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HomeMy WebLinkAboutNomination Packet - Dan Rivoire - Council -- �G1' Y Off; REGULAR MUNICIPAL ELECTION 1 �' 2 " Q ii November 4, 2014 NOMINATION PROCESS CHECKLIST bl01 !0 9nb Where to File a3AI3Jgel City Clerk's Office, San Luis Obispo City Hall, 990 Palm Street, San Luis Obispo, California 93401, no later than August 8, 2014 at 5 00 p m . 11 Official Nomination Paper signed by Candidate and Circulator C0 Ballot Designation Worksheet Candidate Statement of Qualifications and payment `V C"Emailed Word Document to amejia @slocity org - OR - ❑ No Candidate Statement Submitted Initial Candidate Intention Statement (Form 501) — Candidates must file Form 501 with the City Clerk before raising or spending any money, including the candidate's personal funds If any monetary contributions will be received from others, a separate campaign bank account must be opened. gtatement of Economic Interest (Form 700) disclosing interests held on date of declaration of candidacy . *Signed copy of Code of Fair Campaign Practices Form (optional) Submitted by Received By Candidate - y Clerk 11111111111P.- t1.Yr g ' 20111 Ax JSk- J ; 70 IL( (Date) (Date •GS'Ty_04.,N.I REGULAR MUNICIPAL ELECTION I .^----__ 1 �'I B f( i411 .. ► November 4, 2014 :. * '�y %� Oti� RECEIPT FOR MATERIALS ,k`4 _ 4 1)7,,A 5Y it ' PROVIDED BY THE CITY ELECTIONS OFFICIAL , ; I hereby acknowledge receipt of nomination documents and the candidate's packet for the Regular Municipal Election to be held in the City of San Luis Obispo on Tuesday, November 4, 2014. I acknowledge that the Nomination Paper, Ballot Designation Worksheet, Candidate Statement of Qualification and Statement of Economic Interest (Form 700) are to be returned on or before the close of nomination period, August 8, 2014 at 5 00 p m LI Official Nomination Paper IJ Code of Fair Campaign Practices Form E: Ballot Designation Worksheet /Election Calendar liCandidate Statement of Qualifications 6lJ Statement of Economic Interest I am a registered voter and a qualified elector of the City of San Luis Obispo. Candidate Signature ( Date. 01-• 1/ , 14 Print Name- DRS f litJO(RE--- E-mail: (Optional) `) Address Phone -{ (Optional) (Optional) Treasurer Name• AtcHELL 5F4Q?CS 4N E-Mail (If Applicable) (Optional) Address. Phone (Optional) (Optional) Re_Istration verified b ✓,�L_ Date 01 i li/(9 1 *Please be advised that this is a public document City of. San Luis Obispo PAGE 3 Required to be given to candidate. Election Date November 4,2014 Required to be signed and returned. EXPIRES December 31,2014 • RECEIVED BALLOT DESIGNATION WORKSHEET/ This worksheet is Intended to assist in the prompt evaluation of requested ballot designations AUG 0 8 2014 .. Name of Candidate Oq,J 121Wot l;E DLO Ciry C't zn Candidate for the Office of 61.T..t C-00 N c t t_ (Including drstnct or dmsion number if applicable) Home Address Daytime Phone City,ST Zip SqN L.,.‘A5 Oq iespol 934o' Evening Phone Fax Number nlor.7E Business Address Email City,ST Zip Mailing Address' l •0. l3orc F .►•t Name of Attorney or Other Person Authorized to Ac in Your Behalf City,ST Zip SAN L„ts CD es tc,yb G4 't340 \ 'If Different from above Phone Number Fax Number” Email Address PROPOSED BALLOT DESIGNATION: NoN? t'r ExEL..,-rt.m V 2 R S.cTc2 (Note Designation must be your principal profession, vocation or occupation and may be no more than three words, however,you may use the full title of the elective office you currently hold) •oval) 1st Alternative Exec- If Q1R1�c.ToCC If above not accepted, 2nd Alternative. 401--,PKec-lT 0 Cc cGTo2 Describe what you do and why you believe you are entitled to use the requested ballot designation If using the title of an elective office,you may submit a copy of your certificate of election or appointment The term incumbent"must be used as a noun It shall not be used in conjunction with any other words, including any accompanying adjectives or modifiers,and must stand alone Job Title CSC E c.�Tl V F V l Z GcTa� Contact Person(s)Who Can Verify this Information Dates You Held Position Name(s) Ty i.E C. W 6�ZTEN B tZ vc.JA p� 1oq — 9Rcsz.1t Name of Your Employer w.r L.vts 18.5Pfl Ceu wrr Telephone or Business SA Number(s) 614.1 LI.E CoAl.lTlc "J To the best of my knowledge and belief,the above-requested ballot-designation(s)represent my true principal profession(s),vocation(s)and/or occupation(s) which I am entitled to use as my ballot designations pursuant to sections 13107 and 13105 5 of the Elections Code ", ��sl,�r , in 201 �pned and dated this 8 day of •lion) / Signal re You may attach whatever supporting documentation or exhibits you wish that you believe support your proposed ballot designation These documents will not be returned to you,so do not submit original versions 0 FORMS/Nomination Documents/Ballot Designation Worksheet,2013/Rev 70/2072 MC Elections City of San Luis Obispo PAGE 4 Required to be given to candidate. Election Date. November 4,2014 EXPIRES December 31,2014 BALLOT DESIGNATION REQUIREMENTS For your reference,the relevant provisions of Elections Code sections 13106,13107 and 13107 5 are reproduced below 13106 NO TITLE OR DEGREE No title or degree shall appear on the same line on a ballot as a candidate's name,eitherbefore'or•after the candidate's name 13107 BALLOT DESIGNATION REQUIREMENTS (a) With the exception of candidates for Justice of the State Supreme Court or Court of Appeal immediately under the name of each candidate,and not separated from the name by any line,may appear at the option of the candidate only one of the following designations (1) Words designating the elective city, county, district, state, or federal office which the candidate holds at the,time of,filing the nomination documents to which he'or-s"ie w .m as.elected by vote of the people,or to which he or,she was appointed, the.case of a superior court judge (2) The word"incumbent"•(without any.other word(s))if the candidate is•a candidate for the same office which he or she holds at the time of filing the nomination papeis, and Iva-selected to that office by a vote of the people,'or, in-the case•bf a superior court ju`dge;was appointed to that office .,_•. (3) No more than three words designating either the current principal professions, vocations, or occupations of the candidate, or the principal ;,.-professions;vocations, or;occupations of the candidate during the calendar year immediately preceding the filing of nomination documents For purposes df this section, all California geographical names shall be considered to be one word Hyphenated words that appear in any generally available standard reference dictionary, published in the United States at any time.within the,10 calendar years immediately preceding the election for which the words are counted, shall be considered as one word Each pan of all other hyphenated words shall be counted as a separate word i ' • •• • ., �•,7� ,• (4) The phrase"appointed incumbent"if the candidate holds an office by virtue of appointment,and the candidate is a candidate for election to the same office,or, if the candidate is a candidate for election to the same office or to some other office,the word"appointed"and the title of the office In either instance, the candidate may not use the unmodified word "incumbent"or any words designating the office unmodified by the word"appointed" However,the phrase'appointed incumbent°shall not be required of a candidate who seeks reelection to an office which he or she holds and to which he or she was appointed, as a nominated candidate, in lieu of an election, pursuant to Sections 5326 and 5328 of the Education Code or Section 7228, 7423,7673, 10229,or 10515 of this code (b) Neither the Secretary of State nor any other elections official shall accept a designation of which any of the following would be true (1) It would mislead the voter (2) It would suggest•an evaluatiori of a capdidate,such_as outstanding;leading,-expErt,virtuous,or eminent (3) It abbreviates the word"refired"or places it following any word or words which it modifies (4) It uses a word or prefix,such as"former"or"ex-,"which means a prior status The only exception is the use of the word"retired" • (5) It uses the name of any political party,whether or not it has qualified for the ballot (6) It uses a word or words referring to a racial,religious,.or ethnic group, (7) It refers to any activity prohibited by law " (c) If, upon checking the nomination documents and the ballot designation worksheet described in Section 13107 3, the elections official finds the designation to be in violation of any of the restrictions set forth in this section,tfie elections Official shall notify the candidate by registered or certified mail return receipt requested,addressed to the mailing address provided on the candidate's ballot designation worksheet (1) The candidate shall,within three days, excluding Saturday, Sunday,and state holidays,from the date he or she receives notice by registered or certified mail,or from the date the candidate receives actual notice of the violation,whichever occurs first,appear before the elections official or, in the case of the Secretary of State, notify the Secretary of State by telephone, and provide a designation that complies with subdivision (a) (2) In the event the candidate fails to provide a designation that complies with subdivision (a)within the three-day period specified in paragraph (1),no designation shall appear after the candidate's name (d) No designation given by a candidate shall be changed by the candidate after the final date for filing nomination documents, except as specifically requested by the elections official as specified in subdivision (c) or as provided in subdivision (e) The elections official shall maintain a copy of the ballot designation worksheet for each candidate that appears on the ballot in the county for the same period of time as applied to nomination . documents pursuant to Section 17100 (e) The designation shall remain the same for all purposes of both primary and general elections, unless the candidate,at least 98:days prior to the general election,requests in wiring a different designation which the candidate is entitled to use at the'time of the request'' '• .r _" (f) In all cases,the wordsso used shall be printed in.8-point roman uppercase and lowercase type except that, if the designation selected is so long that it would cohfiict unt?i the space requiremerits of Sections 13207 and 13211,.the.elections official shall-use a".type size for the designation for each candidate for that office sufficiently smaller to meet these requirements (g) Whenever a foreigmlanguage,translation of a;candidate's designation is required Under the Voting'Rights'Act•of 1965.(42 U S C Sec 1971), as amended,to appear on the ballot in addition to the English language version,it shall be as short•as possible,as consistent as is practicable with this section,and shall employ abbreviations and initials wherever possible in order to avoid undue length ' • • 13107 5 BALLOT DESIGNATION OF"COMMUNITY VOLUNTEER" (a) A candidate's ballot designation as"community volunteer"shall constitute a valid pnncipal vocation or occupation for purposes of subdivision (a)of Section 13107,if not otherwise in violation of any of the restrictions set forth in that section,and subject to the following conditions (1) A candidate's community volunteer activities constitute his or her principal profession,vocation,or occupation . (2) A candidate is not engaged concurrently in another principal profession,vocation,or occupation •, (3) A candidate may'not use the designation of "community volunteer" in combination with any other principal profession, vocation, occupation designation (b) The Secretary of State shall by regulation define what constitutes a community volunteer for purposes of this section 0 FORMS/Nomination Documents/Ballot Designation Worksheet.2013/Rev 10/2012 MC Elections City of San Luis Obispo PAGE 5 Required to be-given to candidate. Election Date November 4,1014 Required to tie sign er and'rretume. EXPIRES' December 3f'CANDIDATE'S STATEMENT INFORMATION SHEET AUG 08 20,4 • Complete this form,and submit with your candidate statement Please use all regular lower case letters(do not-use all caps). Provide a brief description of no more than 200 words,of the candidate's education and qualifications .' ' C� RK Be sure to include the official title of the office you are a candidate for,your name,age,and occupation (see bottom of reverse side for sample format) Enter the candidates'name and the office title. Enter the name of the Jurisdiction to which the office belongs,if 22 other than the name of the city(i e,the name of the school distnct) QAN I"lt\fo( " ¶a■ L-0ts O3t,Po Candidates Name Jurisdiction Name �//�� g Male C Female tFJ�I(3et2 Orr THE G L Office Title(I e Mayor,Member of the City Council,City Clerk,Member of the Board of Education,etc.) I DO WANT my Candidate Statement to appear in the following languages in the Sample Ballot Voter Pamphlet: 'English ❑ Spanish/Colloquial(informal) ❑ Chinese/Traditional p Japanese ❑ Korean ❑ ❑ Spanish/Castillian(formal) ❑ Chinese/Simplified ❑ Vietnamese ❑ Tagalog Other ❑ I DO NOT WANT to file a candidate statement Signature of Candidate. — • STATE LAW PROVIDES(per Election Code Section 13307) 1 A Candidate Statement is optional and available to all candidates for nonpartisan offices 2 The statement may include candidate's age,occupation and a brief description of education and qualifications (expressed by the candidate himself or herself) 3 Each local jurisdiction determines a the maximum number of words allowed,usually 200 words b responsibility for payment,the candidate or the jurisdiction c whether the costs are to be paid in advance 4 Reference to political party affiliation or mention of any partisan political membership or activity is not permitted 5 Reference to other candidates for that office or to another candidate's qualifications,character,or activities are prohibited (EC 13308) 6 No changes of any kind are allowed AFTER the statement is filed 7 The statement may be withdrawn(in writing)up to 5 00 pm of the next working day after the close of the nomination period 8 Statements are confidential until after the close of the nomination period 9 A candidate may request that the statement also be printed in other languages and included in the Sample Ballot Voter Information Pamphlet mailed to all voters in the election area An additional fee may be required to print the additional languages CANDIDATE STATEMENTS MUST BE FILED AT THE TIME NOMINATION PAPERS ARE FILED. COST INFORMATION The estimated cost is determined prior to all information being available,therefore,it is an approximation of the actual cost that varies from election to election and may be significantly more or less depending on the actual number of candidates filing statements _ _ _ !For Election Official's use only Estimated Cost of Printing Candidate's Statement in •English 7-70 Spanish Chinese Korean Tagalog Vietnamese Other 'If applicable,the below estimated cost is for the Translations(and formatting if translation is provided by the candidate)and this cost does not include printing,! •which cost is noted above • • _-_•—• Spanish • Chinese Korean• • • Tagalog • • Vietnamese • • Other •— — _ —•_•_ — — _ ! Election Official a Send one copy of this page and the candidate statement to the vendor/pnnter b keep original set for your files c make one copy for candidate (More information on reverse side) d make one or more copies for the translator(s)if necessary City of San Luis Obispo PAGE 6 Required to be given to candidate. Election Date. November 4,2014 EXPIRES December 31,2014 CANDIDATE'S STATEMENT INFORMATION SHEET • Please type using regular lowercase letters, do not use all CAPS. Type your statement clearly and legibly- DO NOT handwrite or print. Section 13307 of the Elections Code of the State of California sets forth guidelines for candidate's statements Please follow them. 1 The statement of each candidate shall be printed in type of uniform size and darkness and with uniform spacing 2 The statement shall not irfclude'any party affiliatlon;ol membership or activity in partisan political organrzatlons ; •= • 3 Reference to other candidates for that office or to another candidate's qualifications, character, or activities are prohibited 4 Your statement will be printed as submitted, therefore you are advised to carefully check for errors in punctuation and grammar Spelling however, will be corrected by the computer automatically. 5 Remember to sign this form and any supplemental sheets if used and attach them to your statement If you wish to have a Foreign language translation of your statement prepared for printing infthe Voter's;l?amphlet,be sure,to check the space(s) provided on the front of this form WORD COUNT STANDARDS As stated in Section 9 of the Elections Code. (a)Counting of words, for purposes of this code, shall be as follows. (1) Punctuation is not counted (2) Each word shall be counted as one word except as specified in this section. (3) All geographical names shall be considered as one word, for example, "City and County of San Francisco" shall be counted as one word (4) Each abbreviation for a word, phrase, or expression shall be counted as one word E G UCLA, PTA, LA PD • (5)Hyphenated words that appear in any generally available standard reference dictionary, published in the United States at any time within the 10 calendar years immediately preceding the election for which the words are counted shall be considered as one word Each part of all other hyphenated words shall be counted as a separate word (6) Dates consisting of a combination of words and digits shall be counted as two words. E G April 10, 1990 Dates consisting only of a combination of digits shall be counted as one word. E G 4/10/90. (7) Any number consisting of a digit or digits shall be considered as one word. Any number which is spelled, such as "one," shall be considered as a separate word or words "One" shall be counted as one word whereas "one hundred" shall be counted as two words "100" shall be counted as one word. (8) Telephone numbers shall be counted as one word. (9) Internet web site and email addresses shall be counted as one word. (b)This section shall not apply to counting words for ballot designations under Sections 13107 and 13107 5 FOR MEMBER OF THE CITY COUNCIL JOHN SMITH Age. 45 SAMPLE OF Occupation: Businessman STATEMENT FORMAT I have been a 30 ear resident of this City and thoroughly enio living ere. I would like to increase citizen education ancrpolrce resources to stop the gang and graffiti activity that are overtaking our city I would like to implement environmental standards for cleaner Please use Helvetica 10 pt type. water and air quality I respectfully ask for your support and thank those of you who cast your vote for me A vote tor me is a vote for a better City • Council Isl John Smith 0 FORMS/Nomination Documents/Candidate Statement Information Sheet 2013/Rev 102012 MC Elections City of San Luis Obispo PAGE 7 Required to be given to candidate. Election Date November 4,2014 EXPIRES December 31,2014 • CODE OF FAIR CAMPAIGN PRACTICES (Division 20, Chapter 5, Elections Code.) Chapter 5. Fair Campaign Practices Article 1. General Intent 20400 The Legislature declares that the purpose of this chapter is to encourage every candidate for public office in this state to subscribe to the Code of Fair Campaign Practices. It is the ultimate intent of the Legislature that every candidate for public office in this state who subscribes to the Code of Fair Campaign Practices will follow the basic principles of decency, honesty, and fair play in order that, after vigorously contested, but fairly conducted campaigns, the citizens of this state may exercise their constitutional right to vote, free from dishonest and unethical practices which tend to prevent the full and free expression of the will of the voters The purpose in creating the Code of Fair Campaign Practices is to give voters guidelines in determining fair play and to encourage candidates to discuss issues instead of untruths or distortions Article 2. Definitions 20420 As used in this Chapter, "Code" means the Code of Fair Campaign Practices Article 3. Code of Fair Campaign Practices 20440. At the time an individual is issued his or her declaration of candidacy, nomination papers, or any other paper evidencing an intention to be a candidate for public office, the elections official shall give the individual a blank form of the code and a copy of this *ter The elections official shall inform each candidate for public office that subscription to the code is voluntary In the case of a committee making an independent expenditure, as defined in Section 82031 of the Government Code, the Secretary of State shall provide a blank form and a copy of this chapter to the individual filing, in accordance with Title 9 (commencing with §81000) of the Government Code, an initial campaign statement on behalf of the committee The text of the Code shall read, as follows (See "CODE OF FAIR CAMPAIGN PRACTICES" on reverse side) • 20442 The elections official shall accept, at all times prior to the electionall,cornpleted forms that are properly subscribed to by a candidate for public office and shall retain them for public inspection until 30 days after the election 20443 Every code subscribed to by a candidate for public office pursuant to this chapter is a;public record open for public inspection 20444 In no event shall a candidate for public office be required to subscribe to or endorse the code 0 FORMS/Nomination Documents/Code of Fair Campaign Practices,2006/Rev 2006 MC Elections City of San Luis Obispo PAGE 8 Required be given to candidate. Election Date November 4,2014 Optional to Wsigneed-a d returned. EXPIRES. December 31,2014 VED CODE OF FAIR CAMPAIGN PRACTICES AUG 08 2014 • SLo CI n' CLERK There are basic principles of decency, honesty, and fair play which every candidate for public office in the State of Californialhas a moral obligation to observe and uphold in order that,after vigorously contested but fairly conducted campaigns,our citizens may exercise their constitutional right to a free and untrammeled choice and the will of the people may be fully and clearly expressed on the issues THEREFORE: (1) I SHALL CONDUCT my campaign openly and publicly, discussing the issues as I see them, presenting my record and policies with sincerity and frankness,and criticizing without fear or favor the record and policies of my opponents or political parties that merit this criticism (2) I SHALL NOT USE OR PERMIT the use of character defamation,whispering campaigns, libel, slander, or scurrilous attacks on any candidate or his or her personal or family life (3) I SHALL NOT USE OR PERMIT any appeal to negative prejudice based on a candidate's actual or perceived race, religious creed,color,national origin,ancestry, physical disability, mental disability, medical condition, marital status,age, sexual orientation, sex, including gender identity,or any other characteristic set forth in Section 12940 of the Government Code,or association with another person who has any of the actual or perceived characteristics set forth in Section 12940 of the Government Code (4) I SHALL NOT USE OR PERMIT any dishonest or unethical practice that tends to corrupt or undermine our American system of free elections,or that hampers or prevents the full and free expression of the will of the voters including acts intended to hinder or prevent any eligible person from registering to vote, enrolling to vote, or voting (5) I SHALL NOT coerce election help or campaign contributions for myself or for any other candidate from my employees (6) I SHALL IMMEDIATELY AND PUBLICLY REPUDIATE support deriving from any individual or group that resorts, on behalf of my candidacy or in opposition to that of my opponent, to the methods and tactics that I condemn I shall accept responsibility to take firm action against any subordinate who violates any provision of this code or the laws governing elections • (7) I SHALL DEFEND AND UPHOLD the right of every qualified American voter to full and equal participation in the electoral process I,the undersigned,candidate for election to public office in the State of California or treasurer or chairperson of a committee making any independent expenditures, hereby voluntarily endorse, subscribe to, and solemnly pledge myself to conduct my campaign in accordance with the above principles and practices ` 08 .off. ly Signature ((�J Date CA ki I�Wo cis E Candidates Name November 4,2014 Date of Election • 0 FORMS/Nomination Documents/Code of Fair Campaign Practices,2008/Rev 2006 MC Elections pCALI ORNIA<ORM 7001 , STATEMENT OF ECONOMIC INTERESTS R� R�h n% - ► AUG 08 2014 FAIR OLITICALi►RACTICES COMMISSION puBlilp;DOCUIVIENTpni COVER PAGE SLO CITY CLERK Please type or print in ink NAME OF FILER (LAST) (FIRST) (MIDDLE) Rivoire Dan LeB 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of San Luis Obispo Division, Board. Department, District,if applicable Your Position City Council Member ► If filing for multiple positions,list below or on an attachment (Do not use acronyms) Agency Position 2. Jurisdiction of Office (Check at least one box) ❑State ❑Judge or Court Commissioner(Statewide Junsdiction) ❑Multi-County ❑County of 12 City of San Luis Obispo ❑Other 3. Type of Statement (Check at least one box) MI Annual The penod covered is January 1, 2013.Through ❑ Leaving Office Date Left—J I December 31, 2013 (Check one) or The oenod covered is ,through 0 The period covered is January 1.2013, through the date of —�� December 31,2013 leaving office ❑ Assuming Office. Date assumed 0 The period covered is—J I . through the date of leaving office E2 Candidate Election year 2014 and office sought. if different than Part 1 4. Schedule Summary 2 Check applicable schedules or'None" t■ Total number of pages including this cover page- ❑ Schedule A-1 -Investments-scnedula attached p Schedule C -Income. Loans, &Business Positions-schedule attached ❑ Schedule A-2- Investments-schedule attached ❑ Schedule D -Income- Gifts-schedule attached ❑ Schedule B- Real Property-schedule attached ❑ Schedule E-Income-Gifts- Travel Payments-schedule attached -or- ❑ None-No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Busyness or Agency Address Pecommended-Public Document) San Luis Obispo CA 93406 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS IOPTIONALI ( I have used all reasonable diligence in preparing this sr-etement 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 foregoin. s tr . correct Date Signed 08/08/2014 Signature g nature (mane]day year) (='le rnaongina'fr signed statement irm your Fang alroaiI FPPC Form 700(2013/2014) FPPC Advice Email advice @fppc ca gov FPPC Toll-Free Helpline 866/275-3772 www fppc ca gov SCHEDULE C iCALIFORNIAN FORM foo, ,ffi.${f iF �l.49"`e'<.53atL""z^ M�a Income, Loans, & Business f"?.4t '3�" � ;`ES� aS=° Positions Name (Other than Gifts and Travel Payments) ___21/■ glVoLk'E ►_ 1y'INCOME,RECEPVED.';-"` -• ,, fit M' itl.IIil[•1a'l Yi��itr f .1Iib`<Sft.9.-1W'+1:}INCOME RECEIVEDNIdliMMMAIrUfii.y. NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME SAN LM Og'SP* C ( $tU(G CE Co4LiTio,i ADDRESS (Business Address Acceptable) ADDRESS(Business Address Acceptable) Sbo &c.iGIC- cicgFc - S-'ir+E UD5 BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY IF ANY OF SOURCE ? O/ %N6 4c.4-1JE TRANs coo R.TATtAA/ YOUR BUSINESS POSITION YOUR BUSINESS POSITION �>(econ'tE OtREc,TO(. GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑s5oo-st,o0o ❑$1.001 -$10.000 ❑5500-$1,000 ❑Si 001 -$10000 '$10,001 -$100,000 ❑OVER$100000 ❑510,001 -5100,000 ❑OVER 5100.000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary ❑Spouse's or registered domestic partner's income ❑ Salary ❑ Spouses or registered domestic partners income ❑Loan repayment ❑ Partnership ❑Loan repayment ❑Partnership ❑Sale or ❑Sale of (Real property Ca•coat etc) (Rear property car boat etc) ❑Commission or ❑Rental Income list each source of S10.000 or more ❑Commission or ❑Rental Income ft;each source of 510 000 or-tore ❑Other ❑ Other (Descnbe) fOescrtbe) 442:1LOANS RECEIVED'OR OUTSTANDMGI.UURINGTHErREgORT1NG,PER100 ,AirfgYf:.l;KA*ZSRt>•T1 = +`a -, * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status Personal loans and loans received not in a lender's regular course of business must be disclosed as follows NAME OF LENDER' INTEREST RATE TERM(MonthslYears) % ❑None ADDRESS(Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY IF ANY OF LENDER ❑ None ❑ Personal residence ❑Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑$500-51.000 City ❑$1,001 -S10,000 ❑Guaran-or ❑510 001 -5100,000 ❑OVER$100,000 ❑ Other (Descnbo) Comments. FPPC Form 700(2013/2014)Sch C FPPC Advice Email advice @fppc.ca gov FPPC Toll-Free Helpline 866/275-3772 www fppc.ca gov CANDIDATE STATEMENT OF QUALIFICATIONS – DAN RIVOIRE CITY OF SAN LUIS OBISPO OFFICE SOUGHT: MEMBER OF CITY COUNCIL NAME: Dan Rivoire OCCUPATION: Nonprofit Executive Director AGE: San Luis Obispo residents are unified by the desire to preserve our incredible quality of life. Serving on the City Council requires a resolute commitment to local success, providing the leadership necessary to build consensus between retirees, business owners, new families, young professionals and students. My sense of devotion to public service began while serving as a local Americorps member and quickly grew through two terms as chair of the San Luis Obispo Chamber ’s Sustainability and Resources Committee. As the executive director of a local organization devoted to improvi ng transportation infrastructure, I have spent five years gaining a deep understanding of government and the challenges small businesses face everyday. I currently serve as chair of the Safe Routes to School Regional Task Force, co-chair of County Public Health’s Injury Prevention Coalition, a member of the Healthy Eating Active Living Coalition, the Downtown Association’s Parking Committee, and the Chamber’s Economic Development and Land Use and Circulation Element committees. My wife Megan and I look forward to raising a family here. We respect the foundation built by past officials and will honor their decisions by bringing a renewed focus to completing essential infrastructure improvements and enhancing community well being. www.voterivoire.com