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HomeMy WebLinkAboutFlickinger - 700 - 08-08-2018 Statement of Economic InterestsSTATEMENT OF ECONOMIC INTERESTS Please type or print in ink. NAME OF FILER (LAST) (FIRST) Flickinger Sarah 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of San Luis Obispo Division, Board, Department, District, if applicable City Council COVER PAGE Your Position Council Member Candidate ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: AUG 14 2018 E 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County — _ ❑ County of RI City of San Luis Obispo ❑ Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left December 31, 2017. (Check one) -or- The period covered is I through O The period covered is January 1, 2017, through the date of December 31, 2017. -or- leaving office. ❑ Assuming Office: Date assumed O The period covered is J1 through the date of leaving office. ❑x Candidate: Date of Election 11/06/2018 and office sought, if different than Part 1 4. Schedule Summary (must complete) l► Total number of pages including this cover page: 4 Schedules attached ❑x Schedule A-1 - Investments - schedule attached ❑x Schedule A-2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached .or - El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) DAYTIME TELEPHONE NUMBER ( ❑x Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached CITY STATE ZIP CODE San Luis Obispo CA 93401 E-MAIL ADDRESS ncil20l8@gmail.com 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 that the foregoing is true and correct. official.) FPPC Form 700(2017/2018) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-1 CALIFORNIA _ m 700 Investments Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY Pacific Gas & Electric Company GENERAL DESCRIPTION OF THIS BUSINESS Utility FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑X $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X 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: � / 17 /_17- ACQUIRED —J� 17ACQUIRED DISPOSED ► 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 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: x.17 �_J17 ACQUIRED DISPOSED ► 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 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: x.17 ���17 ACQUIRED DISPOSED Comments: ► 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 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: . 17 �_� 17 ACQUIRED DISPOSED ► 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 - $499 O Income Received of $500 or More (Report on schedule c) DATE -IF APPLICABLE, LIST 1 17 —J 17 ACQUIRED DISPOSED ► 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 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � / 17 1 1 17 ACQUIRED DISPOSED FPPC Form 700 (2017/2018) Sch. A-1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -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) j- 1 BUSINESS ENTITY OTRUST R Flickinger Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑x Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Custom Art Services - Microbusiness in nature FAIR MARKET VALUE IF APPLICABLE, LIST DATE: X❑ $0 - $1,999 ❑ $2,000 - $10,000 /17 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑X Sole Proprietorship ❑ Other artist YOUR BUSINESS POSITION 0- 2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITY/TRUST) ❑X $0 -$499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 1- 3 LIST THE NAME OF ••-TABLE SINGLE SOURCE OF ❑ None or ❑ Names listed below 1- 4, INVESTMENTS • INTERESTS IN REAL PROPERTY• LEASED BY THE BUSINESS ENTITY OR 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 7 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold Yrs E] Other rlemaitting ❑ Check box if additional schedules reporting investments or real property are attached Comments:. CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION 1� 1. BUSINESS ENTITY OTRUST R 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: ❑ $0 - $1,999 ❑ $2,000 - $10,000 �� 17 � /17 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION 1� 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF ••SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 0- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF [ None or _ Names listed below 1- 4 INVESTMENTS • INTERESTS IN REAL PROPERTY• •- LEASED BY THE BUSINESS ENTITY • 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 17 .. j /17 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold [:j Other YM.rerltaininp ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2017/2018) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPCToll-FreeHelpline:866/275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Pacific Gas and Electric Company ADDRESS (Business Address Acceptable) San Luis Obispo, CA 93401 BUSINESS ACTIVITY, IF ANY, OF SOURCE utility YOUR BUSINESS POSITION Supervisor GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 Q OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary Q 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) Name �1«k)nyte.v NAME OF SOURCE OF INCOME Erma Prinslow ADDRESS (Business Address Acceptable) San Luis Obispo, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 0 $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.) 0 Sale of Real Property (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (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 (MonthslYears) %❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov