Escolar Documentos
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Schedule D 0 Yes - schedule attached
o County of --------------- Income - Gifts
o City of _
Schedule E 0 Yes - schedule attached
o Multi-County -------------- Income - Gifts - Travel Payments
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Washington DC Columbus, OH
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~ Salary D Spouse's or registered domestic partner's income IZI Salary D Spouse's or registered domestic partner's income
D Sale of
(Property car, boat, etc.) D Sale of (Property, car, boat, etc.)
D Commission or D Rental Income, list each source of $10,000 or more D Commission or D Rental Income, list each source of $10,000 or more
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status. Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:
____ % DNone
ADDRESS
SECURITY FOR LOAN
D None D Personal residence
BUSINESS ACTIVITY, IF ANY, OF LENDER
D $1,001 - $10,000
D Guarantor --------------------
D $10,001 - $100,000
DOVER $100,000
D Other (Describe)
Comments:
FPPC Form 700 (2008/2009) Sch. c
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Name
Positions
(Other than Gifts and Travel Payments) hOf1()e '2eiJ5
• 1. INCOME RECEIVED • 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
New York, NY
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Independent Conultant
GROSS INCOME RECEIVED GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000 D $500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 ~ OVER $100,000 0$10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
~ Salary 0 Spouse's or registered domestic partner's income o Salary 0 Spouse's or registered domestic partner's income
o Loan repayment o Loan repayment
D Sale of ------------------
(Property, car, boat, etc.) o Sale of (Property, car, boat, etc.)
o Commission or 0 Rental Income, list each source of $10,000 or more o Commission or o Rental Income, list each source of $10,000 or more
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status. Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:
____ % o None
ADDRESS
SECURITY FOR LOAN
D None D Personal residence
BUSINESS ACTIVITY, IF ANY, OF LENDER
Comments:
ADDRESS
Ne-\ :SQ±~ 'laC,
ADDRESS
58 \ Moin ~j. WGlO~b(il
BUSINESS ACTIVITY, IF ANY, OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
-PtiLiote Ii.Vio-trO()
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
b\cec-tQC~'lQ
GROSS INCOME RECEIVED
GROSS INCOME RECEIVED
1(1 DC 0 0 ~o - $1,000 0 $1,001 - $10,000 [] $500 - $1,000 [] $1,001 - $10,000
0 OVER $100,000
~ I ~10,001 - $100,000
o $10,001 - $100,000.. [] OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Loan repayment
[]
[]
Salary []
Loan repayment
Spouse's or registered domestic partner's income
[]~Ieof _
[] Sale of _
(Property, car, boat, etc.)
(Proparty, car, boat, etc.)
[] Commission or [] Rental IncOme, list each source of $10,000 or more
[] Commission or [] Rental Income, list each source of $10,000 or mon
o Other (Describe)
You are not required to report loans from commercial lending institutions, or any indebtedness created as part of
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
INTEREST RATE TERM (Months/Years)
[] $500 - $1,000
o $1,001 - $10,000
o Guarantor
City
_
o $10,001 - $100,000
o OVER $100,000
o Other (Describe)
I certify under penalty of perjury under the laws of the State of Califo)'flJa4Qa(
SCHEDULE C
Income, Loans, & Business
Positions AMENDMENT
(Other than Gifts and Travel Payments)
'Del :f=OQ~d,-----_,----__
YOUR BiTsINESS POSITION
, Di(edorSl1ip__
GROSS INCOME RECEIVED GROSS INCOME RECEIVED
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's or registered domestic partner's income o Salary 0 Spouse's or registered domestic partner'
o Loan repayment
o Loan repayment
o Commission or 0 Rental Income, list each source of $10,000 'or more o Commission or 0 Rental Income, list each source of $
You are not required to report loans from commercial lending institutions, or any indebtedness created as part of c
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:
INTEREST RATE TERM (MonthsNears)
NAME OF LENDER
_____ % 0 None
ADDRESS
SECURITY FOR LOAN
o $10,001 - $100,000
DOVER $100,000
o Other (Describe)
I certify under penalty of perjury under the laws of the State of California that t
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