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HomeMy WebLinkAboutDIETRICK, J. CHRISTINE FORM 700 2010 - 2015ft Ir iti 1:.F; ifst�q; STATEMENT OF ECONOMIC INTERESTS PeGcelv6d° I OfllGial Use Only COVER PAGE JAN 3 0 2015 Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Dietrick Jacquelyn Christine 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 Attorney's Department City Attorney ► 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 San Luis Obi 3. Type of Statement (check at least one box) © Annual: The period covered is January 1, 2014, through December 31, 2014. .or- The period covered is I I through December 31, 2014. ❑ Assuming Office: Date assumed I ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) 7 Cnunty of ❑ Other ❑ Leaving Office: Date Left I —�1 (Check one) O The period covered is January 1, 2014, through the date of leaving office. O The period covered is I through the date of leaving office, and office sought, if different than Part 1: ► Total number of pages including this cover page: ? ❑ Schedule C - Income, Loans, & Business Positions — schedule attached © Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached 'or- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) San Luis Obispo CA 93401 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS ( 1 cdietrick @slocity.org 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 Oatt�e %forggttgg is true and rect. Date Signed 01/28/2015 (month, day, year) (File the ergrnalty signed statement with your filing official) FPPC Form 700(2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE D Income — Gifts ► NAME OF SOURCE (Not an Acronym) Richards, Watson, Gershon ADDRESS (Business Address Acceptable) 355 S. Grand Ave, 40th Fl., Los Angeles, CA 90071 BUSINESS ACTIVITY, IF ANY, OF SOURCE Law Firm DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 12 / 09 / 14 $ 59.95 Holiday Food Basket —/�— $ ► NAME OF SOURCE (Not an Acronym) Adamski, Moroski, Madden, Cumberland & Green ADDRESS (Business Address Acceptable) P.O. Box 3835, San Luis Obispo, CA 93403 BUSINESS ACTIVITY, IF ANY, OF SOURCE Law Firm DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 12 / 09 / 14 $ 87.00 Holiday Cookies --/--J— $ —/--J— $ ► 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) $ 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) ► 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: Holiday food gifts were shared among all the City Staff in the building. FPPC Form 700 (2014/2015) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPCToll- FreeHelpline:866 /275 -3772 www.fppc.ca.gov STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Dietrick Jacquelyn Christine 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 Attorney's Department City Attorney ► 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 ❑ Multi- County © City of San Luis Obispo ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left I I December 31, 2013. (Check one) -or- The period covered is �;1 through December 31, 2013. ❑ Assuming Office: Date assumed ❑ Candidate: Election year O The period covered is January 1, 2013, through the date of leaving office. O The period covered is I I through the date of leaving office. and office sought, if different than Part 1, 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 2- ❑ 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 — Gifts — Travel Payments — schedule attached -or- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 990 Palm street San Luis Obispo CA 93402 wm' liML IrL � UNt NUMbtK E-MAIL ADDRESS (OPTIONAL) ( cdietrick @slocity.org 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- forepoirtmAK true and coxfctl Date Signed 03/17/2014 (manth, day, year) Sign ( ) FPPC Form 700(2013/2014) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE D Income — Gifts ► NAME OF SOURCE (Not an Acronym) Deborah & Bill Linden ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mmiddlyy) VALUE DESCRIPTION OF GIFT(S) 02 16 13 5 250.00 2 fundraiser tickets $ ► 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) 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 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) FPPC Form 700 (2013/2014) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov Date Received STATEMENT OF ECONOMIC INTERESTS offiic,al Use Only COVER PAGE .Please type or print in ink. A PUBLIC DOCUMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Dietrick Jaquelyn Christine 1. Office, Agency, or Court Agency Name City of San Luis Obispo Division, Board, Department, District, if applicable Your Position City Attorney's Department City Attorney ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County _ ® City of San Luis Obispo Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3, Type of Statement (Check at least one box) X❑ Annual: The period covered is January 1, 2012, through ❑ Leaving office: Date Left I December 31, 2012. (Check one) -or- The period covered is through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed I -1 O The period covered is I I through the date of leaving office. ❑ Candidate: Election Year _ and office sought, if different than Part 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 2 ❑ 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 — Gifts — Travel Payments — schedule_ attached *or. E] None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 990 Palm Street San Luis Obispo CA 93402 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 805 ) 781 -7140 1 cdietrick @slocity.org 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 th"e foreggkf§'js true and rrect. Date Signed 04/22/2014 (month, day, yeaO (File the originally signed statement with your filing official,) FPPC Form 700 Amendment (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov ► NAME OF SOURCE (Not an Acronym) Deborah & Bill Linden ADDRESS (Business Address Acceptable) APnl-t 0 1 - 3Jq -0 BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd/yy) VALUE DESCRIPTION OF GIFT(S) 02 16 j 13 $ 250.00 2 Fundraiser Tickets —_J�— $ � —J 5 ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) __J__J_ W - ► 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: _ CALIFORNIA FORM 700 rAIK POI,IIIGAI PRACTICFC ';ONIMISSION ► 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) 1 1 s Verification Print Name Jacqueline Christine Dietrick Office, Agency City of San Luis Obispo, City Attorney or Court P_, Statement Type ❑X 2012/2013 Annual ❑ Assuming ❑ Leaving ❑ Annual ❑ Candidate (yr) 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 certify under penalty of penury under the laws of the State of California that the foregoing Is true and correct. Date Signed 04/22/2014 (month, clay. Y$ Filer's Sign ture FPPC Form 700 Amendment (201212013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppe.ca.gov CALIFORNIA • ' STATEMENT OF ECONOMIC INTERESTS POLITICAL FAIR APR 01 2013 ' PUBLIC ' • COVER PAGE Please type or print in ink. CITY CL.ERKI NAME OF FILER (LAST) (FIRST) a(rt (M IDDLE) �J v-t 1. Office, Agency, or Court Agency Name City of San Luis Obispo Division, Board, Department, District, if applicable Your Position City Attorney I. If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County © City of San Luis Obis Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I I .or. December 31, 2012. (Check one) The period covered is �1�J _ _ through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed 1 O The period covered is —�_ I through the date of leaving office, ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ Schedule A•1 - Investments – schedule attached chedule C - Income, Loans, & Business Positions ❑ Schedule A•2 - Investments – schedule attached – 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 (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE 990 Palm Street San Luis Obispo CA 93401 DAYTIME TELEPHONE NUMBER E- MAILAD@R$$ (OPTIONAL) ( 805 ) 781 -7140 cdietrick @slocity.org I have used all reasonable diligence in preparing this statement. I have reviewed ) FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Spark Outbound Mkting. (Spouse source of income) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE Online Marketing strategy development YOUR BUSINESS POSITION contract content writer (spouse) GROSS INCOME RECEIVED ❑ $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 ❑ Loan repayment ❑ Partnership I- Sale of _ (Real property. car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of ,810,000 or more ❑ Omer (Describe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $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 ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boat, etc) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) Do- 2. LOANS RE6EIVED OR OUTSTANDING DURING THE REPORTING PERIOD I * 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 (Months/Years) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $lo,0oo ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: % ❑ None SECURITY FOR LOAN ' ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2012/2013) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc,ca,gov STATEMENT OF ECONOMIC INTEKESTS COVER PAGE Please type or print in ink. Date Received O`hcOl Use only G I L U MAR 2 8 2012 NAME OF FILER (LAST) (FIRST) 5—(O �R4iF3Ht£y CLE- fY.I, Dietrick Jacquelyn Christine 1. Office, Agency, or Court Agency Name City of San Luis Obispo Divisio/n Board, Department, District, if applicable Your Position !°l 4fv r-17 City Attorney ► If filing for multiple positions, list below or on an attachment, Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County ❑x City of San Luis Obispo Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) ® Annual: The period covered is January 1, 2011; through ❑ Leaving Office: Date Left I - I December 31, 2011. (Check one) -or- The period covered is through O The period covered is January 1, 2011, through the date of December 31, 2011. leaving office. ❑ Assuming Office: Date assumed — Z O The period covered is . lam+' , through the date of leaving office. ❑ Candidate: Election Year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule A -2 - Investments- schedule attached ❑ Schedule B - Real Property - schedule attached Office sought, if different than Part 1: ► Total number of pages including this cover page: XSchedule C - Income, Loans, & Business Positions- schedule attached Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) San Luis Obispo CA 93401 DAYTIME TELEPHONE NUMBER E- MAILADDRESS (OPTIONAL) ( cdietrick @slocity.org 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, certify under penalty of perjury under the laws of the State of California that the foregoirr15, ue and correr;K-1 Date Signed 2/L.1011 a, kY'carJ FPPC Form 700 (2011/2012) FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Spark Inbound Marketing (Spouse source of income) ADDRESS (Business Address Acceptable) 2201 Glenn Street Los Osos, CA 93402 BUSINESS ACTIVITY, IF ANY, OF SOURCE Online marketing strategy development YOUR BUSINESS POSITION Contract content writer (spouse) GROSS INCOME RECEIVED ❑X $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑X Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boat, etc) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) Name j_. C-►-n 5 ,� P `�« �rCh- NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $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 ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boat, eta) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) * 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 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $1o0,00o ❑ OVER $100,000 Comments: INTEREST RATE TERM (MonthsfYears) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address city (Describe) FPPC Form 700 (2011/2012) Sch. C FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE D Income - Gifts ► NAME OF SOURCE House of Bread ADDRESS (Business Address Acceptable) 299 Marsh Street San Luis Obispo, CA 93401 BUSINESS ACTIVITY, IF ANY, OF SOURCE Bakery DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 2/ / / 11 70 Gift cert. /raffle prize ► NAME OF SOURCE Women Lawyers Assoc. of SLO (Raffle Intermediary) ADDRESS (Business Address Acceptable) P.O. Box 3918 BUSINESS ACTIVITY, IF ANY, OF SOURCE Unicorporated professional association DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 3 11 $ 70.00 same as above $ ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY OF SOURCE DATE (mm /dd /yy) VALUE l� $ DESCRIPTION OF GIFT(S) 1 ► NAME OF SOURCE Name ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE s —J —/— s $ DESCRIPTION OF GIFT(S) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE __J/_ $ /- $ DESCRIPTION OF GIFT(S) Comments: House of Bread donated a gift certificate for WLA to raffle at its annual membership meeting. There was no charge for the door prize ticket. FPPC Form 700 (2011/2012) Sch. D FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc,ca.gov RECEIVED STATEMENT OF ECONOMIC INTERESTS R i� lttff' COVER PAGE SLO CIl� E' Please type or print in ink NAME OF FILER (LAST) (FIRST) (MIDDLE) Dietrick Jacquelyn Christine 1. Office, Agency, or Court Agency Name . ..... City of San Luis Obispo Division, Board, Department, District, if applicable Your Position City Attor If filing for multiple positions, list below or on an attachment, Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑X City of San Luis Obispo ❑ Other 3. Type of Statement (Check at least one box) ❑X Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left iJ 1 2010. .or- (Check one) The period covered is _ I. � through December 31, O The period covered is January 1, 2010, through the date of 2010, leaving office. ❑ Assuming Office: Date __1__J O The period covered is �l_J through the date of leaving office. ❑ Candidate: Election Year _ Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ Schedule A -1 - Investments — schedule attached ❑ Schedule C - Income, Loans, $ Business Positions.— schedule attached ❑ Schedule A -2 - Investments — schedule attached 0 Schedule D - Income — Gifts — schedule attached El 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 ADORES$ STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) San Luis Obispo Ca 93401 DAYTIME TELEPHONE NUMBER E- MAILADDRESS ( cdletrick @slocity.org 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. certify under penalty of perjury under the laws of the State of California Date Signed %�l( a(month, day year) Ro Me odginey signed statearon tiw N your t ling oKcial.) FPPC Form 700 (2 0 1 012 01 1) FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov SCHEDULE D Income - Gifts Name Jacquelyn C. Dietrick ► NAME OF SOURCE ► NAME OF SOURCE Leigh McGregor2757 Shell Beach Road, Pismo Beac ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 2757 Shell Beach Road, Pismo Beach, CA 93449 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Event Coordinator DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S) 11 l 6 10 S 250.00 Guest Room $ ► NAME OF SOURCE ► NAME OF SOURCE ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) ► NAME OF SOURCE ► NAME OF SOURCE ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) $ Comments: Overnight stay with kids and friends; gift from friend who works for hotel and has use of vacant rooms. FPPC Form 700 (201012011) Sch. D FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov Date .Received' y STATEMENT OF ECONOMIC INTERESTS "r mz 0" W A PUBLIC DOCUMENT COVER PAGE p ` Please type or print in ink. -- NAME OF FILER (LAST) (FIRST) (MIDDLE) Dietrick Jacquelyn Christine 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 Attorney's Department City Attorney ► If fling 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 ❑ Multi -County © City of San Luis Obis ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left ^l�J December 31, 2013. (Check one) -or- The period covered is —�`��� through O The period covered is January 1, 2013, through the date of December 31, 2013, leaving office. ❑ Assuming Office: Date assumed f 1 O The period covered is —J through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 2- ❑ 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 - Gifts - Travel Payments - schedule attached 'or - None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 990 Palm street San Luis Obispo CA 93402 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) ( 805 ) 781-7140 cdietrick@slocity.org 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 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov fk �r SCHEDULE D Income — Gifts ► NAME OF SOURCE (Not an Acronym) Deborah & Bill Linden ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mrnlddlyy) VALUE DESCRIPTION OF GIFT(S) 02 16 13 250.00 2 fundraiser tickets ��— 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 OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ��I 5 $ ► 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) --J—J $ --J--J— $ ► 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) — f 8- FPPC Form 700 (2013/2014) Sch. D FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov I STATEMENT OF ECONOMIC INTERESTS Date Received CALIFORNIA � � Olficiaf Use Only COVER PAGE AMENDMENT Pease type or print in ink. A PUBLIC DOCUMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Dietrick Jaquelyn Christine 1. Office, Agency, or Court Agency Name City of San Luis Obispo Division, Board, Department, District, if applicable Your Position City Attorney's Department City Attorney to. If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of San Luis Obispo City of © ❑Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left December 31, 2012. (Check one) The period covered is ��1' through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is J I through the date of leaving office. ❑ Candidate: Election Year and office sought, if different than Part 1: . 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 2 ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A-2 - Investments — schedule attached FXI 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 (Business or Agency Address Recommended - Public Document) 990 Palm Street San Luis Obispo CA 93402 DAYTIME TEtFNQNE NUMBER E-MAILAr1DRESS (OPTIONAL) ( 805 ) 781-7140 1 cdietrick@slocity.org 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 SCHEDULE D Income - Gifts ► NAME OF SOURCE (Not an Acronym) Deborah & Bill Linden ADDRESS (Business Address Acceptable) DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S) 021 16 / 13 a 250.00 2 Fundraiser Tickets ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mmidd/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: CALIFORNIA FORM 700 FAIT? POLITICAL P,kA('.TIC�C COMMISSION AMENDMENT ► 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) $ - Filer's Verification Print Name Jacqueline Christine Dietrick Office, Agency City of San Luis Obispo, Ci Attorney or Court + Statement Type X❑ 2012/2013 Annual ❑ Assuming ❑ Leaving ❑ tyrl Annual ❑ Candidate 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 certify under penalty of pejury under the laws of the State of California that the foregoing Is true and correct. Date FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppr,.ca.gov STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. A Public Document APR 011010 SLO CITY CLERK NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER 17 tej-k iC,k J Ae_ e_&4 E LVN CffR15'TUV6 (WS-) -79 t- 7/110 MAILING ADDRESS STREET (Business Address Acceptable) CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS 9Gxln�l S tsD C� �34�dD cdte-/rtctcos(afc r< 1. Office, Agency, or Court Name of Office, Agency, or Court: //�� Ci0-( 50.0,ti LLs CJ 6tSDD Division, Board, District, if applicable: Yo6sition: J4 ► If filing f& multiple positions, lis additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of ELCity of �C�. JAU-S tpd ❑ Multi -County ❑ Other 13. Type of Statement (Check at least one box) ❑ Assuming Office/Initial Date: —J___J �nnual: The period covered is January 1, 2009, through December 31, 2009. .or- o The period covered is —J�_, through December 31. 2009. ❑ Leaving Office Date Left:—J_ (Check one) O The period covered is January 1, 2009, through the date of leaving office. -or- O The period covered is ___J___J_, through the date of leaving office. ❑ Candidate Election Year: 4. Schedule Summary ► Total number of pages including this cover page: ► Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A-1 ❑ Yes - schedule attached Investments (Less tnan f0% ownership) Schedule A-2 ❑ Yes - schedule attached Investments (10% or Greater ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (income Other than Gifts and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments -or- No reportable interests on any schedule 5. Verification 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed X13vlcwo signed statement with your filing FPPC Form 700 (2009/2010) Helpline: 666/ASK-FPPC www.fppc.ca.gov OF ECONOMIC COVER PAGE A Public Document Date Received 12010 Please type or print in ink. I DA, ME: TELEPHONE NUMBER NAME (LAST) I (FIRST) (MIDDLE) tement and to the best ntained herein and in any nPi6te. ► Check applicable scFied 1, ry In I "No reportable I�; MAILING ADDRESS STREETI (&=ness address Acceptable) CALIFORNIA C STATE FORM. 700 j 'd IONAL' E-MAIL ADDRESS I , FAIR POLITICAL PRACTICES COMMISSION �'l3� {�; l a attached OF ECONOMIC COVER PAGE A Public Document Date Received 12010 Please type or print in ink. I DA, ME: TELEPHONE NUMBER NAME (LAST) I (FIRST) (MIDDLE) tement and to the best ntained herein and in any nPi6te. ► Check applicable scFied 1, ry In I "No reportable I�; MAILING ADDRESS STREETI (&=ness address Acceptable) :i C STATE 7JP CODE ! j 'd IONAL' E-MAIL ADDRESS I , q q� Pta1Zm SA-- 3 '\ (-ws O� i s o Cf� �'l3� {�; l a attached j ern C k q S(oc t 1. Office, Agency, or Court Name of Office, Agency, or Court: District, if applicable: Your ► If filing for multipVpositions, list additil position(s): (Attach a separate sheet Agency: Position: agency(ies)/ I li 2. Jurisdiction of Office (check at 'least one box) i ❑ State III I i ❑ County of (, ity of S�fs r ) ❑ Multi -County I� ❑ Other 3. Type of Statement (Check at ti 'i t one box) (I�Assuming Officellnitial Date: It ❑ Annual: The period covered is January 1, 2009, through December 31, 2009. -or- j 0 The period covered is 1---JI through December 31, 2009. I ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2009, through the date of leaving office. -or- O The period covered is _J— /� ! , through the date of leaving office. ❑ Candidate Election Year. 4. Schedule Summa' I b.Total number of pages dlI L Including this cover ;nag : tement and to the best ntained herein and in any nPi6te. ► Check applicable scFied 1, ry In I "No reportable interests." I I have disclosed interests DIJo or more of the attached schedules: Schedule A-1 ❑ Yes - sc�hedI a attached Investments (Less than 10% owi�e ) Schedule A-2 ❑ Yes - Investments if 0% or Greater II i sc held I ip) le attached Schedule B ❑ Yes - sc hedi i le attached Real Property Schedule C ❑ Yes -1 tie 3 le attached Income, Loans, & Business PC sitior (tnmme Other man Gigs and Travel Payments) I i Schedule D El Yes - ed le attached Income - Gifts Schedule E ❑ Yes - shed le attached Income - Gifts - TraveiPayj n or. EffeNo reportable intdresL any schedule 5. Verification I ' � I have used all reasonab dlI ence in preparing this statement. I have reviewed of my knowledge the inform attached schedules is true is "On '8J tement and to the best ntained herein and in any nPi6te. I l I certify under penalty ofpelq of California that the foreg i ry In � I(Jderthe taws of the State s true and correct Date Signed - ca.gov �� I I DIET Dietrick, J. Christine Foran 700 707-04 Economic Interests o �� March 1, 2010 of sAn lois' San Luis Obispo, CA 93401-3249 Fair Political Practices Commission Technical Assistance & Analysis !Di vision 428 J Street, Suite 620 Sacramento, CA 95814-2329 To Whom It May Concern: Enclosed is Form 700 for City Attorney Christine Dietrick. Ms. Dietri effective January 4, 2010. I Ms. Dietrick assumed the office o I City Attorney. She has been a City role as the Assistant City Attorney with the City of San Luis Obispo. and a reassignment of responsibilities in the City Clerk's office, we wei Ms. Dietrick had not submitted her assuming office statement within tb soon as we became aware of this, oversight, we contacted her and advis( an assuming office statement. Therefore, we are requesting that the F that might otherwise be assessed for this late filing. If you have any questions regarding this filing, please feel free to contact Sincerely, Elaina Cano, CMC City Clerk Enclosure 'W T��t�0'�f��& W e ecommurncaUons Device for the; eaf 805) 781-7410. her position her previous hange in staff lly. aware that deadline. As yr need to file any late fine 781-7102.