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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 †⁽
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
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