HomeMy WebLinkAboutDan Carpenter - Form 7001. Office, Agency, or Court
Name of Office, Agency, or Court: f
Division, doard, District, if applicable:
Your Position:
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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 _
OXity of l CA-h Lu rS c`Sp 0
❑ Multi- County
❑ Other
+3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: J___/
❑ Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is _ I through
December 31, 2007.
❑ Leaving Office Date Left: lJ
(Check one)
O The period covered is January 1, 2007, through the
date of leaving office.
.or-
0 The period covered is 1. through
the date of leaving office.
Candidate
4. Schedule Summary
"► Total number of pages
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 ❑ 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 – Gilts
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.
certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed I_IgAos,
-
)
FPPC For 700 (2007/2008
m )
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
--- - +„ k i_, ....... Schedule A -2
Owning a business or partnership
IfI own less than 10% ..........................................
..... ...................................................... I....................... Schedule A -1
IfI own 10% or more ...........................................--...................................................
............................... Schedule A -2
Real estate holdings ............................. ...............................
Schedule B (Schedule A -2 if held by a business entity /trust,
Rentalincome .. ...........................................................
............................... .......................Schedule B or Schedule C
Rental property ..................................... ...............................
Schedule B (Schedule A -2 if held by a business entity /trust)
Sale of my home /automobile /bnat . ........................,
...,..,....,. ........................ ............................... 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
Ticketsand passes ........................................................................................................... ............................... Schedule D
Travel reimbursements or payments ................................................................................. ............................... Schedule E
Trusts ............................................................................. ............................... Schedule A -2 (see Ref. Pamphlet, page 14)
FPPC Form 700 (2007/2008)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov
Instructions - 2