8
Leaving Office: Date Left / / (Check one) The period covered is January 1, 2016, through the date of leaving office. The period covered is / / , through the date of leaving office. Annual: The period covered is January 1, 2016, through December 31, 2016. The period covered is / / , through December 31, 2016. StAtement Of eCOnOmiC intereStS COver PAge FPPC Form 700 (2016/2017) FPPC Advice Email: [email protected] FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov 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 (month, day, year) 3. type of Statement (Check at least one box) State Judge or Court Commissioner (Statewide Jurisdiction) Multi-County County of City of Other 2. Jurisdiction of Office (Check at least one box) Candidate: Election year and office sought, if different than Part 1: Assuming Office: Date assumed / / Date Initial Filing Received Official Use Only Please type or print in ink. 700 FAIr POLITICAL PrACTICES COMMISSION CALIFORNIA FORM Agency Name (Do not use acronyms) Division, board, Department, District, if applicable Your Position 1. Office, Agency, or Court nAme Of fiLer (LASt) (firSt) (miDDLe) MAiLiNg ADDrESS STrEET CiTY STATE ZiP CODE ( ) DAYTiME TELEPhONE NuMbEr E-MAiL ADDrESS (Business or Agency Address Recommended - Public Document) Signature (File the originally signed statement with your filing official.) 5. verification A PuBLIC DOCuMENT If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: -or- -or- None - No reportable interests on any schedule 4. Schedule Summary (must complete) Schedules attached Schedule A-1 - Investments – schedule attached Schedule A-2 - Investments – schedule attached Schedule B - Real Property – schedule attached Total number of pages including this cover page: -or- Schedule C - Income, Loans, & Business Positions – schedule attached Schedule D - Income – Gifts – schedule attached Schedule e- Income – Gifts – Travel Payments – schedule attached Winokur Diane K California Institute of Regenerative Medicine ICOC Board Member 7 765 Market St Apt 31D San Francisco CA 94103-2039 415 974-1687 [email protected] 03/21/2017 04:40 PM Filed Date: 03/21/2017 04:40 PM SAN: FPPC Electronic Submission

CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

  • Upload
    doantu

  • View
    216

  • Download
    3

Embed Size (px)

Citation preview

Page 1: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

LeavingOffice: Date Left / / (Check one)

The period covered is January 1, 2016, through the date of leaving office.

The period covered is / / , through the date of leaving office.

Annual: The period covered is January 1, 2016, through December 31, 2016.

The period covered is / / , through December 31, 2016.

StAtementOfeCOnOmiC intereStS

COverPAge

FPPC Form 700 (2016/2017)FPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

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.

icertifyunderpenaltyofperjuryunder the lawsof theStateofCalifornia that the foregoing is trueandcorrect.

DateSigned (month, day, year)

3. typeofStatement (Check at least one box)

State Judge or Court Commissioner (Statewide Jurisdiction)

Multi-County County of

City of Other

2. JurisdictionofOffice (Check at least one box)

Candidate: Election year and office sought, if different than Part 1:

AssumingOffice: Date assumed / /

Date InitialFilingReceivedOfficial Use Only

Please type or print in ink.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

Agency Name (Do not use acronyms)

Division, board, Department, District, if applicable Your Position

1.Office,Agency,orCourt

nAmeOffiLer (LASt) (firSt) (miDDLe)

MAiLiNg ADDrESS STrEET CiTY STATE ZiP CODE

( )DAYTiME TELEPhONE NuMbEr E-MAiL ADDrESS

(Business or Agency Address Recommended - Public Document)

Signature (File the originally signed statement with your filing official.)

5.verification

A PuBLIC DOCuMENT

► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position:

-or-

-or-

None - No reportable interests on any schedule

4. ScheduleSummary(mustcomplete)Schedules attached

ScheduleA-1 - Investments – schedule attached ScheduleA-2 - Investments – schedule attached ScheduleB- Real Property – schedule attached

► Total number of pages including this cover page:

-or-

ScheduleC- Income, Loans, & Business Positions – schedule attached ScheduleD- Income – Gifts – schedule attached Schedulee - Income – Gifts – Travel Payments – schedule attached

Winokur Diane K

California Institute of Regenerative Medicine

ICOC Board Member

7

✘ ✘

765 Market St Apt 31D San Francisco CA 94103-2039

415 974-1687 [email protected]

03/21/2017 04:40 PM

Filed Date: 03/21/2017 04:40 PMSAN: FPPC

Electronic Submission

Page 2: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

16 16 16 16

1616

161616

Name

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

Comments:

SChEDuLE A-1Investments

Stocks,Bonds,andOther Interests(Ownership Interest isLessThan10%)

Do not attach brokerage or financial statements.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

FPPC Form 700 (2016/2017) Sch. A-1FPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

16

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

1616

Diane Winokur

Foothill Investment Company

Real estate-apt. building rental

✘✘

16 16

16 16

16 16

MPL, Ltd.

Real estate-apt. building rental

✘✘

16 16

16 16

16 16

Page 3: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

16 16 16 16

1616

161616

Name

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

Comments:

SChEDuLE A-1Investments

Stocks,Bonds,andOther Interests(Ownership Interest isLessThan10%)

Do not attach brokerage or financial statements.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

FPPC Form 700 (2016/2017) Sch. A-1FPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

16

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

1616

Diane Winokur

ABBVIE, Inc.

Healthcare

16 16

Gilead Sciences, Inc.

Healthcare

16 10 17 16

Illumina, Inc.

Healthcare

16 16

Amgen, Inc.

Healthcare

16 16

Apple, Inc.

Information Technology

16 09 12 16

Biogen IDEC, Inc.

Healthcare

16 16

Page 4: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

16 16 16 16

1616

161616

Name

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

Comments:

SChEDuLE A-1Investments

Stocks,Bonds,andOther Interests(Ownership Interest isLessThan10%)

Do not attach brokerage or financial statements.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

FPPC Form 700 (2016/2017) Sch. A-1FPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

16

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

1616

Diane Winokur

Cerner Corp.

Healthcare

16 12 15 16

Chevron Corporation

Energy

16 09 12 16

CVS Health Corporation fka CVS Caremark Corp

Consumer Staples

16 05 13 16

General Electric company

Industrials

16 16

LyondellBasell Inds

Materials

16 05 13 16

Meridian Bioscience, Inc.

Healthcare

16 02 09 16

Page 5: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED

16 16 16 16

1616

161616

Name

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS

Comments:

SChEDuLE A-1Investments

Stocks,Bonds,andOther Interests(Ownership Interest isLessThan10%)

Do not attach brokerage or financial statements.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

FPPC Form 700 (2016/2017) Sch. A-1FPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000

16

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceivedof$0 -$499

IncomeReceivedof$500orMore (Report on Schedule C)

1616

Diane Winokur

Nevro Corp.

Healthcare

16 16

New York Cmnty Bancorp

Financial

16 05 13 16

Novo-Nordisk A-S

Healthcare

16 16

Disney Walt Co.

Consumer Discretionary

16 09 12 16

First Republic Bank

Financial

16 16

16 16

Page 6: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

FPPC Form 700 (2016/2017) Sch. CFPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

(Real property, car, boat, etc.) (Real property, car, boat, etc.)

SChEDuLE CIncome, Loans, & Business

Positions(Other than Gifts and Travel Payments)

GROSSINCOMERECEIvED No Income - Business Position Only No Income - Business Position OnlyGROSSINCOMERECEIvED

Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFLENDER

INTERESTRATE TERM(Months/Years)

% None

HIGHESTBALANCEDuRINGREPORTINGPERIOD

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:

► 2. LOANS rECEIVED Or OuTSTANDING DurING ThE rEPOrTING PErIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retailinstallmentorcreditcardtransaction,madeinthelender’sregularcourseofbusinessontermsavailabletomembersofthepublicwithoutregardtoyourofficialstatus.Personalloansandloansreceivednotinalender’sregular course of business must be disclosed as follows:

SECuRITYFORLOAN

None Personal residence

Real Property

Guarantor

Other

Street address

City

(Describe)

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other

(Describe) (Describe)

(Describe) (Describe)

Rental Income, list each source of $10,000 or more Rental Income, list each source of $10,000 or moreCommission or Commission or

Loan repayment Loan repayment

Diane Winokur

Foothill Investment Company

125 Willow St., Menlo Park, CA 94025

Apartment building rental

Limited Partner

MPL, Ltd.

4080 Campbell Ave., Menlo Park, CA 94025

Apartment building rental

Limited Partner

Page 7: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

FPPC Form 700 (2016/2017) Sch. CFPPC Advice Email: [email protected]

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov

(Real property, car, boat, etc.) (Real property, car, boat, etc.)

SChEDuLE CIncome, Loans, & Business

Positions(Other than Gifts and Travel Payments)

GROSSINCOMERECEIvED No Income - Business Position Only No Income - Business Position OnlyGROSSINCOMERECEIvED

Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION

NAME OF LENDER*

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFLENDER

INTERESTRATE TERM(Months/Years)

% None

HIGHESTBALANCEDuRINGREPORTINGPERIOD

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:

► 2. LOANS rECEIVED Or OuTSTANDING DurING ThE rEPOrTING PErIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retailinstallmentorcreditcardtransaction,madeinthelender’sregularcourseofbusinessontermsavailabletomembersofthepublicwithoutregardtoyourofficialstatus.Personalloansandloansreceivednotinalender’sregular course of business must be disclosed as follows:

SECuRITYFORLOAN

None Personal residence

Real Property

Guarantor

Other

Street address

City

(Describe)

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other

(Describe) (Describe)

(Describe) (Describe)

Rental Income, list each source of $10,000 or more Rental Income, list each source of $10,000 or moreCommission or Commission or

Loan repayment Loan repayment

Diane Winokur

Lucy Marin

4940 Pacific Ave., Long Beach, CA 90805

None

Personal lender

Gerardo Rodriguez

4940 Pacific Ave., Long Beach, CA 90805

None

Personal lender

Page 8: CALIFORNIA FORM 700 StAtement Of eCOnOmiC · PDF fileNATuRE OF INvESTMENT Stock Other (Describe) Partnership IncomeReceived of $0 - $499 IncomeReceivedof$500orMore (Report on Schedule

Wednesday,March22,2017at1:28:23PMPacificDaylightTimeAmyCheung

Page1of1

Subject: No#fica#on-YourSubmi1edForm700Date: Tuesday,March21,2017at4:41:02PMPacificDaylightTimeFrom: [email protected]: DianeKWinokurCC: MariaBonneville,AmyCheung

Dear Diane Winokur, Congratulations! Your Statement of Economic Interest, Form 700 has been successfully filedwith our office on 03/21/2017 04:40 PM.

Electronic Confirmation #: 6638

Agency: California Institute of Regenerative MedicinePosition: ICOC Board MemberFiling Type: AnnualFiling Year: 2016Number of pages: 7

If you need to view, print or amend your filed form, a copy of your filing has been saved in yourprofile under 'Previous Filings' in the eDisclosure System. Hope you enjoyed your online filing experience. System Logon Link: https://form700.fppc.ca.gov/