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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received

Filing Official Use Only

FAIR POLITICAL PRACTICES COMMISSION


COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
r
Newsom Gavin Christopher
)
1. Office, Agency, or Court
FT; TT1
Agency Name (Do not use acronyms)
N.)
Office of the Governor Governor
Division, Board, Department, District, if applicable Your Position

If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position.

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


X State X Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)

LI Multi-County X County of

X City of X Other

3. Type of Statement (Check at least one box)


[1] Annual: The period covered is January 1, 2019, through El Leaving Office: Date Left
December 31, 2019. (Check one circle.)
-or-
The period covered is through 0 The period covered is January 1, 2019, through the date of
December 31, 2019. leaving office.
-or-
LI Assuming Office: Date assumed 0 The period covered is , through
the date of leaving office.

LI 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: 1

Schedules attached
11) Schedule A-1 - Investments — schedule attached z Schedule C - Income, Loans, & Business Positions — schedule attached
X Schedule A-2 - Investments — schedule attached Ei Schedule D - Income — Gifts — schedule attached
111 Schedule B - Real Property — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached

-or- LI None - No reportable interests on any schedule


5. Verification

I have used all reasonable diligence in preparing this statement. I have reviewed ntained
herein and in any attached schedules is true and complete. I acknowledge th
I certify under penalty of perjury under the laws of the State of Califor

Date Signed
02J02_. [2-02.0 Si atu
(month, day, year)

FPPC Form 700 - Cover Page (2019/2020)


advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5
SCHEDULE A-1 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments
Stocks, Bonds, and Other Interests Name

(Ownership Interest is Less Than 10%) Gavin C. Newsom


Do not attach brokerage or financial statements.

NATURE OF INVESTMENT IF APPLICABLE, LIST DATE


GENERAL DESCRIPTION OF FAIR MARKET VALUE
NAME OF BUSINESS ENTITY (Select from drop down list. (mm/dd/2019)
THIS BUSINESS ACTIVITY (Select from drop down list) DISPOSED
If "other," describe) ACQUIRED
NRG Energy Inc. Energy $2,000 -$10,000 Stock 3/26/2019
Tanzanian Royalty Exploration Corporation Mining $2,000 - $10,000 Stock 3/26/2019
Enerplus Energy $10,001 -$100,000 Stock 3/26/2019
Veracyte, Inc. Diagnostics $10,001 -$100,000 Stock 3/26/2019

FPPC Form 700(2018/2019) Sch. A-lx


Page 2 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SHY LA HENDRICKSON
ATTORNEY AT LAW

STATEMENT OF COMPLIANCE

FOR

GAVIN C. NEWSOM BLIND TRUST

Ti am the trustee of the Gavin C. Newsom Blind Trust (the "Trust"), made and entered
January 4, 2019. I have not revealed any information to Gavin C. Newsom or Jennifer Siebel
Newsnm Concerning replacement assets (assets that have been purchased since the creation Of
the Trust) held in the Trust except for information required under FPPC regulations concerning
blind trusts and the minimum tax information which lists only the totals of taxable items from the
Trust and does not describe the source of any individual income. Further, the Trust is in
compliance with the FPPC Regulation 18235(b) concerning blind trusts.

I declare under penalty of perjury of the laws of California that the foregoing is true and
correct. Executed on this 19th day of February, 2020.

Sh

Page 3
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater) Gavin C. Newsom
* Select from drop down list

3. Sources of
2. Gross
Income of 4. Investments or Interests in Real Property Held by the Business Entity
1. Business Entity or Trust (For reporting a trust, enter the name then skip to box 2.) Income
$10,000 or or Trust (Use a separate line for each investment or real property interest)
Received
' more

INCLUDE
UST DATE YOUR PRO UST DATE
NAME AND ADDRESS OF BUSINESS GENERAL NATURE OF UST SINGLE INVESTMENT- REAL PROPERTY - NATURE OF
ACQUIRED A YOUR RATA SHARE ACQUIRED A
ENTITY OR TRUST DESCRIPTION OF FAIR MARKET INVESTMENT SOURCES OF BUSINESS UST PRECISE FAIR MARKET INTEREST
OR Or BUSINESS OF GROSS OR Or
(Business Address Acceptable) BUSINESS VALUE' (if "other," INCOME OF ENTITY/NAME, AND LOCATION OF VALUE' (If "other,"
DISPOSED D POSITION INCOME TO DISPOSED D
(If Trust, go to 2) ACTIVITY describer $10,1200 OR MORE BUSINESS ACTIVITY REAL PROPERTY describer
(mmIdd/2019) ENTITY/TRUST (rnm/dcU2019)

Airelle Wines, Inc. Winery Over S. Corp Over Villa Encinal Villa Encinal Over Partnership
620 Oakville Cross Rd. investment $1,000,000 $100,000 Partners, LP Partners, LP; ' $1,000,000
Oakville, CA 94558 company wineries

Airelle Wines, Inc. (cont.) Winery Over S. Corp Over 620 Oakville $10o,001- Leasehold;
investment $1,000,000 $100,000 Cross Road, $1,000,000 3 Yrs. remaining
company Oakville CA
Huntana, LLC Winery $100,001 - LLC $10,001- Villa Encinal Villa Encinal $100,001 - Partnership
620 Oakville Cross Rd. Investment $1,000,000 $100,000 Partners, LP Partners, LP; $1,000,000
Oakville, CA 94558 company wineries

Moswen, LLC Winery Over LLC Over Villa Encinal Villa Encinal Over Partnership
620 Oakville Cross Rd. investment $1,000,000 $100,000 Partners, LP Partners, LP; $1,000,000
Oakville, CA 94558 company wineries

Villa Encinal Partners, LP Wineries Over Partnership Over See 360 Howell Over Leasehold;
620 Oakville Cross Rd. $1,000,000 $100,000 Attachment 1 Mountain Rd S., $1,000,000 3 Yrs. remaining
Oakville, CA 94558 Angwin, CA
Villa Encinal Partners, LP (cont.) Wineries Over Partnership Over 5998 Silverado Over Leasehold; 3 •
$1,000,000 $100,000 Trail, Napa, CA $1,000,000 Yrs. remaining
94558
Villa Encinal Partners, LP (cont.) Wineries Over Partnership Over • 150 White Over Leasehold; 7
$1,000,000 $100,000 Cottage Rd., $1,000,000 Yrs. remaining
Angwin, CA
94508
Hillbrook, LLC Sports retail $10,001 - LLC Over PlumpJack PlumpJack Sport, $10,001 - Limited Liability
Village at Squaw Valley $100,000 $100,000 Sport, LLC LLC; $100,000 Co.
Olympic Valley, CA 96146 Squaw Valley
Retail Store
PlumpJack Sport, LLC Sports retail $10,001 - LLC Over None Village at Squaw $10,001 - Leasehold
Village at Squaw Valley $100,000 $100,000 Valley, Olympic $100,000
Olympic Valley, CA 94146 Valley, CA
SVI Management Hospitality Over S. Corp $10,001- None CNCML, LP Over Partnership
1920 Squaw Valley Rd. $1,000,000 $100,000 PlumpJack Squaw $1,000,000
Olympic Valley, CA 96146 Valley Inn

FPPC Form 700 (2017/2018) Sch. A-2x


Page 4 FPPCToll-FreeHelpline: 866/ASK-FPPC wwwippc.ca.gov
Gavin C. Newsom

Attachment 1 to Schedule A-2


Investment, Income, and Assets of Business Entities/Trusts
(Ownership Interest in 10% or Greater)

Villa Encinal Partners, LP


620 Oakville Cross Road
Oakville, CA 94558

Reportable Sources of Income

Sources

Robert Lyons
Rose Maugeri
Samantha Caplan
Jill Hamer
Republic National Distribution Company
Republic National (Washington DC)
Republic National (Deerfield Beach, FL)
Republic National (Houston, TX)
Republic National (Jessup, MD)
Republic National (Jacksonville, FL)
Republic National (Pensacola, FL)
Republic National (Schertz, TX)
Republic National (Tampa, FL)
Verity Wine Partners
Maverick Wine Company
Alliance Beverage
Great Lakes Wine & Spirits
Artisan Fine Wines
Classic Wines LLC
Ruby Wines Inc.
Vin Sauvage LLC
Tryon Distributing Co.
National Distribution Co.

Page 5
Paradise Beverage Inc.
Premier Wine Group, LLC
A. Bommarito Wines
Bounty Hunter Warehouse
Wine Trends Inc.
VVinebow
Liquor Control Board of Ontario
Vintage Imports, Inc.
United Liquors Ltd.
Slocum & Sons
VVine.com
Mississippi State Tax Co.
LDF Sales & Distributing Inc.
PlumpJack Wines
Premium Brands
Lipman Bros., Inc.
Hi-Time Wine Cellars
Capitol Hustings Co. Inc.
Okoboji Wines
Glazers
Pennsylvania Liquor Control Board (PLCB)
(PLCB) Kane Warehouse Inc.
(PLCB) Pennsylvania Liquor Control Board
(PLCB) Pennsylvania LCB Distribution
JJ Buckley Fine Wines
Southern Beverage Company
International Wines
Select Wines, Inc.
Roanoke Valley Wine Co.
Martignetti Companies of NH
Grape Expectations
Uncorked Wine Bar
Del Frisco's Restaurant Group
K&L Wine & Spirits
Water Grill
Mastro's Restaurants

Page 6
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater) Gavin C. Newsom
* Select from drop down list

3. Sources of
2. Gross
Income of 4. Investments or Interests in Real Property Held by the Business Entity
1. Business Entity or Trust (For reporting a trust, enter the name then skip to box 2.) Income
$10,000 or or Trust (Use a separate me for each investment or real property Interest)
Received
more

INCLUDE
UST DATE YOUR PRO UST DATE
NAME AND ADDRESS OF BUSINESS GENERAL NATURE OF LIST SINGLE INVESTMENT- REAL PROPERTY- NATURE OF
ACQUIRED A YOUR RATA SHARE ACQUIRED A
ENTITY OR TRUST DESCRIPTION OF FAIR MARKET INVESTMENT SOURCES OF BUSINESS UST PRECISE FAIR MARKET INTEREST
OR Or BUSINESS OF GROSS OR or
(Business Address Acceptable) BUSINESS VALUE' (If "other," INCOME OF ENTITY/NAME, AND LOCATION OF VALUE" (if "other,"
DISPOSED D POSMON INCOME TO DISPOSED
(If Trust, go to 2) ACTIVITY describe)* $10,000 OR MORE BUSINESS ACTIVITY REAL PROPERTY describe)"
(mm/dd/2019) ENTITY/TRUST (mm/dd/2019)

Egal Investors, LLC Hospitality $100,001 - LLC Over GPG PlumpJack $100,001 - LLC
3201 Fillmore St. Management $1,000,000 $100,000 Enterprises, Management $1,000,000
San Francisco, CA 94123 LLC; PlumpJack Group, LLC;
Management Hospitality
Group, LLC Management
Company
PlumpJack Management Group, Hospitality $100,001 - LLC Over See Balboa Café Mill $2,000- 12/31/2019 D LLC
LLC Management $1,000,000 $100,000 Attachment 2 Valley Partners, $10,000
3201 Fillmore St. LLC; Restaurant
San Francisco, CA 94123 Investments
PlumpJack Management Group, Hospitality $100,001 - LLC Over Ingleside Investors $10,001 - LLC
LLC (cont.) Management $1,000,000 $100,000 SPE, LLC; Hotel $100,000

PlumpJack Management Group, Hospitality $100,001 - LLC Over MC Cobbleston $10,001 - LLC
LLC (cont.) Management $1,000,000 $100,000 Capital, LLC; Hotel $100,000

PlumpJack Management Group, Hospitality $100,001 - LLC Over Sunset Bar, LLC; $100,001 - LLC
LLC (cont.) Management $1,000,000 $100,000 Bar $1,000,000
Christopher Thomas Revocable Over Falstaff All trust
2009 Trust $100,000 Management investments listed
3201 Fillmore St. Group; Newgat on attached
San Francisco Partners, LLC; Schedule A-2s
PlumpJack, Inc.; (see
GPG Attachment 3)
Enterprises;
PlumpJack.com,
LLC

FPPC Form 700(2017/2018) Sch. A-2x


Page 7 FPPC Toll-Free lielpline: 866/ASK-FPPC www.fppc.ca.gov
Gavin C. Newsom

Attachment 2 to Schedule A-2


Investments, Income, and Assets of Business Entities/Trusts
(Ownership Interest is 10% or Greater)

PlumpJack Management Group, LLC


3201 Fillmore Street
San Francisco, CA 94123

Reportable Sources of Income

Sources

CNCML, LP
Balboa Café Partners, LP
PlumpJack.com, LLC
Villa Encinal Partners, LLC
Pistol Vineyards, LLC
Sentinal Hill Vineyards, LLC
Merijack Partners, LLC
Thirteenth Vineyard, LLC

Page 8
Gavin C. Newsom

Attachment 3 to Schedule A-2


Investments, Income, and Assets of Business Entities/Trusts
(Ownership Interest is 10% or Greater)

Christopher Thomas 2009 Revocable Trust


3201 Fillmore Street
San Francisco, CA 94123

See attached Schedule A-2s

Page 9
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater) Gavin C. Newsom
* Select from drop down list

3. Sources of
2. Gross
Income of 4. Investments or Interests in Real Property Held by the Business Entity
1. Business Entity or Trust (For reporting a trust, enter the name then skip to box 2.) Income
$10,000 or or Trust (Use a separate Nne tor each investment or real property interest.)
Received
more

INCLUDE
UST DATE YOUR PRO UST DATE
NAME AND ADDRESS OF BUSINESS GENERAL NATURE OF UST SINGLE INVESTMENT- REAL PROPERTY- NATURE OF
ACQUIRED A YOUR RATA SHARE ACQUIRED A
ENTITY OR TRUST DESCRIPTION OF FAIR MARKET INVESTMENT SOURCES OF BUSINESS UST PRECISE FAIR MARKET INTEREST
OR or BUSINESS OF GROSS OR Or
(Business Address Acceptable) BUSINESS VALUE" (If "other," INCOME OF ENTITY/NAME, AND LOCATION OF VALUE* (if "other,"
DISPOSED 0 POSITION INCOME TO DISPOSED
Of Trust, go to 2) ACTIVITY describe)* 910,000 OR MORE BUSINESS ACTIVITY REAL PROPERTY describe)*
(mm/dd/2019) ENTITY/TRUST (mm/dd/2019)

Falstaff Management Group, Inc. Restaurant Over S. Corporation Over Balbao Cafe Balboa Café Over Partnership
3201 Fillmore Street management $1,000,000 $100,000 Partners, LP Partners, LP; $1,000,000
San Francisco, CA 94123 Restaurant (Balboa
Café)
Balboa Café Partners, LP Restaurant Over Partnership Over None 3199 Fillmore St. Over Leasehold;
3201 FMmore St. $1,000,000 $100,000 San Francisco, CA $1,000,000 6 Yrs. remaining
San Francisco CA 94123 94123
Newgat Partners, LLC Bar management $100,001 - LLC Over Pierce Street Pierce Street $100,001 - LLC
3201 Fillmore St. $1,000,000 $100,000 Partners, LLC Partners, LLC; Bar $1,000,000
San Francisco, CA 94123
Pierce Street Partners, LLC Bar $100,001 - LLC $10,001- None 3138 Fillmore St. $100,001 - Lesaehold; 1 Yr.
3201 Fillmore St. $1,000,000 $100,000 San Francisco, $1,000,000 remaining
San Francisco, CA 94123 CA 94132

PJW Partners, LLC Retail wine $10,001 - LLC $1,001- None PlumpJack.com, $10,001 - LLC
3201 Fillmore St. $100,000 $10,000 LLC; Retail wine $100,000
San Francisco, CA 94123 store
PlumpJack.com, LLC Retail wine $100,001 - LLC Over PlumpJack, Inc.; 3201 Fillmore St. $10,001 - Leasehold; 5
3201 Fillmore St. $1,000,000 $100,000 PlumpJack San Francisco, $100,000 Yrs. remaining
San Francisco, CA 94123 Associates, LP; CA 94123
PJW Partners,
LLC
PlumpJack.com, LLC (cont.) Retail wine $100,001 - LLC $10,001- None 2011 24th St. $10,001 - Leasehold 1 Yr.
$1,000,000 $100,000 San Francisco, $100,000 remaining
CA 94107

PlumpJack, Inc. Retail wine $10,001 - S. Corporation $10,001- None PlumpJack.com, $10,001 - LLC
3201 Fillmore St. $100,000 $100,000 LLC; Retail wine $100,000
San Francisco, CA 94123 store
PlumpJack Associates, LP Retail wine $2,000 - Partnership $10,001- None PlumpJack.com, $2,000 - S. Corporation
3201 Fillmore St. $10,000 $100,000 LLC; Retail wine $10,000
San Francisco CA 94123 store

FPPC Form 700 (2017/2018) Sch. A-2x


Page 10 FPPC Toll-Free Helpline: 866/ASK-FPPC wvAv.fppc.ca.gov
THOMAS F. HYDE
ATTORNEY AT LAW

STATEMENT OF COMPLIANCE
FOR
JENNIFER SIEBEL NEWSOM BLIND TRUST

I am the trustee of the Jennifer Siebel Newsom Blind Trust (the "Trust"). I have not
revealed any information to Jennifer Siebel Newsom or Gavin Newsom concerning replacement
assets (assets that have been purchased since the creation of the Trust) held in the Trust except
for information required under FPPC regulations concerning blind trusts and the minimum tax
information which lists only the totals of taxable items from the Trust and does not describe the
source of any individual income. Further, the Trust is in compliance with the FPPC Regulation
18235(b) concerning blind trusts.

I declare under penalty of perjury that the foregoing is true and correct. Executed on this
18th day of February, 2020 at Larkspur, CA.

Thomas F. Hyde

80 E. SIR FRANCIS DRAKE BLVD., FOURTH FLOOR • LARKSPUR, CALIFORNIA • 94939


P1-lONE: 415-464-1180 • FAX: 415-464-0280
n •
E-MAIL: XahiaLLYACIAIESSai

Page 11
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
of Business Entities/Trusts Name

(Ownership Interest is 10% or Greater) Gavin C. Newsom


* Select from drop down list

3. Sources of
2. Gross
Income of 4. Investments or Interests in Real Property Held by the Business Entity
1. Business Entity or Trust (For reporting a trust enter the name then skip to box 2.) Income
$10,000 or or Trust (Use a separate line for each investment or real properly Interest.)
Received
more

INCLUDE
UST DATE YOUR PRO UST DATE
NAME AND ADDRESS OF BUSINESS GENERAL NATURE OF UST SINGLE INVESTMENT- REAL PROPERTY- NATURE OF
ACQUIRED A YOUR RATA SHARE ACQUIRED A
ENTITY OR TRUST DESCRIPTION OF FAIR MARKET INVESTMENT SOURCES OF BUSINESS UST PRECISE FAIR MARKET INTEREST
OR Or BUSINESS OF GROSS OR Or
(Business Address Acceptable) BUSINESS VALUE* (If "other," INCOME OF ENTITY/NAME, AND LOCATION OF VALUE* (if "other,"
DISPOSED POSITION INCOME TO DISPOSED 0
(If Trust, go to 2) ACTIVITY describe)* $10,000 OR MORE BUSINESS ACTIVITY REAL PROPERTY describe)*
(nuokid/2019) ENTITY/TRUST (mmfddf2019)

Jennifer Slebel Newsom Blind Over Glenwood Investment Fund Over Partnership!
Trust $100,000 Partners II, LP $1,000,000 Income
80 E Sir Francis Drake Received of
Larkspur, CA 94939 $500 or more

FPPC Form 700 (2017/2018) Sch. A-2x


Page 12 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater) Gavin C. Newsom
* Select from drop down list

3. Sources of
2. Gross
Income of 4. Investments or Interests in Real Property Held by the Business Entity
1. Business Entity or Trust (For repotting a tryst enter the name then skip to box 2.) Income
$10,000 or or Trust (Use a separate line for each Investment or real properly interest)
Received
more

INCLUDE
UST DATE YOUR PRO UST DATE
NAME AND ADDRESS OF BUSINESS GENERAL NATURE OF UST SINGLE INVESTMENT- REAL PROPERTY- NATURE OF
ACQUIRED A YOUR RATA SHARE ACQUIRED A
ENTITY OR TRUST DESCRIPTION OF FAIR MARKET INVESTMENT SOURCES OF BUSINESS UST PRECISE FAIR MARKET INTEREST
OR Or BUSINESS OF GROSS OR Or
(Business Address Acceptable) BUSINESS VALUE* (If "other," INCOME OF ENTITY/NAME, AND LOCATION OF VALUE* (if "other,"
DISPOSED D POSMON INCOME TO DISPOSED D
(If Trust, go to 2) ACTIVITY describe) $10,000 OR MORE BUSINESS ACTIVITY REAL PROPERTY describe)*
(me/cid/2019) ENTITYITRUST (rel/cid/2018)

Girls Club Entertainment Production $10,001 - Limited Liability Spouse - $10,001-


30 Francis Drake Blvd. company $100,000 Co. Founder/ $100,000
PO Box 437 Chairperson
Ross, CA 94960

FPPC Form 700(2017/2018) Sch. A-2x


Page 13 FPPC Toll-Free Helpline: 866/ASK-FPPC wt.vw.fppc.ca.gov
SCHEDULE B CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property
(Including Rental Income) Name

Gavin C. Newsom

*You are not required to report loans from commercial lending institutions
made in the lenders 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 lenders regular course of business
* Select from drop down list must be dislclosed as follows:

Real Property Disc osure sc ost re


iDiosu illilMI
IF RENTAL NAME AND ADDRESS
LIST DATE SOURCE OF
STREET ADDRESS OR A NATURE OF PROPERTY, OF LENDER* INTEREST
FAIR MARKET ACQUIRED OR RENTAL INCOME BUSINESS TERM HIGHEST
PRECISE LOCATION AND or INTEREST* LIST GROSS (Business Address RATE
VALUE* DISPOSED OF $10,000 OR ACTIVITY, IF ANY (Mos/Yrs) BALANCE*
CITY D (if "other," describe) INCOME Acceptable) AND (%)
(mm/dd/2018) MORE
RECEIVED* GUARANTOR, IF ANY
APN: 07415108 Over $1,000,000 Ownership/Deed Over $100,000 Ann Aiko
Kentfield, CA of Trust Morton, Ken
Kojima

FPPC Form 700 (2015/2016) Sch. Bx


Page 14 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Positions Name
(Other than Gifts and Travel Payments) Gavin C. Newsom

**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 lenders regular course
of business on terms available to members of the public without regard to your official status.
* Select from drop down list Personal loans and loans received not in a lenders regular course of business must be disclosed as
follows:

1!FIE=ne RiVd 271ro-a7-! —gt—


Is,R-giiira,75(70ut imdlng
NAME AND ADDRESS
CONSIDERATION SECURITY FOR LOAN
GROSS OF LENDER** INTEREST
NAME AND ADDRESS BUSINESS YOUR BUSINESS FOR WHICH INCOME BUSINESS HIGHEST TERM REAL PROPERTY
INCOME (Business Address ADDRESS/OTHER
OF SOURCE ACTIVITY, IF ANY POSITION WAS RECEIVED* ACTIVITY, IF ANY BALANCE* RATE (Mos/Yrs)
RECEIVED* Acceptable) AND (%) INFORMATION*
(it "other: describe)
GUARANTOR, IF ANY
Deborah & Paul N/A N/A $10,001- Sale of fractional
Sabo $100,000 share (APN 047-110-
Corte Madera, CA 028-000
94925
The Representation Nonprofit Founder & Chief $10,001- Spouse's or
Project Creative Officer $100,000 registered domestic
30 Sir Francis Drake partner's income
Blvd., PO Box 437,
Ross, CA

FPPC Form 700 (2015/2016)5th. Cx


Page 15 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
Schedule D
Income - Gifts
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION

Name
Gavin C. Newsom

ADDRESS OF SOURCE DATE DESCRIPTION OF GIFT(S)


NAME OF SOURCE ZIP CODE BUSINESS ACTIVITY, IF ANY, OF SOURCE VALUE
(Business Address Acceptable) (mm/dd/yy)
Jim Hartnett 1250 San Carlos Ave. 94070 01/06/19 80.00 Model electric train
San Carlos, CA
Speaker Nancy Pelosi 11-232, U.S. Capitol 20515 01/08/19 80.00 Flowers
Washington, DC
Speaker Nancy Pelosi (cont.) 08/19/19 $ 110.00 Flowers
Speaker Nancy Pelosi (cont.) 10/10/19 75.00 Flowers

Senator Dianne Feinstein U.S. Senate 20510 01/09/19 $ 265.00 Flowers


331 Hart Senate Office Building
Washington, DC
Fresno Business Council 205 E River Cr. Ste. 420 93720 01/11/19 $ 70.00 Tie
Fresno, CA
City of Colfax City Hall 95713 01/15/19 57.00 Wooden puzzle
33 South Main St.
Colfax, CA
Jeff Worthe 100 Wilshire Blvd. Ste. 1600 90401 01/29/19 $ 159.00 Spirits
Santa Monica, CA
Jeff Worthe (cont.) 04/25/19 $ 130.00 Spirits
Stephen Cloobeck Peninsula Beverly Hills Hotel 90212 04/02/19 $ 149.00 Helmet
9882 Santa Monica Blvd.
Beverly Hills, CA
All Jahangiri & Jennifer Purdue 96 Discovery Ave. 92618 05/23/19 $ 128.00 Jacket
Irvine, CA
Best Buddies International 100 Southeast 2nd St. Ste. 2200 33131 09/11/19 $ 429.00 Shoes
Miami, FL
San Francisco Giants 24 Willie Mays Plaza 94107 09/24/19 $ 195.00 San Francisco Giants jersey & button
San Francisco, CA
Nikol Pashinyan, Prime Minister of Consul General of Armenia in Los 91203 09/26/19 $ 100.00 Spirits
Armenia Angeles
346 N. Central Ave.
Glendale, CA
President Pro Tempore Toni State Capitol 95814 10/10/19 $ 52.00 Wine
Atkins Sacramento, CA
LeBron James Staples Center 90015 10/18/19 $ 130.00 Sneakers
1111 S Figueroa St.
Los Angeles, CA
LeBron James (cont.) 10/22/19 $ 400.00 Basketball game tickets
(Note: Gov. Newsom reimbursed $30)
Sergio Mattarella, President of Italy Quirinal Palace 00187 10/19/19 $ 286.00 Ties
Piazza del Quirinale
Roma, Italy
Peter Michael Winery 12400 Ida Clayton Road 94515 12/02/19 $ 375.00 Wine
Calistoga, CA

FPPC Form 700(2017/2018) Sch. Dx


Page 16 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
Schedule D
Income - Gifts
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION

Name
Gavin C. Newsom

ADDRESS OF SOURCE DATE DESCRIPTION OF GIFT(S)


NAME OF SOURCE ZIP CODE BUSINESS ACTIVITY, IF ANY, OF SOURCE VALUE
(Business Address Acceptable) (mm/dd/yy)
Jerry Fat Frank Fat Properties 95833 06/22/19 $ ' 100.00 Dinner
2500 Natomas Park Drive
Sacramento, CA
California State Protocol 1901 Harrison St. Ste 1550 94612 06/30/19 $ 75.00 Staff picnic
Foundation Oakland, CA
California State Protocol 1901 Harrison St. Ste 1550 94612 12/13/19 $ 67.00 Staff holiday party
Foundation Oakland, CA
California State Protocol 1901 Harrison St. Ste 1550 94612 12/17/19 $ 53.00 Holiday reception
Foundation Oakland, CA
California State Protocol 1901 Harrison St. Ste 1550 94612 12/05/19 $ 32.00 Tree lighting ceremony
Foundation Oakland, CA

FPPC Form 700(2017/2018) Sch. Dx


Page 17 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE E CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income - Gifts
Travel Payments, Advances, Name
and Reimbursements Gavin C. Newsom

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.
DATE(S) TYPE OF MADE A SPEECH/
NAME AND ADDRESS OF SOURCE BUSINESS ACTIVITY, IF ANY, OF 501 DESTINATION
(mm/dd/yy) AMOUNT PAYMENT PARTICIPATED IN A DESCRIPTION
(Business Address Acceptable) SOURCE (c)(3)ift (If g)
(If gift) (Gift or Income) PANEL
California State Protocol Foundation X 4/07/19 - 4/10/19 $ 4,226.57 Gift El Salvador Official travel to El Salvador to
& & New York, investigate, and discuss with
9/22/19-9/25/19 NY relevant El Salvadoran officials,
shared challenges and economic
opportunites.

Official travel to New York City to


represent California during Climate
Week.

U.S. Government 2/24/2019 $ 200.00 Gift Washington White House dinner for State
D.C. Governors

FPPC Form 700(2015/2016) Sch. Ex


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