Fppc Form 700 - Statement Of Economic Interests Page 5
Download a blank fillable Fppc Form 700 - Statement Of Economic Interests in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Fppc Form 700 - Statement Of Economic Interests with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
13
14700
schedule a-2
caliFornia Form
investments, income, and assets
Fair Political Practices commission
of Business entities/trusts
a m e n d m e n t
(Ownership Interest is 10% or Greater)
►
4. investments and interests in real ProPertY held or
►
1. Business entitY or trust
leased BY the Business entitY or trust
Check one box:
Name
INvESTMENT
REAL PROPERTY
Address (Business Address Acceptable)
Name of Business Entity, if Investment, or
Check one
Assessor’s Parcel Number or Street Address of Real Property
Trust, go to 2
Business Entity, complete the box, then go to 2
Description of Business Activity or
GENERAL DESCRIPTION OF THIS BuSINESS
City or Other Precise Location of Real Property
IF APPLICABLE, LIST DATE:
FAIR MARkET vALuE
FAIR MARkET vALuE
IF APPLICABLE, LIST DATE:
$0 - $1,999
17
17
/
/
/
/
$2,000 - $10,000
$2,000 - $10,000
17
17
/
/
/
/
ACQuIRED
DISPOSED
$10,001 - $100,000
$10,001 - $100,000
ACQuIRED
DISPOSED
$100,001 - $1,000,000
$100,001 - $1,000,000
Over $1,000,000
Over $1,000,000
NATuRE OF INvESTMENT
Partnership
Sole Proprietorship
NATuRE OF INTEREST
Other
Property Ownership/Deed of Trust
Stock
Partnership
YOuR BuSINESS POSITION
Leasehold
Other
Yrs. remaining
►
2. identiFY the gross income received (include Your Pro rata
share oF the gross income to the entitY/trust)
Check box if additional schedules reporting investments or real property
are attached
$0 - $499
$10,001 - $100,000
OvER $100,000
$500 - $1,000
$1,001 - $10,000
►
3. list the name oF each rePortaBle single source oF
income oF $10,000 or more
(attach a separate sheet if necessary.)
None
Names listed below
or
comments:
Filer’s Verification
Print name
Office, Agency or Court
statement type
2017/2018 Annual
Annual
Assuming
Leaving
Candidate
(yr)
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
Filer’s Signature
(month, day, year)
Clear Page
Print
FPPC Form 700 (2017/2018) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772
ADVERTISEMENT
0 votes
Related Articles
Related forms
Fppc Form 700 - Statement Of Economic Interests - Fair Political Practices Commission - 2016/2017
Financial
Instructions For Fppc Form 700 Reference Pamphlet - Statement Of Economic Interests - 2016/2017
Financial
Form 700-u - California Statement Of Economic Interests For Principal Investigators - Fair Political Practices Commissi
Financial
Form 700 - California Statement Of Economic Interests - Fair Political Practices Commission
Financial
Related Categories
Parent category: Financial