2018_AmendmentSCHEDULE E
Income - Gifts
Travel Payments, Advances,
and Reimbursements
700CALIFORNIA FORM
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 panei. Per Government Code
Section 89506, these payments may not be subject to the gift iimit. However, they may resuit
in a disqualifying conflict of interest.
For gifts of travel, provide the travei destination.
► NAME OF SOURCE (Not an Acronym)
League of California Cities
ADDRESS (Business Address Acceptable)
1400 K street
CITY AND STATE
Sacramento, CA
□ 501 (c)(3)orDESCRlBEBUSINESSACTIVITY, IF ANY, OF SOURCE
Advocacy for Cities and their residents
DATE(S): 01 / 01 /18 _ 12/31 / 18 3; 1,127.18
(If gift)
► MUST CHECK ONE: Gift -Of- □ income
Q Made a Speech/Participated in a Panel
9 Other - Provide Description
► It Gift, Provide Travel Destination ,
Travel, meals, lodging for vniiinteer svcs a.s league rep
► 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):.J L J L AMT: $_
(if gift)
► MUST CHECK ONE: Q Gift -or- □ Income
Q Made a Speech/Participated in a Panel
O Other - Provide Description
► If Gift, Provide Travel Destination .
Comments:
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
Q 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):,J L J_J_AMT: $_
► MUST CHECK ONE:
(if gift)
□ Gift -or- □ Income
Q Made a Speech/Participated in a Panel
O Other - Provide Description
► If Gift, Provide Travel Destination .
Filer's Verification
Print Name Clinton Lorimore
Oftlce, Agency ,or Court City of Eastvale
statement Type
□ -
J 2018/2019 Annual
-Annual(yr)
I I Assuming EH Leaving
I I Candidate
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 and correct.
Date Signed.orl zi!'■* (npnth,day, year)
Filer's Signature.
FPPC Form 700 (2018/2019) Sch. E
FPPC Advice Email: advlce@fppc.ca.gov
FPPC Toil-Free Helpline: 866/275-3772 www.fppc.ca.gov