----f----f ~ ----f ------.fJ~ 0$10,001 - $100,000 ----f----f~ ----1----1 ~
05100,001 - $1,000,000 ACQUIRED DISPOSED o $100,001 - $1,000,000 ACQUIRED DISPOSED
Positions Name
(Other than Gifts and Travel Payments)
LL~
ADDRESS
oL1-Le..
GROSS INCOME REGEIVED
, GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,00~ ~OVER $100,000
0$10,001 - $100,000 0 OVER $100,000
* You are not t~quired 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 lend¢r's regular course of business must be disclosed as follows:
NAME OF LENDER';
INTEREST RATE TERM (Months/Years)
0$10,001
"
- $100)000
o Guaffinror _
DOVER $100,Oq&
o Other (Describe)
Comments:
Positions Name
(Other than Gifts and Travel Payments)
LL~
ADDRESS
oL1-Lc'"
GROSS INCOME RECEIVED
., GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,00~ ~OVER $100,000
0$500
0$10,001
- $1,000
- $100,000
0 $1,001 - $10,000
0 OVER $100,000
o Other (Descnbe)
» 2. LOAN RECEIVE
* You are not t~quired 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 ~embers of the public without regard to your official status. Personal loans and loans received
not in a lendEir'S regular course of business must be disclosed as follows:
NAME OF LENDER>; :
INTEREST RATE TERM (Months/Years)
,
!
ADDRESS -----% 0 None
SECURITY FOR LOAN
BUSINESS ACTIVITY,! IF ANY, OF LENDER
o None 0 Personal residence
o $500 - $1.000 •
o $1,001 - $10,0:~0
City
0$10,001 - $1001000
o Guaffinror _
DOVER s100,oq6
o Other (Describe)
Comments:
Positions Name
ADDRESS
ADDRESS
ea';µ~lIlft
:LnsuYCWlC~ 'BROIC,,6/2S .
BUSINESS ACTIVITY, IF ANY, OF SqURCE
(hovt
I
e '{IF ANY,
0
ofl SOURCE
•
WI m 1S S 1.&'Y)
•
Loan repayment
or registered domestic partner's income
* 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 (MonthslYears)
o $500 - $1,000
DOVER $100,000
o Other (Describe)
Comments: