2017d
- - - Date Initial Filing
STATEMENT OF ECONOMIC INTERESTS Received
- - Olficlel Use Only
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Lorimore, Clint
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Divisipn. Boarq, Department.
If fling for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
Position:
Council Member
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
:Multi -County ❑ County of
Kcity of ek5y" vid, ❑ Other
3. Type of Statement (Check at least one box)
x❑ Annual: The period covered is January 1, 2016, through
December 31, 2016
-or-
The period covered is
December 31, 2016
through
❑ Assuming Office: Date assumed ��—
❑ Candidate: Election Year
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2016, through the date of
leaving office.
O The period covered is through the date
of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) b. Total number of pages including this cover page: 5
Schedules attached
❑ Schedule A-1 - Investments - schedule attached ❑x Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
lx Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business at Agency Address Rewmmimded- Public Dwumentf
CA 92880
( 951 ) 520-5832 Iclorimore@eastvaleca.gov
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 09/03/2017 Signature Clint Lorimore
(month, day, year) IFia the onginaly signadstatemmt wAh your eling oftial.)
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 wvvw.fppc.ca.gov
IIY�11�"YY" X11
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
13316 Wagon Creek Way
CITY
Eastvale
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 10 / 01 / 04 -1-%
0 $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
Q 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
Name
Lorimore, Clint
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
❑ Leasehald
na. mmnn n,y
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,00o
❑ $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
I)
* 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 TERM (Months/Yeam)
k ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
INTEREST RATE TERM (MonthsNears)
❑ 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 (201612017) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 86612753772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Building Industry Association
ADDRESS (Business Address Acceptable)
3891 11th Street
Riverside CA 92501
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Non -Profit advocacy for the building industry in
Riverside County.
YOUR BUSINESS POSITION
Consultant
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑X $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. For10%orgreateruse
Schedule A-2.)
❑ Sale of
❑ Loan repayment
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10.000 or mare
❑X Other Consulting fee
(Describe)
Lorimore, Clint
NAME OF SOURCE OF INCOME
Don Galleano for Western Municipal Water District
ADDRESS (Business Address Acceptable)
4231 Wineville Rd
Mira Loma CA 91752
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Elected Official
YOUR BUSINESS POSITION
Consultant
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑R $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
(Real pmpertg car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of 310,000 or more
(Describe)
❑X Other Consulting Fee
(Describe)
LOANS2. t OR OUTSTANDING DURING THE REPORTINGOD
" 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'
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 (MonlhslYeam)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Slmel atltlmss
❑ Guarantor
❑ Other
(Describe)
FPPC Form 700 (201612017) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 86612753772 w Jppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Paul Hofer for Inland Empire Utilities Agency
ADDRESS (Business Address Acceptable)
11298 S. Turner Avenue
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Elected Official
YOUR BUSINESS POSITION
Campaign Consultant
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000X❑ $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% orgreater use
Schedule A-2.)
❑ Sale of
(Real pmperb4 car, boar, etc.)
❑ Loan repayment
❑ Commisslon or ❑ Rental Income, list each source of 570,000 or more
❑X Other Consulting Fee
(Descnbe)
Lorimore, Clint
NAME OF SOURCE OF INCOME
Madaffer Enterprises
ADDRESS (Business Address Acceptable)
1620 Fifth Ave #900
San Diego, CA 92101
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Monitoring agendas of cities in the Coachella
Valley for short term vacation rental industry.
YOUR BUSINESS POSITION
Consultant
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑X $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
(Realpmperb4 car boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source o7 $10,000 or more
❑X Other Consulting Fee
(Descnbe)
* 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`
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 (MonlhslYears)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
CRY
❑ Guarantor
❑ Other
(Describe)
FPPC Form 700 (2 01 612 01 7) Sch. C
FPPC Advice Email: adviceQfppc.ca.gov
FPPC Toll -Free Helpline: 866)2753772 www.fppc.ca.gov
SCHEDULE EIT"' 't-,k1%yI COMMISSION
Income —Gifts
FAIR POLITICAL PRACTICES Name
Travel Payments, Advances,
and Reimbursements Lorimore, Clint
• 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.
► NAME OF SOURCE (Not an Acronym)
League of California Cities
ADDRESS (Business Address Acceptable)
1900 K Street
CITY AND STATE
Sacramento, CA 95819
❑x 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):11 16 -__1_2/_21_J 17 AMP. $ 902.75
(Ifgift)
► MUST CHECK ONE: ❑X Gift -Or- ❑ Income
X❑ Made a Speech/Participated in a Panel
❑ Other- Provide Description
► If Gift, Provide Travel Destination League Board of Directors
Meeting
► 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):11_ - 11_ AMT: $
Qfgia)
► MUST CHECK ONE: ❑ Gift -Or- ❑ Income
❑ Made a Speech/Participated in a Panel
❑ Other- Provide Description
► 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, IF ANY, OF SOURCE
DATE(S): _/—/_ - AMT: $
is gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
❑ Made a Speech/Participated in a Panel
❑ 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): _/—/_ - -11— AMT: $
flfgif)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
❑ Made a Speech/Participated in a Panel
❑ Other- Provide Description
► If Gift, Provide Travel Destination
FPPC Form 700 (2 01 612 01 7) Sch. E
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 8661275-3772 vnr Jppaca.gov