Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Loading PDF...
Tags:
December 20182018/2019Statement ofEconomic InterestsForm 700California Fair Political Practices Commission A Public DocumentTable of ContentsQuick Start Guide þ. .....................................................p.2Who? Where? How? When? þ. ....................................p.3Types of Statements þ. .................................................p.4Cover Page and SchedulesCover Page þ. ........................................................p.5Schedule A-1 (Investments) þ. ...............................p.7Schedule A-2 (Business Entities/Trusts) þ. ............p.9Schedule B (Real Property) þ. ...............................p.11Schedule C (Income) þ. .........................................p.13Schedule D (Gifts) þ. ..............................................p.15Schedule E (Travel Payments) þ. ...........................p.17Restrictions and Prohibitions þ. ....................................p.19Q & A þ. ........................................................................p.20 Helpful ResourcesVideo TutorialsReference PamphletExcel VersionFAQsGift and Travel Fact Sheet for State and þ American LegalNet, Inc. www.FormsWorkFlow.com FPPC Form 700 (2018/2019)FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.govPage - 2 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ members listed in Government Code Section 87200 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ Be sure to review each schedule carefully! CommonCommonA-1: þ þ þ þ þ þ þ or 401K. Each stock must be listed. þ þ þ þ þ þ þ þ þ þ þ þ funds.A-2:Business Entitites/Trusts þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ B: Real Property þ þ þ þ þ þ within two miles of the boundaries of þ A residence used exclusively as a personal þ þ þ þ þ þ þ C: þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ D:Gifts þ þ þ þ þ þ þ þ þ Gifts from family members.E:Travel PaymentsTravel payments from third parties (not þ Travel paid by your government agency.Note: þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ American LegalNet, Inc. www.FormsWorkFlow.com FPPC Form 700 (2018/2019)FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.govPage - 3What222s NewThe gift limit increased to $500 for calendar years 2019 and 2020. The gift limit in 2018 was $470.Who þ þ þ þ þ þ þ þ Government Code Section 87200 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ they are not part of the Form 700C þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ Exception: Candidates for a county central þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ interest code Employees in newly created positions of existing agencies þ þ þ þ þ þ www.fppc.ca.gov. Where87200 Filers þ þ þ The clerk of your court þ Directly with FPPC þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ File with your newly created agency þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ How The Form 700 is available at www.fppc.ca.gov. Form 700 schedules are also available in Excel format. All þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ under Government Code Section 87500.2. When þÂ þÂ 2019 þ- - þ þ þ- - þ þ þ þ- -State Board and State þ þ þ þ in Government Code Section 87200 þÂ þÂ 2, 2019 þ- - þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ Statements of 30 pages or less may be emailed or faxed by the deadline as long as the originally signed paper þ þ þ þ þ þ þ þ þ þ þ þ 24 hours. þ þ þ þ þ þ þ þ þ þ þ or within 30 days of the effective date of a newly adopted þ þ þ þ þ Exception: þ þ þ þ þ þ 2018 þ and þ 2018 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ 2020 þ þ þ þ 2020 þ whichever is applicable. þ þ þ he annual statement will cover the day after you assumed þ þ þ þ 2019. (See Reference þ þ þ þ þ Fil þ þ þ þ þ þ þ þ þ þ þ of candidacy or nomination documents. A candidate þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ documents. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ amendment schedules at www.fppc.ca.gov. American LegalNet, Inc. www.FormsWorkFlow.com FPPC Form 700 (2018/2019)FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.govPage - 4 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ you were sworn in. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ during the 12 months prior to the date you assumed the þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ nominated to the position.Example: þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ months prior to that date. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ applicable. þ þ þ þ þ þ þ positions held on the effective date of the code or þ þ þ þ þ þ þ þ þ þ þ þ þ þ during the 12 months prior to the effective date of the code or amendment is reportable. þ þ þ þ þ þ þ 2018 þ þ þ þ 2018 þ þ þ þ þ þ þ þ þ þ þ þ þ 2018 þ þ þ þ 2018 þ þ þ þ þ þ þ þ þ 2017 þ þ þ þ 2017 or you þ þ þ þ þ þ þ þ covered. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ by the statement must be reported. Do not change the þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ of an interest that did not occur in 2018. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ and disclose under the new disclosure category through the end of the reporting period. þ þ þ þ þ þ þ 2018 through the date you stopped performing the duties of þ þ þ þ þ þ þ þ þ þ 2018 þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ between þ þ 2017 þ þ þ þ 2017 þ or þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ calendar years. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ by the statement must be reported. Do not change the þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ of an interest that did not occur in 2018. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ prior to the date þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ Candidates running for local elective þ þ county þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ position. The code may be obtained from the agency of the elected position. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ to amend the schedule that needs to be revised; it is not þ þ þ þ þ þ þ þ schedules from the FPPC website at www.fppc.ca.gov. þ þ þ þ þ þ þ þ þ þ withdraw it. All changes must be noted on amendment schedules. American LegalNet, Inc. www.FormsWorkFlow.com FPPC Form 700 (2018/2019)FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.govPage - 5 þ þ Date Left / / (Check one circle.) þ þ The period covered is January 1, 2018, through the date of þ þ The period covered is / / , through þ þ The period covered is January 1, 2018, through þ December 31, 2018 þ The period covered is / / , through December 31, 2018STATEMENT OF þEE CONOMIC þII NTERE þsS T þsSþCC OVER PAGEA PUBLI þcC DO þcC UMENT þ (month, day, year) þ (Check at least one box) State þ Multi-County þ County of City of þ Other þ (Check at least one box) þ þ Date of Election þ þ þ Date assumed / / þ þ þ Please type or print in ink. 700 þair þolitical þractices þommission Agency Name (Do not use acronyms) Division, B þ þNN AME OF þFF ILE þRR ( þLL A þsS T) þ þ ( þFF IR þsS T) þ ( þMM IDDLE) þi þi þAdd þsss þci þy þ þip þd þ þy þim þp þm E þmaMA I þlL þaddADD R þessESS ( þBB usiness or Agency Address Recommended - Public Document) þ (File the originally signed paper þ (Do not use acronyms) þA þ None - þNN o reportable interests on any schedule þ Schedules attached þII nvestments 226 schedule attached þII nvestments 226 schedule attached Real Property 226 schedule attached Total number of pages including this cover page: þII ncome, þLL oans, & þBB usiness Positions 226 schedule attached 226 schedule attached 226 schedule attached American LegalNet, Inc. www.FormsWorkFlow.com FPPC Form 700 (2018/2019)FPPC Advice Email: advice@fppc.ca.govFPPC Toll-Free Helpline: 866/275-3772 www.fppc.
