HomeMy WebLinkAboutHeidi Harmon Form 700Please type or print in ink.
NAME OF FII. Rn(LAST)
(MAShi Mn
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
a� Luis C
Division, Board, Department, District, if appl
STATEMENT OF ECONOMIC INTERE
(FIRST)
COVER PAGE
M6 0 r
Your
X 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
Cily of SC -VI LAAL5 Obii 5LP 7
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is I I through
December 31, 2015.
❑ Assuming Office: Date assumed I I
Position:
RECE) EV U
Date Initial Filing R
A U G Ermalyn IF y
(MIDDLE)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of .
❑ Other
B
❑ Leaving Office: Date Left l�
(Check one)
O The period covered is January 1, 2015, through the date of
-or-
leaving office.
O The period covered is 1 1 through
the date of leaving office.
Candidate: Election year a O l ILD and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
.or-
❑ None - No reportable interests on any schedule
.'�Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
Utis Obis o CA cl 3q0!
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowWge 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
FPPC Form 700(2015/2016)
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
L. M. 13roOKS ConSL4,M nq
ADDRESS (Business Address Acceptable)
SLO •a3L401
BUSINESS ACTIVITY, IF ANY, OF SOURCE
W i vie M a Wi r i Co rvsL0d 4,laa +
YOUR BUSINESS POSITION
0-fRGe. Mav%aq_e�r•
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
121fi0,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
clary ❑ Spouse's or registered domestic partner's income
1pl(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2)
❑ Sale of
❑ Loan repayment
❑ Commission or
❑ Other _ _ _
(Real property; car, boat, etc.)
❑ Rental Income, list each source of $10,000 or more
(Describe)
(Describe)
Name
de, I /;P, /-4 6rra cT
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
❑ Loan repayment
❑ Commission or
❑ Other
(Real property, car, boat, etc)
❑ Rental Income, list each source of $10,000 or more
(Describe)
(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 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other.
Street address
City
(Describe)
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