HomeMy WebLinkAboutPaul Brown - Form 700Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A Public Document
F (LAST) FIRST) (MIDDLE)
NO ADDRESS STREET CITY STATE i
use boslaess address)
1. Office, Agency, or Court
Name of Office, Ag cy, or Court:
•..,. L/6
Division, Dodd, District, if applicable:
Your Position:
4�4_k_
If filing for multiple positions, list 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
X City Of }-
❑ Multi- County
❑ Other - -
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: —JJ
❑ Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is —� —J , through
December 31, 2007.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2007, through the
date of leaving office.
-or-
0 The period covered is �1 —f through
the date of leaving office.
Candidate
Date Received
omclel use only
RECEIVED
JUL 17
. (025) 1-J-0 -146/
CODE OPTIONAL: FAX / E -MAIL ADDRESS
C el IYas
4. Schedule Summary
Total number of pages 2,
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 than 10% Ownership)
Schedule A -2 9 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 — 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 �G 1 2 D d
Signature
(r-ila the originally signed statement with your filing cfficial,)
FPPC Form 100 (2007/2008)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
WHAT SCHEDULE DO I USE TO REPORT?
Businesspositions ...........................................................
............................... .......................Schedule A -2 or Schedule C
Commission income .......... ............................... .......................Schedule
A -2 or Schedule C (see Ref. Pamphlet, page 7) ,
Gifts received by family members ..... ...............................
.....................Disclosure may not be required, see Schedule D
Gifts received from family members ............................ ...............................
....... Disclosure not required, see Schedule D
Incometo my business ................................... '..............................................................................................
Schedule A -2
Individual Retirement Account ................ ...............................
Schedule A -1 or Schedule B (see Ref. Pamphlet, page 14)
Investments........................:......................................... ...............................
.......................Schedule A -1 or Schedule A -2
Loans made to others ....................... ...............................
Disclosure not required, but report repayments on Schedule' C
Loans received ...............................................................
............................... Schedule B for real property or Schedule C
Loans to my business ............... ............................... ................................................
............................... ....... Schedule A -2
Owning a business or partnership
.. ...............................
If I own less than 10% .........................................
............................................... Schedule A-1
Schedule A -2
IfI own 10% or more .....................................
__ .......... ...... ...............................
Real estate holdings ............................. ...............................
Schedule B (Schedule A -2 if held by a business entity /trust)
B or Schedule C
. ..........................................
Rental income ..... ...............................
............................... .............Schedule
Rental property ..................................... ...............................
Schedule B (Schedule A -2 if held by a business entity /trust)
Saleof my home /automobile/ boat ....................................................................................
............................... Schedule C
Soleproprietorship .................................................................._._..................................
............................... Schedule A -2
Spouse's or registered domestic partner's income ...........
............................... .................,....Schedule A -2 or Schedule C
Stock holdings
If I own less than 10% of a company's stock ............................................................
............................... Schedule A -1
If I own 10% or more of a company's stock ..............................................................
............................... Schedule A -2
Schedule D
Ticketsand passes ...........................................................................................................
...............................
Travel reimbursements or payments ................................................................................
............................... Schedule E
Trusts ......... ........................... ,..................... ...........................................
........ Schedule A -2 (see Ref. Pamphlet, page 14)
FPPC Form 700 (200712008)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov
Instructions - 2
SCHEDULE A -2
Investments, Income, and Assets FAIR POLITICAL PRACTICES COMW
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater) P,ty T\6 CV rn
an
14 T� cuwbiw, 6 LU WO
Address
Check one
❑ Trust, go to 2 2 Business Entity, complete the box, then go to 2
OENERAt- DESCRIPTION BUSINESS ACTIVITY
,O
�G T�41
City or Other Precise Location of Real
FAIR MARKET VALUE
IF ALE, LIST DATE:
E] $2,000 - $10,000
❑ $2,000 - $10,000
❑] $10,001 - $100,000
_1�1._�?, _ /_/ 07
F1 $100,001 - $1,000,000
ACQUIRED DISPOSED
10 Over $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
^��p .
❑ Sole Proprietorship E] Partnership ( 1^0*
❑ Property Ownership /Deed of Trust
Other
YOUR BUSINESS POSITION r
❑ $0 - $499
$10,001 - $100,000
❑ $500 - $1,000
❑ OVER $100,000
❑ $1,001 - $10,000
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Busin -ss Entity or
Street Address or Assessor's Parcel Number of Real Property
Description of l3usfness Activity or
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
El $10,001 - $100,000
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE'OFINTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs- remalning
❑ Check box if additional schedules reporting investments or real property
are attached
Name
k one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 07 _�� 07
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessor's Parcel Number of Real Property
vescnpoon or business N.cnvity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $1oo,0oo 07
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remalning
❑ Check box If additional schedules reporting investments or real property
are attached
Comments FPPC Form 700 (2007/2008) Sch. A -2
FPPC Toll -Free Helpline: 866 1ASK -FPPC
INSTRUCTIONS — SCHEDULE A -2
INVESTMENTS, INCOME, AND ASSETS OF BUSINESS ENTITIESITRUSTS
Use Schedule A -2 to report investments in a business
entity or trust (including a living trust), in which you, your
spouse or registered domestic partner, or your dependent
children had a 10% or greater interest, totaling $2,000 or
more, during the reporting period and which is located in,
doing business in, planning to do business in, or which
has done business during the previous two years in your
agency's jurisdiction. (See Ref. Pamphlet, page 12.) A
trust located outside your agency's jurisdiction is reportable
if it holds assets that are located in or doing business in
the jurisdiction. You are not required to report a trust that
conlailis no reportable interests. For example, if you have a
trust containing only your personal residence, your savings
account, and some municipal bonds, you would not report
this trust, because these interests are not reportable.
Also report on Schedule A -2 investments and real property
held by that entity or trust if your pro rata share of the
interest was $2,000 or more during the reporting period.
TO COMPLETE SCHEDULE A -2:
Part 1. Disclose the name and address of the business
entity or trust. If you are reporting an interest in a business
entity, check "Business Entity" and complete the box as
follows:
• Provide a general description of the business activity of
the entity.
• Check the box indicating the fair market value of your
investment.
• If you initially acquired or entirely disposed of this
interest during the reporting period, enter the date
acquired or disposed.
• Identify the nature of your investment.
• Disclose the job title or business position you held with
the entity, if any (for example, if you were a director,
officer, partner, trustee, employee, or held any position
of management).
Part 2. Check the box indicating your gross income.
Gross income is the total amount of income before
deducting expenses, losses, or taxes. (This includes your
pro rata share of the gross income to the business entity
or trust, as well as your community property interest in
your spouse's or registered domestic partner's share.)
Part 3. Disclose the name of each source of income which
is located in, doing business in, planning to do business in,
or which has done business during the previous two years
in your agency's jurisdiction, as follows:
• Disclose each source of income and outstanding loan
to the business entity or trust identified in part 1 if
your pro rata share of the gross income (including
your community property interest in your spouse's or
registered domestic partner's share) to the business
entity or trust from that source was $10,000 or more,
d1brinq the. reporting period. (See Ref. Pamphlet;
page 10, for example.) 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 are not reportable.
Disclose each individual or entity that was a source
of commission income of $10,000 or more during the
reporting period through the busiries§ entity identified in
part 1. (See Ref. Pamphlet, page 7, for an explanation
of commission income.)
You may be required to disclose sources of income
located outside your jurisdiction. For example, you may
have a client who resides outside your jurisdiction but
who does business on a regular basis with you. Such
a client, if a reportable source of $10,000 or more, must
be disclosed.
Leave Part 3 blank if you do not have any reportable
$10,000 sources of income to disclose. Adding phrases
such as "various clients" or "not disclosing sources
pursuant to attorney - client privilege" may trigger a request
for an amendment to your statement. (See Ref. Pamphlet,
page 13, for details about privileged information.)
Part 4. Report any investments or interests in real
property held by the entity or trust.identified in part 1 if
your pro rata share of the interest held was $2,000 or more
during the reporting period.
• Check the applicable box identifying the interest held as
real property or an investment.
• If investment, provide the name and description of the
business entity.
• If real property, report the address or other precise
location (for example, an assessor's parcel number).
• Check the box indicating the fair market value of your
interest in the real property or investment. (Report
the fair market value of the portion of your residence
claimed as a tax deduction if you are utilizing your
residence for business purposes.)
• Identify the nature of your interest
• Enter the date acquired or disposed only if you initially
acquired or entirely disposed of your interest in the
property or investment during the reporting period.
FPPC Form 700 (2007/2008)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppo.ca.gov
Instructions - 6