HomeMy WebLinkAboutDaniel Rivoire - Form 700 - 08-08-14A
STATEMENT OF ECONOMIC INTERESTS Rate Ry0Oi,Id
• • AUG Oaf 82014
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COVER PAGE SLO CITY CLERK
Please type or print in ink
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Rlvoire
Dan LeB
1. Office, Agency, or Court
the date of leaving office
Agency Name (Do not use acronyms)
and office sought. if different than Part 1
City of San Luis Obispo
2
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)
.or-
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
❑ County of
Z City of San Luis Obispo
❑ O +her
3. Type of Statement (Check at least one box)
San Luis Obispo CA 93406
DAYTIME TELEPHONE NUl.7eER
E-MAIL ADDRESS tOPTiONALI
(
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 oublic document
I certify under penalty of perjury under the laws of the State of California that the foregoinq is tr an correct
Date Signed 08/08/2014 Signature
(.manor day year) r (`'le m^ongm 1f. signed siaremenr irm)wr hog al =cal)
FPPC Form 700(2013/2014)
FPPC Advice Email advice @fppc ca gov
FPPC Toll -Free Helpline 866/275 -3772 www fppc ca gov
SCHEDULE tCALIFORNIArFORM �f
��fffi .$ ?f iF �l.49"` e�.53aM -ra^ M�a�
Income, Loans, (IFAIR POLiTICALrFRACTICES COMMISSION
JJJt?..t t°r:�3 .�H. �T i... aL T
Positions
(Other than Gifts •
L • ►
NAME OF SOURCE OF INCOME
SAN W%S OeisPe (.aNT`( $tc�(c.CE Ca* -1TIOM
ADDRESS (Business Address Acceptable)
%0 ?A(-lrlc- 4sRIa:s S -itTlE w5
BUSINESS ACTIVITY, IF ANY, OF SOURCE
i�(ZoMOTt�ccn Atc.TtJE T'A0U%f0%tTATWA/
YOUR BUSINESS POSITION
EwCc.✓T(VE O %REc.TO(t.
GROSS INCOME RECEIVED
❑ S500 - S11,000 ❑ 51.001 - s10.000
gS10,001 - S100,000 ❑ OVER 5100 000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Ia Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale or
(Rest Property car =oar etc)
❑ Commission or ❑ Rental Income bst each =wcit Of 5:0.000 or more
❑ Other
(Descnbe)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY IF ANY OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1.000 ❑ s10ol - 510 000
❑ $10,001 - 5100.000 ❑ OVER 5100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouses or registered domestic partner s income
❑ Loan repayment ❑ Partnership
❑ Sale of
IRearproperN ar boat e:c)
❑ Commission or ❑ Rental Income I-st oach so:.rce =r $to 000 or ^rom
❑ Other
(Descnba)
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'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY IF ANY OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ S500 - S1.000
❑ S1,001 - 510,000
❑ S10 001 - 5100,000
❑ OVER $100.000
Comments.
INTEREST RATE TERM (Months)Years)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guaran-or
❑ Other
Sweet address
City
(Descnbo)
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