20II;F~,~c;L};(j~~C~:~~

Transcription

1 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER Cook 1. Office, Agency, or Court Agency California State Assembly Division, Board, Department, District, if applicable District 65 ILAST),... If filing for multiple positions, list below or on an attachment. ST~T~~,~,~T;'E't ECONOMIC INTERESTS RECEIVED Date Received FEB II;F~,~c;L};(j~~C~:~~ BY; -"fv<-- (FIRST) Paul Your Position Assembly Member (MIDDLE) Joseph Agency: Position: 2. Jurisdiction of Office (Check at least one box) ~Slale o Judge (Slalewide Jurisdiction) o Multi-Counly o County of ~- o Cily of o Olher 3. Type of Statement (Check at least one box) The period covered is , through December 31, 2010, o Assuming Office: Date o Candidate: Election Year 4. Schedule Summary Check applicable schedules or "None." ~ Schedule A 1 Investments - schedule atlached o Schedule A 2 Inveslments - schedule attached ~ Schedule B Real Property - schedule attached o The period covered is January 1, 2010, through the dale of leaving office. o The period covered is , through the date of leaving office. Office sought, if different than Part 1: ~ Annual: The period covered is January through December 31, o Leaving Office: Date Left (Check one) or- -or- O None No reportable interests on any schedule 8,... Total number of pages including this cover page: o Schedule C Income, Loans, & Business Positions - schedule attached ~ Schedule 0 Income - Giffs - schedule allached ~ Schedule E Income - Giffs - Travel Payments - schedule allached I certify under penalty of perjury under the laws of the State of California that t Date Signed 0:=2::;/;=22:;:/,::2,,0.:,-11'- (month. day, year) Signature

2 SCHEDULE A-1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Do not attach brokerage or financial statements. CALIFORNIA FORM; 700 FAIR POl.ITICAl. PRACTICES COMMISSIO~... NAME OF BUSINESS ENTITY Pfizer.. NAME OF BUSINESS ENTITY Stock - Pharmacy D 52,000 10,000 D 100,001-1,000,000 [gl 10, ,000 02,000 - S10, ,001-1, o 10,001 - S100,000 D Siock 0 Other ,=---c D Partnership 0 Income Received of o Income Received of 500 or More (Report on Schedule C) o Stock 0 Other -----=---c--:----- o PartnerShip o Income Received of o Income Received of 500 or More (Report on Schedvle C)... NAME OF BUSINESS ENTITY.. NAME OF BUSINESS ENTITY D 2,000-10,000 o 100,001-1,000, , ,000 02, ,000 o 100,001-1,000,000 D 10, ,000 D Stock 0 Other ,=---c--: o Partnership 0 Income Received of SO o Income Received of S500 or More (Report on Schedvle C) o Stock 0 Other --,==::- o PartnerShip o Income Received of o Income Received of 500 or More (Report on Schedule C) J J~ J J ~ J J~ J J~.. NAME OF BUSINESS ENTITY.. NAME OF BUSINESS ENTITY 02,000-10, ,001-1,000,000 o 10, ,000 fair MARKET VALUE o 2,000-10,000 o 100,001. 1,000,000 o 10,001 - S100,000 DOver 1, o Stock 0 Other ,::---c--:----- o Partnership 0 Income Received of o Income Received of 500 or More (Report on Schedv/e C) o Stock 0 Other ;==::----- (Deso;ribe) o Partnership 0 Income Received of o Income Received of 500 or More (Report on Schedule C) J J~ J J ~ Comments: FPPC Form 700 ( ) Sch. A-1 FPPC Toll-Free Helpline: 866/

3 ,. STREET ADDRESS OR PRECISE LOCATION Parcel # CITY Yucca Valley, CA o 2,000-10,000 Igj 10, ,000 o 100,001-1,QOO,000 SCHEDULE B Interests in Real Property ~ ~ (Including Rental Income) CALIFORNIA FORM 700; FAIR POLITICAL PRACTICES COMMISSION... STREET ADDRESS OR PRECISE LOCATION ~---========== Parcel # CITY Yucca Valley, CA o 2,000-10,000 ~ 10, D 100,001-1,000, ~ ~ NATURE OF INTEREST o Ownership/Deed of Trust o Easement o Leasehold ---:-c-----:- Yrs. remaining 0---=---- Other NATURE OF INTEREST o Ownership/Deed of Trust o Leasehold ---:-c----,-,-- Yrs. remaining D Easement 0--=---- Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED o SO QO - 1, ,001-10, , ,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 10,000 or more. IF RENTAL PROPERTY, GROSS INCOME RECEIVED o SO D 500-1, ,001-10,000 o 10, ,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 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 (MonthsfYears) INTEREST RATE TERM (MonthsfYears) %. 0 None ----,% 0 None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD , ,001-10, , ,001-10,000 o 10, ,000 DOVER 100,000 o 10, ,000 DOVER 100,000 D Guarantor, if applicable o Guarantor, if applicable Comments: FPPC Form 700 ( ) Sch. B FPPC Toll-Free Helpline: 866/

4 SCHEDULE B Interests in Real Property (Including Rental Income) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION... STREET ADDRESS OR PRECISE LOCATION Parcel # CITY Yucca Valley, CA D 2,000-10,000 ~ 10, ,000 D 100,001-1,000, '---'..1fL ---'---'..1fL... STREET ADDRESS OR PRECISE LOCATION Parcel # CITY Yucca Valley, CA D 2,000-10,000 ~ 10, ,000 D 100,001-1,000, '---'..1fL ---'---'~ NATURE OF INTEREST o OwnershiplDeed of Trust o Leasehold -:c--_:- Yrs. remaining o Easement 0---,---- Other NATURE OF INTEREST D Ownership/Deed of Trust D Easement o Leasehold -:-:--_:- 0---=----- Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED o SO o 500-1,000 o 1,001-10,000 o 10, ,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 10,000 or more. IF RENTAL PROPERTY, GROSS INCOME RECEIVED D D 500-1, ,001-10,000 o 10, ,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 S10,000 or more. * You are not required to report loans from commercial lending institutions made in the lender's regular course of business oh 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 (MonthsfYears) INTEREST RATE TERM (MonthslYears) % o None % o None HIGHEST BALANCE DURING REPORTING PERIOD ,000 D 1,001 10,000 D 10, ,000 DOVER 100,000 o Guarantor. if applicable HIGHEST BALANCE DURING REPORTING PERIOD D 500-1,000 D 10, ,000 D Guarantor, if applicable 01,001-10,000 DOVER 100,000 Comments: FPPC Form 700 (2010/2011) Sch. B FPPC Toll-Free Helpline: 866/

5 SCHEDULE D Income - Gifts CALIFORNIA FORM 700 FAIR POLITICAL PRACTICE~ COMMISsfoN ' ~ NAME OF SOURCE Barona Band of Mission Indians 1095 Barona Rd, Lakeside, CA Governor Arnold Schwarzenegger California State Capitol, Sacramento, CA DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ~~~,_-=2:..:.1,-,.1=.2 Dinner DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ~~~ _---"-21.:.:.::53::. Lunch ~~~._--=-56_._25'- Dinner _, _. California State Protocol Foundation 1215 K St., Ste. 1400, Sacramento, CA Assemblywoman Connie Conway 157 E. Merritt Ave, Tulare, CA DATE (mmfdd/yy) VALUE DESCRIPTION OF GIFT{S) DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S) ~~~ _--=-35::..:.4.'-7'-. Lunch E..J~~ 2::c8::..:.4.'-7'-. Popcorn Gift Bucket _ _,. Agriculture Council of California 1000 G Street, Ste 230, Sacramento, CA FedEx Corporation 1215 K St., Ste. 1733, Sacramento, CA DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ~E.J~ _-,-44.:.:.",08=- J..1..J~~ :.:... 10= _ J..1..JJ.!0~ _ _ Comments: FPPC Form 700 ( ) Sch. D FPPC Toll-Free Helpline:

6 SCHEDULE D Income - Gifts CALIFORNIA FORM 7QO FAIR POLITIOAL PRAOTICES COMMISSION,.. NAME OF SOURCE University of California, Riverside 900 University Ave., Riverside, CA Rio Tinto Minerals P.O. Box 6609, Eaglewood, CO DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S) ~Jl.J~, 4:..::0.:..:.0-,, _, California Correctional Peace Officers Association 755 Riverpoint Dr., West Sacramento, CA Roll International Corporation and Affiliates ADDRESS (Btlsiness Address Acceptable) W. Olympic Blvd., Los Angeles, CA DATE (mm/ddfyy) VALUE DESCRIPTION OF GIFT(S) ~~~,_----'.3-'-0."-0-'-0 DATE (mmldd/yy) VALUE DESCRIPTION OF G1FT(S) E.L2~~ _---"12::.:..o.00=_ Holiday Gift Box Morongo Casino, Resort & Spa Seminole Dr., Cabazon, CA 92230,. NAME OF SOURCE DATE (mm/ddfyy) VALUE DESCR)PTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ~~~ s Lodging Comments: FPPC Form 700 ( ) 5ch. 0 FPPC Toll-Free Helpline:

7 SCHEDULE D Income - Gifts CALIFORNIA FOR~ 700 PAIR POLITIOAL PRACTICES COMMISS10N~ ~ NAME OF SOURCE Orange County Legislative Delegation 333 W. Santa Ana Blvd, 3rd Floor, Santa Ana, CA Inland Empire Utilities Agency 6075 Kimball Ave, Bldg A, Chino, CA BUSINESS ACTIVITY. IF ANY, OF SOURCE DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) ~~~, 14~.~94_ ~~~ _----=.0:.:,.5.' l---.l _ ---.l---.l_. ---.l---.l _.. NAME OF SOURCE California State Floral Association 1521 I St, Sacramento, CA NAME OF SOURCE Phamtastic Images AbDRESS (Business Address Acceptable) P.O. Box 8291, Huntington Beach, CA DATE (mm/ddfyy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) ~ 23 I~ _--,1..:.6:.:,.9-=-5 Bouquet ---.l---.l _ ~E.J~. -=.3 =-:':0 0 ::., ---.l---.l_, Painting NAME OF SOURCE Assemblyman John Perez 777 S Figueroa St, Ste 4050, Los Angeles, CA NAME OF SOURCE Sungard Higher Education 4 Country View Rd, Malvern, PA DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT{S) J.~.LQ~~ Leather Portfolio ---.l---.l _ DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) ~~~ --=-69:..:.~13=- s ---.l---.l _ ---.l---.l _ ---.l---.l _ Comments; FPPC Form 700 ( ) Sch. 0 FPPC Toll-Free Helpline:

8 ,.. SCHEDULE E Income - Gifts Travel Payments, Advances, and Reimbursements CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Reminder - you must mark the gift or income box, You are not required to report income from government agencies. You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3) organization. When the payment is a gift it is reportable but is not subject to the 420 gift limit. City of Los Angeles 1400 K Street, Room 208 CITY AND STATE Sacramento, CA Pacific Policy Research Foundation 101 Parkshore Dr-, Ste 100 CITY AND STATE Folsom, CA BUSINESS ACTIVIlY, IF ANY, OF SOURCE D 501 (e)(3) D 501 (e)(3) DATE(S), ~~~ _ ~~~ AMT,, ~1~, 1-.:::0::0''':0::0 (If applicable) TYPE OF PAYMENT: (must check one) [8] Gift 0 Income DESCRIPTION, Ontario Airport parking while on legislative business DATE(S) J2J~~ _ J2JJ2J~ AMT ; --=3:=2:::3"--7-=-2 (If applicable) TYPE OF PAYMENT: (must check one) ~ Gift D Income DESCRIPTION, Served on panel for Conference ~ NAME OF SOURCE CITY AND STATE CITY AND STATE D 501 (e)(3) D 501 (e)(3) DATE(S), _ _ AMT ; (If applicable) TYPE OF PAYMENT: (must check one) ~ Gift 0 Income DESCRIPTION: DATE(S), _ _ AMT ; (If applicable) TYPE OF PAYMENT: (must check one) 0 Gift D Income DESCRIPTION, Comments: FPPC Form 700 (2010/2011) 5ch. E FPPC Toll-Free Helpline: 866/ wvlw.fppc,ca.gov