I

CALIFORNIA FORM 700

FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
;;Mm.I1tfeBF ECONOMIC INTERESTS
PRACTICES PAGE
REGE1VcEL)
Official Use Only
JAN 12 2012
ClTYOF
CARMEL BY_ THE-SEA Please type or print in ink.
2012 JAN 23 PH 3: 21
NAME OF FILER
(MIDDLE)
-\c(e..\ \O=t;r
@
1. Office, Agency, or Court
, P Agency Name
e.\ \
Division. Board. Department. District. il applicable Your Position
II filing lor multiple positions, list below or on an attachment.
Agency: ________ _
Position: __ o--,R.--=-_____ _
2. Jurisdiction of Office (Check at least one box)
o State sz..---\..- c
Sa,......
!a.e"",.l-Io'i Se.=-
3. Type of Statement (Check at least one box)
The period covered is JanualY 1, 2011, through
Deoember 31,2011.
-or-
The period covered is ----1----1 ____ , through
Deoember 31, 2011.
o Assuming Office: Date assumed ----1----1 ___ _
o Judge or Court Commissioner (Statewide Jurisdiction)
o County 01 ______________ _
DOther ______________ _
o Leaving Office: Date Left ----1----1 ___ _
(Check one)
o The period covered is JanualY 1, 2011, through the date 01
leaving offioe.
o The period covered is ----1----1 ____ , through
the date 01 leaving offioe.
Election Year __ :J.=-=0:...':..'2-=,--
Office sought, il different than Part 1: ________________ _
4. Schedule Summary
Check applicable schedules or ''None.''
o Schedule A-1 - Investments - schedule aUached
IQ-SChedule A-2 - Investments - schedule aUached
o Schedule B - Real Property - schedule aUached
-or-
Total number of pages including this cover page: ___ _
C - Income, Loans, & Business Positions - schedule attached
o Schedule 0 - Income - Gins - schedule aUached
o Schedule E - Income - Gins - Travel Payments - schedule attached
O None - No reportable interests on any schedule









I certify under penalty of perjury under the laws of the State of California that
Date Signed __ '-\\ _\:...-z...-----;l;,\;;;;;;2;:;;;;;"'O;;;',1. ___ _
.. daJ year)

Signatur


FPPC Toll-Free Helpline: 866t275-3772 www.fppc.ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Tal M0I.-3 l
to- 1. BUSINESS ENTITY OR TRUST
Wo..-k.e... COli>'
Name , \ 5 '0' 5. M<>.f /oJ 5-+.:1.""::
eA- '1533:1
Address (Business Address Acceptable)
Check one
Entity, complete the box, then go to 2 D Trust, go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
D $0 - $1,999
-----' -----'--1L -----' -----'--1L
D $2,000 - $10,000
D $10,001 - $100,000
ACQUIRED DISPOSED
Over $1,000,000
- $1,000,000
ATURE OF INVESTMENT 'wi C c
o Sole Proprietorship D partnershipOe.
lA. Othe
YOUR BUSINESS POSITION L_oU-RM<LU
... 2 IrlFNTIFY THF GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITYfTRUST)
0$0 - $499
D $500 - $1,000
D $1,001 - $10,000
D $10,001 - $100,000
DOVER $100,000
... 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach" SCpJl<ltc shcct 'f necessJry)
... 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD .ID: THE
BUSINESS ENTITY OR TRUST
Check one box:
DINVESTMENT o REAL PROPERTY
Name of Business Entity, if Investment, 2[
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity Q[
City or Other Precise Location of Real Property
FAIR MARKET VALUE
D $2,000 - $10,000
o $10,001 - $100,000
o $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
D Stock D Partnership
o Leasehold D Other __________ _
Yrs. remaining
o Check box if additional schedules reporting investments or real property
are attaChed
.. 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
o Trust, go to 2 o Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVllY
FAIR MARKET VALUE IF APPLICABLE, UST DATE:
D $0 - $1,999
-----' -----'--1L
o $2,000 - $10,000
-----' -----'--1L
D $10,001 - $100,000
ACQUIRED DISPOSED
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
D Sole Proprietorship o Partnership
0
Other
YOUR BUSINESS POSITION
... 2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITYfTRUST)
D $0 - $499
D $500 - $1.000
D $1,001 - $10,000
D $10,001 - $100,000
DOVER $100,000
... 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Albch a sheet ,I necessary)
... 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST
Check one box:
o INVESTMENT o REAL PROPERTY
Name of Business Entity, if Investment, 2[
Assessor's Parcel Number or Street Address of Real Property
Description of BUsiness Activity 2[
City or Other Precise Location of Real Property
FAIR MARKET VALUE
D $2,000 - $10,000
0$10,001 - $100,000
D $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
-----' -----' --1L -----' -----,--1L
ACQUIRED DISPOSED
D Stock o Partnership
o Leasehold -,,------,-:-
Yrs, remaining
D Othe' _________ _
o Check box if additional schedules reporting investments or real property
are attached
Comments:: ______________________ _
FPPC Form 700 (201112012) Soh. A-2
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
(Other than Gifts and Travel Payments)
... 1 INCOME RECEIVED ... 1 INCOME RECEIVED
NAME OF SOURCE OF INCOME
I.Oa..k C.e ""'-,f'a."'-'j.
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
.......
YOUR BUSINESS POSITION
c.. be I!y\.a..u
GROSS INCOME RECEIVED
o $500 - $1,000
D $10,001 - $100,000
0$1,001 - $10,000
}i<OVER $100,000

SIDERATION FOR WHICH INCOME WAS RECEIVED

Salary 0 Spouse's or registered domestic partner's income
loan repayment D Partnership
o Sale of ----_--:::--,-_-,-_.,-,..-,-,-____ _
(Real property, car. boat, etc.)
D Commission or o Rental Income, list each source of $10,000 or more
o Other _______ --,,== ______ _
(Describe)
.... 2 LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR V\lHICH INCOME WAS RECEIVED
o Salary o Spouse's or registered domestic partner's income
o Loan repayment o Partnership
o Sale of _____ -=-,.:-:-;--;-==:-:-::-;-____ _
(Real property, car; boat, etc.)
o Commission or o Rental Income, list each source of $10,000 or mom
o Other _______ --;;;== ______ _
(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
0$500 - $1,000
0$1,001 - $10,000
0$10,001 - $100,000
DOVER $100,000
Comments:
INTEREST RATE TERM (MonthsNears)
----,% 0 None
SECURITY FOR LOAN
o None o Personal residence
o Real Property _______ -;;;::;:;:;-:;;;;:;::;,--_____ _
Street address
City
o Guarantor _________________ _
o Other ________ :::---::--:-______ _
(Describe)
FPPC Form 700 (2011/2012) Sch, C
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov