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HomeMy WebLinkAboutNomination Packet - Carlyn Christianson - Council • I- --_'\\ ,.. oI,GSTY TO-,,\ REGULAR MUNICIPAL ELECTION . 1 ° 4 hi;:u ► November 4, 2014 . r- ti: , NOMINATION PROCESS CHECKLIST `` --e: ` - ' RECEIVED AUG 062014 Where to File _SLO CITY CLERK City Clerk's Office, San Luis Obispo City Hall, 990 Palm Street, San Luis Obispo, California 93401, no later than August 8, 2014 at 5.00 p m Official Nomination Paper signed by Candidate and Circulator l Ballot Designation Worksheet ' Candidate Statement of Qualifications and payment )' Emailed Word Document to. amejia @slocity org - OR - ❑ No Candidate Statement Submitted Initial fiSj Candidate Intention Statement (Form 501) —Candidates must file Form 501 with the City Clerk before raising or spending any money, including the candidate's personal funds If any monetary contributions will be received from others, a separate campaign bank account must be opened Ni Statement of Economic Interest (Form 700) disclosing interests held on date of declaration of candidacy e Signed copy of Code of Fair Campaign Practices Form (optional) Submitted by. Received By 14_a. I J �•!!A. Candidates PCIerk g' /2-d I tf AJT)-t-- , 20 'L{ (Date) ' (Date) City or' San Luis Obispo PAGE 3 Required to be given to candidate. Election Date November 4,2014 Required to be-signedand returned. EXPIRES December31,2014 RECEIVED III BALLOT DESIGNATION WORKSHEET Qua 06 2014 This worksheet is intended to assist in the prompt evaluation of requested ballot designations SLO r Name of Candidate CAr 1y CA lei SitC1,(/IS0r c-- JERK Candidate for the Office of Me vv\VJ/.r:r a.- C t}-y Co o n c( I i Sa t^ bAA 5 Obi;r0 pncimi ng oistnct or Wnsvon number if appicable) Home Address Daytime Phone (&d OA) City, ST Zip S r A t r i 1-141S 0v)lam)Do C, 1 n- q'3,-{0 1 Evening Phone �cc fi) Fax Number Business Address Email City,ST Zip / `J Mailing Address' Name of Attorney or Other Person Authorized to Act in Your Behalf City,ST Zip 'Il Different from above Phone Number Fax Number" Email Address PROPOSED BALLOT DESIGNATION: C I-1-y Cou nct I M em her (Note Designation must be your principal profession, vocation or occupation and may be no more than three words, however,you may use the full title of the elective office you currently hold) 411/onal) 1st Alternative* If above not accepted, 2nd Alternative Describe what you do and why you believe you are entitled to use the requested ballot designation If using the title of an elective office,you may submit a copy of your certificate of election or appointment The term 'incumbent"must be used as a noun It shall not be used in conjunction with any other words, including any accompanying adjectives or modifiers,and must stand alone Job Title V�r�C h C e f't( , Contact Person(s)Who Can Verify this Information vnint5-4-ra br /_ A r Dates You Held Position 'C161/1 DYe SeVI T Name(s) RDiJ�i I VL U ( Telephone Name of Your Employer �^ ( Number(s) or Business Co(�s ( /lV1eS���SIp�()c,J �I�d(c� As/�bGtGl1�J To the best of my knowledge and belief,the above-requested ballot-designation(s)represent my true principal profession(s),vocation(s)and/or occupation(s) which I am entitled to use as my ballot designations pursuant to sections 13107 and 13105 5 of the Elections Code r� e n and dated this • (0 day of , in `"-E' ALU S O , �0 (ion) .. / Signature You may attach whatever supporting documentation or exhibits you wish that you believe support your proposed ballot designation These documents will not be returned to you,so do not submit original versions 0 FORMS/Nomination Documents/Ballot Designation Worksheet 2013/Rev 10/2012 MC Elections City of San Luis Obispo PAGE 4 Required to be given to candidate. Election Date November 4,2014 EXPIRES December 31,2014 BALLOT DESIGNATION REQUIREMENTS • For your reference,the relevant provisions of Elections Code sections 13106,13107 and 13107 5 are reproduced below 13106. NO TITLE OR DEGREE No title or degree shall appear on the same line on a ballot as a candidate's name,either before or after the candidate's name 13107 BALLOT DESIGNATION REQUIREMENTS (a) With the exception of candidates for Justice of the State Supreme Court or Court of Appeal,immediately under the name of each candidate,and not separated from the name by any line,may appear at the option of the candidate only one of the following designations (1) Words designating the elective city, county, district, state, or federal office which the candidate holds at the time of filing the nomination documents to which he or she was elected by vote of the people,or to which he or she was appointed,in the case of a superior court judge (2) The word'incumbent"(without any other word(s))if the candidate is a candidate for the same office which he or she holds at the time of filing the nomination papers, and was elected to that office by a vote of the people, or, in the case of a superior court judge,was appointed to that office (3) No more than three words designating either the current principal professions, vocations, or occupations of the candidate, or the pnncipal professions, vocations, or occupations of the candidate during the calendar year immediately preceding the filing of nomination documents For purposes of this section, all California geographical names shall be considered to be one word Hyphenated words that appear in any generally available standard reference dictionary, published in the United States at any time within the 10 calendar years immediately preceding the election for which the words are counted, shall be considered as one word Each part of all other hyphenated words shall be counted as a separate word (4) The phrase"appointed incumbent"if the candidate holds an office by virtue of appointment,and the candidate is a candidate for election to the same office, or, if the candidate is a candidate for election to the same office or to some other office,the word"appointed"and the title of the office In either instance, the candidate may not use the unmodified word "incumbent"or any words designating the office unmodified by the word'appointed" However,the phrase"appointed incumbent"shall not be required of a candidate who seeks reelection to an office which he or she holds and to which he or she was appointed, as a nominated candidate, in lieu of an election, pursuant to Sections 5326 and 5328 of the Education Code or Section 7228, 7423,7673, 10229,or 10515 of this code (b) Neither the Secretary of State nor any other elections official shall accept a designation of which any of the following would be true (1) It would mislead the voter (2) It would suggest an evaluation of a candidate,such as outstanding,leading,expert,virtuous,or eminent (3) It abbreviates the word"retired"or places it following any word or words which it modifies (4) It uses a word or prefix,such as"former"or"ex-,'which means a prior status The only exception is the use of the word"retired' • (5) It uses the name of any political party,whether or not it has qualified for the ballot (6) It uses a word or words referring to a racial,religious,or ethnic group (7) It refers to any activity prohibited by law (c) If, upon checking the nomination documents and the ballot designation worksheet described in Section 13107 3, the elections official finds the designation to be in violation of any of the restrictions set forth in this section,the elections official shall notify the candidate by registered or certified mail return receipt requested,addressed to the mailing address provided on the candidate's ballot designation worksheet (1) The candidate shall,within three days,excluding Saturday, Sunday, and state holidays,from the date he or she receives notice by registered or certified mail,or from the date the candidate receives actual notice of the violation,whichever occurs first,appear before the elections official or, in the case of the Secretary of State, notify the Secretary of State by telephone, and provide a designation that complies with subdivision (a) (2) In the event the candidate fails to provide a designation that complies with subdivision (a)within the three-day period specified in paragraph (1),no designation shall appear after the candidate's name (d) No designation given by a candidate shall be changed by the candidate after the final date for filing nomination documents, except as specifically requested by the elections official as specified in subdivision (c) or as provided in subdivision(e) The elections official shall maintain a copy of the ballot designation worksheet for each candidate that appears on the ballot in the county for the same period of time as applied to nomination documents pursuant to Section 17100 (e) The designation shall remain the same for all purposes of both primary and general elections, unless the candidate, at least 98 days prior to the general election,requests in wnting a different designation which the candidate is entitled to use at the time of the request (f) In all cases, the words so used shall be printed in 8-point roman uppercase and lowercase type except that, if the designation selected is so long that it would conflict with the space requirements of Sections 13207 and 13211, the elections official shall use a type size for the designation for each candidate for that office sufficiently smaller to meet these requirements (g) Whenever a foreign language translation of a candidate's designation is required under the Voting Rights Act of 1965 (42 U S C Sec 1971), as amended,to appear on the ballot in addition to the English language version,it shall be as short as possible,as consistent as is practicable with this section,and shall employ abbreviations and initials wherever possible in order to avoid undue length 13107 5 BALLOT DESIGNATION OF"COMMUNITY VOLUNTEER" (a) A candidate's ballot designation as'community volunteer"shall constitute a valid pnncipal vocation or occupation for purposes of subdivision (a)of Section 13107,if not otherwise in violation of any of the restrictions set forth in that section,and subject to the following conditions (1) A candidate's community volunteer activities constitute his or her principal profession,vocation,or occupation (2) A candidate is not engaged concurrently in another principal profession,vocation,or occupation (3) A candidate may not use the designation of "community volunteer" in combination with any other principal profession, vocation,• occupation designation (b) The Secretary of State shall by regulation define what constitutes a community volunteer for purposes of this section 0 FORMS,Vornmahori Documems/BaLbr Designation Worksheet 2013/Rev 7(/2012 MC Elections City of San Luis Obispo PAGE 5 Required to be given-to.candidate. Election Date November 4,2014 Required to be signed an turned. EXPIRES. December 31,T014 / 1/4-c.41(1-;3--------• CANDIDATE'S STATEMENT INFORMATION SHEET AUG 062674 Complete this form,and submit with your candidate statement Please use all regular lower case letters(do not use all caps) - Provide a brief description of no more than 200 words,of the candidate's education and qualifications CCE'nK Be sure to include the official title of the office you are a candidate for,your name,age,and occupation (see bottom of reverse side for sample format) Enter the candidates'name and the office title. Enter the name of the junsdiction to which the office belongs,if other than the name of the city(0 e,the name of the school distnct) Ca111yr) 0hrfrsC0 (A s01/2 Candidates Name Jurisdiction Name r Male Female MetnAb v V Ct COI/toe(Office Title G e Mayor,Member f the City Council,City Clerk,Member of the Board of Education,etc) I DO WANT my Candidate Statement to appear in the following languages in the Sample Ballot Voter Pamphlet. [English ❑ Spanish/Colloquial(informal) ❑ ChinesefTraditional ❑ Japanese ❑ Korean ❑ Spanish/Castillian(formal) ❑ Chinese/Simplified ❑ Vietnamese ❑ Tagalog Other ❑ I DO NOT WANT to file a candidate statement. III STATE LAW PROVIDES(per Election Code Section 13307) 1 A Candidate Statement is optional and available to all candidates for nonpartisan offices • 2 The statement may include candidate's age,occupation and a brief description of education and qualifications (expressed by the candidate himself or herself) 3 Each local jurisdiction determines a the maximum number of words allowed,usually 200 words b responsibility for payment,the candidate or the jurisdiction c whether the costs are to be paid in advance 4 Reference to political party affiliation or mention of any partisan political membership or activity is not permitted 5 Reference to other candidates for that office or to another candidate's qualifications,character,or activities are prohibited (EC 13308) 6 No changes of any kind are allowed AFTER the statement is filed 7 The statement may be withdrawn(in writing)up to 5 00 pm of the next working day after the close of the nomination period 8 Statements are confidential until after the close of the nomination period 9 A candidate may request that the statement also be printed in other languages and included in the Sample Ballot Voter Information Pamphlet mailed to all voters in the election area An additional fee may be required to print the additional languages CANDIDATE STATEMENTS MUST BE FILED AT THE TIME NOMINATION PAPERS ARE FILED. COST INFORMATION The estimated cost is determined prior to all information being available,therefore,it is an approximation of the actual cost that varies from election to election and may be significantly more or less depending on the actual number of candidates filing statements 'For Election Official's use only Estimated Cost of Printing Candidate's Statement in � i � Engkshi$'1 b Spanishq,'7>'�p Chinese Korean Tagalog Vietnamese Other i 'If applicable,the below estimated cost is for the Translations(and formatting if translation is provided by the candidate)and this cost does not include pnnting,! •which cost is noted above ! 411) _•— •— Spanish — • _Chinese _••Korean _•_ Tagalogs _ •_• Vietnamese _•_• Other •_• _•_ _•_•_•_•_•_ ! Election Offiaai a Send one copy of this page and the candidate statement to the vendorlpnnier b keep original set for your files c make one copy for candidate (More information on reverse side) d make one or more copies for the translator(s)if necessary CO of San Luis Obispo PAGE 6 Required to be given to candidate. Election Date November 4,2014 EXPIRES December 31,2014 CANDIDATE'S STATEMENT INFORMATION SHEET • Please type using regular lowercase letters, do not use all CAPS. Type your statement clearly and legibly- DO NOT handwrite or print. Section 13307 of the Elections Code of the State of California sets forth guidelines for candidate's statements Please follow them: 1. The statement of each candidate shall be printed in type of uniform size and darkness and with uniform spacing 2 The statement shall not include any party affiliation or membership or activity in partisan political organizations 3 Reference to other candidates for that office or to another candidate's qualifications, character, or activities are prohibited 4 Your statement will be printed as submitted, therefore you are advised to carefully check for errors in punctuation and grammar Spelling however, will be corrected by the computer automatically 5 Remember to sign this form and any supplemental sheets if used and attach them to your statement If you wish to have a . Foreign language translation of your statement prepared for printing in the Voter's Pamphlet, be sure to check the space(s) provided on the front of this form WORD COUNT STANDARDS As stated in Section 9 of the Elections Code (a)Counting of words, for purposes of this code, shall be as follows. (1) Punctuation is not counted (2) Each word shall be counted as one word except as specified in this section. (3) All geographical names shall be considered as one word; for example, "City and County of San Francisco" shall be counted as one word (4) Each abbreviation for a word, phrase, or expression shall be counted as one word. E.G UCLA, PTA, LA PD • (5)Hyphenated words that appear in any generally available standard reference dictionary, published in the United States at any time within the 10 calendar years immediately preceding the election for which the words are counted shall be considered as one word. Each part of all other hyphenated words shall be counted as a separate word (6) Dates consisting of a combination of words and digits shall be counted as two words E.G April 10, 1990 Dates consisting only of a combination of digits shall be counted as one word E G. 4/10/90 (7) Any number consisting of a digit or digits shall be considered as one word Any number which is spelled, such as "one," shall be considered as a separate word or words "One" shall be counted as one word whereas "one hundred" shall be counted as two words. "100" shall be counted as one word (8) Telephone numbers shall be counted as one word. (9) Internet web site and email addresses shall be counted as one word (b)This section shall not apply to counting words for ballot designations under Sections 13107 and 13107 5 FOR MEMBER OF THE CITY COUNCIL JOHN SMITH Age. 45 Occupation. Businessman SAMPLE OF STATEMENT FORMAT I have been a 30 ear resident of this City and thoroughly n o living here I woulu like to increase citizen education a1dypoIrce overtaking to stop) he gang and graffiti activity that are overtaking our city I would like to implement environmental standards for cleaner Please use Helvetica.10 pt type. water and air quality. I respectfully ask for your support and thank those of ou who cast your vote for me- A vote for me is a vote for a better City • Is/John Smith 0 FORMS/Nomination Documents/Candidate Statement Information Sheet 2013/Rev 1012012 MC Elections City of San Luis Obispo PAGE 7 Required to be given to candidate. Election Date November 4,1014 EXPIRES December31,2014 RECEIVED • CODE OF FAIR CAMPAIGN PRACTICES AUG 0 6 2014 (Division 20, Chapter 5, Elections Code.) Chapter 5. Fair Campaign Practices SLO CITY CL, P.K Article 1. General Intent 20400 The Legislature declares that the purpose of this chapter is to encourage every candidate for public office in this state to subscribe to the Code of Fair Campaign Practices It is the ultimate intent of the Legislature that every candidate for public office in this state who subscribes to the Code of Fair Campaign Practices will follow the basic principles of decency, honesty, and fair play in order that, after vigorously contested, but fairly conducted campaigns, the citizens of this state may exercise their constitutional right to vote, free from dishonest and unethical practices which tend to prevent the full and free expression of the will of the voters. The purpose in creating the Code of Fair Campaign Practices is to give voters guidelines in determining fair play and to encourage candidates to discuss issues instead of untruths or distortions Article 2. Definitions 20420 As used in this Chapter, "Code" means the Code of Fair Campaign Practices. Article 3. Code of Fair Campaign Practices 20440 At the time an individual is issued his or her declaration of candidacy, nomination papers, or any other paper evidencing an intention to be a candidate for public office, the elections official shall give the individual a blank form of the code and a copy of this *ter The elections official shall inform each candidate for public office that subscription to the code is voluntary In the case of a committee making an independent expenditure, as defined in Section 82031 of the Government Code, the Secretary of State shall provide a blank form and a copy of this chapter to the individual filing, in accordance with Title 9 (commencing with § 81000) of the Government Code, an initial campaign statement on behalf of the committee The text of the Code shall read, as follows. (See "CODE OF FAIR CAMPAIGN PRACTICES" on reverse side) 20442 The elections official shall accept, at all times prior to the election, all completed forms that are properly subscribed to by a candidate for public office and shall retain them for public inspection until 30 days after the election 20443.Every code subscribed to by a candidate for public office pursuant to this chapter is a public record open for public inspection. 20444.In no event shall a candidate for public office be required to subscribe to or endorse the code • 0 FORMS/Nommation Documents/Code of Fair Campagn Practices,2008/Rev 2006 MC Elections City of San Luis Obispo PAGE 8 Required to be given to candidate. Election Date November 4,2014 Optional to be signed and returned EXPIRES December 31,2014 CODE OF FAIR CAMPAIGN PRACTICES • There are basic principles of decency, honesty, and fair play which every candidate for public office in the State of California has a moral obligation to observe and uphold in order that,after vigorously contested but fairly conducted campaigns, our citizens may exercise their constitutional right to a free and untrammeled choice and the will of the people may be fully and clearly expressed on the issues THEREFORE (1) I SHALL CONDUCT my campaign openly and publicly,discussing the issues as I see them, presenting my record and policies with sincerity and frankness, and criticizing without fear or favor the record and policies of my opponents or political parties that merit this criticism (2) I SHALL NOT USE OR PERMIT the use of character defamation,whispering campaigns, libel,slander,or scurrilous attacks on any candidate or his or her personal or family life (3) I SHALL NOT USE OR PERMIT any appeal to negative prejudice based on a candidate's actual or perceived race, religious creed,color, national origin,ancestry, physical disability, mental disability, medical condition, marital status, age,sexual orientation, sex, including gender identity,or any other characteristic set forth in Section 12940 of the Government Code, or association with another person who has any of the actual or perceived characteristics set forth in Section 12940 of the Government Code (4) I SHALL NOT USE OR PERMIT any dishonest or unethical practice that tends to corrupt or undermine our American system of free elections,or that hampers or prevents the full and free expression of the will of the voters including acts intended to hinder or prevent any eligible person from registering to vote, enrolling to vote, or voting (5) I SHALL NOT coerce election help or campaign contributions for myself or for any other candidate from my employees (6) I SHALL IMMEDIATELY AND PUBLICLY REPUDIATE support deriving from any individual or group that resorts, on behalf of my candidacy or in opposition to that of my opponent,to the methods and tactics that I condemn I shall accept responsibility to take firm action against any subordinate who violates any provision of this code or the laws governing elections • (7) I SHALL DEFEND AND UPHOLD the right of every qualified American voter to full and equal participation in the electoral process I, the undersigned,candidate for election to public office in the State of California or treasurer or chairperson of a committee making any independent expenditures, hereby voluntarily endorse, subscribe to,and solemnly pledge myself to conduct my campaign in accordance with the above principles and practices / 8 /y Signature • Date Cr (Ayr) Cikri5ftcuvx � Candidates Nagle November 4,2014 Date of Election • 0 FORMS/Nomination Documents/Code of Fair Campaign Practices,2008/Rev 2006 MC Elections RE TiV C red :CALIFORNIA FORM STATEMENT OF ECONOMIC INTERESTS -"°' L'~ 7! � ' FAIR AUG 06 2014 POLITICAL PRACTICES COMMISSION. y "-A PUBLIC.DOCUMENT COVER PAGE SLO CITY C _RK Please type or print in ink NAME OF FILER (LAST) (FIRST) (MIDDLE) Christianson Carlyn Rae 1. Office, Agency, or Court Agency Name (Do not se a ronyms) / / C,}-.� o� a ,, . , d .ts 0(�15p 0 Ct-f--� CofArcI or- Division, Boar , Department, Distnct, if applicable Your Positio 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) El State ❑Judge or Court Commissioner(Statewide Jurisdiction) El Multi-County ❑County of gClty of c .V\ L).. , Igo )4 ( 0 ❑Other 3. Type of Statement (Check at least one box) ❑ Annual The period covered is January 1, 2013, through ❑ Leaving Office Date Left_____/____J December 31, 2013 (Check one) or- The period covered is 0 The period covered is January 1, 2013, through the date of _____/___/ ,through December 31, 2013 leaving office ❑ Assuming Office- Date assumed_lam 0 The period covered is_____I_I , through the date of leaving office Candidate Election year �b 1 Li and office sought, if different than Part 1 4. Schedule Summary 3 Check applicable schedules or`None." ► Total number of pages including this cover page: ❑ Schedule A-1 -Investments—schedule attached 0 Schedule C -Income. Loans, &Business Positions—schedule attached El 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-PUDIC Document) San Luis Obispo CA 93401 DAYTIME TELEPHONE NUMBER E-M.AILADDRESS(OPTIONAL) ( I have used all reasonable diligence in prepanng 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. O/V ) . Date Signed Signature (mmlh,day.year) (Ft 0soar*signed sla:emenl ash your ang official) FPPC Form 700(2013/2014) FPPC Advice Email:advice @fppc ca.gov FPPC Toll-Free Helpline.866/275-3772 www.fppc ca.gov CALIFORNIA FORM VOW SCHEDULE B '-ortravommaz,cmcsasim COMMISSION Interests in Real Property Name (Including Rental Income) Carlyn Christianson D ASSESSOR'S FARCEL NUMBER OR STREET ADDRESS o. ASSESSOR'S PARCEL r luMBER CP STREET ADDRESS 3960 S Higuera#101 CITY CITY San Luis Obispo =AIR MARKET,/AL LIE IF=^PLICABLE LIST DATE • FAIR MARKET VALUE F A-=72LIC?6LE. LIST DATE ❑ 52.000-s10 000 10 22 ❑S2_2,000-$10 000 0 S30 001 -stoo 000 I / 13 / 13 ❑S10,001 -5100 000 —J. 113 —J___/ 13 ❑Si00.001 -51 000 000 ACQUIRED DISPOSED ❑5100.001 -S1,0Y00000 ACQUIRED DISPOSED ❑Over 51,000,0:0 ❑Over S1 00000,E NATURE OF INTEREST NATURE O= INTEREST ❑Own ishrp/OeeO cf Trust ❑Easemen, ❑OwnershipiDeed of Trust ❑Easement Mobile Home ❑ Leasehold ❑ Leasehold ❑ Yrs remarrsrQ Otter •rs remalunc C Tier 1=RENTAL PROPERTY GROSS INCOME RECEIVED IF RE.ITAL PRO'EF.TY,GPCSS INCOME RECEIVED ❑SO-S.:90 ❑S.50O-Si 000 51 001 -S10,000 ❑50-5:99 ❑5500-51 000 ❑51 001-510.00o ❑510,001 -5100,000 ❑OVER 5100,000 ❑S10,001 -St000100 ❑OVER 5100000 SOURCES CF REIITAL INCOME If you own a 10% or areaier SOURCE?O=O,E TAL INCOME. If you own a 10% or greater interest, list the name of each tenant that Is a single source of interest, list the name of each tenant that is a single source of income of$10,000 or more income of S10 000 or more RI None ❑None .,. You are not required to report loans from commercial lending Institutions 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' MAr.IE 0=LENDER' ADDRESS ta'usness Address=.ccepiat:e) ADDRESS(Busuzss Address iccepreb:e) BUSINESS ACTIVITY 1=ANY,0=LEdDER BUSIi LESS ACTIVITY IF ANY,OF LENDER If iTEREST RATE TERM(Mon,ts,Yee s) INTEREST RATE TEPFI (Months/Years) 11 None. % ❑None HIGHEST BALANCE DUF.tt'G RE=ORTi"C-PERICD HIGHEST BALANCE DURING REPORTING PERIOD ❑5300 -51,000 ❑S1.001 -S10000 ❑S500-51 000 ❑shoot -s10,o00 ❑sio,ao1 -S1o0o6? ❑OVER 5100,000 ❑510 001 -5100,000 ❑C'ER 5100000 ❑Guarantor,i apoticable ❑Guarn1-1,0r G aoplicabte Comments: FPPC Form 700(2013/20141 Sch.B- FPPC Advice Email'advice @fppc.ca gov FPPC Toll-Free Helpltne 866/275-3772 wwwfppc-ca-gov SCHEDULE C CALIFORNIA FORM 70O Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name (Other than Gifts and Travel Payments) Carlyn Christianson RE ED ► 1.'INCOME RECEIVEDF� -.�- - _� � r_^._,; : � - . - - ►'7:INCOME RECEIVED., ' NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME Coastal Anesthesiology Medical Associates ADDRESS (Business Address Acceptable) ADDRESS(Business Address Acceptable) P 0 Box 1185, San Luis Obispo, CA 93406 BUSINESS ACTIVITY IF ANY OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE Medical practice YOUR BUSINESS POSITION YOUR BUSINESS POSITION Practice Administrator GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑5500-51,000 ❑51,001 .510,000 ❑ 5500 -51,000 ❑51,001 -510.000 510.001 -5100,000 ❑OVER 5100,000 ❑510,001 -5100,000 ❑ OVER 5100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED NI Salary ❑ Spouse's or registered domestic partner's income ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Loan repayment ❑ Partnership ❑ Sale of ❑ Sale of (Real property car boat,arc) (Peal ompery car boat etcI ❑ Commission or ❑ Rental Income,list each source of 510000 or mom ❑ Commission or ❑ Rental Income,bsr each source of S10,000 or more o Other ❑ Other (Describe) (Describe) 2: LOANS'RECEIVEDOR OUTSTANDINGjDURING THE'REPORTINGPERIOD * ' Y_ * 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) Mary R Kmetovic Trust 6 ch. ❑ None ADDRESS (Business Address Acceptable) 38 Country Club Gate, Pacific Grove, CA SECURITY FOR LOAN BUSINESS ACTIVITY,IF ANY OF LENDER p None © Personal residence retired ❑ Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑ 5500.51.000 City ❑51,001 -510.000 ❑Guarantor S10,001 -5100 000 ❑ OVER$100,000 0 Other (Describe) Comments: Loan from mother for personal residence (stock cooperative, not real property) FPPC Form 700(2013/2014)Sch.C FPPC Advice Email.advice @fppc.ca gov FPPC Toll-Free Helpline.866/275-3772 www.fppc.ca gov CANDIDATE STATEMENT OF QUALIFICATIONS – CARLYN CHRISTIANSON CITY OF SAN LUIS OBISPO OFFICE SOUGHT: MEMBER OF CITY COUNCIL NAME: Carlyn Christianson OCCUPATION: City Council Member AGE: I am grateful to serve on the City Council. Since the voters entrusted this seat to me in the special election last year, I’ve delivered on my promises: integrity, transparency, and a no- nonsense attitude coupled with a calm, balanced, thoughtful approach to the city’s challenges, whether in the areas of financial responsibility, homelessness, land use planning, or safeguarding our beautiful greenbelt. A resident for 25 years, mother of two sons, I’ve been an active volunteer for local nonprofits, always promoting the connection between a healthy environment and a healthy economy. I remain strongly committed to San Luis Obispo’s fundamental values of environmental protection, cultural richness, economic vitality and fair, sensible government. San Luis Obispo is thriving but we have hard choices ahead. My business experience provides useful skills to make decisions critical to our future, like those regarding employee compensation, infrastructure financing, and housing. I’m committed to tackling budget issues such as unfunded pension liabilities. I approved the Bicycle and Pedestrian Master Plans; insured our water supply was safe and clean; encouraged neighborhood wellness solutions; supported open space maintenance efforts; and continue to explore climate change responses and new workforce housing opportunities. I ask for your vote. Please contact me at carlynpc@gmail.com or 805-550-9320.