peskin aaron · oc;.06.00029-nfh-0029 callfy:ornia form 700 fair political practices commission a...

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I CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initi i:l l Filing Received Off '(;,al Use FAIR ,\,OLlTICAL ),RACTICES COr.1r.1ISSIClN COVER Please type or print in ink. NAME OF FILER (LAST) is 'I" A-A:- MaiJUL 25 PM 2: '0 (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) t 13d of Division, Board, Department, District, if applicable Yo ur Position If filing for multiple positions, list below or on an attachment. (Do not use acronyms) QIJ Posilion _ lf1 ........ .e ....... ____ _ _ 2. Jurisdiction of Office (Check at least one box) o Judge or Court Commissioner (Statewide Jurisdiction) o Multi-County ---------------- D County of ______________ _ o City of ________________ _ D Other _______________ _ 3. Type of Statement (Check at least one box) The period covered is January 1, 2015, through December 31,2015 . -or- The period covered is --1-----1 , through December 31,2015. J( Assuming Office: Date assumed ).. b I ;L D ( (:; D Leaving Office: Date Left ----1-----1 ___ _ (Check one) o The period covered is January 1, 2015, through the date of leaving office. -or- O The period covered is --1-----1 ___ -. , through the date of leaving office. o Candidate: Election year ------ and office sought, if different than Part 1: ______________ _ " Schedule Summary (must complete) Total number of pages Including this cover page: ± Schedules attached -or- Schedule A-1 - Investments - schedule attached o Schedule A-2 - Investments - schedule attached 6i' Schedule B - Real Property - schedule attached O None· No reportable interests on any schedule 5. Verification Schedule C • Income, Loans, & Business Positions - schedule attached D -Income - Gifts - schedule attached o Schedule E - Income - Gifts - Travel Payments - schedule attached " I certfIy under under the taws of the State of th Date Signed '1) I ).. 0 I Signat (month, day. year) 6) ov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

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I CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS

Date Initi i:l l Filing Received Off'(;,al Use On/~

FAIR ,\,OLlTICAL ),RACTICES COr.1r.1ISSIClN

COVER PAG~Cf-'~ED

~~\~;$Of~~C~'~S'OH Please type or print in ink.

NAME OF FILER

P~SV.t:,J (LAST)

is 'I" A-A:-MaiJUL 25 PM 2: '0

(MIDDLE)

1. Office, Agency, or Court Agency Name (Do not use acronyms) t

Sot\~lSC() 13d of S4le~U(S(Jr5 Division, Board, Department, District, if applicable Your Position

~ If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

A9_~~ (~~0sfYT:+: QIJ Posilion _ lf1 ........ .e ....... fu~0-t....:;..;V'---____ _ _ ~Qa/~~~Sslgy

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

~tate o Judge or Court Commissioner (Statewide Jurisdiction)

o Multi-County ---------------- D County of ______________ _

o City of ________________ _ D Other _______________ _

3. Type of Statement (Check at least one box)

~nnual: The period covered is January 1, 2015, through December 31,2015.

-or-The period covered is --1-----1 , through December 31,2015.

J( Assuming Office: Date assumed ~ ).. b I ;L D ( (:;

D Leaving Office: Date Left ----1-----1 ___ _ (Check one)

o The period covered is January 1, 2015, through the date of leaving office.

-or-O The period covered is --1-----1 ___ -., through

the date of leaving office.

o Candidate: Election year ------ and office sought, if different than Part 1: ______________ _

" Schedule Summary (must complete) ~ Total number of pages Including this cover page: ± Schedules attached

-or-

~ Schedule A-1 - Investments - schedule attached

o Schedule A-2 - Investments - schedule attached

6i' Schedule B - Real Property - schedule attached

O None· No reportable interests on any schedule

5. Verification

~ Schedule C • Income, Loans, & Business Positions - schedule attached

~Schedule D -Income - Gifts - schedule attached

o Schedule E - Income - Gifts - Travel Payments - schedule attached

⁄⁾†

⁐‶⁓⁾⁶⁇⁅⁽† † ⁴‧⁾† " ‴‧ ⁾†

I certfIy under pen~ty ~ pe~u: under the taws of the State of C~tIomla th

Date Signed '1) I ).. 0 I ~ Signat (month, day. year)

6) ov

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

Oc;.06.00029-NFH-0029

CALlfY:ORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

A PUBLIC DOCUMENT

Please type or print in ink.

NAME OF FILER

peskin, Aaron

1. Office, Agency, or Court Agency Name (Do not use acronyms)

(LAST)

SAN FRANCISCO BOARD OF SUPERVISORS

Division, Board, Department, District, if applicable

District 3

(FIRST)- 'Ll.V.l1\.Ltl\l1' COh' --'. 11 V (MIDDLE) - - !I 1!\!10SIOl\

Your Position

County Supervisor

~ If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: *SEE ATTACHED FOR ADDITIONAL POSITIONS

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

o State

o Multi-County _______________ _

o City of _______________ _

3. Type of Statement (Check at least one box)

o Annual: The period covered is January 1, 2015, through December 31 , 2015

·or· The period covered is---1---1 __ , ~rough December 31 , 2015

[!] Assuming Office: Date assumed ....1U.....QD 2015 See attached

Position: _________________ _

o Judge or Court Commissioner (Statewide Jurisdiction)

[!J County of _s_a_n_ Fr_a_n_c_i _sc_o ___________ _

O O~er _______________ _

o Leaving Office: Date Left ---1---1 __ (Check one)

o The period covered is January 1, 2015, through the date of leaving office.

o The period covered is ---1---1 __ , through the date of leaving office.

o Candidate: Election Year _____ _ and office sought, if different than Pa_r! 1: ________________ _

4. Schedule Summary (must complete) ~ Total number of pages including this cover page: 8

Schedules attached

-or-

[!] Schedule A·1 • Investments - schedule attached

o Schedule A-2 • Investments - schedule attached

[!J Schedule B • Real Property - schedule attached

O None - No reportable interests on any schedule

[!J Schedule C • Income, Loans, & Business Positions - schedule attached

[!J Schedule 0 • Income - Gifts - schedule attached

o Schedule E • Income - Gifts - Travel Payments - schedule attached

⁾†

I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date Signed 0 1 /0 8 / 201 6 (man/h, day. year)

Signature .....:.:A:.=a=.ro::.:n=-...:;p""e.::;sk:,:;l.::,:· n::....,-.,......,---,,.-_---,.,--~---,::-:-:.,-----_ (Fils the originaNy signed statement with your ffling official.)

FPPC Form 700 (2015/2016) FPPC Advice Email: [email protected]

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

(d)(5)

060600029-NFH-0029

STATEMENT OF ECONOMIC INTERESTS COVER PAGE

Expanded Statement Attachment

CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

Name

Aaron Peskin

• This table lists all positions including the primary position listed in the Office, Agency, or Court section of the Cover Page.

Agency Division/Board/Dept/District

SAN FRANCISCO BOARD OF District 3 SUPERVISORS

San Francisco County Transportation

Position Type of Statement

County Supervisor Assuming Office 12/8/2015

Conunissioner Assuming Office 12/8/2015

FPPC Form 700 (2015/2016) Expanded Statement FPPC Advice Email: [email protected]

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

060600029-NFH-0029

SCHEDULE A-1 Investments

CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%)

Name

Peskin. Aaron Do not attach brokerage or financial statements.

~ NAME OF BUSINESS ENTITY

Amazon GENERAL DESCRIPTION OF THIS BUSINESS

electronic commerce

FAIR MARKET VALUE

D $2,000 - $10,000

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

NATURE OF INVESTMENT

00 $10,001 - $100,000

DOver $1,000,000

!XI Stock D Other ------,--::---:----(Describe)

D Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

--1--1 __ ACQUIRED

--1---1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

Boeing Co. GENERAL DESCRIPTION OF THIS BUSINESS

airplane manufacturing

FAIR MARKET VALUE

D $2,000 - $10,000

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

NATURE OF INVESTMENT

00 $10,001 - $100,000

DOver $1,000,000

[i] Stock D Other -----,--...,,-,-------(Describe)

D Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

--1--1 __ ACQUIRED

--1---1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

Frontier Communications Inc_ GENERAL DESCRIPTION OF THIS BUSINESS

communications

FAIR MARKET VALUE

!XI $2,000 - $10,000

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

NATURE OF INVESTMENT

D $10,001 - $100,000

DOver $1,000,000

!!I Stock D Other -------,-.,-------(Describe)

D Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

--1---1_ ACQUIRED

--1---1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

Apple Inc. GENERAL DESCRIPTION OF THIS BUSINESS

Consumer electronics

FAIR MARKET VALUE

D $2,000 - $10,000

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

NATURE OF INVESTMENT

00 $10,001 - $100,000

DOver $1,000,000

!XI Stock D Other -------------(Describe)

D Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

--1--1_ ACQUIRED

--1---1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

DNP Select Income Fund GENERAL DESCRIPTION OF THIS BUSINESS

management investment

FAIR MARKET VALUE

D $2,000 - $10,000

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

NATURE OF INVESTMENT

00 $10,001 - $100,000

DOver $1,000,000

[i] Stock D Other ------,:---::---:----(Describe)

D Partnership 0 Income Received of $0 - $499 o I ncome Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

--1---1_ ACQUIRED

--1---1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

General Electric Co. GENERAL DESCRIPTION OF THIS BUSINESS

conglomerate

FAIR MARKET VALUE

!XI $2,000 - $10,000 D $100,001 - $1,000,000

D $10,001 - $100,000

DOver $1,000,000

NATURE OF INVESTMENT

!!I Stock D Other ------,:--...,,-.,------(Describe)

D Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

--1---1 __ ACQUIRED

--1---1 __ DISPOSED

Comments: ___________________________________________ _

FPPC Form 700 (2015/2016) Sch. A-1 FPPC Advice Email: [email protected]

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

060600029-NFH-0029

SCHEDULE A-1 Investments

CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%)

Name

Peskin. Aaron Do not attach brokerage or financial statements.

~ NAME OF BUSINESS ENTITY

Glaxosmithkline GENERAL DESCRIPTION OF THIS BUSINESS

pharmaceuticals

FAIR MARKET VALUE

!!I $2,000 - $10,000

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

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1,000,000

!!I Stock 0 Other -------------(Descnbe) o Partnership 0 Income Received of $0 - $499

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

Oneok Partners GENERAL DESCRIPTION OF THIS BUSINESS

natural gas

FAIR MARKET VALUE

!!I $2,000 - $10,000

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

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1 ,000.000

o Stock 0 Other -------::::---:-::-----­(Descnbe)

[i] Partnership Qtllncome Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1 __ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

Southwest Airlines GENERAL DESCRIPTION OF THIS BUSINESS

airline

FAIR MARKET VALUE

o $2,000 - $10,000

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

!Xl $10,001 - $100,000

DOver $1,000,000

NATURE OF INVESTMENT

!!I Stock 0 Other -------:::---::----:----­(Describe)

o Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1_ DISPOSED

~ NAME OF BUSINESS ENTITY

Invesco GENERAL DESCRIPTION OF THIS BUSINESS

investment management

FAIR MARKET VALUE

!!I $2,000 - $10,000

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

NATURE OF INVESTMENT

0$10,001 - $100,000

DOver $1,000,000

!Xl Stock 0 Other -----------­(Describe) o Partnership 0 Income Received of $0 - $499

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

Piedmont Natural Gas GENERAL DESCRIPTION OF THIS BUSINESS

natural gas

FAIR MARKET VALUE

!!I $2,000 - $10,000

0 $100,001 • $1,000,000

NATURE OF INVESTMENT

o $10,001 • $100,000

DOver $1,000,000

[i] Stock 0 Other ------------(Describe)

o Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

SPDR S&P Biotech ETF GENERAL DESCRIPTION OF THIS BUSINESS

biotech

FAIR MARKET VALUE

!Xl $2,000 - $10,000

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

o $10,001 - $100,000

DOver $1,000,000

NATURE OF INVESTMENT

!!I Stock 0 Other -------------(Describe)

o Partnership 0 Income Received of $0 - $499 o I ncome Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1 __ ACQUIRED

----1----1 __ DISPOSED

Comments: ______________________________________________ _

FPPC Form 700 (2015/2016) Sch. A-1 FPPC Advice Email: [email protected]

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

060600029-NFH-0029

SCHEDULE A-1 Investments

CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%)

Name

Peski n . Aaron Do not attach brokerage or financial statements.

~ NAME OF BUSINESS ENTITY

UDR Inc.

GENERAL DESCRIPTION OF THIS BUSINESS

real estate

FAIR MARKET VALUE

!!l $2,000 - $10,000

0$100,001 - $1,000.000

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1,000,000

00 Stock 0 Other ------:::--:--:------(Describe) o Partnership 0 Income Received of $0 - $499

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

o $2,000 - $10,000

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

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1,000,000

o Stock 0 Other ------:---:.,------­(Describe)

o Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

0$2,000 - $10,000

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

o $10,001 - $100,000

DOver $1,000,000

NATURE OF INVESTMENT

o Stock 0 Other ------:::---:-----­(Describe)

o Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ OISPOSED

~ NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

o $2,000 - $10,000

o $100,001 - $1,000,000

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1,000,000

o Stock 0 Other ------:::---:.,------­(Describe)

o Partnership 0 Income Received of $0 - $499 o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

o $2,000 - $10,000

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

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1,000,000

o Stock 0 Other ------:::---:.,------­(Describe) o Partnership 0 Income Received of $0 - $499

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

~ NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

o $2,000 - $10,000

o $100,001 - $1,000,000

NATURE OF INVESTMENT

o $10,001 - $100,000

DOver $1,000,000

o Stock 0 Other ------:--.,-----­(Describe) o Partnership 0 Income Received of $0 - $499

o Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

----1----1_ ACQUIRED

----1----1 __ DISPOSED

Comments: _________________________________________________ _

FPPC Form 700 (2015/2016) Sch. A-1 FPPC Advice Email: [email protected]

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

060600029-NFH-0029

CALIFORNIA FORM 700 SCHEDULE B

Interests in Real Property (Including Rental Income)

FAIR POLiTiCAL PRACTICES COMMISSION

Name

Peskin, Aaron

.. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS

522 Filbert Street

CITY

San Francisco

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: o $2,000 - $10,000

o $10,001 - $100,000 ---1--1_ ---1---1_ I!l $100,001 - $1,000,000 ACQUIRED DISPOSED

DOver $1,000,000

NATURE OF INTEREST

!Xl OwnershlplDeed of Trust o Easement

0 Leasehold 0 Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

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

[]I $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $1 0,000 or more.

o None

Soliel Teubner

.. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS

21 Napier Lane

CITY

San Francisco

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: o $2,000 - $10,000

o $10,001 - $100,000

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

---1--1_ ---1---1_ ACQUIRED DISPOSED

[!J Over $1,000,000

NATURE OF INTEREST

!Xl Ownership/Deed of Trust o Easement

0 Leasehold 0-------Vrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

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

[]I $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $1 0,000 or more.

o None

Julien Smith

Katherine Drury and Wade Winkler

Nicole Beren

* You are not required to report loans from commercial lending institutions made in the lende~s regular course of 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"

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

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

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

____ % o None ----.% 0 None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD

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

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

o Guarantor, if applicable o Guarantor, if applicable

Comments: ________________ ___ _______ ______________ ________ ___ _

FPPC Form 700 (2015/2016) Sch. B FPPC Advice Email: [email protected]

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

06060 0029-NFH-0029

SCHEDULE C Income, Loans, & Business

Positions

CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION

Name

(Other than Gifts and Travel Payments) Peskin, Aaron

~ 1. INCOME RECEIVED ~ 1 INCOME RECEIVED

NAME OF SOURCE OF INCOME

Great Basin Land & Water ADDRESS (Business Address Acceptable) 470 Columbus Ave., Suite 211 San Francisco , CA 94133 BUSINESS ACTIVITY, IF ANY, OF SOURCE

environmental non-profit YOUR BUSINESS POSITION

President

GROSS INCOME RECEIVED

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

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

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

!!I Salary 0 Spouse's or registered domestic partner's Income (For self-employed use Schedule A-2.)

o Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

o Sale of (Real property, car, boat, etc.)

o Loan repayment

o Commission or 0 Rental Income, list each sou,.,e of S10,OOO or rna",

(Describe)

o Other ---------:::-__ ::-.--------­(Describe)

~ 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

NAME OF SOURCE OF INCOME

Great Basin Land & Water ADDRESS (Business Address Acceptable) 470 Columbus Ave Suite 211 San Francisco, CA 94133 BUSINESS ACTIVITY, IF ANY, OF SOURCE

environmental non-profit YOUR BUSINESS POSITION

general counsel

GROSS INCOME RECEIVED

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

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

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

o Salary !!I Spouse's or registered domestic partner's Income (For self-employed use Schedule A-2.)

o Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) o Sale of _____ -:::--:-_-,-_-:--:--:-:-____ _

(Real property, car, boat etc.)

o Loan repayment

o Commission or 0 Rental Income, list each sou,.,a of S10,OOO or rna",

(Describe)

o Other ----------,-::--0-:--------­(Describe)

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of 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"

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY. OF LENDER

HIGHEST BALANCE DURING REPORTING PERIOD

o $500 - $1,000

0$1 .001 - $10,000

o $10.001 - $100,000

DOVER $100,000

Comments:

INTEREST RATE TERM (Months/Years)

____ % o None

SECURITY FOR LOAN

o None o Personal residence

o Real Property --------:::---:--:-:-------­St",et add",ss

City

o Guarantor -------------------

o Other ----------::--:-__ -------­(Describe)

FPPC Form 700 (2015/2016) Sch. C FPPC Advice Email: [email protected]

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

~606do029-NFH-0029

CALIFORNIA FORM 700 SCHEDULE D Income - Gifts

FAIR POLITICAL PRACTICES COMMISSION

Name

~ NAME OF SOURCE (Not an Acronym)

Walter Wong ADDRESS (Business Address Acceptable) 67 Twin Peaks Blvd. San Francisco, CA 94114 BUSINESS ACTIVITY, IF ANY, OF SOURCE

consultant DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

441.00 Frequent Flyer miles

----.l-----1_ $, ___ _

~ NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

----.l----.l_ $ ___ _

----.l-----1_ $ ___ _

----.l----.l_ $, ___ _

~ NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceplable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

----.l-----1_ $, ___ _

----.l-----1_ $ ___ _

Peski n , Aaron

~ NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)

----.l----.l_ $ ___ _

----.l-----1_ $, ___ _

----.l-----1_ $ ___ _

~ NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)

----.l----.l_ $ ___ _

----.l----.l_ $ ___ _

----.l----.l_ $, ___ _

~ NAME OF SOURCE (Not an Acronym)

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

----.l-----1_ $, ___ _

----.l----.l_ $ ___ _

----.l----.l_ $ ___ _

Comments: ____________________________________________________________________________________ _

FPPC Form 700 (2015/2016) Sch, 0 FPPC Advice Email: [email protected]

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