HomeMy WebLinkAboutBoswell - Form 700_2024-08-05_RedactedSTATEMENT OF ECONOMIC INTERESTS Osid" Fang Cpgiegk
COVER PAGE AUG 4 5 2029
A PUBLIC DOCUMENT
Passes true or Pont in ink.
-GCWG-L- NAILG+AEL
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C1Ty 01F Spi ull-s 064sPo C-tk/ CCYl Atir;A&BVIZ
Division, Board, Department, Distdd, it applicable Your Position
ii, g filing for multiple positions, list belay or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check of Anal we box)
❑ Stale ❑ Judge, Refired Judge, Pro Turn Judge, or Court Commissioner
❑ multi -Courtly
[K]City of
(Sla sbaide Juriadicton)
❑ County of
❑ Other
3. Type of Statement (Check of least one box)
❑ Annual: The perod covered is January 1, 2023. through ❑ Leaving Olgce: Data Left JJ
December 31, 2023, (Check are cable.)
-or-
The period covered is ---J ---- Jthrough ❑ The period covered is January 1, 2023. through the dale
December 31, 2023. .p. of leaving office.
❑ Assuming Office: Dale assumed ---J ---- J❑ The period covered is JJ through
the data of leaving office.
kg Candidate: Date of Electon FfQk�, 2c24 and off" sought, if different than Part 1:
Schedule Summary (required) ► Total number of pages Including this cover page: 3
Schedules attached
[g Schedule A-1 - Investments - schedule attached 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 - Gift -Travel Payments - schedule attached
-or- ❑ None - No reportable interests on any schedule
o. venncation
(9OS)2351ell I
I have used all reasonable diligence in preparing this shernent. I have rev'ievled this statement and to the thest of my n<
herein and in any attached schedules is true and complete. I acknoxfoolge this is a public document.
I certify under penalty of perjury under the lave of the State of California that the foregoing Is true and correct.
Daze Signed
Signature
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SCHEDULE A-1
Investments $
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%) Michael Boswell
Investments must be itemized.
Do not attach brokerage or finandal statements.
PlaceWorks
GENERAL DESCRIPTION OF THIS BUSINESS
Planning consulting firm
FAIR MARKET VALUE
❑$z.Doo-$10.000 ❑sm.001-$'Do.000
Fx $100.001 - $1,000,OW ❑ Over $1.000.000
NATURE OF INVESTMENT
0X Smck Dow
Desome)
Partnership 0 worre Rvelve0 W So - Use
Q Inoue Received W $500 or More (Revd on SNetlub C)
IF APPLICABLE, LIST DATE'.
—/ j --- j ---- J—
ACQUIRED DISPOSED
e NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑W.000-$10.OD0 ❑SID001-$100000
❑ $100.001 - $1,000,000 El Over $1 000 000
NATURE OF INVESTMENT
El $rock Cover
1De col
Pednership O Income Removed of $D - $499
O Income Revonived of $500 or Mon (Wpe m SMeAb C)
IF APPLICABLE, LIST DATE:
---j --- J_ _J--- J_
ACQUIRED DISPOSED
11, NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑U.000-slo.ow ❑$10 D01-$10g99D
❑ $mD l - $1,900,000 F1 Over $1.000.000
NATURE OF INVESTMENT
El stock: Other
PeMnMip Q Inmrre Remivoo a W - UN
Q Income Reeelved of $500 or More ~1 on Savoie C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
e NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑$2.000-$10,000 Os10,oD1-smo,Wo
1$100001-$tow.o00 ❑ Over 41,000,000
NATURE OF INVESTMENT
L] Stock 0 Other
showbe)
PeMemthip O Income Received of $0 - $499
Q Income Received of $500 or Mon fAvI m SoUwma C)
IF APPLICABLE, LIST DATE:
—/—/ --J_J
ACQUIRED DISPOSED
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
El$9.Om-slo.000 ❑$10001-$ioo.wo
❑ $100,001 - $1000.000 ❑ Over 61,900,000
NATURE OF INVESTMENT
Stuck Over
lofts)
❑ PenneBM1ip O Income Recelved of $0 - U99
Q Income Re elved of $500 or Mom RhpM m S @Pvee C)
IF APPLICABLE, LIST DATE:
---- I ---- j— J--- J—
ACQUIRED DISPOSED
P NAME or dUiIN[Se eN I I n
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑WD00-$10,000 ❑a1o.00,-$'Do.No
❑$100,001-$1.We,D00 Ever 31,000,000
NATURE OF INVESTMENT
SWoN Cove
PeMenhip Q Income Reammcl of W - $499
Q Income Receive] of 000 w More fRemrl on SCI.w4Ye q
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
FFrc Form Me -Schedule A-$ DOMMeNl
sera eftW,m4ov a sss nsan$ e.,vnyPr
Peee-T
SCHEDULE
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
California Polytechnic State University
ADDRESS (Business AEdren AccaPMEM)
1 Grand Ave, San Luis Obispo, CA 93407
BUSINESS ACTIVITY IF ANY. OF SOURCE
University
YOUR BUSINESS POSITION
Acting Department Head
GROSS INCOME RECEIVED No Income- Business Poston Only
❑ $am - $1.0ho ❑ $1,CO1 - BLOOD
F-111D.001-$100000 %Q OVER$10c,0W
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
0X Salary Spouse's or registered EomoYc Partners Income
(For sell -employed use Schedule A-2.)
❑ Partnership (eu than 10% Ownership For 10% or gn war use
ScNdula A@.)
Sets a
IReelpcpery. Car boor ek.)
Icon repayment
commission or pReMel Income. SET more source or$10.ow or more
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
NAME OF SOURCE OF INCOME
PlaceWorks
ADDRESS suouness Addnn Accvfabk)
3 MacArthur Place Suite 1100 Santa Ana, California 92707
BUSINESS ACTIVITY, IF ANY. OF SOURCE
Planning consulting firm
YOUR BUSINESS POSITION
Principal
GROSS INCOME RECEIVED No Income Business Position Only
❑ $500 - $1 Doc ❑ a1,001 $10.000
E]$10,001-$1W,000 QOVER$100000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary 0X Spouses or registered domestic Partners Income
(For aeXampbyN use Schedu a A-2.)
❑ Pannenhlp (Len than 10% ownen0ip. For 10% or greats use
Scheclule A-2.)
sae M
Twe POFerIy Car bML Nc)
Lj Loan repayment
[]eorrumbn or E]Rente Income, Sit sawn Source or statue or e
❑ Other I I ❑ Other
(Rrombel I�de)
" 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' INTEREST RATE TERM (Monthe/Ynn)
% None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ More Personal neMence
Real Propehy
SlAel a6Aas[
HIGHEST BALANCE DURING REPORTING PERIOD
❑ Ssoo - st Coo
Cur
❑ $1,001 - $1D,0o0
Guarantor
❑ 510,[01-5100,coo
OVER $100,000 ❑ Other
Comments:
FPPC Fene Tb0-$LnedaM C 12023/2024)
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