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1 S i `;,' '' I. I Ived CALIFORNIA FORM Official Use Only 700 STATEMENT OF ECONOMIC INTERESTS A PUBLIC DOCUMENT COVER PAGE Please type or print in ink. APR APR, 8' L 201 8v City Clerk's Office NAME OF FILER ( LAST) FIRST) MIDDLE) Armendarez Jesus Manuel 1. Office, Agency, or Court Agency Name '( Do not use acronyms) City Of Division, Board, Department, District, if applicable Your Position City Council Member If filing for multiple positions, list below or on an attachment. ( Do not use acronyms) Agency: Inland Empire Utilities Agency Position: Regular Member 2. Jurisdiction of Office ( Check at least one box) State Judge or Court Commissioner( Statewide Jurisdiction) Multi- County 0City of County of Other 3. Type of Statement ( Check at least' one box), x Annual: The period, covered is January 1, 2017, through, Leaving Office: Date Left I_ J December 31, Check one) or- The period covered is through 0 The period covered is January 1, 2017, through the date' of December 31', leaving office. Assuming Office: Date assumed_j J 0 The period covered is_ I through the date of leaving office. Candidate: Date of Election and office sought, if different than Part 1: or- 4. Schedule Summary ( must complete) Total number of pages including this cover page: 1 ism Schedules attached or- Schedule A- 1 - Investments schedule attached Schedule C- Income, Loans, & Business Positions schedule attached x Schedule A-2- Investments schedule attached x Schedule D- Income Gifts schedule attached x Schedule B- Real Property schedule attached' x Schedule E- Income Gifts Travel Payments schedule attached CI - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET STATE ZIP CODE Business or Agency Address Recommended- Public Document)- P. O Box 561 CA DAYTIME TELEPHONE NUMBER E- MAIL ADDRESS 951 ) 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 acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 04/ 01/ 2018 Signature 1 j t month, day, year) File the originally signed statement iff our filing official.) FPPC Form 700( 2017/ 2018) FPPC Toll- Free Helpline: 866/ www. fppc. ca. gov
2 SCHEDULE A- 2 CALIFORNIA FORM 700 Investments, Income, and Assets of Business Entities/ Trusts Name Te s y ; ti,a, LtZL Ownership Interest is 10% or Greater) MJeattsArmendarez I. 1. BUSINESS ENTITY OR TRUST 1. BUSINESS ENTITY OR TRUST Sierra Realty Name 9410 Sierra Ave CA Address ( Business Address Acceptable) Name Address( Business Address Acceptable) Check one Check one 0 Trust, go to 2 x Business Entity, complete the box, then go to 2 0 Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Sales FAIR MARKET VALUE IF APPLICABLE, LIST DATE. FAIR MARKET VALUE IF APPLICABLE, LIST DATE. 0-$ 1, $ 1, 999 2, 000-$ 10, $ 2, 000-$ 10, ACQUIRED DISPOSED ACQUIRED DISPOSED 10, 001 -$ 100, ,001 -$ 100, , 001 -$ 1, 000, , 001 -$ 1, 000, 000 Over$ 1, 000, Over$ 1, 000, 000 NATURE OF INVESTMENT NATURE OF INVESTMENT Commission Partnership Sole Proprietorship Partnership Sole Proprietorship XOther Other YOUR BUSINESS POSITION Realtor YOUR BUSINESS POSITION 2. IDENTIFY THE GROSS INCOME RECEIVED( INCLUDE YOUR PRO RATA 2. IDENTIFY THE GROSS INCOME RECEIVED( INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/ TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/ TRUST) 0 $ 0-$ $ 10, 001 -$ 100, 000 0$0-$ , 001 -$ 100, $ 500-$ 1, 000 X OVER$ 100, 000 0$500-$ 1, 000 OVER$ 100, 000 1, 001 -$ 10, 000 1, 001 -$ 10, LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF$ 10, 000 OR MORE. Attach ( 0 or Names listed below or Names listed below 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY. THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box: 0 INVESTMENT REAL PROPERTY, INVESTMENT REAL PROPERTY Name of Business Entity, if Investment, or Name of Business Entity, if Investment, or Assessor' s Parcel Number or Street Address of Real Property Assessor' s Parcel Number or Street Address of Real Property Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 2, 000-$ 10,000 2, 000-$ 10, , 001 -$ 100, / / 17 $ 10,001 -$ 100, / / ,001 -$ 1, 000, 000 ACQUIRED DISPOSED 100,001 -$ 1, 000,000 ACQUIRED DISPOSED Over$ 1, 000,000 Over$ 1, 000, 000 Property Ownership/ Deed of Trust 0 Stock Partnership 0 Property Ownership/ Deed of Trust Stock Partnership Other Other Yrs. remaining Yrs. remaining Check box if additional schedules reporting investments or real property Check box if additional schedules reporting investments or real property are attached are attached FPPC Form 700( 2017/ 2018) Sch. A- 2
3 SCHEDULE B Interests in Real Property CALIFORNIA FORM 700 Name Sc s S, 4' 4htie L Including Rental Income) A r ;, c' ilc. r.7 ASSESSOR' S PARCEL NUMBER OR STREET ADDRESS ASSESSOR' S PARCEL NUMBER OR STREET ADDRESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 2, 000-$ 10, 000 2, 000-$ 10, / / 17 10, 001 -$ 100, / / 17 10, 001 -$ 100,000 ACQUIRED DISPOSED XO$ 100, 001 -$ 1, 000,000 0$ 100, 001 -$ 1, 000, 000 ACQUIRED DISPOSED Over$ 1, 000, 000 Over$ 1, 000, 000 X Ownership/ Deed of Trust Easement X Ownership/ Deed of Trust Easement Yrs. remaining Other Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED o-$ 499 $ 500-$ 1, 000 X $ 1, 001 -$ 10, $ 499 $ 500-$ 1, 000 X $ 1, 001 -$ 10, , 001 -$ 100,000 OVER$ 100, , 001 -$ 100, 000 OVER$ 100, 000 SOURCES OF RENTAL INCOME. If you own a 10% or greater SOURCES OF RENTAL INCOME. If you own a 10% or greater interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of income of$ 10, 000 or more. income of$ 10, 000 or more. You are not required to report loans from commercial lending institutions 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* NAME OF LENDER* BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM( Months/ Years) INTEREST RATE TERM( Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 500-$ 1, 000 1, 001 -$ 10, $ 1, 000 1, 001 -$ 10, , 001 -$ 100,000 OVER$ 100, , 001 -$ 100, 000 OVER$ 100, 000 FPPC Form 700( 2017/ 2018) Sch. B
4 SCHEDULE B Interests in Real CALIFORNIA FORM 700 Name Te s i, s s A ) e- Property Including Rental Income) k(" Iva e n a cur e 2 ASSESSOR' S PARCEL NUMBER OR STREET ADDRESS ASSESSOR' S PARCEL NUMBER OR STREET ADDRESS Pinedale ct. FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE. 2, 000-$ 10, 000 2, 000-$ 10, , 001 -$ 100, _/_/ 17 10, 001 -$ 100, 000 ACQUIRED DISPOSED X$ 100, 001 -$ 1, 000, 000 X $ 100, 001 -$ 1, 000, 000 ACQUIRED 17 / / 17 DISPOSED Over$ 1, 000,000 Over$ 1, 000, 000 X Ownership/ Deed of Trust Easement X Ownership/ Deed of Trust Easement Yrs. remaining Other Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0-$ 499 $ 500-$ 1, 000 X $ 1, 001 -$ 10, $ 499 $ 500-$ 1, 000 $ 1, 001 -$ 10, , 001 -$ 100, 000 OVER$ 100, , 001 -$ 100, 000 OVER$ 100, 000 SOURCES OF RENTAL INCOME. If you own a 10% or greater SOURCES OF RENTAL INCOME. If you own a 10% or greater interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of income of$ 10, 000 or more. income of$ 10, 000 or more. x Primary You are not required to report loans from commercial lending institutions 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* NAME OF LENDER* Roger Von Kaesborg ADDRESS( Business Address Acceptable) 8460 Nuevo Ave CA BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM( Months/Years) INTEREST RATE TERM( Months/Years) cyo 7 % El 24 HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 500-$ 1, 000 1, 001 -$ 10, 000' 500-$ 1, 000 1, 001 -$ 10, , 001 -$ 100, 000 OVER$ 100, , 001 -$ 100, 000 X OVER$ 100, 000 X Jesus M Armendarez/ Kenneth J Galasso FPPC Form 700( 2017/ 2018) Sch. B FPPC Toll- Free Helpline: 866/ www. fppc. ca. gov
5 SCHEDULE B Interests in Real Property CALIFORNIA FORM 700 Name - Tesys wtr4ruu2l Including Rental Income) Jesus- M Armendarez ASSESSOR' S PARCEL NUMBER OR STREET ADDRESS ASSESSOR' S PARCEL NUMBER OR STREET ADDRESS Th Street Bloomington, CA FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0$ 2, 000-$ 10, 000 0$ 2,000-$ 10, El$ 17 -/ / 17 10, 001 -$ 1oo, 000 El$ 10, 001 -$ 100, 17 _/_/ , 001 -$ 1, 000, 000 ACQUIRED DISPOSED Q$ 100, 001 -$ 1, 000,000 ACQUIRED DISPOSED Over$ 1, 000, 000 Over$ 1, 000, 000 Ownership/ Deed of Trust Easement X Ownership/ Deed of Trust Easement Yrs. remaining Other Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0-$ 499 $ 500-$ 1, 000 X $ 1, 001 -$ 10, $ 499 $ 500-$ 1, 000 $ 1, 001 -$ 10, , 001 -$ 100, 000 OVER$ 100, , 001 -$ 100, 000 OVER$ 100, 000 SOURCES OF RENTAL INCOME. If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of income of$ 10, 000 or more. income of$ 10, 000 or more. X You are not required to report loans from commercial lending institutions 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* 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) HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 500-$ 1, 000 1, 001 -$ 10, $ 1, 000 1, 001 -$ 10, , 001 -$ 100,000 OVER$ 100,000 10, 001 -$ 100, 000 OVER$ 100, 000 FPPC Form 700( 2017/ 2018) Sch. B
6 CALIFORNIA FORM 700 SCHEDULE D Income Gifts Name deeas- M Armendarez I. NAME OF SOURCE( Not an Acronym) NAME OF SOURCE( Not an Acronym) Doug Whiteman David Wiener ADDRESS( Business Address Acceptable) 9684 Sierra Ave. 118South Beverly Dr.Suite215Beverly Hills CA BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Auto Repair Developer ' DATE ( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT(S) DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT( S) $ 150 Auto Repair 05 / 23 / 17 $ 130 Dinner 1 / $ 1_ 1 $ 1 l $ - I. NAME OF SOURCE ( Not an Acronym) P. NAME OF SOURCE( Not an Acronym) ADDRESS( Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT(S) DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT( S) J_J $ 1 / $ 1_ 1 $ 1_ 1 $ I. NAME OF SOURCE ( Not an Acronym) NAME OF SOURCE( Not an Acronym) BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT( S) DATE( mm/ dd/yy) VALUE DESCRIPTION OF GIFT( S) J_ 1 $ FPPC Form 700( 2017/ 2018) Sch. D
7 CALIFORNIA FORM 700 SCHEDULE E Income Gifts" Name - Ses0, 01,14 L Travel Payments, Advances, Jesus M Armendarez and Reimbursements Mark either the gift or income box. - Mark the " 501( c)( 3)" box for a travel payment received from a nonprofit 501( c)( 3) organization or the " Speech" box if you made a speech or participated in a panel. These payments are not subject to the gift limit, but may result in a disqualifying conflict of interest. For gifts of travel, provide the travel destination. NAME OF SOURCE( Not an Acronym) NAME OF SOURCE( Not an Acronym) Southern California Edison ADDRESS( Business Address Acceptable) ADDRESS( Business Address Acceptable) 1351 E Francis St AND STATE AND STATE Ontario 501( c)( 3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE 501( c)( 3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE High Sierra Workshop- Big Creek DATE( S): 09/ 27/ 17-09/ 29/ 17 AMT$ DATE( S): / /_-_/_ I_ AMT $ MUST CHECK ONE. 0 Gift - or- Income MUST CHECK ONE: Gift. - or- Income Q Made a Speech/ Participated in a Panel a Made a Speech/ Participated in a Panel Other- Provide Description 0 Other- Provide Description High Sierra - Big Creek SCE Facility Tour P. If Gift, Provide Travel Destination If Gift, Provide Travel Destination High Sierra - Big Creek SCE Facility NAME OF SOURCE( Not an Acronym) NAME OF SOURCE( Not an Acronym) ADDRESS( Business Address Acceptable) ADDRESS( Business Address Acceptable) AND STATE AND STATE 501 ( c)( 3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE 501 ( c)( 3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE( S): J /_- AMT.$ DATE( S):_J_/ - AMT$ MUST CHECK ONE. Gift - or- Income MUST CHECK ONE. Gift - - or- Income Q Made a Speech/ Participated in a Panel Q Made a Speech/ Participated in a Panel Q Other- Provide Description 0 Other- Provide Description If Gift, Provide Travel Destination If Gift, Provide Travel Destination FPPC Form 700( 2017/ 2018) Sch. E
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