HomeMy WebLinkAboutAaron Gomez Form 700CALIFORNIA • -M r,,tllf STATEMENT OF ECONOMIC INTERESTS ``-CFS`
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE AUG 11 2016
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
C--7 oyv,� e- z, a>44-
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division, Bard, Department, District, if applicable -7 Your Position
_ LG'i k -6'k [ I
► 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)
Position.
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County
[]"City of So—n La,4.6ti4Q2
❑ County of
............... ❑ Other
3. Type of Statement (Check at feast one box)
❑ Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left._._ j-- ....—. i-
December 31, 2015. (Check one)
.or -
The period covered is I I through
December 31, 2015.
❑ Assuming Office: Date assumed
p The period covered is January 1, 2015, through the date of
-or-
leaving office.
O The period covered is through
the date of leaving office.
Z Candidate: Election year a! l (a and office sought, if different than Part 1
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
[chedule 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
f
-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)
E-MAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed 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
r
)
FPPC Form 700(2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY
I T—C 44p cAt ('n6lo
GENERAL DESCRIPTION` F THIS BUSINESS
FAIR MARKET VALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Stock ❑ Other
(Describe)
❑ Partnership 21ncome Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J ' 15 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
-29I CL Ito '
GENERAL DESCRIPT16h OFT IS BUSINESS
FAIR MARKET VALUE
F1'$2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Stock ❑ Other
(Describe)
❑ Partnership 2rTncome Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� . 15 / 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY17
\Il
GENERAL DESCRIPTI NOF THIS BUSINESS
FAIR MARKET VALUE
Z"$2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NAT RE OF INVESTMENT
Stuck ❑ Other
(Describe)
❑ Partnership 0"Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� / 15 1 /—L5—
ACQUIRED
15ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
0— W,�E
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINES
FAIR MARKET VALUE
7 $2,000 - $10,000 Q'$10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
�,���,���,
F1 Stock Other-S--LSZ`�A
(Describe)
❑ Partnership (? Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J— / 15 / 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
+ {
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
012,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock 2rother
(Describe)
❑ Partnership (?I'ncome Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—Ji 15 1/ 15
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY e
--
GENERAL DESCRIPTION OF TO BUSINESS
II '
FAIR MARKET VALUE
❑ $2,000 - $10,000 $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT L'4'p7/I
F-1 Stock 2Other
(Describe)
❑ Partnership dncome Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� /15 15
ACQUIRED DISPOSED
FPPC Form 700 (2015/2016) Sch. A-1
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SC0,111E."I)IJILIE A. -I CALIFORNIA FORM 700
II Inrm..; [I:Irr a rr t.COMMISSION
Stocks, Bonds, iand 0thl:r Interests Name
(Ownershilo In—teres]: is Less -1"hale '10%) ^
Leo not attach brokenac is or finance I/ statements.
►- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THI USINESS
_ jkR�j C.6 , ---
FAIR MARKET ALk
[„�]" $2,000 - $10,000 ❑ $10,001 - $100.000
L-[ $100,001 - $1,000,000 ❑ Over $1,000,000
IVATURE OF INVESTMENT
[Stock ❑ Other -
(Deschbe)
F] Partnership Income Received of $0 - *499
O Income Received of $500 or More (Report on Schedble C1
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
0- NAME OF BUSINESS ENTITY
_ >141,AL"g � 1 ft..c _
GENERAL DESCRIPTION OF THIS BUSINI=_SS
FAIR MARKET VALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
[ ] $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
[d]' Stock ❑ Other _
(Describe.)
[-] Partnership Kincorne Received of $0 - $499
O Income Received of $500 or More (Report on Sctedi.le e.:1
IF: APP!_ICARLF, LIST DATE:
-/— - J 15
ACQUIRED DISPOSED
ii NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑� $2,000 - $10,000 ❑ $10,001 - $100.000
[ ] $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $•199
O Income Received of $500 or More (Report on Schedble C:1
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
R- WAIVE UI- BU'-SINESS EN I I I Y
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKEF VALUE
6:.�,C)oo - $10,000 ❑ $10,001 - $100,000
F :6-101),001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Stork ❑ Other
(Describe)
Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
--�-- , 15
ACQUIRED DISPOSED
B- NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
F,N R MARKET VALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
:6.100,001 •- $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Stork ❑ Other
(Describe)
[ Par:narship O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule c)
IF APPLICABLE, LIST DATE:
- - J --- -15 — J -1 '1 '-
ACQUIRED DISPOSED
OF BUSINESS ENTITY
(;I:EI,IE:RA.- DESCRIPTION OF THIS BUSINESS
FN R MARKET VALUE
$2,000 - $10,000 ❑ $10,001 - $100,000
:6'Io0,001 $•I,0o0,o00 ❑ Over $1,000,000
NATURE: OF INVESTMENT
Stock ❑ Other
(Describe)
[_ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_._._J� J-15 1. 15
ACMIRED DISPOSED
FPPC Form 700 (2015/2016) Sch. A-1
FPPC Advice Email: advice@fppc.ca.gov
FI)FIC'roll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
lh1. BUSINESS ENTITY OR TRUST
/I
Name
Acceptable)
Check one
❑ Trust, go to 2 if Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
J
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000
❑ $10,001 - $100,000 ACQUIRED DISPOSED
0 $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship �
t7fFier
YOUR BUSINESS POSITION ���ihL-A+ - -
1
INCOMEP2. IDENTIFY THE GROSS
. JINCLUDE YOUR- • RATA
GROSSSHARE OF THE
❑ $0 - $499 {J $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF
INCOMEOF $10,000 OR MORE
❑ None or ❑ Names listed below
PROPERTY1� 4. INVESTMENTS AND INTERESTS IN REAL ■ OR
LEASED BY OR TRUST
Check one Box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 --/--j-j5 -J--j15
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs mmalning
❑ Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
I ►1
i� 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
F-1 $o - $1,999
❑ $2,000 - $10,000 �_/ 15 � /15
[� $10,001 - $100,000 ACQUIRED DISPOSED
U $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION
-. . . . . -
SHARE OF THE -.
❑
$0-$499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
m- 3. LIST THE NAME OF •RTABLE SINGLE SOURCE OF
INCOMEOF $10,000 OR MORE
❑ None or f I Names listed below
m- 4. INVESTMENTS ■ INTERESTS IN REAL PROPERTY■ OR
LEASED BY • TRUST
-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity ar
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 15 --/--J-15
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold rema
Y [:] Other
[8, klirq
❑ Check.box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2015/2016) Sch. A-2
Comments: - 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
Gaol Cry zzta In4 .
ADDRESS (Business Address Acceptable)
BUSINESS RCT iTY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
s:
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,Oo1 - $10,000
d$10,001 - $100,000 ❑ OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
[Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2 )
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of 510,000 or more
(Describe)
Name
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
(For self-employed use Schedule A-2 )
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
Other Other — .....
F-1❑
(Describe) (Describe)
I� 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* 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 - $100,000
❑ OVER $100,000
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property . ........ ._....
❑ Guarantor
❑ Other
Street address
City
(Describe)
Comments:
FPPC Form 700 (2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov