06-02-2021 Special Agenda PacketCITY OF EASTVALE
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Eastvale City Hall Council Chambers
12363 Limonite Avenue, Suite 900, Eastvale, CA 91752
Wednesday, June 2, 2021
Special Council Meeting: 6:30 PM
See Meeting Instructions Below
City Councilmembers
Jocelyn Yow, Mayor
Clint Lorimore, Mayor Pro Tem
Todd Rigby, Councilmember
Christian Dinco, Councilmember
Bryan Jones, City Manager
Erica Vega, City Attorney (Contract Legal Services)
Marc Donohue, City Clerk/Communications Director
This Agenda contains a brief general description of each item to be considered. Except as otherwise provided by law, no action or
direction shall be taken on any item not appearing on the following Agenda. Unless legally privileged, all supporting documents,
including staff reports, and any writings or documents provided to a majority of the City Council after the posting of this agenda are
available for review at Eastvale City Hall, 12363 Limonite Avenue, Eastvale, CA 91752 or you may contact the City Clerk's Office, at
(951) 361-0900 Monday through Thursday from 7:30 a.m. to 5:30 p.m. and available online at www.eastvaleca.gov.
Per City Council action on May 27, 2020, the City Council Chamber is now open to the public in a limited capacity. Those who
attend the meeting in person will have to social distance from others and only a limited amount of people will be permitted in the
Council Chamber at the same time. Members of the public who wish to observe the meeting and/or make public comment may
also do so by logging into GoTo Webinar at the above stated date and time. Information on how to participate via GoToWebinar
and call in instructions can be found using the following link https.Ilbit.lyl2XZfZUS
To maximize public safety while still maintaining transparency and public access, members of the public can observe the meeting
by GoTo Webinar platform and may provide public comment by sending comments to the City Clerk's Oi fce by email at
cityclerk@eastvaleca.gov or utilize the "raise your hand" function in GoToWebinar to speak at the meeting. Staff-C will monitor
emails to the extent possible during the meeting and provide comments as possible. All comments will be made part of the
record. Comments will then be read into the record, with a maximum allowance of 3 minutes per individual comment subject to
the Mayor's discretion to reduce time on public comment. All comments should be a maximum of 500 words, which corresponds to
approximately 3 minutes of speaking time. If a comment is received after the agenda item is heard but before the close of the
meeting, the comment will still be included as a part of the record of the meeting but will not be read into the record.
Lt. In compliance with the Americans with Disabilities Act, if you need special assistance to participate in this meeting, you should
contact the City Clerk's Office at (951) 361-0900.
Regular meetings are recorded and made available on the City's website atwww.eastvaleca.gov. Meeting recordings are uploaded
to the City's website within 24 hours (unless otherwise noted) after the completion of the meeting.
1. CALL TO ORDER
2. ROLL CALL
3. CLOSED SESSION PUBLIC COMMENT
Any member of the public may address the Council on items within the Councils subject matter
jurisdiction, but which are not listed on this agenda during PUBLIC COMMENTS. However, no
action may be taken on matters that are not part of the posted agenda. We request comments
made on the agenda be made at the time the item is considered and that comments be limited
to three minutes per person with a maximum of six minutes (time may be donated by one
person). Please address your comments to the Council and do not engaged in dialogue with
individual Council Members, City staff, or members of the audience. Blue speaker forms are
available at the front table to the entrance of Council Chambers.
4. CLOSED SESSION ITEM(S)
5. PUBLIC COMMENT
Any member of the public may address the Council on items within the Councils subject matter
jurisdiction, but which are not listed on this agenda during PUBLIC COMMENTS. However, no
action may be taken on matters that are not part of the posted agenda. We request comments
made on the agenda be made at the time the item is considered and that comments be limited
to three minutes per person with a maximum of six minutes (time may be donated by one
person). Please address your comments to the Council and do not engaged in dialogue with
individual Councilmembers, City staff, or members of the audience. Blue speaker forms are
available at the front table to the entrance of Council Chambers.
6. CITY COUNCIL BUSINESS
6.1. Process for Filling City Council Vacancy
Submitted by: Erica Vega, City Attorney
RECOMMENDED ACTIONISI:
Staff recommends that the City Council take one of the following actions:
1. Direct City staff to bring back a resolution calling a special election to fill the
District 5 Council seat at the November 2, 2021 election; or
2. Direct City staff to open up an application period for persons interested in being
appointed to fill the District 5 Council seat until the November 81 2022 election
results are certified, and provide direction on the interview process that the
Council would like to utilize to select and appointee; or
3. Vote to appoint a qualified individual to fill the District 5 Council seat until the
results of the November 8, 2022 election are certified.
7. ADJOURNMENT
The next regular meeting of the Eastvale City Council is scheduled for Wednesday, June 9, 2021,
at 6:30 p.m. at Eastvale City Hall Council Chambers, 12363 Limonite Avenue, Suite 900,
Eastvale, CA91752.
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AFFIDAVIT OF POSTING
I hereby certify under penalty of perjury under the laws of the State of California, that the foregoing
Agenda was posted at the following locations: City Hall, 12363 Limonite Avenue, Suite 910 and
website of the City of Eastvale (www.eastvaleca.gov,) not less than 72 hours prior to the meeting.
Marc A. Donohue, MMC
City Clerk
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AGENDA STAFF REPORT
City Council Meeting
CITY COUNCIL BUSINESS
Agenda Item No. 6.1
June 2, 2021
Process for Filling City Council Vacancy
Prepared By:
Erica Vega, City Attorney
Recommended Action(s)
Staff recommends that the City Council take one of the following actions:
1. Direct City staff to bring back a resolution calling a special election to fill the District 5 Council
seat at the November 2, 2021 election; or
2. Direct City staff to open up an application period for persons interested in being appointed to
fill the District 5 Council seat until the November 8, 2022 election results are certified, and
provide direction on the interview process that the Council would like to utilize to select and
appointee; or
3. Vote to appoint a qualified individual to fill the District 5 Council seat until the results of the
November 8, 2022 election are certified.
Summary
The unfortunate passing of Councilmember Ike Bootsma creates a vacancy in the District 5 seat on
the City Council.
Government Code section 36512 provides that when a City Council vacancy occurs during the first
half of the term, there are two options for filling the vacancy. The City Council must decide which
option it will take within 60 days of the commencement of the vacancy.
Option 1: Call a special election to fill the vacancy within the 60 day period. The election must
occur at the next regularly established election date that is not less than 114 days from the date the
special election is called. This would result in a November 2, 2021 special election. The person
12363 Limonite Avenue I Suite 910 1 Eastvale, CA 91752
951.361.0900 1 eastvaleca.gov
4
elected would fill the remainder of the term. The seat would remain vacant until the special
election is held.
Option 2: Appoint a qualified individual to fill the seat within the 60 day period and then hold an
election to fill the seat at the next regular municipal election in November 2022. At that election
the voters would select an individual to serve the remainder of the term.
Background
If Option 2 is selected, there is no specific process required by law to be followed in selecting a
person to appoint. The person must be qualified to hold the seat (18 years old, registered voter,
and resident of District 5). In the past, the City has opened up an application period to allow
interested persons to express their interest in appointment and then the City Council has conducted
interviews of the applicants at a City Council meeting. If the City Council selects Option 2, City
Council would need to provide direction on the process it would like to use to find an appointee. A
sample City Council vacancy application is attached for your reference. Alternatively, the City Council
could forego an application process and vote to appoint a qualified individual.
Historical, this is the fifth City Council vacancy in the City's history and the first vacancy due to a
passing. It occurred previously in 2013 when Councilmember Kelly Howell resigned and
Councilmember Bill Link was appointed, 2014 when Councilmember Jeff DeGrandpre resigned and
Councilmember Joe Tessari was appointed, 2016 when Councilmember Bill Link resigned and
Councilmember Dickie Simmons was appointed, and 2020 when Councilmember Joe Tessari
resigned, however, his seat was left vacant since it was up for election in November 2020.
Environmental
Not applicable.
Strategic Plan Action - Priority Level: N/A I Target #: N/A I Goal #: N/A
Not applicable.
Fiscal Impact
Under Option 1, the Riverside County Registrar of Voters provided an estimate of $30,000 for a
special election for November 2021 to fill the Council vacancy. A budget appropriation will be
required for the fiscal year 2021-22 budget if this option is selected.
Under Option 2, there will also be a cost associated with holding an election for the District 5 seat in
November 2022. The exact amount of this cost is unknown at this time.
Prior City Council/Commission Action
Not applicable.
Attachment(s)
Attachment 1 - Application for City Council Vacancy
Attachment 2 - Ralph M Brown Act - Summary
Attachment 3 - Form 700
Attachment 4 - District Map
12363 Limonite Avenue I Suite 910 1 Eastvale, CA 91752
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141
0
APPLICATION FOR
CITY COUNCIL VACANCY
DISTRICT 5
City of Eastvale operates under the Council/M an ager form of government. Legislative power is held by
publicly-electedfive-memberCity Council. Councilmembers are elected by district for four-year terms,
i elections in November of even -numbered years.
ncilmembers select the Mayor and Mayor Pm-Tem each year in December from among themselves. The
ror presides over City Council meetings, signs official documents, and performs ceremonial functions. As
Legislative Branch of Municipal Government, the City Council adopts laws and makes policy decisions for
City of Eastvale.
ncil Members pledge, upon appointment, to represent the overall public good and not that of an
usive group or interest.
City Council meets on the 2n1 and 41' Wednesday of the month. Councilmembers are expected to
odically attend and participate in City programs and actmdes, and committees with outside
rcilmembers must be registered voters of the City of Eastvale at the time of their appointment/election,
at all times during their term. Councilmembers receive a salary of $400/month and $1,600 towards
ical insurance.
PLEASE PRINT:
CITY: STATE: ZIP:
PHONE:
EMAIL
M
PLEASE PRINT:
BACKGROUND AND QUALIFICATIONS (ATTACH RESUME IF DESIRED):
PLEASE DESCRIBE ANY COMMUNITY INVOLVEMENT AND/OR PARTICIPATION ON BOARDS, COMMITTEES,
OR COMMISSIONS:
WHAT DO YOU FEEL ARE THE MOST IMPORTANT ISSUES FACING THE CITY OF EASTVALE?:
7
I attest to the following:
1. 1 am a legal resident of the City of Eastvale.
2. 1 am a registered voter in District 5
3. 1 am able to attend City Council meetings that are regularly scheduled on the 2°d and 4th Wednesdays of
each month at 6:30 p.m.
4. 1 have submitted a Statement of Economic Interest —Form 700 in accordance with the Political Reform
Act.
5. 1 understand this application is a Public Record, and may be made available to members of the public
upon request, with personal contact information redacted.
6. 1 understand that if 1 am chosen as the appointee, 1 will only serve on the City Council until the
November 2, 2022 election. If 1 wish to finish out the unexpired term (November 2024), 1 would need to
run for that office at the November 2, 2022 general municipal election.
The information provided in this application is true and accurate.
SIGNATURE:
DATE:
Please mail or return your completed application and Form 700 (attach printed resume if desired) to:
City of Eastvale
Attn: City Clerk's Office
12363 Limonite Avenue, Suite 910
Eastvale, CA 91752
OR you may email your completed application and Form 700 to mdonohuepeastvaleca.gov or you may fax
it to (951) 361-0888.
Deadline to file is 12:00 a.m. on XX. LATE SUBMISSIONS WILL NOT BE ACCEPTED
Attachments:
1. Ralph M. Brown Act Summary
2. Statement of Economic Interest —Form 700 (Must be submitted with Application)
3. City Council Districts Map
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The Brown Act on One Page
Entities Covered
Covered as "legislative bodies" (§54952)
of "local agencies" (§54951) are local
government bodies created by law,
including the governing bodies of
counties, cities, school and other public
districts; the multi -member bodies they
create to advise them or share their
power, the bodies to which they provide
funding and leadership; and corporate
boards of firms operating district
hospitals under lease after January 1,
1994.
Persons Legally Responsible
Elected or appointed members of
legislative bodies the former even
before being sworn in (§54952.1) can
face personal misdemeanor liability for
attending any meeting at which action is
taken in violation of any provision of the
Act if they intended to deprive the
public of information which they knew,
or had reason to know, the public was
entitled to (§54959).
Civil Enforcement
Any person, or a district attorney, may
sue to get a court declaration that the Act
is being violated, or to prevent future
violations, or to challenge a policy that
restricts speech rights of a legislative
body member, or so seek a court's order
that a body tape record its closed
sessions based on having already
illegally discussed or acted on a matter
in closed session (§54960). Citizens or
district attorneys may also sue to
overturn an action taken illegally either
in a closed or secret meeting or on a
matter not properly listed on the
meeting's agenda (§54960.1). A court
may order that a prevailing challenger's
court costs and attorney fees be paid by
the offending agency, or that a prevailing
agency's litigation expenses be paid by a
frivolous challenger (§54960.5).
Occasions Covered
"Meetings" are gatherings of a majority
of a body to hear, discuss or deliberate
on agency business. Using chain or serial
meetings, phones or other
communications devices, or personal go-
betweens to develop majority consensus
on such matters outside of meetings is
prohibited. But a majority's attendance
at professional conferences, community
events, purely social occasions or even
certain other government meetings is
permitted so long as the events are open
to the public and the attendance is not
exploited privately to discuss agency
business or issues (§54952).
Pre -Meeting Notices
For regular meetings, whose time and
place must be fixed by rule and confined
to the local area with some listed
exceptions (§54954), the body must post
an agenda, 72 hours in advance, in a
publicly accessible place, with brief
descriptions of all matters to be
addressed in open or cloaed session.
With few exceptions, no discussion or
action is permitted on unlisted items
(§54954.2). Specific information about
closed session topics must be listed on
the agenda (§54954.5). Special meetings
require a posted notice 24 hours in
advance; interested media must be
provided with a copy equally early
(§54956). Emergency meetings (threats
to public health and safety) must be
alerted to interested media at least an
hour in advance, and cannot be closed
(§54956.5). New or increased taxes or
assessments must be given special
hearings and notices (§54956.6).
The Fundamental Access Rule
All portions of all meetings must be
open and public unless the Act permits
otherwise (§54953), although certain
phone or video conferencing
arrangements are permitted, if allowing
for full public participation at all sites.
Exceptions to the open meeting mandate
are found only in the Act or in specified
sections of the codes applicable to public
hospitals or school districts (§54962).
Principal Permitted Closed Sessions
Bodies may, but are not required to, hold
closed sessions to consult:
• with their bargaining agents on price
and payment issues in real property
negotiations (§54956.8);
• with their attorney on the threat or
status of a lawsuit, or the need to file
one, based on existing facts and
circumstances (§54957);
• with their agents on issues that must be
bargained with an employee union, or
compensation matters being bargained
with non -union employees; final action
on the latter must be in open session
(§54957.6);
• with law enforcement officials, when
the security of public buildings or the
public's access to public services or
facilities is threatened (§54957);
• among themselves, on the status or
behvior of one or more agency
employees not members of the body,
elected officials or independent
contractors; topics include employment,
appointment, discipline, dismissal or
perormance. Employees have the right to
insist on open discussion of complaints
against them, and must be so advised in
advance. Pay or benefit increases may
not be discussed in such closed sessions
(§54957).
Closed Session Action Disclosures
Final action taken in any closed session
must be either immediately announced
or, if contingent on some other specified
event, disclosed even when the event
occurs. Actual votes of each member are
public, as are records documenting
closed session actions (§54957.1).
Citizens' Rights
Members of the public may:
• subscribe to personally mailed agenda
packets (§54954.1);
• get copies of the agenda packet when
released to the body, at or before
meetings, at cost (§54957.5);
• refuse to sign rosters or provide other
information (§54953.3), or pay charges
for attendance (§54956.6);
• use cameras or tape recorders to
document meetings (§54953.5);
• address the body at a regular meeting
on any matter under the agency's
authority, and at special meetings on any
listed agenda item (§54954.3).
9
2020-2021
Statement of
Economic Interests
Form 700
/.IanM fa one iRII - iii
Table of Contents
Quick Start Guide ....................................................
p.2
Who? Where? How? When? ....................................
p.3
Types of Statements .................................................
p.4
Cover Page and Schedules
CoverPage ........................................................
p.5
Schedule A-1 (Investments) ...............................
p.7
Schedule A-2 (Business EntitiesiTrusts) ............
p.9
Schedule B (Real Property) ...............................
p.11
Schedule C (Income).........................................p.13
Schedule D (Gifts)..............................................p.15
Schedule E (Travel Payments) ...........................p.17
Restrictions and Prohibitions....................................p.19
Q& A........................................................................
p.20
Helpful Resources
• Video Tutorials
• Reference Pamphlet
• Excel Version
• FAQs
• Gift and Travel Fact
Sheet for State and
Local Officials
California Fair Political Practices Commission
1102 Q Street, Suite 3000 • Sacramento, CA 95811
Email Advice: advice@fppc.ca.gov
Toll -free advice line: 1 (866) ASK-FPPC • 1 (866) 275-3772
Telephone: (916) 322-5660 • Website: www.fppc.ca.gov
December2020
10
Quick Start Guide
Detailed instructions begin on page 3.
WHEN IS THE ANNUAL STATEMENT DUE?
March 1 — Elected State Officers, Judges and Court Commissioners, State Board and Commission
members listed in Government Code Section 87200
• April 1 —Most other filers
WHERE DO I FILE?
Most people file the Form 700 with their agency. If you're not sure where to file your Form 700, contact your
filing officer or the person who asked you to complete it.
ITEMS TO NOTE!
• The Form 700 is a public document.
• Only filers serving inactive military duty may receive an extension on the filing deadline.
• You must also report interests held by your spouse or registered domestic partner.
Your agency's conflict of interest code will help you to complete the Form 700. You are encouraged to get
your conflict of interest code from the person who asked you to complete the Form 700.
NOTHING TO REPORT?
Mark the "No reportable interests" box on Part 4 of the Cover Page, and submit only the signed Cover Page.
Please review each schedule carefullvl
Common
Common
Schedule
Reportable Interests
Non -Reportable Interests
A-1:
Stocks, including those held in an IRA
Insurance policies, government bonds, diversified
Investments
or 401 K. Each stock must be listed.
mutual funds, funds similar to diversified mutual
funds.
A-2:
Business entities, sole proprietorships,
Savings and checking accounts, and annuities.
Business
partnerships, LLCs, corporations and
Entitites/Trusts
trusts. (e.g., Form 1099 filers).
B:
Rental property in filer's jurisdiction, or
A residence used exclusively as a personal
Real Property
within two miles of the boundaries of
residence (such as a home or vacation property).
the jurisdiction.
C:
Non -governmental salaries. Note that
Governmental salary (from school district, for
Income
filers are required to report only half of
example).
their spouse's or partner's salary.
D:
Gifts from businesses, vendors, or
Gifts from family members.
Gifts
other contractors (meals, tickets, etc.).
E:
Travel payments from third parties (not
Travel paid by your government agency.
Travel
your employer).
Payments
Note: Like reportable interests, non -reportable interests may also create conflicts of
interest and could be grounds for disqualification from certain decisions.
QUESTIONS?
• advice@fppc.ca.gov
• (866) 275-3772 Mon-Thurs, 9-11:30 a.m.
E-FILING ISSUES?
• If using your agency's system, please contact technical support at your agency.
• If using FPPC's e-filing system, write to form700@fppc.ca.gov.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • v✓ww..ca.gov 11
Page-2
W44'4 Mew
Gift Limit Increase
The gift limit increased to $620 for calendar years 2021 and
2022. The gift limit in 2020 was $500.
Uo must file:
Elected and appointed officials and candidates listed in
Government Code Section 87200
• Employees, appointed officials, and consultants filing
pursuant to a conflict of interest code ("code filers").
Obtain your disclosure categories, which describe
the interests you must report, from your agency;
they are not part of the Form 700
• Candidates running for local elective offices that are
designated in a conflict of interest code (e.g., county
sheriffs, city clerks, school board trustees, and water
board members)
Exception:
• Candidates for a county central committee are not
required to file the Form 700.
• Members of newly created boards and
commissions not yet covered under a conflict of
interest code
• Employees in newly created positions of existing
agencies
For more information, see Reference Pamphlet, page 3, at
www. fppc. ca. gov.
WQ.eU to file:
87200 Filers
State offices Your agency
Judicial offices The clerk of your court
Retired Judges Directly with FPPC
County offices Your county filing official
City offices Your city clerk
Multi -County offices Your agency
Code Filers — State and Local Officials, Employees,
and Consultants Designated in a Conflict of Interest
Code: File with your agency, board, or commission unless
otherwise specified in your agency's code (e.g., Legislative
staff files directly with FPPC). In most cases, the agency,
board, or commission will retain the statements.
Members of Boards and Commissions of Newly
Created Agencies: File with your newly created agency
or with your agency's code reviewing body.
Employees in Newly Created Positions of Existing
Agencies: File with your agency or with your agency's
code reviewing body. (See Reference Pamphlet, page 3.)
Candidates: File with your local elections office
H" to file:
The Form 700 is available at www.fppc.ca.gov. Form
700 schedules are also available in Excel format. All
statements must have an original "wet" signature or be
duly authorized by your filing officer to file electronically
under Government Code Section 87500.2.
WQ.et, to file:
Annual Statements
:) March 1, 2021
Elected State Officers
Judges and Court Commissioners
State Board and State Commission Members listed
in Government Code Section 87200
April 1, 2021
- Most other filers
Individuals filing under conflict of interest codes in city and
county jurisdictions should verify the annual filing date with
their local filing officers.
Statements postmarked by the filing deadline are
considered filed on time.
Statements of 30 pages or less may be emailed or faxed by
the deadline as long as the originally signed paper version is
sent by first class mail to the filing official within 24 hours.
Assuming Office and Leaving Office Statements
Most filers file within 30 days of assuming or leaving office
or within 30 days of the effective date of a newly adopted
or amended conflict of interest code.
Exception:
If you assumed office between October 1, 2020, and
December 31, 2020, and filed an assuming office
statement, you are not required to file an annual statement
until March 1, 2022, or April 1, 2022, whichever is
applicable. The annual statement will cover the day after
you assumed office through December 31, 2021. (See
Reference Pamphlet, page 6, for additional exceptions.
Candidate Statements
File no later than the final filing date for the declaration
of candidacy or nomination documents. A candidate
statement is not required if you filed an assuming office or
annual statement for the same jurisdiction within 60 days
before filing a declaration of candidacy or other nomination
documents.
Late Statements
There is no provision for filing deadline extensions unless
the filer is serving in active military duty. (See page 19 for
information on penalties and fines.)
Amendments
Statements may be amended at any time. You are only
required to amend the schedule that needs to be revised.
It is not necessary to amend the entire filed form. Obtain
amendment schedules at www.fppc.ca.gov.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov 12
Page-3
Types of Statements
Assuming Office Statement:
If you are a newly appointed official or are newly employed
in a position designated, or that will be designated, in
a state or local agency's conflict of interest code, your
assuming office date is the date you were sworn in or
otherwise authorized to serve in the position. If you are a
newly elected official, your assuming office date is the date
you were sworn in.
Report: Investments, interests in real property, and
business positions held on the date you assumed the
office or position must be reported. In addition, income
(including loans, gifts, and travel payments) received
during the 12 months prior to the date you assumed the
office or position.
For positions subject to confirmation by the State Senate
or the Commission on Judicial Appointments, your
assuming office date is the date you were appointed or
nominated to the position.
Example: Maria Lopez was nominated by the Governor
to serve on a state agency board that is subject to state
Senate confirmation. The assuming office date is the
date Maria's nomination is submitted to the Senate.
Maria must report investments, interests in real
property, and business positions she holds on that date,
and income (including loans, gifts, and travel payments)
received during the 12 months prior to that date.
If your office or position has been added to a newly
adopted or newly amended conflict of interest code, use
the effective date of the code or amendment, whichever is
applicable.
Report: Investments, interests in real property, and
business positions held on the effective date of the
code or amendment must be reported. In addition,
income (including loans, gifts, and travel payments)
received during the 12 months prior to the effective date
of the code or amendment.
Annual Statement:
Generally, the period covered is January 1, 2020,
through December 31, 2020. If the period covered by
the statement is different than January 1, 2020, through
December 31, 2020, (for example, you assumed office
between October 1, 2019, and December 31, 2019 or you
are combining statements), you must specify the period
covered.
Investments, interests in real property, business
positions held, and income (including loans, gifts, and
travel payments) received during the period covered
by the statement must be reported. Do not change the
preprinted dates on Schedules A-1, A-2, and B unless
you are required to report the acquisition or disposition
of an interest that did not occur in 2020.
If your disclosure category changes during a reporting
period, disclose under the old category until the
effective date of the conflict of interest code amendment
and disclose under the new disclosure category through
the end of the reporting period.
Leaving Office Statement:
Generally, the period covered is January 1, 2020,
through the date you stopped performing the duties of
your position. If the period covered differs from January
1, 2020, through the date you stopped performing the
duties of your position (for example, you assumed office
between October 1, 2019, and December 31, 2019, or
you are combining statements), the period covered must
be specified. The reporting period can cover parts of two
calendar years.
Report: Investments, interests in real property, business
positions held, and income (including loans, gifts, and
travel payments) received during the period covered by
the statement. Do not change the preprinted dates on
Schedules A-1, A-2, and B unless you are required to
report the acquisition or disposition of an interest that
did not occur in 2020.
Candidate Statement:
If you are filing a statement in connection with your
candidacy for state or local office, investments, interests
in real property, and business positions held on the date
of filing your declaration of candidacy must be reported.
In addition, income (including loans, gifts, and travel
payments) received during the 12 months prior to the date
of filing your declaration of candidacy is reportable. Do not
change the preprinted dates on Schedules A-1, A-2, and B.
Candidates running for local elective offices (e.g., county
sheriffs, city clerks, school board trustees, or water
district board members) must file candidate statements,
as required by the conflict of interest code for the elected
position. The code may be obtained from the agency of
the elected position.
Amendments:
If you discover errors or omissions on any statement, file
an amendment as soon as possible. You are only required
to amend the schedule that needs to be revised, it is not
necessary to refile the entire form. Obtain amendment
schedules from the FPPC website at www.fppc.ca.gov.
Note: Once you file your statement, you may not withdraw
it. All changes must be noted on amendment schedules.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov 13
Page-4
Please type or print in ink.
NAME OF FILER (LAST)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE F„uog Otrcai Use only
A PUBLIC DOCUMENT
(FIRST)
(MIDDLE)
Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑ City of
3. Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2020, through
December 31, 2020.
-or-
The period covered is ---- J___J
December 31, 2020.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tom Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one circle.)
through O The period covered is January 1, 2020, through the date of
-or-
leaving office.
O The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) P- Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
' ❑ Schedule B - Real Property - schedule attached
-Or- ❑ None - No reportable interests on any schedule
5. Verification
(Business orAgency Address Recommended -Public Document)
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
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 Signature
(month, day, year)
(File the onginally signed paper statement with yourh ng official)
FPPC Form 700 -Cover Page(2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov 14
Page-5
Instructions
Cover Page
Enter your name, mailing address, and daytime telephone
number in the spaces provided. Because the Form 700 is
a public document, you may list your businessloffice
address instead of your home address.
Part 1. Office, Agency, or Court
• Enter the name of the office sought or held, or the agency
or court. Consultants must enter the public agency name
rather than their private firm's name. (Examples: State
Assembly, Board of Supervisors, Office of the Mayor,
Department of Finance, Hope County Superior Court)
• Indicate the name of your division, board, or district, if
applicable. (Examples: Division of Waste Management,
Board of Accountancy, District 45). Do not use acronyms.
• Enter your position title. (Examples: Director, Chief
Counsel, City Council Member, Staff Services Analyst)
• If you hold multiple positions (i.e., a city council member
who also is a member of a county board or commission),
you may be required to file statements with each agency.
To simplify your filing obligations, you may complete an
expanded statement.
To do this, enter the name of the other agency(ies)
with which you are required to file and your position
title(s) in the space provided. Do not use acronyms.
Attach an additional sheet if necessary. Complete
one statement covering the disclosure requirements
for all positions. Each copy must contain an original
signature. Therefore, before signing the statement,
make a copy for each agency. Sign each copy with an
original signature and file with each agency.
If you assume or leave a position after a filing deadline,
you must complete a separate statement. For example, a
city council member who assumes a position with a county
special district after the April annual filing deadline must file
a separate assuming office statement. In subsequent years,
the city council member may expand his or her annual filing to
include both positions.
Example:
Brian Bourne is a city council member for the City of Lincoln
and a board member for the Camp Far West Irrigation
District — a multi -county agency that covers Placer and
Yuba counties. Brian will complete one Form 700 using full
disclosure (as required for the city position) and covering
interests in both Placer and Yuba counties (as required for
the multi -county position) and list both positions on the Cover
Page. Before signing the statement, Brian will make a copy
and sign both statements. One statement will be filed with
City of Lincoln and the other will be filed with Camp Far West
Irrigation District. Both will contain an original signature.
Part 2. Jurisdiction of Office
Check the box indicating the jurisdiction of your agency
and, if applicable, identify the jurisdiction. Judges, judicial
candidates, and court commissioners have statewide
jurisdiction. All other filers should review the Reference
Pamphlet, page 13, to determine their jurisdiction.
If your agency is a multi -county office, list each county in
which your agency has jurisdiction.
If your agency is not a state office, court, county office, city
office, or multi -county office (e.g., school districts, special
districts and JPAs), check the "other" box and enter the
county or city in which the agency has jurisdiction.
Example:
This filer is a member of a water district board with jurisdiction
in portions of Yuba and Sutter Counties.
1. Office, Agency, or Court
Nge lhme (Oo nd ura ev —))
Felher!liver ImgN on Distr c'
Dlu,,en, B,,M, Dep, nt, Ddna, Aapplimble
Y,rPoalion
N/A
Doard Member
r M fining for mApl, posliorts, liS below oron an atadment (Oo nd
ura evmym )
N/A
pgeng.
Portion:
2. J urisdle110n of Office XhwA at Ima w,O5 )
�m
❑nnnge er Denn mmmene, ia,tewne nnn=alaleni
0Wlt ,nty Yuba & Srtff Cruo es
,cenmy f
❑ &y'
❑ o,be,
Part 3. Type of Statement
Check at least one box. The period covered by a statement
is determined by the type of statement you are filing. If you
are completing a 2020 annual statement, do not change the
pre-printed dates to reflect 2021. Your annual statement is
used for reporting the previous year's economic interests.
Economic interests for your annual filing covering January 1,
2021, through December 31, 2021, will be disclosed on your
statement filed in 2022. See Reference Pamphlet, page 4.
Combining Statements: Certain types of statements may be
combined. For example, if you leave office after January 1,
but before the deadline for filing your annual statement, you
may combine your annual and leaving office statements. File
by the earliest deadline. Consult your filing officer or the
FPPC.
Part 4. Schedule Summary
• Complete the Schedule Summary after you have reviewed
each schedule to determine if you have reportable
interests.
• Enter the total number of completed pages including the
cover page and either check the box for each schedule you
use to disclose interests, or if you have nothing to disclose
on any schedule, check the "No reportable interests" box.
Please do not attach any blank schedules.
Part 5. Verification
Complete the verification by signing the statement and
entering the date signed. All statements must have an original
"wet" signature or be duly authorized by your filing officer to
file electronically under Government Code Section 87500.2.
When you sign your statement, you are stating, under
penalty of perjury, that it is true and correct. Only the filer
has authority to sign the statement. An unsigned statement
is not considered filed and you may be subject to late filing
penalties.
FPPC Form 700 -Cover Page(2020/2021)
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Page-6
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__Ji __Ji
ACQUIRED DISPOSED
NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10, 000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
--ii --ii
ACQUIRED DISPOSED
liNAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10, 000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__Ji __Ji
ACQUIRED DISPOSED
Comments:
liNAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
--ii --ii
ACQUIRED DISPOSED
liNAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
--ii --ii
ACQUIRED DISPOSED
liNAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
--ii --ii
ACQUIRED DISPOSED
FP PC Form 700 -Schedule A-1 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • wv✓w.fppc.ca.gov AC
Page -] 1V
Instructions — Schedules A-1 and A-2
Investments
"Investment" means a financial interest in any business
entity (including a consulting business or other independent
contracting business) that is located in, doing business in,
planning to do business in, or that has done business during
the previous two years in your agency's jurisdiction in which
you, your spouse or registered domestic partner, or your
dependent children had a direct, indirect, or beneficial interest
totaling $2,000 or more at any time during the reporting
period. (See Reference Pamphlet, page 13.)
Reportable investments include:
Stocks, bonds, warrants, and options, including those held
in margin or brokerage accounts and managed investment
funds (See Reference Pamphlet, page 13.)
Sole proprietorships
• Your own business or your spouse's or registered
domestic partner's business (See Reference Pamphlet,
page 8, for the definition of "business entity.")
• Your spouse's or registered domestic partner's
investments even if they are legally separate property
Partnerships (e.g., a law firm or family farm)
Investments in reportable business entities held in a
retirement account (See Reference Pamphlet, page 15.)
If you, your spouse or registered domestic partner,
and dependent children together had a 10% or greater
ownership interest in a business entity or trust (including
a living trust), you must disclose investments held by the
business entity or trust. (See Reference Pamphlet, page
16, for more information on disclosing trusts.)
• Business trusts
You are not required to disclose:
• Government bonds, diversified mutual funds, certain
funds similar to diversified mutual funds (such as
exchange traded funds) and investments held in certain
retirement accounts. (See Reference Pamphlet, page 13.)
(Regulation 18237)
• Bank accounts, savings accounts, money market accounts
and certificates of deposits
Insurance policies
Annuities
Commodities
Shares in a credit union
• Government bonds (including municipal bonds)
• Retirement accounts invested in non -reportable interests
(e.g., insurance policies, mutual funds, or government
bonds) (See Reference Pamphlet, page 15.)
Reminders
• Do you know your agency's jurisdiction?
• Did you hold investments at any time during the period
covered by this statement?
• Code filers — your disclosure categories may only
require disclosure of specific investments.
Government defined -benefit pension plans (such as
CalPERS and CaISTRS plans)
Certain interests held in a blind trust (See Reference
Pamphlet, page 16.)
Use Schedule A-1 to report ownership of less than 10%
(e.g., stock). Schedule C (Income) may also be required if
the investment is not a stock or corporate bond. (See second
example below.)
Use Schedule A-2 to report ownership of 10% or greater
(e.g., a sole proprietorship).
To Complete Schedule A-1:
Do not attach brokerage or financial statements.
• Disclose the name of the business entity.
• Provide a general description of the business activity of
the entity (e.g., pharmaceuticals, computers, automobile
manufacturing, or communications).
• Check the box indicating the highest fair market value of
your investment during the reporting period. If you are
filing a candidate or an assuming office statement, indicate
the fair market value on the filing date or the date you took
office, respectively. (See page 20 for more information.)
• Identify the nature of your investment (e.g., stocks,
warrants, options, or bonds).
• An acquired or disposed of date is only required if you
initially acquired or entirely disposed of the investment
interest during the reporting period. The date of a stock
dividend reinvestment or partial disposal is not required.
Generally, these dates will not apply if you are filing a
candidate or an assuming office statement.
Examples:
Frank Byrd holds a state agency position. His conflict of
interest code requires full disclosure of investments. Frank
must disclose his stock holdings of $2,000 or more in any
company that is located in or does business in California,
as well as those stocks held by his spouse or registered
domestic partner and dependent children.
Alice Lance is a city council member. She has a 4% interest,
worth $5,000, in a limited partnership located in the city. Alice
must disclose the partnership on Schedule A-1 and income of
$500 or more received from the partnership on Schedule C.
FPPC Form 700(2020/2021)
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SCHEDULE A-2 CALIFORNIA FORM700
Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater)
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 _J_J20 _J_J20
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
YOUR BUSINESS POSITION
❑ SO- $499 ❑ $1Q001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
None or I I Names listed below
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
_J_J20 _j__j20
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Ym remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 _J_J20 _J_J20
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
YOUR BUSINESS POSITION
❑ $0 - $499
❑ $500 - $1,000
❑ $1,001 - $10,000
None or
Check one box:
❑ INVESTMENT
❑ $10,001 - $100,000
❑ OVER $100,000
❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
_J_J20 _J_J20
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Comments:
FPPC Form 700 -Schedule A-2 (2020/2021)
adviceCmfppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Ap
Page-9 1O
Instructions — Schedule A-2
Investments, Income, and Assets of Business Entities/Trusts
Use Schedule A-2 to report investments in a business
entity (including a consulting business or other independent
contracting business) or trust (including a living trust) in
which you, your spouse or registered domestic partner,
and your dependent children, together or separately, had a
10% or greater interest, totaling $2,000 or more, during the
reporting period and which is located in, doing business in,
planning to do business in, or which has done business during
the previous two years in your agency's jurisdiction. (See
Reference Pamphlet, page 13.) A trust located outside your
agency's jurisdiction is reportable if it holds assets that are
located in or doing business in the jurisdiction. Do not report
a trust that contains non -reportable interests. For example,
a trust containing only your personal residence not used in
whole or in part as a business, your savings account, and
some municipal bonds, is not reportable.
Also report on Schedule A-2 investments and real property
held by that entity or trust if your pro rata share of the
investment or real property interest was $2,000 or more
during the reporting period.
To Complete Schedule A-2:
Part 1. Disclose the name and address of the business entity
or trust. If you are reporting an interest in a business entity,
check "Business Entity" and complete the box as follows:
Provide a general description of the business activity of the
entity.
Check the box indicating the highest fair market value of
your investment during the reporting period.
If you initially acquired or entirely disposed of this interest
during the reporting period, enter the date acquired or
disposed.
• Identify the nature of your investment.
Disclose the job title or business position you held with the
entity, if any (i.e., if you were a director, officer, partner,
trustee, employee, or held any position of management). A
business position held by your spouse is not reportable.
Part 2. Check the box indicating your pro rata share of the
gross income received by the business entity or trust. This
amount includes your pro rata share of the gross income
from the business entity or trust, as well as your community
property interest in your spouse's or registered domestic
partner's share. Gross income is the total amount of income
before deducting expenses, losses, or taxes.
Part 3. Disclose the name of each source of income that is
located in, doing business in, planning to do business in, or
that has done business during the previous two years in your
agency's jurisdiction, as follows:
Disclose each source of income and outstanding loan
to the business entity or trust identified in Part 1 if
your pro rata share of the gross income (including your
community property interest in your spouse's or registered
domestic partner's share) to the business entity or trust
from that source was $10,000 or more during the reporting
period. (See Reference Pamphlet, page 11, for examples.)
Income from governmental sources may be reportable
if not considered salary. See Regulation 18232. 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 are not
reportable.
Disclose each individual or entity that was a source
of commission income of $10,000 or more during the
reporting period through the business entity identified in
Part 1. (See Reference Pamphlet, page 8.)
You may be required to disclose sources of income located
outside your jurisdiction. For example, you may have a client
who resides outside your jurisdiction who does business on a
regular basis with you. Such a client, if a reportable source of
$10,000 or more, must be disclosed.
Mark "None" if you do not have any reportable $10,000
sources of income to disclose. Phrases such as "various
clients" or "not disclosing sources pursuant to attorney -client
privilege" are not adequate disclosure. (See Reference
Pamphlet, page 14, for information on procedures to request
an exemption from disclosing privileged information.)
Part 4. Report any investments or interests in real property
held or leased by the entity or trust identified in Part 1 if your
pro rata share of the interest held was $2,000 or more during
the reporting period. Attach additional schedules or use
FPPC's Form 700 Excel spreadsheet if needed.
• Check the applicable box identifying the interest held as
real property or an investment.
• If investment, provide the name and description of the
business entity.
• If real property, report the precise location (e.g., an
assessor's parcel number or address).
• Check the box indicating the highest fair market value
of your interest in the real property or investment during
the reporting period. (Report the fair market value of the
portion of your residence claimed as a tax deduction if you
are utilizing your residence for business purposes.)
Identify the nature of your interest.
Enter the date acquired or disposed only if you initially
acquired or entirely disposed of your interest in the
property or investment during the reporting period.
FPPC Form 700 (2020/2021)
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Page-30
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► 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
❑ Leasehold
IF APPLICABLE, LIST DATE:
_J_J20 _J_J20
ACQUIRED DISPOSED
❑ Easement
El
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
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
❑ Leasehold
IF APPLICABLE, LIST DATE:
_J_J20 _J_J20
ACQUIRED DISPOSED
❑ Easement
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
You are not required to report loans from a commercial lending institution 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
INTEREST RATE
% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
NAME OF LENDER"
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% ❑ None
TERM (MonthsNears)
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 -Schedule B (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov AO
Page-11 L
Instructions — Schedule B
Interests in Real Property
Report interests in real property located in your agency's
jurisdiction in which you, your spouse or registered domestic
partner, or your dependent children had a direct, indirect, or
beneficial interest totaling $2,000 or more any time during
the reporting period. Real property is also considered to be
"within the jurisdiction" of a local government agency if the
property or any part of it is located within two miles outside
the boundaries of the jurisdiction or within two miles of any
land owned or used by the local government agency. (See
Reference Pamphlet, page 13.)
Interests in real property include:
• An ownership interest (including a beneficial ownership
interest)
• A deed of trust, easement, or option to acquire property
• A leasehold interest (See Reference Pamphlet, page 14.)
• A mining lease
• An interest in real property held in a retirement account
(See Reference Pamphlet, page 15.)
• An interest in real property held by a business entity or
trust in which you, your spouse or registered domestic
partner, and your dependent children together had a 10%
or greater ownership interest (Report on Schedule A-2.)
• Your spouse's or registered domestic partner's interests in
real property that are legally held separately by him or her
You are not required to report:
• A residence, such as a home or vacation cabin, used
exclusively as a personal residence (However, a residence
in which you rent out a room or for which you claim a
business deduction may be reportable. If reportable,
report the fair market value of the portion claimed as a tax
deduction.)
• Some interests in real property held through a blind trust
(See Reference Pamphlet, page 16.)
• Please note: A non -reportable property can still
be grounds for a conflict of interest and may be
disqualifying.
To Complete Schedule B:
• Report the precise location (e.g., an assessor's parcel
number or address) of the real property.
• Check the box indicating the fair market value of your
interest in the property (regardless of what you owe on the
property).
• Enter the date acquired or disposed only if you initially
acquired or entirely disposed of your interest in the
property during the reporting period.
• Identify the nature of your interest. If it is a leasehold,
Reminders
• Income and loans already reported on Schedule B are
not also required to be reported on Schedule C.
• Real property already reported on Schedule A-2, Part 4
is not also required to be reported on Schedule B.
• Code filers — do your disclosure categories require
disclosure of real property?
disclose the number of years remaining on the lease.
• If you received rental income, check the box indicating the
gross amount you received.
• If you had a 10% or greater interest in real property and
received rental income, list the name of the source(s) if
your pro rata share of the gross income from any single
tenant was $10,000 or more during the reporting period. If
you received a total of $10,000 or more from two or more
tenants acting in concert (in most cases, this will apply
to married couples), disclose the name of each tenant.
Otherwise, mark "None."
• Loans from a private lender that total $500 or more and
are secured by real property may be reportable. 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 are not reportable.
When reporting a loan:
Provide the name and address of the lender.
Describe the lender's business activity.
Disclose the interest rate and term of the loan. For
variable interest rate loans, disclose the conditions
of the loan (e.g., Prime + 2) or the average interest
rate paid during the reporting period. The term of
a loan is the total number of months or years given
for repayment of the loan at the time the loan was
established.
Check the box indicating the highest balance of the
loan during the reporting period.
- Identify a guarantor, if
applicable.
If you have more than one
reportable loan on a single
piece of real property, report
the additional loan(s) on
Schedule C.
Example:
Allison Gande is a city
planning commissioner.
During the reporting period,
she received rental income of
$12,000, from a single tenant
who rented property she
owned in the city'sjurisdiction.
If Allison received $6,000
each from two tenants, the
tenants' names would not be
required because no single
tenant paid her $10,000 or
more. A married couple is
considered a single tenant.
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FPPC Form 700(2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov ^A
Page -12 L 1
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $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
(Rea/property car, boat etc)
❑ Loan repayment
❑Commission or ❑Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
Name
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income- Business Position Only
❑ $500 - $1,000 ❑ $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
(Realproperty car, boat etc)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
You are not required to report loans from a commercial lending institution, 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 (MonthsNears)
h ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
City
(Describe)
FPPC Form 7W -Schedule C(2020/2021)
advice@fppc.ca.gov• 866-275-3772• www.fppc.ca.gov ^^
Page -13 LL
Instructions — Schedule C
Income, Loans, & Business Positions
(Income Other Than Gifts and Travel Payments)
Reporting Income:
Report the source and amount of gross income of $500 or
more you received during the reporting period. Gross income
is the total amount of income before deducting expenses,
losses, or taxes and includes loans other than loans from a
commercial lending institution. (See Reference Pamphlet,
page 11.) You must also report the source of income to your
spouse or registered domestic partner if your community
property share was $500 or more during the reporting period.
The source and income must be reported only if the source
is located in, doing business in, planning to do business in,
or has done business during the previous two years in your
agency's jurisdiction. (See Reference Pamphlet, page 13.)
Reportable sources of income may be further limited by
your disclosure category located in your agency's conflict of
interest code.
Reporting Business Positions:
You must report yourjob title with each reportable business
entity even if you received no income during the reporting
period. Use the comments section to indicate that no income
was received.
Commonly reportable income and loans include:
Salary/wages, per diem, and reimbursement for expenses
including travel payments provided by your employer
Community property interest (50%) in your spouse's
or registered domestic partner's income - report the
employer's name and all other required information
Income from investment interests, such as partnerships,
reported on Schedule A-1
Commission income not required to be reported on
ScheduleA-2 (See Reference Pamphlet, page 8.)
Gross income from any sale, including the sale of a house
or car (Report your pro rata share of the total sale price.)
Rental income not required to be reported on Schedule B
Prizes or awards not disclosed as gifts
Payments received on loans you made to others
• An honorarium received prior to becoming a public official
(See Reference Pamphlet, page 10.)
• Incentive compensation (See Reference Pamphlet, page
12.)
Reminders
Code filers — your disclosure categories may not require
disclosure of all sources of income.
• If you or your spouse or registered domestic partner are
self-employed, report the business entity on Schedule A-2.
• Do not disclose on Schedule C income, loans, or business
positions already reported on Schedules A-2 or B.
You are = required to report:
• Salary, reimbursement for expenses or per diem, or
social security, disability, or other similar benefit payments
received by you or your spouse or registered domestic
partner from a federal, state, or local government agency.
• Stock dividends and income from the sale of stock unless
the source can be identified.
Income from a PERS retirement account.
(See Reference Pamphlet, page 12.)
To Complete Schedule C:
Part 1. Income Received/Business Position Disclosure
• Disclose the name and address of each source of income
or each business entity with which you held a business
position.
• Provide a general description of the business activity if the
source is a business entity.
• Check the box indicating the amount of gross income
received.
• Identify the consideration for which the income was
received.
• For income from commission sales, check the box
indicating the gross income received and list the name of
each source of commission income of $10,000 or more.
(See Reference Pamphlet, page 8.) Note: If you receive
commission income on a regular basis or have an
ownership interest of 10% or more, you must disclose
the business entity and the income on Schedule A-2.
Disclose the job title or business position, if any, that you
held with the business entity, even if you did not receive
income during the reporting period.
Part 2. Loans Received or Outstanding During the
Reporting Period
• Provide the name and address of the lender.
Provide a general description of the business activity if the
lender is a business entity.
Check the box indicating the highest balance of the loan
during the reporting period.
Disclose the interest rate and the term of the loan.
For variable interest rate loans, disclose the conditions
of the loan (e.g., Prime + 2) or the average interest rate
paid during the reporting period.
- The term of the loan is the total number of months or
years given for repayment of the loan at the time the
loan was entered into.
Identify the security, if any, for the loan.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov ^�
Page -14 L
SCHEDULE D
Income — Gifts
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$
$
$
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$
$
$
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$
$
$
Comments:
Name
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddPyy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddPyy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddPyy) VALUE DESCRIPTION OF GIFT(S)
FPPC Form 700 - Schedule D (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • wv✓w.fppc.ca.gov ^A
Page -15 LY
Instructions - Schedule D
Income - Gifts
A gift is anything of value for which you have not provided
equal or greater consideration to the donor. A gift is
reportable if its fair market value is $50 or more. In addition,
multiple gifts totaling $50 or more received during the
reporting period from a single source must be reported.
It is the acceptance of a gift, not the ultimate use to which it is
put, that imposes your reporting obligation. Except as noted
below, you must report a gift even if you never used it or if you
gave it away to another person.
If the exact amount of a gift is unknown, you must make a
good faith estimate of the item's fair market value. Listing
the value of a gift as "over $50" or "value unknown" is not
adequate disclosure. In addition, if you received a gift through
an intermediary, you must disclose the name, address, and
business activity of both the donor and the intermediary. You
may indicate an intermediary either in the "source" field
after the name or in the "comments" section at the bottom
of Schedule D.
Commonly reportable gifts include:
• Tickets/passes to sporting or entertainment events
• Tickets/passes to amusement parks
• Parking passes not used for official agency business
Food, beverages, and accommodations, including those
provided in direct connection with your attendance at a
convention, conference, meeting, social event, meal, or like
gathering
Rebates/discounts not made in the regular course of
business to members of the public without regard to official
status
• Wedding gifts (See Reference Pamphlet, page 16)
• An honorarium received prior to assuming office (You may
report an honorarium as income on Schedule C, rather
than as a gift on Schedule D, if you provided services of
equal or greater value than the payment received. See
Reference Pamphlet, page 10.)
Transportation and lodging (See Schedule E.)
Forgiveness of a loan received by you
Reminders
• Gifts from a single source are subject to a $500 limit in
2020. (See Reference Pamphlet, page 10.)
• Code filers — you only need to report gifts from
reportable sources.
Gift Tracking Mobile Application
• FPPC has created a gift tracking app for mobile
devices that helps filers track gifts and provides a quick
and easy way to upload the information to the Form
700. Visit FPPC's website to download the app.
You are not required to disclose:
Gifts that were not used and that, within 30 days after
receipt, were returned to the donor or delivered to a
charitable organization or government agency without
being claimed by you as a charitable contribution for tax
purposes
• Gifts from your spouse or registered domestic partner,
child, parent, grandparent, grandchild, brother, sister, and
certain other family members (See Regulation 18942 for a
complete list.). The exception does not apply if the donor
was acting as an agent or intermediary for a reportable
source who was the true donor.
• Gifts of similar value exchanged between you and an
individual, other than a lobbyist registered to lobby your
state agency, on holidays, birthdays, or similar occasions
• Gifts of informational material provided to assist you in the
performance of your official duties (e.g., books, pamphlets,
reports, calendars, periodicals, or educational seminars)
• A monetary bequest or inheritance (However, inherited
investments or real property may be reportable on other
schedules.)
• Personalized plaques or trophies with an individual value of
less than $250
Campaign contributions
Up to two tickets, for your own use, to attend a fundraiser
for a campaign committee or candidate, or to a fundraiser
for an organization exempt from taxation under Section
501(c)(3) of the Internal Revenue Code. The ticket must
be received from the organization or committee holding the
fundraiser.
Gifts given to members of your immediate family if the
source has an established relationship with the family
member and there is no evidence to suggest the donor had
a purpose to influence you. (See Regulation 18943.)
Free admission, food, and nominal items (such as a pen,
pencil, mouse pad, note pad or similar item) available to
all attendees, at the event at which the official makes a
speech (as defined in Regulation 18950(b)(2)), so long as
the admission is provided by the person who organizes the
event.
Any other payment not identified above, that would
otherwise meet the definition of gift, where the payment is
made by an individual who is not a lobbyist registered to
lobby the official's state agency, where it is clear that the
gift was made because of an existing personal or business
relationship unrelated to the official's position and there
is no evidence whatsoever at the time the gift is made to
suggest the donor had a purpose to influence you.
To Complete Schedule D:
Disclose the full name (not an acronym), address, and, if a
business entity, the business activity of the source.
Provide the date (month, day, and year) of receipt, and
disclose the fair market value and description of INV-
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • wv✓w.fppc.ca.gov ^C
Page -16 LJ
SCHEDULE
Income — Gifts
Travel Payments, Advances,
and Reimbursements
Name
• 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. Per Government Code
Section 89506, these payments may not be subject to the gift limit. However, they may result
in a disqualifying conflict of interest.
• For gifts of travel, provide the travel destination.
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUS IN EBB ACTIVITY, IFANY, OF SOURCE
DATE(S):--J--] AMT:$
(if gift
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
0 Made a Speech/Participated in a Panel
0 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, IFANY, OF SOURCE
DATE(S):--]--] ---]--J AMT:$
(if gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
0 Made a Speech/Participated in a Panel
0 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, IFANY, OF SOURCE
DATE(S):--J--] AMT:$
(if gift)
► MUST CHECK ONE: 0 Gift -or- ❑ Income
0 Made a Speech/Participated in a Panel
0 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, IFANY, OF SOURCE
DATE(S):--J--] AMT:$
(if gift)
► MUST CHECK ONE: 0 Gift -or- ❑ Income
0 Made a Speech/Participated in a Panel
0 Other - Provide Description
► If Gift, Provide Travel Destination
FPPC Form J00- Schedule E (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • wv✓w.fppc.ca.gov A6
Page -17 L
Instructions — Schedule E
Travel Payments, Advances,
and Reimbursements
Travel payments reportable on Schedule E include advances
and reimbursements for travel and related expenses,
including lodging and meals.
Gifts of travel may be subject to the gift limit. In addition,
certain travel payments are reportable gifts, but are not
subject to the gift limit. To avoid possible misinterpretation or
the perception that you have received a gift in excess of the
gift limit, you may wish to provide a specific description of
the purpose of your travel. (See the FPPC fact sheet entitled
"Limitations and Restrictions on Gifts, Honoraria, Travel,
and Loans" to read about travel payments under section
89506(a).)
You are not required to disclose:
• Travel payments received from any state, local, or federal
government agency for which you provided services equal
or greater in value than the payments received, such as
reimbursement for travel on agency business from your
government agency employer.
• A payment for travel from another local, state, or federal
government agency and related per diem expenses when
the travel is for education, training or other inter -agency
programs or purposes.
Travel payments received from your employer in the
normal course of your employment that are included in the
income reported on Schedule C.
A travel payment that was received from a nonprofit
entity exempt from taxation under Internal Revenue
Code Section 501(c)(3) for which you provided equal or
greater consideration, such as reimbursement for travel on
business for a 501(c)(3) organization for which you are a
board member.
Note: Certain travel payments may not be reportable
if reported via email on Form 801 by your agency.
To Complete Schedule E:
• Disclose the full name (not an acronym) and address of the
source of the travel payment.
• Identify the business activity if the source is a business
entity.
• Check the box to identify the payment as a gift or income,
report the amount, and disclose the date(s).
• Travel payments are gifts if you did not provide
services that were equal to or greater in value than the
payments received. You must disclose gifts totaling $50
or more from a single source during the period covered
by the statement.
When reporting travel payments that are gifts, you must
provide a description of the gift, the date(s) received,
and the travel destination.
• Travel payments are income if you provided services
that were equal to or greater in value than the
payments received. You must disclose income totaling
$500 or more from a single source during the period
covered by the statement. You have the burden of
proving the payments are income rather than gifts.
When reporting travel payments as income, you must
describe the services you provided in exchange for the
payment. You are not required to disclose the date(s)
for travel payments that are income.
Example:
City council member MaryClaire Chandler is the chair of a
501(c)(6) trade association, and the association pays for her
travel to attend its meetings. Because MaryClaire is deemed
to be providing equal or
greater consideration for
the travel payment by
virtue of serving on the
board, this payment may
be reported as income.
Payments for MaryClaire
to attend other events for
• NAME OF SOURCE GAS ., "mnre,
Health Services Trade Association
ADD A 55 PAN— — ""z uz z,
1230 K Street, Suite 610
a
Sacramento CA
❑50,(ORD r weOFSOURCE
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oaiESSJJ -JJ ANT a55000
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•MUST CHECK ONE. E] Gift -0_ ®Income
which she Is not providing O Made a epeewPammpsea in a Panel
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services are likely boab meeanp
considered gifts. Note that • "°" "-°"'M'°,Nt'°"'°°
the same payment from a
501(c)(3) would NOT be reportable.
Example:
Mayor Kim travels to China on a trip organized by China
Silicon Valley Business Development, a California nonprofit,
501(c)(6) organization. The Chengdu Municipal People's
Government pays for Mayor Kim's airfare and travel costs,
as well as his meals and
lodging during the trip.
The trip's agenda shows
that the trip's purpose is
to promote job creation
and economic activity
in China and in Silicon
Valley, so the trip is
reasonably related to a
governmental purpose.
Thus, Mayor Kim must
• NAME OF SOURCE co— """ya,
Chengdu Municipal People's Government
ADDRESS Re -a— "". ,°K,
2 Caoshi St, Caoshi ie, Oingyang On Chengdu Shr
Sichuan sheng, China, 610000
❑ ®, r"»",oESCnieE eeSINESS C.M.eCANY OF SOURCE
DATES}JJ AD JJ AD AM.., 3 874 38
mom
• Musi CHECK ONE. OxGift -0r- E] Income
Q Made a speechlPsoclpated In a Panel
�OtherProvideDeschpilon T2ye reimburs" enttor
p to China
I. cn°i"SihuaSheng°Chca
report the gift of travel,
but the gift is exempt from the gift limit. In this case, the travel
payments are not subject to the gift limit because the source
is a foreign government and because the travel is reasonably
related to a governmental purpose. (Section 89506(a)(2).)
Note that Mayor Kim could be disqualified from participating in
or making decisions about The Chengdu Municipal People's
Government for 12 months. Also note that if China Silicon
Valley Business Development (a 501(c)(6) organization) paid
for the travel costs rather than the governmental organization,
the payments would be subject to the gift limits. (See the
FPPC fact sheet, Limitations and Restrictions on Gi
Honoraria, Travel and Loans, at www.fppc.ca.gov.) OW
FPPC Form 700 (2020/2021)
advicelsfppc.ca.gov • 866-275-3772 • www.fppc.ca.gov ^�
Page -is L
Restrictions and Prohibitions
The Political Reform Act (Gov. Code Sections 81000-
91014) requires most state and local government officials
and employees to publicly disclose their personal assets
and income. They also must disqualify themselves
from participating in decisions that may affect their
personal economic interests. The Fair Political Practices
Commission (FPPC) is the state agency responsible for
issuing the attached Statement of Economic Interests,
Form 700, and for interpreting the law's provisions.
Gift Prohibition
Gifts received by most state and local officials, employees,
and candidates are subject to a limit. In 2021-2022, the
gift limit increased to $520 from a single source during a
calendar year. In 2019 and 2020, the gift limit was $500
from a single source during a calendar year.
Additionally, state officials, state candidates, and certain
state employees are subject to a $10 limit per calendar
month on gifts from lobbyists and lobbying firms registered
with the Secretary of State. See Reference Pamphlet,
page 10.
State and local officials and employees should check with
their agency to determine if other restrictions apply.
Disqualification
Public officials are, under certain circumstances, required
to disqualify themselves from making, participating in, or
attempting to influence governmental decisions that will
affect their economic interests. This may include interests
they are not required to disclose. For example, a personal
residence is often not reportable, but may be grounds for
disqualification. Specific disqualification requirements
apply to 87200 filers (e.g., city councilmembers, members
of boards of supervisors, planning commissioners, etc.).
These officials must publicly identify the economic interest
that creates a conflict of interest and leave the room before
a discussion or vote takes place at a public meeting. For
more information, consult Government Code Section
87105, Regulation 18707, and the Guide to Recognizing
Conflicts of Interest page at www.fppc.ca.gov.
Honorarium Ban
Most state and local officials, employees, and candidates
are prohibited from accepting an honorarium for any
speech given, article published, or attendance at a
conference, convention, meeting, or like gathering. (See
Reference Pamphlet, page 10.)
Loan Restrictions
Certain state and local officials are subject to restrictions
on loans. (See Reference Pamphlet, page 14.)
Post -Governmental Employment
There are restrictions on representing clients or employers
before former agencies. The provisions apply to elected
state officials, most state employees, local elected officials,
county chief administrative officers, city managers,
including the chief administrator of a city, and general
managers or chief administrators of local special districts
and JPAs. The FPPC website has fact sheets explaining
the provisions.
Late Filing
The filing officer who retains originally -signed or
electronically filed statements of economic interests may
impose on an individual a fine for any statement that is filed
late. The fine is $10 per day up to a maximum of $100.
Late filing penalties may be reduced or waived under certain
circumstances.
Persons who fail to timely file their Form 700 may be
referred to the FPPC's Enforcement Division (and, in some
cases, to the Attorney General or district attorney) for
investigation and possible prosecution. In addition to the
late filing penalties, a fine of up to $5,000 per violation may
be imposed.
For assistance concerning reporting, prohibitions, and
restrictions under the Act:
• Email questions to advice@fppc.ca.gov.
• Call the FPPC toll -free at (866) 275-3772.
Form 700 is a Public Document
Public Access Must Be Provided
Statements of Economic Interests are public
documents. The filing officer must permit any
member of the public to inspect and receive a copy
of any statement.
• Statements must be available as soon as possible
during the agency's regular business hours, but
in any event not later than the second business
day after the statement is received. Access to the
Form 700 is not subject to the Public Records Act
procedures.
• No conditions may be placed on persons seeking
access to the forms.
• No information or identification may be required
from persons seeking access.
• Reproduction fees of no more than 10 cents per
page may be charged.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov ^Q
Page-19 LO
Questions and Answers
General
Q. What is the reporting period for disclosing interests
on an assuming office statement or a candidate
statement?
A. On an assuming office statement, disclose all
reportable investments, interests in real property, and
business positions held on the date you assumed
office. In addition, you must disclose income (including
loans, gifts and travel payments) received during the 12
months prior to the date you assumed office.
On a candidate statement, disclose all reportable
investments, interests in real property, and business
positions held on the date you file your declaration of
candidacy. You must also disclose income (including
loans, gifts and travel payments) received during the
12 months prior to the date you file your declaration of
candidacy.
Q. I hold two other board positions in addition to my
position with the county. Must I file three statements of
economic interests?
A. Yes, three are required. However, you may complete
one statement listing the county and the two boards on
the Cover Page or an attachment as the agencies for
which you will be filing. Report your economic interests
using the largest jurisdiction and highest disclosure
requirements assigned to you by the three agencies.
Make two copies of the entire statement before
signing it, sign each copy with an original signature,
and distribute one original to the county and to each
of the two boards. Remember to complete separate
statements for positions that you leave or assume
during the year.
Q. I am a department head who recently began acting as
city manager. Should I file as the city manager?
A. Yes. File an assuming office statement as city
manager. Persons serving as "acting," "interim," or
"alternate" must file as if they hold the position because
they are or may be performing the duties of the
position.
Q. My spouse and I are currently separated and in the
process of obtaining a divorce. Must I still report my
spouse's income, investments, and interests in real
property?
A. Yes. A public official must continue to report a spouse's
economic interests until such time as dissolution of
marriage proceedings is final. However, if a separate
property agreement has been reached prior to that
time, your estranged spouse's income may not have to
be reported. Contact the FPPC for more information.
Q. As a designated employee, I left one state agency to
work for another state agency. Must I file a leaving
office statement?
A. Yes. You may also need to file an assuming office
statement for the new agency.
Investment Disclosure
Q. I have an investment interest in shares of stock in a
company that does not have an office in my jurisdiction.
Must I still disclose my investment interest in this
company?
A. Probably. The definition of "doing business in the
jurisdiction" is not limited to whether the business has
an office or physical location in your jurisdiction. (See
Reference Pamphlet, page 13.)
Q. My spouse and I have a living trust. The trust holds
rental property in my jurisdiction, our primary residence,
and investments in diversified mutual funds. I have full
disclosure. How is this trust disclosed?
A. Disclose the name of the trust, the rental property and
its income on Schedule A-2. Your primary residence
and investments in diversified mutual funds registered
with the SEC are not reportable.
Q. I am required to report all investments. I have an IRA
that contains stocks through an account managed by
a brokerage firm. Must I disclose these stocks even
though they are held in an IRA and I did not decide
which stocks to purchase?
A. Yes. Disclose on Schedule A-1 or A-2 any stock worth
$2,000 or more in a business entity located in or doing
business in your jurisdiction.
Q. The value of my stock changed during the reporting
period. How do I report the value of the stock?
A. You are required to report the highest value that the
stock reached during the reporting period. You may
use your monthly statements to determine the highest
value. You may also use the entity's website to
determine the highest value. You are encouraged to
keep a record of where you found the reported value.
Note that for an assuming office statement, you must
report the value of the stock on the date you assumed
office.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov ^�
Page -20 L
Questions and Answers
Continued
Q. I am the sole owner of my business, an S-Corporation.
I believe that the nature of the business is such that it
cannot be said to have any "fair market value" because
it has no assets. I operate the corporation under
an agreement with a large insurance company. My
contract does not have resale value because of its
nature as a personal services contract. Must I report
the fair market value for my business on Schedule A-2
11117370TU11 818Z
A. Yes. Even if there are no tangible assets, intangible
assets, such as relationships with companies and
clients are commonly sold to qualified professionals.
The "fair market value" is often quantified for other
purposes, such as marital dissolutions or estate
planning. In addition, the IRS presumes that "personal
services corporations" have a fair market value. A
professional "book of business" and the associated
goodwill that generates income are not without a
determinable value. The Form 700 does not require a
precise fair market value, it is only necessary to check
a box indicating the broad range within which the value
falls.
Q. We have a Section 529 account set up to save money
for our son's college education. Is this reportable?
A. If the Section 529 account contains reportable interests
(e.g., common stock valued at $2,000 or more), those
interests are reportable (not the actual Section 529
account). If the account contains solely mutual funds,
then nothing is reported.
Income Disclosure
Q. I reported a business entity on Schedule A-2. Clients of
my business are located in several states. Must I report
all clients from whom my pro rata share of income is
$10,000 or more on Schedule A-2, Part 3?
A. No, only the clients located in or doing business on a
regular basis in your jurisdiction must be disclosed.
Q. I believe I am not required to disclose the names of
clients from whom my pro rata share of income is
$10,000 or more on Schedule A-2 because of their right
to privacy. Is there an exception for reporting clients'
names?
Q. I own stock in IBM and must report this investment A.
on Schedule A-1. I initially purchased this stock in
the early 1990s, however, I am constantly buying
and selling shares. Must I note these dates in the
"Acquired" and "Disposed" fields?
A. No. You must only report dates in the "Acquired" or
"Disposed" fields when, during the reporting period, you
initially purchase a reportable investment worth $2,000
or more or when you dispose of the entire investment.
You are not required to track the partial trading of an
investment.
Q. On last year's filing I reported stock in Encoe valued at
$2,000 - $10,000. Late last year the value of this stock
fell below and remains at less than $2,000. How should
this be reported on this year's statement?
A. You are not required to report an investment if the value
was less than $2,000 during the entire reporting period.
However, because a disposed date is not required for
stocks that fall below $2,000, you may want to report
the stock and note in the "comments" section that the
value fell below $2,000. This would be for informational
purposes only, it is not a requirement.
Regulation 18740 provides a procedure for requesting
an exemption to allow a client's name not to be
disclosed if disclosure of the name would violate a
legally recognized privilege under California or Federal
law. This regulation may be obtained from our website
at www.fppc.ca.gov. (See Reference Pamphlet, page
14.)
Q. I am sole owner of a private law practice that is not
reportable based on my limited disclosure category.
However, some of the sources of income to my law
practice are from reportable sources. Do I have to
disclose this income?
A. Yes, even though the law practice is not reportable,
reportable sources of income to the law practice of
$10,000 or more must be disclosed. This information
would be disclosed on Schedule C with a note in the
"comments" section indicating that the business entity
is not a reportable investment. The note would be for
informational purposes only, it is not a requirement.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov 3U
Page -21
Questions and Answers
Continued
Q. I am the sole owner of my business. Where do I
disclose my income - on Schedule A-2 or Schedule C?
A. Sources of income to a business in which you have an
ownership interest of 10% or greater are disclosed on
Schedule A-2. (See Reference Pamphlet, page 8.)
Real Property Disclosure
Q. During this reporting period we switched our principal
place of residence into a rental. I have full disclosure
and the property is located in my agency's jurisdiction,
so it is now reportable. Because I have not reported
this property before, do I need to show an "acquired"
date?
Q. My husband is a partner in a four -person firm where A
all of his business is based on his own billings and
collections from various clients. How do I report my
community property interest in this business and the
income generated in this manner?
A. If your husband's investment in the firm is 10% or
greater, disclose 100% of his share of the business
on Schedule A-2, Part 1 and 50% of his income on
Schedule A-2, Parts 2 and 3. For example, a client of
your husband's must be a source of at least $20,000
during the reporting period before the client's name is
reported.
Q. How do I disclose my spouse's or registered domestic
partner's salary?
A. Report the name of the employer as a source of income
on Schedule C.
Q. I am a doctor. For purposes of reporting $10,000
sources of income on Schedule A-2, Part 3, are the
patients or their insurance carriers considered sources
of income?
A. If your patients exercise sufficient control by selecting
you instead of other doctors, then your patients, rather
than their insurance carriers, are sources of income to
you. (See Reference Pamphlet, page 14.)
Q. I received a loan from my grandfather to purchase my
home. Is this loan reportable?
A. No. Loans received from family members are not
reportable.
Q. Many years ago, I loaned my parents several thousand
dollars, which they paid back this year. Do I need to
report this loan repayment on my Form 700?
A. No. Payments received on a loan made to a family
member are not reportable.
No, you are not required to show an "acquired" date
because you previously owned the property. However,
you may want to note in the "comments" section that
the property was not previously reported because it was
used exclusively as your residence. This would be for
informational purposes only, it is not a requirement.
Q. I am a city manager, and I own a rental property located
in an adjacent city, but one mile from the city limit. Do I
need to report this property interest?
A. Yes. You are required to report this property because
it is located within 2 miles of the boundaries of the city
you manage.
Q. Must I report a home that I own as a personal residence
for my daughter?
A. You are not required to disclose a home used as a
personal residence for a family member unless you
receive income from it, such as rental income.
Q. I am a co-signer on a loan for a rental property owned
by a friend. Since I am listed on the deed of trust, do I
need to report my friend's property as an interest in real
property on my Form 700?
A. No. Simply being a co-signer on a loan for property
does not create a reportable interest in real property for
you.
Gift Disclosure
Q. If I received a reportable gift of two tickets to a concert
valued at $100 each, but gave the tickets to a friend
because I could not attend the concert, do I have any
reporting obligations?
A. Yes. Since you accepted the gift and exercised
discretion and control of the use of the tickets, you must
disclose the gift on Schedule D.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • w fppc.ca.gov 31
Page -22
Questions and Answers
Continued
Q. Julia and Jared Benson, a married couple, want to Q. I received free admission to an educational conference
give a piece of artwork to a county supervisor. Is each related to my official duties. Part of the conference
spouse considered a separate source for purposes of fees included a round of golf. Is the value of the golf
the gift limit and disclosure? considered informational material?
A. Yes, each spouse may make a gift valued at the gift A. No. The value of personal benefits, such as golf,
limit during a calendar year. For example, during 2020 attendance at a concert, or sporting event, are gifts
the gift limit was $500, so the Bensons may have given subject to reporting and limits.
the supervisor artwork valued at no more than $1,000.
The supervisor must identify Jared and Julia Benson as
the sources of the gift.
Q. I am a Form 700 filer with full disclosure. Our agency
holds a holiday raffle to raise funds for a local charity.
I bought $10 worth of raffle tickets and won a gift
basket valued at $120. The gift basket was donated by
Doug Brewer, a citizen in our city. At the same event,
I bought raffle tickets for, and won a quilt valued at
$70. The quilt was donated by a coworker. Are these
reportable gifts?
A. Because the gift basket was donated by an outside
source (not an agency employee), you have received a
reportable gift valued at $110 (the value of the basket
less the consideration paid). The source of the gift
is Doug Brewer and the agency is disclosed as the
intermediary. Because the quilt was donated by an
employee of your agency, it is not a reportable gift.
Q. My agency is responsible for disbursing grants. An
applicant (501(c)(3) organization) met with agency
employees to present its application. At this meeting,
the applicant provided food and beverages. Would
the food and beverages be considered gifts to the
employees? These employees are designated in our
agency's conflict of interest code and the applicant is a
reportable source of income under the code.
A. Yes. If the value of the food and beverages consumed
by any one filer, plus any other gifts received from the
same source during the reporting period total $50 or
more, the food and beverages would be reported using
the fair market value and would be subject to the gift
limit.
FPPC Form 700 (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • wv✓w.fppc.ca.gov �^L Page -23
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