april 2011 form 700 - supervisor rob brown

6
RECEIVED Dale Received CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OR ECONOMIC INTERESTS r' ;\IR F'OLITICf.L A P ~ ' I U : ' 6 ' n I 2 0 It A PUBLIC DOCUMENT P R A C T ~ O P A G ~ S I O N LAKE COUNTY REGISTRAR VOTEJltS Please type or print in ink. NAME OF FILER BROWN 1. Office, Agency, or Court Agency Name COUNTY OF LAKE (LAST) Division, Board, Department, District. if applicable BOARD OF SUPERVISORS If filing for multiple positions. list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) o Slate II APR I I PH 12: 22 (FIRST) ROBERT Your Position DISTRICT 5 SUPERVISOR Position: o Judge (Statewide Jurisdiction) (MIDDLE) K. o Multi·County _____________ County of .:LA:...:.:.K=E'-- __________ o City of o Other 3, Type of Statement (Chock at loast one box) Annuat: The period covered is January 1. 2010, through December 31, o Leaving Office: Date Left -----1-----1_ _ (Check one) 010. -or . The period covered is -----1-----1 __ through December 31, 2010. o The period covered is January 1. 2010. through the date of leaving office. o Assuming Office: Date -----1-----1 _ _ o Candidate: Election Vear _____ 4. Schedule SummarY Check applicable s.chedules or "None." o Schedule A·1 Investmenm -·schedule attached 0 ' chedule A·2 Investments - schedule attached Ei2f Schedule B Real Property - schedule attached o The period covered is ~ - - - - - 1 __ hrough the date of leaving office. Office sought, if different than Part 1: _______________ -or- Total number of pages including this cover page: -6...- . ' o Schedule C Income, Loans, & Business Posffions - schedule attached . 0 Schedule 0 • Income - Giffs - schedule attached o Schedule E Income - Giffs. - Travel Payments - schedule attached O None - No reportable interests on any schedule  herein and in any attached schedules is true and complete. I acknowledge this is I certify under penalty of : r j : ~ under the laws of the'State of California tha  Date Signed 4 b- 1 I Signatur  moolh, day, year) FPPC TolI·Free Helpline: 866/275-3772 www.fppc.ca.gov

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8/6/2019 April 2011 Form 700 - Supervisor Rob Brown

http://slidepdf.com/reader/full/april-2011-form-700-supervisor-rob-brown 1/6

RECEIVED

Dale ReceivedCALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION

STATEMENT OR ECONOMIC INTERESTSr' ;\IR F'OLITICf.L

A P ~ ' I U : ' 6 ' n I 2 0 ItA PUBLIC DOCUMENT P R A C T ~ O P A G ~ S I O N

LAKE COUNTYREGISTRAR VOTEJltS

Please type or print in ink.

NAME OF FILER

BROWN

1. Office, Agency, or Court

Agency Name

COUNTY OF LAKE

(LAST)

Division, Board, Department, District. if applicable

BOARD OF SUPERVISORS

If filing for multiple positions. list below or on an attachment.

Agency:

2. Jurisdiction of Office (Check at least one box)

o Slate

II APR I I PH 12: 22

(FIRST)

ROBERT

Your Position

DISTRICT 5 SUPERVISOR

Position:

o Judge (Statewide Jurisdiction)

(MIDDLE)

K.

o Multi·County_____________

County of .:LA:...:.:.K=E'--

__________o City of o Other

3, Type of Statement (Chock at loast one box)

Annuat: The period covered is January 1. 2010, through December 31, o Leaving Office: Date Left -----1-----1__

(Check one)010. -or .

The period covered is -----1-----1__ through December 31,

2010.

o The period covered is January 1. 2010. through the date of

leaving office.

o Assuming Office: Date -----1-----1__

o Candidate: Election Vear _____

4. Schedule SummarY

Check applicable s.chedules or "None."

o Schedule A·1 • Investmenm -·schedule attached

0' chedule A·2 • Investments - schedule attached

Ei2f Schedule B • Real Property - schedule attached

o The period covered is ~ - - - - - 1 __ hrough the date

of leaving office.

Office sought, if different than Part 1: _______________

-or-

Total number of pages including this cover page: -6...-. '

o Schedule C • Income, Loans, & Business Posffions - schedule attached

. 0 Schedule 0 • Income - Giffs - schedule attached

o Schedule E • Income - Giffs. - Travel Payments - schedule attached

O None - No reportable interests on any schedule

‶ ″ ⁾ ※ ‡ †  herein and in any attached schedules is true and complete. I acknowledge this is

I certify under penalty of : r j : ~ under the laws of the'State of California tha ⁴ ⁾ ⁾ ⁵ †  

Date Signed 4 b- 1 I Signatur   ⁾ moolh, day, year)

FPPC TolI·Free Helpline: 866/275-3772 www.fppc.ca.gov

8/6/2019 April 2011 Form 700 - Supervisor Rob Brown

http://slidepdf.com/reader/full/april-2011-form-700-supervisor-rob-brown 2/6

SCHEDULE A-2Investments, Income, and Assets

of Business Entities/Trusts(Ownership Interest is 10% or Greater)

CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION

Name

Name

51'20 G{eAddress (Business Address Acceptable)

Check oneD Trust, go to 2 Business Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

D $2,000 - $10,000

$10,001 - $100,000

·$100,001 - $1,000,000

DOve r $1,000,000

IF APPLICABLE, LIST DATE:

--'--'-12...ACQUIRED DISPOSED

NATURE OF INVESTMENTSole Proprietorship 0 Partnership 0 _ _ _ ;=:-__

rnhN

YOUR BUSINESS POSITION b/ 'ULbe v:

2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA

SHARE OF THE GROSS INCOME .!.Q THE ENTITYfTRUST)

D SO - $499

D 5500 - $1,000

D $1,001 - $10,000

o $10,001 - $100,000

1ll OVER $100,000

3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10.000 OR MORE IAttoch . c p , , ~ t c ShC"! d neee.,,,.,.!

4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE

BUSINESS ENTITY OR TRUST

Check one box:

D NVESTMENT D REAL PROPERTY

Name of Business Entity Q[

Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity Q[

City or Other Precise Location of Real Property

FAIR MARKET VALUEo $2,000 - $10,000

D 510,001 - $100,000

0$100,001 - $1,000,000

Dov e r $1,000,000

NATURE OF INTEREST

o Property Ownership/Deed of Trust

IF APPLICABLE, LIST DATE:

--,--,.JQ.--,--,,jrLACQUIRED DISPOSED

D Stock o Parmershlp

o Leasehold 0 Other__________Yrs. remaining

o Check box if additional schedules reporting investments or real propertyare attached

1 BUSINESS ENTITY OR TRUST

Name

630 &r-/:;M&{I\;Address (Business Address Acceptable)

Check oneo Trust, go to 2 lj( Business Entity. compfete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVIT Y

FAIR MARKET VALUE

D $2,000 - $10,000

IF APPLICABLE, LIST DATE:

D $10,001 $100,000

D $100,001 - $1,000,000

)2r Over $1,000,000

NATURE OF INVESTMENT

--' _L1!LACQUIRED

~ - - ' - 1 2 . . . DISPOSED

Sole Proprietorship 0 Partnership 0 ------,cc----

om"YOUR BUSINESS POSITION

2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RAjA

SHARE OF THE GROSS INCOME TO THE ENTlTYfTRUSTj

D $0 - $499

D $500 - $1,000

D $1,001 - $10,000

D $10,001 - $100,000

J29 OVER $100,000

3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF 510000 OR MORE IA!t;l(;h " p ~ ' J ! ~ ~ h e ~ ! ,I ne(c.s,ry)

4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE

BUSINESS ENTITY OR TRUST

Check one box:

D INVESTMENT mEAL PROPERTY

b '30 ( BerkMP-'/ .Name of Business Entity Q[

Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity QT/City or Other Precise Location of Real Property

FAIR MARKET VALUED $2,000 - $10,000

IF APPLICABLE, LIST DATE:

D $10,001 - $100,000

D $100,001 - $1,000,000

Over $1,000,000

NATURE OF INTEREST

Property OwnershipJDeed of Trust

ACQUIRED DISPOSED

D Stock D Partnership

o Leasehold . , , - -_- , . . , . Yr5. remaining

D Othor_________

o Check box if additional schedules reporting investments or real propertyare attached .

Commenm::__________________________________________ _FPPC Form 700 (2010/2011) Seh. A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ea.gov

8/6/2019 April 2011 Form 700 - Supervisor Rob Brown

http://slidepdf.com/reader/full/april-2011-form-700-supervisor-rob-brown 3/6

"

CALIFORNIA FORM 700SCHEDULE B

Interests in Real Property(Including Rental Income)

FAIR POLITICAL PRACTICES COMMISSION

Name

... STREET ADDRESS OR PRECISE LOCATION

CITY , (

4&'lrv:1 f ,.FAIR MARK T VALUE

o $2,000 - $10,000

0$10,001 - $100,000

.EJ $100,001 - $1,000,000

DOver $1,000,000

NATURE OF INTEREST

Ownership/Deed of Trust

IF APPLICABLE, LIST DATE:

-----' ----'...1!L -----'-----'...1!LACQUIRED DISPOSED

D Easement

o Leasehold - , - -- , - -- 0 - - - . " . . , . . - - - -VB. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

o $0 - $499 0 $500 - $1,000, 0 $1,001 - $10,000

o $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greaterinterest, list the name of each tenant that is a single source of

income of $10,000 or more.

... STREET ADDRESS OR PRECISE LOCATION

CITY

KeI<;'r?(v:ll.eFAIR MARKET VALUE

o $2,000 - $10,000

o $10,001 - $100,000

I2S $100,001 - $1,000,000

DOver $1,000,000

NATURE OF INTEREST

o OwnershiplDeed of Trust

Gut:

IF APPLICABLE, LIST DATE:

-----' ----'...1!L -----' ----'...1!LACQUIRED DISPOSED

o Easement

o Leasehold ---:-:---,-,--

Yrs. remaining0----:-:---

QIh"

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000

0$10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greaterinterest, list the name of each tenant that is a single source of

income of $10,000 or more.

* You are not required to report loans from commercial lending institutions made in the lender's regular courseof business on terms available to members of the public without regard to your official status, Personal loansand loans received not in a lender'S regular course of business must be disclosed as follows:

NAME OF LENDER" NAME OF LENDER"

&fY'lALADDRESS (Business Address Acceptable)

¥a." ..." ' ~ ~ h w ' 1 . ~ ' " ADDRESS (Business ddress Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

Cv:s<",- C -hi , ld JBUSINESS ACTIVITY, IF ANY, bF lENDER

.• ". e.2<T'CJ rINTEREST RATE TERM (MonthsNears) INTEREST RATE TERM (MonthsNears)

__ _--'% 0 None % o None 10

HIGHEST BALANCE DURING REPORTING PERIQD HIGHEST BALANCE DURING REPORTING PERIOD

0$500 - $1,000 0 $1,001 - $10,000 o $500 - $1,000 0 $1,001 - $10,000

0$10,001 -$100,000 ~ O V E R $100,000 0$10,001 - $100,000 OVER $100,000

o Guarantor, if applicable o Guarantor, if applicable

Comments: ____________- - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - __ - - - - - - - - - - - - - - ~ - - - -FPPC Form 700 (2010/2011) Sch, B

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

8/6/2019 April 2011 Form 700 - Supervisor Rob Brown

http://slidepdf.com/reader/full/april-2011-form-700-supervisor-rob-brown 4/6

CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION

Name

SCHEDULE BInterests in Real Property

(Including Rentarl :,In_c,::om=e::) ~ = = = ~ ~ $ ; ' ~ ~ 1 m ; : ' = < > : f : t n = = = = ... STREET ADDRESS OR PRECISE LOCATION

55to -, 'bpiile /2s:>d:- RJ

FAIR MARKET VALUE IF APPLICABLE, UST DATE:

D $2,000 - $10,000

0$10,001 - $100,000

119. $100,001 - $1,000,000

DOver $1,000,000

- - - 1 - - - 1 ~ - - - 1 - - - 1 ~

NATURE OF INTEREST

.gOwnershipfDeed of Trust

o leasehold -:::::-===Yrs. remainIng

ACQUlRED DISPOSED

o Easement

D--=:-:---00"

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D So -$499 D $500 - $1,000 D $1,001 - SlO,ooO

o $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10 % or greaterinterest, list the name of each tenant that is a single source ofincome of $10,000 or more.

... STREET ADDRESS OR PRECISE LOCATION

CZSI{I{ ' J > . - I ± \ ~ CITY

FAIR & E ~ V A t i ; l / ~ D $2,000 - $10,000

D $10,001 - $100,000

DiI $100,001 - $1,000,000

DOver $1,000,000

NATURE OF INTEREST

KI Ownership/Deed of Trust

,c,IF APPLICABLE, LIST DATE:

- - - 1 - - - 1 ~ - - - 1 - - - 1 ~ ACQUIRED DISPOSED

o Easement

D L e a s e h ~ ' d - : :-- ,- ,--- D ---:::-----Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D $0 - $499 D $500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10 1l/0 or greater

interest, list the name of each tenant that is a single source ofincome of $10,000 or more.

* You are not required to report loans from commercial lending institutions made in the lender's regular courseof business on terms available to members of the public without regard to your official status, Personal loansand loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER*E ~ 1 \ o t

TERM (Months/Years)NTEREST RATE

--,-R',--_% D None

HIGHEST BALANCE DURING REPORTING PERIOD

D $500 - $1,000 D $1,001 - $10,OOQ

'gj $10,001 - $100,000 DOVER $100,000

o Guarantor, if applicable

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTE REST RATE TERM (MonthslYears)

---- ,%

o None

HIGHEST BALANCE DURING REPORTING PERIOD

D $500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000 DOVER $100,000

D Guarantor, if applicable

Commenm: _______ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -FPPC Form 700 (2010/2011) Sch, B

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

8/6/2019 April 2011 Form 700 - Supervisor Rob Brown

http://slidepdf.com/reader/full/april-2011-form-700-supervisor-rob-brown 5/6

CALIFORNIA FORM 700SCHEDULE B

Interests in Real Property(Including Rental Income)

FAIR POLITICAL PRACTICES COMMISSION

Name

<E, '6ro./ '

.. STREET ADDRESS OR PRECISE LOCATION

~ b 0 L ~ - - t t ( e , 'j2d{

cIF APPLICABLE, LIST DATE:

o $2,000 - $10,000

D $10,001 - $100,000

;0 $100,001 - $1,000,000

DOver $1,000,000

NATURE OF INTEREST

/2kOWnershiplDeed of Trust

D Leasehold -::---,-,--

Yrs. remaining

ACQUIRED DISPOSED

o Easement

0-----::-:---Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0 $ 0 - $499 0 $500 - $1,000 0 $1,001 - $10,000

D $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greaterinterest, list the name of each tenant that is a single source ofincome of $10,000 or more.

.. STREET ADDRESS OR PRECISE LOCATION

-r20 f I #- s:tCITY

l.9-.te ?tn-rFAIR MARKET VALUE

o $2,000 - $10,000

D $10,001 - $100,000

)<l' $100,001 - $1,000,000

DOver $1,000,000

NATURE OF INTEREST

OwnershipfDeed of Trust

IF APPLICABLE, LIST DATE:

-----.l-----.l -----.l-----.lACQUIRED DISPOSED

D Easement

o Leasehold------ 0------Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

[2J $0 - $499 0 $500 - $1,000 0 $1,001 - $10,000

o $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greaterinterest, list the name of each tenant that is a single source ofincome of $10,000 or more.

* You are not required to report loans from commercial lending institutions made in the lender's regular courseof 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" NAME OF LENDER"

GMflCADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthsNears) INTEREST RATE TERM (Months/Years)

----,% 0 None

3% D None

/ 0

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD

0$500 - $1,000 0 $1,001 - $10,000 0$500 - $1,000 0 $1,001 - $10,000

o $10,001 - $100,000 DOVER $100,000 D $10,001 • $100,000 ~ O V E R $100,000

D Guarantor, if applicable D Guarantor, if applicable

Comments: __________________________________________________________________________ __

FPPC Form 7QO (201012011) Sch, B

FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca .gov

8/6/2019 April 2011 Form 700 - Supervisor Rob Brown

http://slidepdf.com/reader/full/april-2011-form-700-supervisor-rob-brown 6/6

'

CALIFORNIA FORM 700SCHEDULE B

Interests in Real Property(Including Rental Income)

FAIR POLITICAL PRAC1"ICES COMMISSION

~ STREET ADDRESS OR PRECISE LOCATION

516' S- ric,) '" S5T

FAIR MARKET VAL E IF APPLICABLE, LIST DATE:

o $2,000 - $10,000

0$10,001 - $100,000

$100,001 - $1,000,000

DOver $1,000,000

NATURE OF INTEREST

iQ,QwnershipJDeed of Trust

- - -1-- . l 10 ---1---1.JQ.ACQUIRED DISPOSED

o Easement

o Leasehold------ 0 - - - - - - - -Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000

0$10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10 % or greaterinterest, list the name of each tenant that is a single source ofincome of $10,000 or more.

... STREET ADDRESS OR PRECISE LOCATION

/;Se>/ ' : & r - k ~ FAIR MARKET VALUE /'

o $2,000 - $10,000

D $10,001 - $100,000

0$100,001 - $1,000,000

DOver $1.000,000

NATURE OF INTEREST

o Ownership/Deed of Trust

IF APPLICABLE, LIS T DATE:

---1---1.JQ. - - -1-- . l 10ACQUIRED DISPOSED

o Easement

o Leasehold _____0------

Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0$0 - $499 0 $500 - 51,000 0 $1,001 - $10,000

o $10,001 - $100,000 0 OVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greaterinterest. list the name of each tenant that is a single source ofincome of $10,000 or more.

*You are not required to report loans from commercial lending institutions made in the lender's regular courseof business on terms available to members of the public without regard to your official status, Personal loansand loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER'"

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthsNears)

_ _ _ _ DNone

HIGHEST BAlANCE DURING REPORTING PERIOD

0$500 - $1,000 0 $1,001 - $10,000

0$10,001 - $100,000 DOVER $100,000

o Guarantor, if applicable

NAME OF LENDER'"

CkseADDRESS (Business Address Acceptable)

r:sBUSINESS ACTIVITY, IF ANY. OF LENDER

INTEREST RATE

-eb,,---'% DNone

TERM (MonthsNears)

?O

HIGHEST BALANCE DURING REPORTING PERIOD

0$500 - $1,000 0 $1,001 - $10,000

0$10,001 - $100,000 BaVER $100,000

o Guarantor, If applicable

Comments: ____________~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - -. FPPC Form 700 (201012011) Sch, B

FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov