700

'CALIFORNIA FORM

STATEMENT OF ECONOMIC
INTERESI.C.::;

FAIR 'POLITICAL PRACTICES COMMISSION

COVER PAGE

A PUBLIC DOCUMENT

IL E 0

Date Rece ived

OffJC/a!

IJse 0111)'

OfFICE OF THE CITY CLERK

OAKLAND

2111 MAR 22 AH 10: 1

Please type or print in ink.

NAME OF FILER

(FIRST)

(LAST)

s ,.mt)K>

G-eax{~

1. Office, Agency, or Court

Agency Name

Your Position

chte J

h'd.

Position: _ _ _ _ _ _ _ _ _ _ _ _ _ ___:___ __

Agency: - - - - - - - - - - - - - - - - - - - -

2. Jurisdiction of Office (Check at least one box)

D State
D Multi-County-------------[)aCity of
C) 4 k f OVl cJ
3. Type of Statement

D Judge (Statewide Jurisdiction)

D County of - - - - - - - - - - - - - - - - 0 Other-----------------

(Check at least one box)

J8J Leaving Office:

Annual: The period covered is January 1, 2010, through December 31,

2010.
-or

0 The period covered is January 1, 2010, through the date of

The period covered is _ _ j _ _ j_ _ , through December 31,

2010.

Assuming Office: Date _ _ j _ _ j_ _

Candidate: Election Year - - - - - -

Date Left ___3__j_2._.L..Z.~~...J (

(Check one)
leaving office.

0 The period covered is _ _ j _ _ j_ _, through the date

of leaving office.
Office sought, if different than Part 1: - - - - - - - - - - - - - - - - - -

4. Schedule Summary

Check applicable schedules or "None."

"' Total number of pages including this cover page: - - - -

1M

~ Schedule A1 Investments - schedule attached

Schedule C Income, Loans, &Business Positions - schedule attached

fSQ Schedule A2 Investments - schedule attached

~ Schedule D Income - Gifts - schedule attached

5Q

!)a

Schedule B Real Property - schedule attached

Schedule E Income - Gifts - Travel Payments - schedule attached

-or-

None No reportable interests on any schedule

5. Verification
CITY

STATE

(:~A.

ZIP CODE

2.-

1 q~,l'ht'l-"
(a)J ~t: !MVIcPruJ, C{)J"-have used all reasonable diligence in preparing this statement. I have revi- 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 pub
1

I certify under penalty of perjury under the laws of the State of California
Date Signed

S-

22 -

2-o I I

(roonl/1, day, year)

t~at t~

Signature

\.
FPPC Form 700 (201 0/2011)
FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca .gov

,.:; tLE D

SCHEDULE A-1
Investments
--S~ks, Bonds, and Other Interests
A" IOf I C(ownership Interest is Less Than 10%)

CALIFORNIA FORM

OFFICE OF THE CITY CLERK

OAk'l ANC>

2111 "AR 22

Name

Ge.6?td

Do not attach brokerage or financial statements.

~

NAME OF BUSINESS. ENTITY

"

l:kv~-chv

:jL

FAIR MARKET VALUE

gr $10,001 - $100,000
0 Over $1,000,000

$2.ooo- $1o,ooo
$1oo.0o1 - $1 ,ooo.ooo

NATURE OF INVESTMENT
Stock
Other

f/l ' lv I
V

NJ
V\

0 Income Received of $0 - $499

0 Income Received of $500 or More

NATURE OF INVESTMENT

Stock

Partnership

Other-----------(Describe)

0 Income Received of $0 - $499

0 Income Received of $500 or More

__/__/_j.Q_

__/__/_j.Q_

__j__j_j.Q_

__j__j_jJ)_

ACQUIRED

DISPOSED

ACQUIRED

DISPOSED

NAME OF BUSINESS ENTITY

ftl I ra~ z..

MV

o& f,ve J

hlg I -Qw.J r

r .o""'t!?
FAIR MARKET VALUE

d.e G. vvecAJ

(Describe)

Partnership

0
0

D $1o,oo1 - $1oo.ooo

D $2.ooo- s1o.ooo

Rs1o.oo1- s1oo.ooo
0 Over $1,000,000

s2.ooo- s1o.ooo
s1oo.oo1 - s1 .ooo.ooo

NATURE OF INVESTMENT
Stock
Other

D
0

NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

D
D

s1oo.oo1 - $1,ooo.ooo

Over $1,000,000

NATURE OF INVESTMENT

Co nvp

0
0

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

Stock
Partnership

0
0
0

Other-------:::---::-----(Describe)

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE , LIST DATE :

IF APPLICABLE, LIST DATE :

__j__j_j.Q_

__j__j_j.Q_

__j__j_j.Q_

__j__j_j.Q_

ACQUIRED

DISPOSED

ACQUIRED

DISPOSED

NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

FAIR MARKET VALUE

s2.ooo- s1o.ooo
s1oo.oo1 - $1,ooo.ooo

D s1o.oo1 - s1oo.ooo
0 Over $1,000,000

D $2,ooo- $1o.ooo
D $1oo.oo1 - $1 .ooo.ooo

D s1o.oo1- $1oo.ooo
0 Over $1,000,000

NATURE OF INVESTMENT

NATURE OF INVESTMENT

0
0

0
0

Stock
Partnership

0
0
0

(Report on Schedule C)

IF APPLICABLE, LIST DATE:

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

...

(Report on Schedule C)

IF APPLICABLE, LIST DATE :

D s1o.oo1 - $1oo.ooo
0 Over $1 ,000,000

D $2,ooo- s1o.ooo
D s1oo.oo1 - s1 .ooo.ooo

(Describe)

Partnership

NAME OF BUSINESS ENTITY

w_J

trlv~. . r
FAIR MARKET VALUE

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

D
D

700

FAIR POLITICAl PRACTICES COMMISSION

Other------:--::--::-----(Describe)

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE :

Stock
Partnership

Other------------(Describe)

0 Income Received of $0 - $499

0 Income Received of $500 or More

(Report on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j_j.Q_

__/__/_j.Q_

__j__j_j.Q_

__;__j_j.Q_

ACQUIRED

DISPOSED

ACQUIRED

DISPOSED

Commen~: ---------------------------~--------------FPPC Form 700 (2010/2011) Sch. A-1

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FILED

SCHEDULE A-2
lnyastments, Income, and Assets
AH 10: 'f>f Business Entities/Trusts

OFFICE OF THE CIT V CLERK

OA KLAND

!Ill "AR 22

FAIR POLITICAL PRACTICES COMMISSION

Name

GeVKIJ S1Wl~-

(Ownership Interest is 10% or Greater)

~

ed ~

Address (Business Address Acceptable)

Check one
D Trust, go to 2

)2

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

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

fire

Sej/1

II

__j__j_jQ_

__j__j_jQ_

ACQUIRED

DISPOSED

YOUR BUSINEss POSITION

~ $1,001

sKI..Q

Ottjer
JI\.S , , , ta---.

r--

Business Entity, complete the box, then go to 2

IF APPLICABLE, LIST DATE:

D $2.ooo- $1o.ooo
D $1o .oo1 - $1oo .ooo
D $1oo .oo1 - $1 ,ooo .ooo
0 Over $1,000,000

__j__jJJL

__j__jJJL

ACQUIRED

Sole Proprietorship

DISPOSED

- $10,000

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE

BUSINESS ENTITY OR TRUST
-

Check one box:

Partnership

0 ---------Other

YOUR BUSINESS P O S I T I O N - - - - - - - - - - - - - -

2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

D $o- $499
D $5oo- $1.ooo
D $1.oo1 - $1o.ooo

D $1o.o01 - $1oo .ooo

D OVER $100,000

$0-$499

D $5oo - $1.ooo

'

0 ----------

Partnership

2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

Check one
0 Trust, go to 2

NATURE OF INVESTMENT

NATURE OF INVESTMENT
Sole Proprietorship

Address (Business Address Acceptable)

FAIR MARKET VALUE

[8:1

Name

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

IF APPLICABLE, LIST DATE:

1. BUSINESS ENTITY OR TRUST

(e\tj 5i llkf-

ch-.f

FAIR MARKET VALUE

$2.ooo- $1o.ooo
$10 ,001 - $100 ,000
$100 ,001 - $1,000,000
Over $1,000,000

D
D

$1o .o01 - $1oo .ooo

OVER $100,000

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10,000 OR MORE (Att.1ch .:.t :-.ep;u.Jtc :-.heel 11 mccs~.Jry.)

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE

BUSINESS ENTITY OR TRUST

Check one box:

D INVESTMENT

REAL PROPERTY

tJI A=

INVESTMENT

REAL PROPERTY

Name of Business Entity 2J:

Street Address or Assessor's Parcel Number of Real Property

Name of Business Entity 2r

Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity 2r

City or Other Precise Location of Real Property

Description of Business Activity 2r

City or Other Precise Location of Real Property

FAIR MARKET VALUE

$2.ooo- $1o.ooo
s1o.oo1 - $1oo .ooo
s1oo .oo1 - s1 .ooo.ooo
Over $1 ,000,000

IF APPLICABLE, LIST DATE :

D
D
D
0

__j__j_!Q_

NATURE OF INTEREST
Property Ownership/Deed of Trust

__}__}~

ACQUIRED

0
0

700

CALIFORNIA FORM

Leasehold

Stock

DISPOSED

Partnership

Other----------

Check box if additional schedules reporting investments or real property

are attached

Comments:~~~

Pa q{Le by- c0\t\.f .tlJnvvC=

a fOv.J JJJ
I

n-w I I h 1J 'f-

FAIR MARKET VALUE

$2.ooo- $1o.ooo
$10 ,001 - $100 ,000
$100 ,001- $1,000 ,000
Over $1 ,000,000

IF APPLICABLE, LIST DATE:

__}__}~

0
0
0

ACQUIRED

NATURE OF INTEREST
Property Ownership/Deed of Trust

0
0

Leasehold
Yrs. remaining

Stock

__j__j_!Q_
DISPOSED

Partnership

Other----------

Check box if additional schedules reporting investments or real property

are attached

,,/the

FPPC Fonn 700 (201 0/2011) Sch. A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

'*

F- ILED
OFFICE OF THE CITY CL ERk
, OAKlAN>

CALIFORNIA FORM

SCHEDULE 8
Interests in Real Property

ZIH HAR 22 A" 10: I:I

,

Name

2'

STREET ADDRESS OR PRECISE LOCATION

Da t f.awd

CITY

r o.

FAIR MARKET VALUE

0
0

$2,ooo- s1o,ooo
s1o.oo1 - s1oo .ooo

fig

$100,001 - $1,000 ,000

.,.. STREET ADDRESS OR PRECISE LOCATION

CITY

~L..

1 Ytp6 (

EL

flu fo? -

IF APPLICABLE , LIST DATE :

IF APPLICABLE, LIST DATE:

__j__j_jQ_

__j__j_jQ_

__j__j_jQ_

ACQUIRED

DISPOSED

ACQUIRED

__}__}_jQ_
DISPOSED

Over $1 ,000,000

NATURE OF INTEREST

Jia

s;W!v-

~ /J

(Including Rental Income)

.,..

700

FAIR POLITICAL PRACTICES COMMISSION

NATURE OF INTEREST

Ownership/Deed of Trust
Leasehold - - - - - - Yrs. remaining

Easement

0---Other

l:8f Ownership/Deed of Trust

0---Other

Leasehold - - - - - - Yrs. remaining

Easement

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

so- $499

$10,001 - $100 ,000

s5oo- s1 .ooo

s1.oo1- s1o,ooo

OVER $100,000

so- $499

s5oo- s1.ooo

~$10,001- $100 ,000

s1 .oo1 - s1o,ooo

OVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater

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.

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

fl/be...-f, n..e

(}], cnaq)

Sci/ R

feirl:<""f-

* 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*

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

ADDRESS (Bu11iness Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE

INTEREST RATE

_ _ _ _ _ o/o

TERM (Months/Years)

None

_ _ _ _%

TERM (Months/Years)

None

HIGHEST BALANCE DURING REPORTING PERIOD

HIGHEST BALANCE DURING REPORTING PERIOD

0
0

s5oo- s1 .ooo

s1 .oo1 - s1o.ooo

s1o,oo1 - s1oo.ooo

OVER $100,000

0
0

Guarantor, if applicable

s5oo- s1.ooo

s1 .oo1 - s1o.ooo

s1o.oo1 - s1oo.ooo

OVER $100,000

Guarantor, if applicable

Comments: ---------------------------------------------------------------------------------------FPPC Form 700 (2010/2011) Sch. 8

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FfLEO

OffiCE OF THE CITY CLERk

OltKlANO
SCHEDULE B

Zlll HAR 22 AH IOtrfllrests

CALIFORNIA FORM

7 00

FAIR POLITICAL PRACTICES COMMISSION

in Real Property

(Including Rental Income)

~

STREET ADDRESS OR PRECISE LOCATION

STREET ADDRESS OR PREC ISE LOCATION

~~

CITY

Sac ~wte-, dv7.

FAIR MARKET VALUE

IF APPLICABLE, LIST DATE:

$2.ooo- $1o.ooo
$10,001 - $100,000
D $1oo.oo1 - $1 .ooo.ooo
D Over $1 ,000,000

.R1

__j__j_jQ_

__j__j_jQ_

ACQU IRED

DISPOSED

NATURE OF INTEREST
D

Leasehold - - - - - - Yrs. remaining

Easement

D---Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D $o- $499 D $5oo- $1 ,ooo

~ $1 .oo1 - $1o.ooo
DOVER $100,000
D $1o.o01 - $1oo.ooo

!::!;!_
IF APPLICABLE, LIST DATE:

$2,ooo- $1o,ooo
~ $10,001 - $100,000
$100,001 - $1 ,000,000
DOver $1 ,000,000

__j__j_jQ_

ACQUIRED

__j__j_jQ_
DISPOSED

,0 Ownership/Deed of Trust
D

Leasehold - - - - - - Yrs. remaining

Easement

0---Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D

$o- $499

$5oo- $1 ,ooo

D $1o,oo1 - $1oo.ooo

$1,oo1 - $1o.ooo

DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater

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.

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

Re.4le ed Jo
*

tw tk0'

FAIR MARKET VALUE

NATURE OF INTEREST

!:& Ownership/Deed of Trust

D

k,, vJ

CITY

1'1

s:o--

)(ev lA S';'rn,-=-

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*

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE

INTEREST RATE

_ _ _ _ _ o/o

TERM (Months/Years)
D

None

_ _ _ _%

TERM (Months/Years)
D

None

HIGHEST BALANCE DURING REPORTING PERIOD

HIGHEST BALANCE DURING REPORTING PERIOD

D $5oo- $1 .ooo

$1 ,oo1 - $1o,ooo

D $1o.oo1 - $1oo.ooo

OVER $100,000

D $5oo- $1 .ooo
D $1o.o01 - $1oo.ooo

Guarantor, if applicable

$1 ,oo1 - $1o.ooo

OVER $100,000

Guarantor, if applicable

Commen~: --------------------------------~---------FPPC Form 700 (2010/2011) Sch. B

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

PILED

OffiCE OF THE CITY CLERK

:"

OAKlAND

!Ill "AR 22 AH 10: f. 2

SCHEDULE C
Income, Loans, & Business
Positions

CALIFORNIA FORM
Name

Gevd!J s, VIa v=:-

(Other than Gifts and Travel Payments)

,... 1. INCOME RECEIVED

700

FAIR POLITICAL PRACTICES COMMISSION

.... 1. INCOME RECEIVED

NAME OF SOURCE OF INCOME

NAME OF SOURCE OF INCOME

p[re>
ADDRESS (Business Address Acceptable)

S:tci-c~~~~

BUSINESS ACTIVITY, IF ANY,1 0F SOURCE

/1Jbl"

?'l11,.,1ay&{"J

YOUR BUSINESS'POSITION

/Z./-zk4J,. } ~~Je~

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

YOUR BUSINESS POSITION

f?e,&(
GROSS INCOME RECEIVED

D $5oo- $1,ooo
D $10,001- $100 ,000

GROSS INCOME RECEIVED

D $1 ,oo1

- $1o.ooo

~OVER $100,000

0
0

0
0

$500- $1,000
$10,001-$100,000

$1 ,001 - $10,000

OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

0
0

0
0

Salary

Loan repayment

Sale of

Commission or

Other

,...

Spouse's or registered domestic partner's income

Partnership

(Property, car. boat. etc.)

Rental Income, list each source of $10,000 or more

/(ehce~ f'1wlrc::
(Describe)

Salary

Spouse's or registered domestic partner's income

Loan repayment

Sale of

Commission or

Partnership

(Property, car. boat, etc.)

Rental Income, list each source of $10,000 or more

O Other

(Describe)

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*

TERM (Months/Years)

INTEREST RATE

_ _ _ _%

None

ADDRESS (Business Address Acceptable)

SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER

None

Real Property

Personal residence

Street address

HIGHEST BALANCE DURING REPORTING PERIOD

0
0
0
0

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

City

Gua~nror

___________________________________________

$10,001 - $100,000

OVER $100,000

O Other

(Describe)

Comments:
FPPC Form 700 (2010/2011) Sch. C
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FrLE'O

OFfiCE OF THE CITY CLERk

.
OAKlAND

Jill "AR 22 AH fO: fZ

... NAME OF SOURCE

CALIFORNIA FORM

SCHEDULED
Income - Gifts

QoV v

Name

Ge~ 1J Q,.., v-

... NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy)

VALUE

DATE (mm/dd/yy)

VALUE

~~-

$----

~~-

$ _ _ __

~~-

$. _ _ __

~~-

$ _ _ __

~~-

$----

~~-

$. _ _ __

DESCRIPTION OF GIFT(S)

... NAME OF SOURCE

7 00

FAIR POLITICAL PRACTICES COMMISSION

DESCRIPTION OF GIFT(S)

... NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy)

VALUE

DATE (mm/dd/yy)

VALUE

~~-

$. _ _ __

~~-

$. _ _ __

~~-

$._ _ __

~~-

$. _ _ __

_;__/~_

$i _ _ __

~~-

$. _ _ __

DESCRIPTION OF GIFT(S)

... NAME OF SOURCE

DESCRIPTION OF GIFT(S)

... NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy)

VALUE

DATE (mm/dd/yy)

VALUE

~~-

$----

~~-

$. _ _ __

~~-

$._ _ __

~~-

$._ _ __

~~-

$._ _ __

~~-

$ _ _ __

DESCRIPTION OF GIFT(S)

DESCRIPTION OF GIFT(S)

Comments: -----------------------------------------------------------------------------------

FPPC Form 700 (2010/2011) Sch. D

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

r.

Frt:..ED

CALIFORNIA FORM

SCHEDULE E

O'FftCE OF THE CITY CLERK

OAKlAND

700

FAIR POLITICAL PRACTICES COMMISSION

Income - G1fts
Payments, Advances,
and Reimbursements

Name

Zlll "AR 22 AKIO: II Travel

0e~~a tJ Sa~()-

Reminder- you must mark the gift or income box.

You are not required to report income from government agencies.
You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3)
organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit.
"' NAME OF SOURCE

tJ () 0 v

... NAME OF SOURCE

ADDRESS (Busmess Address Acceptable)

ADDRESS (Business Address Acceptable)

CITY AND STATE

CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

501 (c)(3)

DATE(S): _ _ j _ _ j _ _ _ j _ _ j _ AMT: $._ _ _ _ __

DATE(S): _ _ j _ _ j _ _ _ ) _ _ ) _ AMT:

(If applicable)

TYPE OF PAYMENT: (must check one)

501 (c)(3)

S------

(lf applicable)

Gift

Income

DESCRIPTION : - - - - - - - - - - - - - - - - - -

TYPE OF PAYMENT: (must check one)

Gift

Income

DESCRIPTION: - - - - - - - - - - - - - - - - - -

... NAME OF SOURCE

"' NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

CITY AND STATE

CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): _ _ } _ _ ) _ _ _ } _ _ ) _ AMT:

501 (c)(3)

$------

(If applicable)

TYPE OF PAYMENT: (must check one)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): _ _ } _ _ ) _ _ _ } _ _ ) _ AMT:

501 (c)(3)

S------

(lf applicable)

Gift

Income

DESCRIPTION : - - - - - - - - - - - - - - - - - -

TYPE OF PAYMENT: (must check one)

Gift

Income

DESCRIPTION: - - - - - - - - - - - - - - - - - -

Comments: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

FPPC Form 700 (2010/2011) Sch. E

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

r'--

700 ;

CALIFORNIA FORM

STATEMENT OF ECONOMIC INTERIEiii

FAIR POLITICAL PRACTICES COMMISSION

e Rece ived
Only

CL RIC

COVER PAGE

A PUBLIC DOCUMENT

o/JEVJICW'IJSo
0AK~EA~by

lfll lfAR 22 Alf 10: I:

Please type or print in ink.
NAME OF FILER

(FIRST)

(LAST)

Slna))O

(MIDDLE)

c;eia/d

1. Office, Agency, or Court

Agency Name

~~-b

k {.': \ .L

/)

u a ;cJa vtc:Y
UIVJsJon, tsoard, uepaitment, District, if applicable
fi~

Your Position

hJ~

.,.. If filing for multiple positions, Jist below or on an attachment.

Agency: - - - - - - - - - - - - - - - - - - -

2. Jurisdiction of Office

~~--7

Position: - - - - - - - - - - - - - - - - - - -

(Check at least one box)

OState

D Judge (Statewide Jurisdiction)

D Multi-County-------------00 City of
64,/c f m.,J

D County of - - - - - - - - - - - - - - - -

3. Type of Statement
~

Other _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Leaving Office: Date Left~~-

(Check one)

(Check at least one box)

Annual: The period covered is January 1, 2010, through December 31,

2010.
-or

0 The period covered is January 1, 2010, through the date of

The period covered is ___j___j_ _ , through December 31,

2010.

Assuming Office: Date ___J___j_ _

Candidate: Election Y e a r - - - - - -

leaving office.

0 The period covered is ~~--. through the date

of leaving office.
Office sought, if different than Part 1: - - - - - - - - - - - - - - - - -

4. Schedule Summary
... Total number of pages including this cover page:

Check applicable schedules or "None."

rn Schedule A-1 Investments - schedule attached

be] Schedule C Income, Loans, &Business Positions- schedule attached

54

J3

Schedule A-2 - Investments - schedule attached

f Schedule B Real Property - schedule attached

Schedule D Income - Gifts - schedule attached

~ Schedule E Income - Gifts :.... Travel Payments - schedule attached

-or-

None No reportable interests on any schedule

5. Verification
MAILING ADDRESS

STATE

CITY

STREET

ZIP CODE

z__
Of) IV\
I have used all reasonable diligence in preparing this statement. I have reviewedihis 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
I certify under penalty of perjury under the laws of the State of California tha
Date Signed

3 - '2 ~ - 2

c)

II

(monl/1, day, year)

Signatur
FPPC Form 700 (201 0/2011}
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

 OFFICEFOFll.ED
tM CITY CLEitK
.

OAKLAND

Z.ll MAR 22 A" 10: I I

SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests

CALIFORNIA FORM
Name

CDevl[ld ~m~

(Ownership Interest is Less Than 10%)

Do not attach brokerage or financial statements.
... NAME OF BUSINESS ENTITY

~-----f-.Y4.-~)

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

mJ+v"'

fvVld s=

FAIR MARKET VALUE

D
D

FAIR MARKET VALUE

D
D

~$10 , 001 - $100,000

Over $1 ,000,000

$2,ooo- $1o,ooo

$1oo ,o01 - $1,ooo .ooo

NATURE OF INVESTMENT

D
D

,m !Ita (Des
li!,J
be

Stock

Partnership

0 Income Received of $0 - $499

0 Income Received of $500 or More

Other

s1oo ,oo 1 - $1,ooo .ooo

0
D

Stock
Partnership

(Report on Schedule C)

s1o .oo1 - s1oo .ooo

Over $1 ,000 ,000

Other------------(Describe)

0 Income Received of
0 Income Received of

$0 - $499
$500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j_j.Q__

__j__j_j.Q__

__j__j_j.Q__

__j__j_j.Q__

ACQUIRED

DISPOSED

ACQUIRED

DISPOSED

NAME OF BUSINESS ENTITY

/ttl ra '1

... NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

jl}1!1'1vc f
D
D

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Oe/;;vwl
~
,

f::k~/

FAIR MARKET VALUE

$2,ooo- $1o .ooo

l$10,001 - $100 ,000

$1oo.oo1 - $1,ooo.ooo

NATURE OF INVESTMENT

Stock

Partnership

D
0
0

Other

Over $1 ,000,000

Dere vvr

v~

(Describe)

C""' JO

Income Received of $0- $499

Income Received of $500 or More (Report on Schedule C)

FAIR MARKET VALUE

D
D

D $1o,oo1 - s1oo .ooo

s2.ooo - s1o.ooo

$1oo.oo1- $1 ,ooo .ooo

Over $1,000,000

NATURE OF INVESTMENT

0
0

Stock
Partnership

0
0
0

Other------------(Describe)

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE , LIST DATE:

IF APPLICABLE , LIST DATE :

...

s2 .ooo- $1o,ooo

NATURE OF INVESTMENT

IF APPLICABLE , LIST DATE:

...

__j__j_j.Q__

__j__j_j.Q__

__j__j_j.Q__

__j__j_j.Q__

ACQUIRED

DISPOSED

ACQUIRED

DISPOSED

... NAME OF BUSINESS ENTITY

NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

D $2.ooo- $1o.ooo
D s1oo .oo1 - $1 ,ooo ,ooo

D
0

s1o .oo1 - s1oo .ooo

Over $1 ,000 ,000

D
D

D s1o.oo1 - $1oo ,ooo

$2 ,ooo- $1o,ooo

$1oo .oo1- $1 ,ooo,ooo

NATURE OF INVESTMENT

NATURE OF INVESTMENT

0
0

Stock

Partnership

0
0

Stock
Partnership

0
0
0

700

FAIR POLITICAL PRACTICES COMMISSION

Other------------(Describe)

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

Over $1 ,000,000

Other------------(Describe)

Income Received of $0 - $499

Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

__j__j_j.Q__

__j__j_j.Q__

__j__j_j.Q__

__j__}_j.Q__

ACQUIRED

DISPOSED

ACQUIRED

DISPOSED

Commenb: ----------------------------------~~----------------------------FPPC Form 700 (2010/2011) Sch. A-1

FPPc Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FILED

SCHEDULE A-2
Investments, Income, and Assets
ZIII HAR 22 -AH IQ: 13 of Business Entities/Trusts

OFFICE OF ''r1HE CITY C:LEK

OAklAND

700

CALIFORNIA FORM

FAIR POLITICAL PRACTICES COMMISSION

Name

(Ownership Interest is 10% or Greater)

~

Name

Check one
D Trust, go to 2

Address (Business Address Acceptable)

.!l( Business Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

p;ce.. S..ev

t!c.e

__j__j.JQ_

DISPOSED

Partnership

ra/

YOUR BUSINESS POSITION

__j__j..1Q_

ACQUIRED

DISPOSED

NATURE OF INVESTMENT

0 --------C .!lvl.~ll I hVI

0
0

Sole Proprietorship

Partnership

0 --------Other

YOUR BUSINESS POSITION - - - - - - - - - - - - - -

2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

~
~

__j__j..1Q_

DOver $1,000,000

Other

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

IF APPLICABLE, LIST DATE :

s2.ooo- s1o.ooo
s1o.oo1 - s1oo.ooo

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

__j__j.JQ_

ACQUIRED

NATURE OF INVESTMENT

0
0

Business Entity, complete the box, then go to 2

FAIR MARKET VALUE

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

IF APPLICABLE , LIST DATE:

Check one
D Trust, go to 2

s Co"'.su I halt\ t

FAIR MARKET VALUE

$2,000- $10,000
[}a' $10 ,001 - $100,000
$100,001 - $1 ,000,000
Over $1 ,000,000

[;8[ Sole Proprietorship

1. BUSINESS ENTITY OR TRUST

Name

tj

Address (Business Address Acceptable)

V'\.

2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

0
0
0

$10 ,001 - $100,000

OVER $100,000

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10,000 OR MORE (Atl ... ch ._. ~PpMJie sheet 11 nC'ccss.ny_)

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

$10,001 - $100 ,000

DOVER $100,000

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10,000 OR MORE (Att.:ach .1 scp<.~r.ltt.' sheet 11 rwce<,.s.uy_)

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE

BUSINESS ENTITY OR TRUST

iL1Il
~

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE

BUSINESS ENTITY OR TRUST

Check one box:

Check one box:

INVESTMENT

REAL PROPERTY

INVESTMENT

REAL PROPERTY

Entity 2r
Street Address or Assessor's Parcel Number of Real Property

Nam~!JButss

Name of Business Entity 2r

Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity 2r

City or Other Precise Location of Real Property

Description of Business Activity 2r

City or Other Precise Location of Real Property

FAIR MARKET VALUE

$2,000- $10,000
$10,001 - $100,000
$100,001 - $1 ,000 ,000
Over $1 ,000,000

0
0
0
0

__j__j.J.Q_ __j__j...1.Q_
ACQUIRED

NATURE OF INTEREST
Property Ownership/Deed of Trust

Leasehold

Stock

DISPOSED

Other-----------

Check box if additional schedules reporting investments or real property

are attached

S"ai,P fo.poeh).,. . . L'P"'sJ thA"' t

0.

l~hlSI~SJ

W\()

I b U)(

IF APPLICABLE, LIST DATE:

__j__j...1.Q_ __j__j...1.Q_
ACQUIRED

NATURE OF INTEREST
D Property Ownership/Deed of Trust

Partnership

Yrs. remaining

Comments:

FAIR MARKET VALUE

$2,000- $10,000
$10 ,001 - $100,000
$100 ,001 - $1,000,000
Over $1 ,000,000

IF APPLICABLE, LIST DATE:

0
0
0
0

0
0

Leasehold
Yrs. remaining

Stock

DISPOSED

Partnership

Other----------

Check box if additional schedules reporting investments or real property

are attached

f.cJr/1..,

FPPC Fom1 700 (2010/2011) Sch. A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

Fit ED

OfFICE OF THE CITY Ct.ERK

OAkLAND

CALIFORNIA FORM

SCHEDULE B
"AR 22 AH 10: 18 Interests in Real Property

Name

\'

GeVIi'tJ

(Including Rental Income)

STREET ADDRESS OR PRECISE LOCATION

7 00

FAIR POLITICAL PRACTICES COMMISSION

0 I .IYl 0

STREET ADDRESS OR PRECISE LOCATION

Dr
CITY

, ~",

0
0

~""~,

Ca.

tN~aor

IF APPLICABLE, LIST DATE:

$2,ooo- $1o.ooo

_j_j.J.Q_

$1o.o01 - $1oo,ooo

[)if $100,001

~~v~

_j_j.J.Q_

ACQUIRED

- $1 ,000,000

DISPOSED

Over $1,000,000

NATURE OF INTEREST

ro
0

Leasehold - - - - - - Yrs. remaining

$0-$499

Easement

0---Other
0

$5oo- $1.ooo
0

$1o.0o1 - s1oo .ooo

$1 ,oo1 - $1o.ooo

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.

t'h('4

~aciD.

11 ()

PL 311.\ (p

'----

IF APPLICABLE, LIST DATE:

0 $2.ooo - $1o.ooo
0 $10.oo1 - s1oo.ooo
JA1 $100,001 - $1,000,000
0 Over $1,000,000

_j_j.J.Q_
ACQUIRED

_j_j.J.Q_
DISPOSED

NATURE OF INTEREST

Ownership/Deed of Trust

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0
0

eo

FAIR MARKET VALUE

!(]
0

Ownership/Deed of Trust

Leasehold - - - - - - Yrs. remaining

Easement

0---Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

$o- $499

$5oo- s1 .ooo

~$10,001 - $100,000

$1.oo1- $1o.ooo

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.

m,, ha:P , ttt {yvf;'tVL

sn~

-k .-vivt r-

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*

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE

INTEREST RATE

_ _ _ _ o/o

TERM (Months/Years)
0

None

_ _ _ _ o/o

TERM (Months/Years)
0None

HIGHEST BALANCE DURING REPORTING PERIOD

HIGHEST BALANCE DURING REPORTING PERIOD

0
0
0

$soo- $1 .ooo

$1 ,oo1 - $1o,ooo

$5oo- s1.ooo

s1 .oo1 - $1o ,ooo

$1o ,oo1 - $1oo ,ooo

OVER $100 ,000

s1o ,oo1 - $1oo,ooo

OVER $100,000

Guarantor, if applicable

Guarantor, if applicable

Comments: ------------------------------------------------------------------------------------FPPC Form 700 (2010/2011) Sch. B

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FI-LED

CALIFORNIA FORM

OFFICE GF f.ttE CITY ClERK

OAKLAND

'1111 "AR 22 AH 1(): f:3

SCHEDULE B
Interests in Real Property

Name

Ge ,44/J

(Including Rental Income)

...

ST

...

70 0

FAIR POLITICAL PRACTICES COMMISSION

S'J W1 j)V"

STREET ADDRESS OR PRECISE LOCATION

-CITY

C~r
FAIR MARKET VALUE
$2.ooo - $1o.ooo

UJ r/ev;J

IF APPLICABLE, LIST DATE:

Kl $10,001 - $100 ,000

0 s1oo .oo1 - s1 .ooo.ooo
0 Over $1,000 ,000

__j__j_jQ_

__j__j_jQ_

ACQUIRED

DISPOSED

NATURE OF INTEREST

jQ

Leasehold - - - - - - Yrs. remaining

so- $499

Easement

0---Other
r&J s1.oo1

s5oo- s1 .ooo

$1o.oo1 - s1oo .ooo

ji] $10,001

__j__j_jQ_

0
0

- $100 ,000

ACQUIRED

$100 ,001 - $1 ,000 ,000

__j__j_jQ_
DISPOSED

Over $1 ,000,000

t2'1

OVER $100,000

s;'C\Io

ke.VIb

lXI Ownership/Deed of Trust

0 - -Other
----

Leasehold - - - - - - Yrs. rema ining

Easement

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

- s1o.ooo

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.

Re.t!tr p{ ko

IF APPLICABLE, LIST DATE:

NATURE OF INTEREST

Ownership/Deed of Trust

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0
0

M1

FAIR MARKET VALUE

$2 ,000- $10,000

s;

0
0

so- $499

s5oo- s1 .ooo

$10,001 - $100,000

s1 .oo1 - s1o.ooo

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.

WID"'

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*

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE

INTEREST RATE

----;.- - %

TERM (Months/Years)

_ _ _ _ o/o

None

TERM (Months/Years)

None

HIGHEST BALANCE DURING REPORTING PERIOD

HIGHEST BALANCE DURING REPORTING PERIOD

0
0

0
0

s5oo- s1 .ooo
s1o .oo1 - s1oo .ooo
Guarantor, if applicable

0
0

s1 .oo1 - s1o.ooo
OVER $100,000

s5oo- s1.ooo
s1o.oo1 - s1oo .ooo

0
0

s1 .oo1- s1o .ooo

OVER $100,000

Guarantor, if applicable

Commen~: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - FPPC Form 700 (2010/2011) Sch. B

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

..

FILED

SCHEDULE C
OFFICE OF f.tfE CfTY CL:E~K
OAK-lAND
Income, Loans, & Business

:1-11 "AR 22. AH 10: f,l

~

CALIFORNIA FORM
Name

Positions

~<~asld $ tl!O-

(Other than Gifts and Travel Payments)

~

1. INCOME RECEIVED
NAME OF SOURCE OF INCOME

7 00

FAIR POLITICAL PRACTICES COMMISSION

1. INCOME RECEIVED
NAME OF SOURCE OF INCOME

Pi r<_ 5
ADDRESS (Business Address Acceptable)

s:'a c va

wt.pc=:

ADDRESS (Business Address Acceptable)

J-o _r 11-

BUSINESS ACTIVITY, IF ANY, OF

l~URCE

eJb},c
E~"'"ynu
YOUR BUSINESS PO TION

BUSINESS ACTIVITY, IF ANY, OF SOURCE

~b..eMAkfy..tk

YOUR BUSINESS POSITION

Re-b,eJ.
GROSS INCOME RECEIVED

s5oo - s1 .ooo

D $10,001- $100,000

GROSS INCOME RECEIVED

s1 .oo1 - s1 o,ooo

IKT OVER $100,000

D
D

s5oo- s1 .ooo
$10,001 - $100,000

D
D

s1.oo1 - s1o.ooo
OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

0 Salary D Spouse's or registered domestic partner's income

D Loan repayment
D Partnership

Salary

D Spouse's or registered domestic partner's income

D Loan repayment
D

Sale of

Commission or

Other

D Partnership
(Property, car, boat, etc.)

Rental Income, list each source of $10,000 or more

Rr h re mr J.:

/hJt!.C

0""-

(Describe)

D Sale of
0

Commission or

(Property, car. boat, etc.)

D Rental Income, list each source of $10,000 or more

D Other

(Describe)

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*

TERM (Months/Years)

INTEREST RATE
_ _ _ _%

None

ADDRESS (Business Address Acceptable)

SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER

None

D Real Property

Personal residence

Street address

HIGHEST BALANCE DURING REPORTING PERIOD

D s5oo- s1.ooo
D
D
D

s1 .oo1 - s1o.ooo
s1o.oo1 - $1oo.ooo
OVER $100 ,000

Cffy

Guarantor--------------------

Other---------:::---:;:-::-;---------(Describe)

Comments:
FPPC Form 700 (2010/2011) Sch. C
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FtLED

CALIFORNIA FORM

OfFICE OF THE CfTY CLERK

OAKLAND

SCHEDULED
Income - Gifts

2111 HAR 22 AH 10: I 2

"

NAME OF SOURCE

ADDRESS (Business Address

t\

Dt\ E

cc~ble)

Name

Gewr{J b"; mo--

NAME OF SOURCE

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTI VITY, IF ANY, OF SOURCE

DATE (mm/dd/yy)

VALUE

DATE (mm/dd/yy)

VALUE

__;__;_

__;__;_

__;__;_

__;__;_

__;__;_

__;__;_

DESCRIPTION OF GIFT(S)

NAME OF SOURCE

DESCRIPTION OF GIFT(S)

NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTIVITY, IF AN Y, OF SOURCE

DATE (mm/dd/yy)

VALUE

DATE (mm/dd/yy)

VALUE

__;__;_

__;__;_

__;__;_

__;__;_

__;_)__}_

__;__;_

DESCRIPTION OF GIFT(S)

NAME OF SOURCE

DESCRIPTION OF GIFT(S)

NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/dd/yy)

VALUE

DATE (mm/dd/yy)

VALUE

__;__;_

__)__}_

__;__;_

__)__}_

__;__;_

__)__}_

DESCRIPTION OF GIFT(S)

7 00

FAIR POLITICAL PRACTICES COMMISSION

DESCRIPTION OF GIFT(S)

Commen~:-------------------------------------------------------------------------------------

FPPC Form 700 {2010/2011) Sch. D

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FILED

.,.

OFFICE OF TiHE CITY CLERk

CALIFORNIA FORM

OAklAND

!Ill HAR 22

SCHEDULE E
Income - Gifts
. AH fO: ll 1 Payments, Advances,
Trave
t
and Reimbursemen s

70 0

FAIR POLITICAL PRACTICES COMMISSION

Na~

Smo-

Reminder - you must mark the gift or income box.

You are not required to report income from government agencies.
You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3)
organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit.
~

NAME OF SOURCE

f,

NAME OF SOURCE

ADDRESS (Business Address Acceptable)

ADDRESS (Business Address Acceptable)

CITY AND STATE

CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE(S): _ _ } _ _ } _ - _ _ } _ _ } _ AMT:

$------

DATE(S): _ _ } _ _ } _ - _ _ } _ _ } _ AMT:

(If applicable)

TYPE OF PAYMENT: (must check one)

Gift

Income

NAME OF SOURCE

TYPE OF PAYMENT: (must check one)

$------

CITY AND STATE

CITY AND STATE

501 (c)(3)

DATE(S): _ _ } _ _ } _ - _ _ } _ _ } _ AMT: $ _ _ _ _ __
(If applicable)

Gift

Income

NAME OF SOURCE

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DESCRIPTION: - - - - - - - - - - - - - - - - - -

ADDRESS (Business Address Acceptable)

TYPE OF PAYMENT: (must check one)

501 (c)(3)

(If applicable)

DESCRIPTION:------------------

BUSINESS ACTIVITY, IF ANY, OF SOURCE

501 (c)(3)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

501 (c)(3)

DATE(S): _ _ } _ _ } _ - _ _ } _ _ } _ AMT: $ - - - - - (If applicable)

Gift

Income

DESCRIPTION: - - - - - - - - - - - - - - - - - -

TYPE OF PAYMENT: (must check one)

Gift

Income

DESCRIPTION : - - - - - - - - - - - - - - - - - -

Comments: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

FPPC Form 700 (2010/2011) Sch. E

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov