2017_AmendmentN
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SCHEDULE E
Income — Gifts
Travel Payments, Advances,
and Reimbursements
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION'
AMENDMENT
• 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)
1400 K Street
CITY AND STATE
Sacramento, CA
Q 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): 01 01 117 - 12 j 31 j 17 AMT $ 1,722.76
(if gift)
MUST CHECK ONE: F-1 Gift -or- Rx income
0 Made a Speech/Participated in a Panel
0 Other - Provide Description
If Gift, Provide Travel Destination
Travel, meals, lodging for volunteer Svcs as league rep
NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
R 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): - —I—(— AMT $
(If gift)
MUST CHECK ONE: R Gift -or- E] income
0 Made a Speech/Participated in a Panel
0 Other - Provide Description
If Gift, Provide Travel Destination
0- NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
F-] 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S): AMT, $
(If gift)
0- MUST CHECK ONE: � Gift -or- F-1 Income
0 Made a Speech/Participated in a Panel
0 Other - Provide Description
I- If Gift, Provide Travel Destination
Print Name Clinton Lorimore
Office, Agency
or Court City of Eastvale
Statement Type 2017/2018 Annual El Assuming 0 Leaving
— Annual Candidate
(yr)
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 certify under penalty of perjury under the laws of the State of
California that the foregoing is true 7 Ind correct.
Date Signed 0 ,A2 -7 /,U
i (Inqrth. day year)
Filer's Signature
FPPC Form 700 (2017/2018) Sch. E
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov