peskin aaron · oc;.06.00029-nfh-0029 callfy:ornia form 700 fair political practices commission a...
TRANSCRIPT
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]
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov