3
STATEMENT OF ECONOMIC REef/VEf) COVER PAGE lru jl:: F "IR POLITtC I. .... MAMMOTH' ' KE" '-CALlf'0RNIA FORM 700 ?Ot IT IC !!. L PRLlCT ti ES (.':)': '1 S5 OtJ A PUBLIC DOCUf ': l ENT Plesse type or print in ink. PRACTICES COMMISSION (_ r .... "r-., .... , .. NAME OF FILER (LAST) Sauser (fIRST) L-.;_ C - '(IIIIlDLE)- -- 16 JUl 29 PH (Bill) Sauser Rudolph 1. Office, Agency, or Court Agency Nane (Do not use acronyms) Town of Mammoth Lakes Division, Board, Depll1ment, Disbi ct, if applicable Town Council Your Position Council Member If filing for m tiple positions, list below or on an (Do not use acronyms) r 0 A +- I n r7 I. . A Agency: ____ · --=:' f;z..rzI-r/ _ ___ 2. Jurisdiction of Office (Check at least one box) D SIste o Multi-County ______________ _ III City of Mammoth Lakes 3. Type of Statement (Check at lust one box) o Annual : The period covered is January 1, 2015,Ihrough December 31 , 2015. -or- The period covered is , through December 31, 2015. [lI Assuming Office: Date assumed 2016 o Judge or Court Commissioner (Statewide Jurisdiction) o County of _____________ _ o Other _______________ _ o leaving Office: Date left ___ _ (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: Section year _____ _ and office sought, if different than Part 1: ______________ _ 1 4. Schedule Summary (must complete) Total number of pages including this cover page: _-3 ,,--_ I " Schedules attached " 1 0 Schedule A-1 - Investments - schedule attached [lI Schedule C • Income, Loans, & Business Positions - schedule attached 1 I 0 Schedule A·2 Investments - schedule attached 0 Schedule D - Income - Giffs - schedule attached I "I 0 Schedule B - Reel Property - schedule attached 0 Schedule E • Income - Giffs - Travel Payments - schedule attached I" -or- " ________ ______________________ ___ J 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE Date Signed 07/06/2016 (monfr . cia)( year) Signature

-CALlf'0RNIA FORM STATEMENT OF ECONOMIC INTEREST~i … · 2020-03-11 · SCHEDULE A-2 Investments, Income, and Assets of Business EntitiesITrusts (Ownership Interest is 10% or Greater)

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Page 1: -CALlf'0RNIA FORM STATEMENT OF ECONOMIC INTEREST~i … · 2020-03-11 · SCHEDULE A-2 Investments, Income, and Assets of Business EntitiesITrusts (Ownership Interest is 10% or Greater)

STATEMENT OF ECONOMIC INTEREST~i-~~I~'f-~I~) REef/VEf) COVER PAGE lru jl::

F "IR POLITtC f~ I. ~ .... ~ MAMMOTH' ' KE"

'-CALlf'0RNIA FORM 700 FA I~ ?Ot IT IC !!. L PRLlCT ti ES (.':)': ' 1 S5 OtJ

A PUBLIC DOC Uf':l ENT

Plesse type or print in ink. PRACTICES COMMISSION (_ ~\ !~~~N~ . r .... "r-.,...., .. ,~I~ '"";V NAME OF FILER (LAST)

Sauser

(fIRST) ~ L-.;_ C - '(IIIIlDLE)- - -

16 JUl 29 PH +JiI~l (Bill) Sauser Rudolph

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

Town of Mammoth Lakes

Division, Board, Depll1ment, Disbict, if applicable

Town Council

Your Position

Council Member

~ If filing for m tiple positions, list below or on an ~hment (Do not use acronyms)

r ~ . 0 A +- ~ I n r7 I . . A Agency: I~--=:!~=..c.=.l=~ ____ ·--=:' f;z..rzI-r/ _ ___ ~

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

D SIste

o Multi-County ______________ _

III City of Mammoth Lakes

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

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

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

[lI Assuming Office: Date assumed ~~ 2016

o Judge or Court Commissioner (Statewide Jurisdiction)

o County of _____________ _

o Other _______________ _

o leaving Office: Date left ---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: Section year _____ _ and office sought, if different than Part 1: ______________ _

14. Schedule Summary (must complete) ~ Total number of pages including this cover page: _-3,,--_ I " Schedules attached "

1 0 Schedule A-1 - Investments - schedule attached [lI Schedule C • Income, Loans, & Business Positions - schedule attached 1 I 0 Schedule A·2 • Investments - schedule attached 0 Schedule D - Income - Giffs - schedule attached I "I 0 Schedule B - Reel Property - schedule attached 0 Schedule E • Income - Giffs - Travel Payments - schedule attached I"

-or- " L"_~D~N~o-ne-----N-o-re~Pa0rl-8-b-re-im--e~=~=ffi--on~8n~y-s=m=e=d=ul=e ________ ~ ______________________ =_~====~ ___ J 5. Verification

MAILING ADDRESS STREET

CITY STATE

ZIP CODE

⁾†

Date Signed 07/06/2016 (monfr. cia)( year)

Signature †⁽

Page 2: -CALlf'0RNIA FORM STATEMENT OF ECONOMIC INTEREST~i … · 2020-03-11 · SCHEDULE A-2 Investments, Income, and Assets of Business EntitiesITrusts (Ownership Interest is 10% or Greater)

SCHEDULE A-2 Investments, Income, and Assets

of Business EntitiesITrusts (Ownership Interest is 10% or Greater)

CALIFORNIA FOR M 700 F~ IR PCUTICA c CR~CTlCES cO '.:r.I ISSlorl

Name

Bill Sauser

~ 1 BUSINESS ENTITY OR TRUST

Bill's Locksmith Service Name

126 Manzanita Rd., Mammoth Lakes, CA., 93546 Address (Business Address Acceptable)

Check one o Trust, go /0 2 I;lI BuSiness Enbty, oomp/ele /he box. lhen go 10 2

GENERAL DESCRIPTION OF THIS BUSINESS

Bill's Locksmith Service

FAIR MARKET VALUE IF APPLICABlE, LIST DATE: o so - $1 ,999 --1--1-H.. --1---1 15 121 $2,000 - $10,000 o $10,001 - 5100,000 ACQUIREO DISPOSED

o 5100,001 - $1 ,000,000 DOver 51 ,000,000

NATURE OF INVESTMENT o Partnership 121 Sole Proprietorship 0 0iIiiii'

YOUR BUSINESS POSITION Owner

~ 2 IDENTIFY THE GROSS ItJCor.1E RECEI'J ED Il tJCLUDE fOUR PRO R"'.T"'. SHARE OF THE GROSS .tJCOr.1E TO THE Etm-, 7RiJ STI

0$0 -$499 o $500 - 51,000 051 ,001 - 510.000

121 $10,001 - $100,000 o OVER $100,000

~ 3 LIST THE NAr.1E OF EACH REPORTABLE SlflG LE SOURC E OF INcor.1E OF 510,000 OR r.10RE ,:,, ·,"t .l ·('"I"," .. I~ re u • !' l ·.~) I ,

121 None or 0 Names listed below

~ 4 IIJVESTr.1EIJTS Aim ItJTERESTS ItJ RE A L PROPERTY HELD OR LEASED §..!. THE BUS lflESS E ~JTlTY OR TRUST

Check one box:

o INVESTMENT o REAl PROPERTY

Name of Business Enbty, if Investment, Q[ 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 o $2,000 - 510,000 o 510,001 - 5100,000 o 5100,001 - 51 ,000.000 DOver 51,000,000

NATURE OF INTEREST

o Property ONnershiplDeed of Trust

IF APPLICABle, LIST DATE-

--1--1-H.. --1--1-H.. ACQUIREO DISPOSEO

o Stock o Partnership

o Leasehold 0 other ----------Y",- remaining

o Check box if additional schedules reporting investments Of' real property areatlached

~ 1 BUSlflESS EtaiTl OR TRUST

Sauser Family Trust Name

P.O. Box 26 Mammoth Lakes, CA., 93546 Address (Business Address Acceptable)

Check one

I;lI Trust. go /0 2 o Business Enbty. oomp/ele /he box, tllen go to 2

GENERAL CESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: o so - $1 ,999 --1--1-H.. --1--1~ o $2,000 - 510,000 o 510,001 - 5100,000 ACQUIRED DISPOSED

0$100,001 - 51 ,000,000 DOver $1 ,000,000

NATURE OF INVESTMENT o Partnership o Sole Proprietorship 0 Other

YOUR BUSINESS POSITION

~ 2 IDEtJTIFi THE GROSS ItJCor.1E RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS ItJCOr.1E TO THE ENTITY. TRUST)

o so - $499 0$500 - 51,000 o 51 ,001 - $10,000

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

~ ~ ItI , ESTr.: EflTS Arm ItJTERESTS II: RE AL PROPERTY HELD OR LEASED BY THE BUS ltlESS EtJTITY OR TRUST

Check one box:

o INVESTMENT 121 REAl PROPERTY

126 Manzanita Rd. Mammoth Lakes, CA., 93546 Name of Business Entity, if Investment, 2l: 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

o $2,000 - 510,000 o 510,001 - 5100,000 121 $100,001 - $1,000,000 DOver 51,000,000

NATURE OF INTEREST

o Property OwnershiplDeed of Trust

IF APPLICABlE, LIST DATE

--1---1 15 --1--1~ ACQUIREO DISPOSED

o Stock o PartnershIp

o Leasehold 0 other -----___ _ V",- remaining

o Check box if additional schedules reporting investments or real property are attached

Comments:, ______________________ _ FPPC Form 700 (2015/2016) 5ch. A-2 FPPC Advice Email: [email protected]

FPPCTol~ree Helpline: 866/275-3772 _.fppc.ca.gov

Page 3: -CALlf'0RNIA FORM STATEMENT OF ECONOMIC INTEREST~i … · 2020-03-11 · SCHEDULE A-2 Investments, Income, and Assets of Business EntitiesITrusts (Ownership Interest is 10% or Greater)

SCHEDULE C Income, Loans, & Business

Positions

CALIFOR r'JIA FOR M 700 FA IR PO !.,... TIC':'L PR:'C - \-ES cor.H.llSSION

Name

(Other than Gifts and Travel Payments) Bill Sauser

~ 1 INcor,lE RECEI'J ED ~ 1 ItlCO[,lE RECE f'J ED

NAME OF SOURCE OF INCOME

NAPA of Mammoth ADDRESS (Business Address Acceptable)

Main St. Mammoth Lakes BUSINESS ACTIVITY, IF ANY, OF SOURCE

Auto Parts YOUR BUSINESS POSITION

GROSS INCOME RECEIVED

o $500 - 51 ,000 0 $1,001 - 510,000

III $10,001 - $100,000 0 OVER $100,000

CONSIDERATION FOR WHIQ-l INCOME WAS RECEIVED

o Salary III Spouse's or registered domestic partner's income (For seIf~pIoyed use Schedule A-2 I

o Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.1

o Sale or ----____________ _ (Real properly, car. boa~ et:)

o Loan repayment

o Commission or 0 Rental Income, at each $OIIC8 of $10,000 or mcre

(Desaibe)

o Other -------------------(Describe)

~ 2 LOANS RECEIVED OR OUTSTAtID l tJG DURltlG THE REPORTltlG PERIOD

NAME OF SOURCE OF INCOME

ADDRESS (BusIness Address Acceptable)

BUSINESS ACTIVITY. IF ANY, OF SOURCE

YOUR BUSINESS POSITION

GROSSINCOMERECENED

o $5()() - 51 .000 0 $1 .001 - $10.000

o $10,001 - $100,000 0 OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

o Salary 0 Spouse's or registered domestJc partner's Income (For self-employed use Schedule A-2.1

o Partnership (Less than 10% ownership For 10% or greater use Schedule A-2.1

o Sale or ---_--::=---:_~-___:__-:--:-__:_---­(Reel propetIy. car. boat e/r:.)

o Loan repayment

o Commission or 0 Rental Income, /ist each source of $10,000 or mae

(Desaibe)

O~------------------(Desaibe)

* 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 - 510,000

0$10,001 - $100,000

DOVER $100,000

Comments:

INTEREST RATE TERM (MonthsIYearsl

- ___ % ONone

SECURITY FOR LOAN

o None 0 Personal residence

o Real Property - _____ -=--:--.-:-______ _ steel a<tftss

ely

o Guarantor ----------------_

o Other ---------:::---::--:------__ _ (Desaibe)

FPPC Form 700 (2015/2016) 5ch. C FPPC Advice Email: [email protected]

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