UC Regent - Lozano - Financial Disclosure

8/14/2019 UC Regent - Lozano - Financial Disclosure

1/5

LALIFORNIA FORM 700

AIR POLITICAL PRACTICES COMMISSION

S T AT E M E N T O F E C O N O M IC IN T E RE S TS

C 6 VE R P A GE

ase type or print in ink.

Z D u S ~ . P R - 6 F h 3 3 1 . f .P;ublic Document;; .;~~~ ..}

ME (LAST)DAYTIME TELEPHONE NUMBER(FIRST)

M O N Ic..f\-CITY STA TE ZI P CODE OPTIONAL: FAX I E-MAIL ADDRESSAILING ADDRESS STREET

ay use business address)

,

Division, Board, Distri~, if a..

'P > o & \ .~ o f ,l..~~~ bYour Position: n L

---I'--~----,j~ (.;~ If filing for multiple positions, list additional agency(ies)/

position(s): (Attach a separate sheet if necessary.)

Agency: ___

Position: __

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

tJ Stateo County of ----------------o City of ----------------o Multi-County ----------------oOther -------------------

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

o Assuming Office/lnitial Date: ----1----1--c g . Annual: The period covered is January 1, 2008,

through December 31, 2008.

-or-O The period covered is ----1----1--, through

December 31,2008.

o Leaving Office Date Left: ----1----1--(Check one)

o The period covered is January 1, 2008, through thedate of leaving office.

-or-

O The period covered is ----1----1--. through

the date of leaving office.

o Candidate Election Year:

4. Schedule Summary

~ Total number of pages

including this cover page: ...;..__

~ Check applicable schedules or "No reportable

interests."

I have disclosed interests on one or more of the

attached schedules:

Schedule A-1 ~ Yes - schedule attached

Investments (Less than 70% Ownership)

Schedule A-2 !iIYes - schedule attachedInvestments (70% or greater Ownership)

Schedule BOYes - schedule attached

Real Property

Schedule C ~ Yes - schedule. attached

Income, Loans. & Business Positions (Income Other than Giftsand...TcaJteLPaymentsl .

Schedule 0 0Yes - schedule attachedIncome - Gifts

Schedule E 0Yes - schedule attached

Income - Gifts - Travel Payments

-or-

o No reportable interests on any schedule

5. Verification

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 certify under penalty of perjury under the laws of the State

of California that the foregoing is true and correct.

HftVCh / & I ;JOt') 1Date Signed ------------------" 1 " ' - , (month. day, year)

. / v '& { ,- t (t\~1Signature! "

(Fil.i the originally signed state ent with your filing official.)

v

FPPC Form 700 (2008/2009)

FPPC Toll-Free Helpline: B66/ASK-FPPC www.fppc.ca.gov
http://www.fppc.ca.gov/http://www.fppc.ca.gov/


2/5

SCHEDULE A-1

Investments

Stocks, Bonds, and Other Interests I Name/(Ownership Interest is Less Than 10%) V"----------

00 not attach brokerage or fi;;8ncia/~

NAME OF BUSINESS ENTIT

A.t"-.. . LLC-L DESCRIPTION OF BUSINESS ACTIVITY

~ S. (i\~ \ ~ }v W \A + \ ~ ~FAIR MARKET VALUE

o $2.000 $10,000o $100,001 . $1,000,000

o $10.001 ~ $100,000III Over $1.000,000

NATURE OF INVESTMENT

o Stocko Other _ 'P i l l . V " ~ USh l e

(DesCribe)

IF APPLICABLE, LIST DATE:

--1--1~ACQUIRED

.--l~~DISPOSED

CALIFORNIA FORM 700FAIR POLITICAL PRACTICES COMMISSION

~ NAME OF BUSINESS ENTITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

o $2,000" $10,000o $100.001 " $1.000,000

o $10,001 " $100,000DOver $1,000,000


o Stocko Other---------:=---------

(Desclibe)


--1--1~ACQUIRED

--1--1~

DISPOSED

NAME OF BUSINESS ENTITY ,I

fA.~ L '\C A-t\~U"$dV\ f., fit.GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE

o $2.000" $10,000o $100.001 " $1,000.000

o$10,001 " $100,000[ J < l Over $1,000,000


~ Stock

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


--1~~ACQUIRED

.--l--1~

DISPOSED

.. NAME OF BUSINESS ENTITY

NAME OF BUSINESS ENTITY R .

G~~~~lV;E~RI~O~;!~ ex,- ~Vl~

(Y\ lJ'-t-") ~ l : :FAIR MARKET VALUEo $2,000 " $10,000[il$100,001 "$1,000,000

o $10,001 " $100,000DOver $1,000,000


~Stock

o Omer _(Descnbe)

IF APPLICABLE. LIST DATE:

--1~~ACQUIRED

.--l---'~DISPOSED

.. NAME OF BUSINESS ENTITY


FAIR MARKET VALUE

o$2,000 " $10,0000$100,001 - $1,000.000

o $10,001 - $100,000DOver $1,000,000


o Stock

oOmer ~~~------

(DesCribe)

IF APPLICABLE. LIST DATE:

--1--1~

ACQUIRED

--1--1~

DISPOSED


FAIR MARKET VALUE

--"0 $2.000 - $10,0000$100,001 - $1.000.000

o $10,001 - $100,000DOver $1,000.000


o Stocko Other -----------------

(Describe)


---'.--l~ACQUIRED

---'--1~DISPOSED

Comments: FPPC Form 700 (200B/2009) Sch. A1

FPPC TolI.Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
http://www.fppc.ca.gov/http://www.fppc.ca.gov/http://www.fppc.ca.gov/


3/5

Name

f( .? - ,J IJ r v t! J fV /ft1 ~ t- e.- \ PUllpt id~ J C ltAddress

Check one

[j. Trust, g o t o 2

SCHEDULE A-2

Investments, Income, and Assets

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

Name

< 6 lJ ~Address

Check one

BTrust, g o t o 2 D Business Entity, camp/ete the i:lQ x , rhli!n go to ? o Business Entity, camp/ete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITYGENERAL DESCRIPTION OF BUSINESS ACTIVITY


Name

IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:FAIR MARKET VALUE

o $2,000 - $10,000o $10,001 - $100,000o $100,001 - $1,000,000DOver $1,000,000

FAIR MARKET VALUE

o $2,000 $10,000o $10,001 - $100,0000$100,001 - $1,000,000

DOver $1,000,000

~~08DISPOSED

~~~ACQUIRED

~----108

DISPOSED

Other

NATURE OF INVESTMENTo Sale Proprietorship 0Partnership 0----------OtherYOUR BUSINESS POSITION ---------------

NATURE OF INVESTMENTo Sale Proprietorship 0Partnership 0----------YOUR BUSINESS POSITION ---------------

~ $0 $499

o $500 - $1,000o $1,001 - $10,000

o $10,001 $100,000DOVER $100,000

[E $0 - $499o $500 - $1,000o $1,001 - $10,000

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

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF

INCOME OF $10,000 OR MORE (o."ch, -"p.,"!' -.hcc! ., -""0" a'l)

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD frlTHE

BUSINESS ENTITY OR TRUST

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HElD frlTHE

BUSINESS ENTITY OR TRUST

Check one box:

o INVESTMENT o REAl PROPERTY

Check one box:

o INVESTMENT o REAL PROPERTY

Name of Business Entity Q[Street Address or Assessor's Parcel Number of Real Property

Name of Business Entity Q[Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity Q[City or Other Precise Location of Real Property

Descrtpt10n of Business Activity Q[ .--

Citror Other Precise Location of Real Property

FAIR MARKET VALUE

o $2,000 - $10,000o $10,001 - $100,000o $100,001 - $1,000,000DOver $1,000,000

IF APPLICABLE, LIST DATE: FAIR MARKET VAlUE

o $2,000 - $10,000o $10,001 - $100.0000$100,001 - $1,000,000

DOver $1,000,000

~----1 08 ~~~ACQUIRED DISPOSED


~~ 08 ~----1 08ACQUIRED DISPOSED

NATURE OF INTEREST

o Property Ownership/Deed Df Trust o Stock o PartnershipNATURE OF INTEREST

o Property Ownership/Deed of Trust o Stock o Partnership

o Leasehold Yrs. remaining o Other ----------- o Leasehold 'Irs. remainingo Check box if additional schedules reporting investments or real property

are attachedo Check box if additional schedules reporting investments or real propertyare attached

o Other ----------

comments: FPPC Form 700 (2008/2009) Sch. A-2FPPC TolI.Free Helpline: 866/ASK-FPPC www.(ppc.ca.gov


4/5

SCHEDULE C

Income, Loans, & Business

Positions(Other than Gifts and Travel Payments)


Name

NAME OF SOURCE Of INCOME

~ ~ r lW \ l O V\ADDRESS

~ 21 P{Dwe" ,t,,- L A. C A...BUSINESS ACTIVITY. IF ANY. OF SOURCE

____~~~~S~~D~~~ _ YOUR BUSINESS POSITION"

]>'1t, lISt., c-tt.GROSS INCOME RECEIVED

o $500 - $1,000 0$1.001 - $10,000

~ $10.001 - $100.000 ~OVER $100.000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

~ s al a"; 0Spouse's or registered domestic partner's income

o Loan repayment

o Sale of (Propeny. car. boac. etc.)

o Commission or 0Rental Income. Jist each source of 510.000 or more

o Other (Describe)

NAME OF SOURCE OF INCOME

~ I i 'tD r ro -c y C o .

ADDRESS

5l/1) ~. 'B~~ V t~ i 7L , l > l J r~~hK , tt:\BUSINESS ACTIVITY. IF ANY, OF SOURCE

~DtI\V7l ()t D ll\t~ frlt.YOUR BUSINESS POSITION

b'~vk .GROSS INCOME RECEIVED

0$500 - $1.000 0 $1,001 - $10.000

~ $10,001 - $1 00,000 0 OVER $100.000


o Salary 0Spouse's or registered domestic partner's income

o Loan repayment

o Sale of iPropeny. car. boac. erc.)

o Commission or 0Rental Income. list each source of 570.000 or more

o Other

~ 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 partof 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 ACTIVITY, IF ANY. OF LENDER

HIGHEST BALANCE DURING REPORTING PERIOD

o $500 - $1.000

o $1,001 - $10.000

o $10.001 - $100.000DOVER $100.000

Comments:

INTEREST RATE TERM (MonthslYears)

-----% 0None

SECURITY FOR LOAN

o None 0Personal residence

o Real Property S creec address

city

oGuarantor ---- _

oOther (Describe)

FPPC Form 700 (200812009) Sch. C

FPPC Toll-Free Helpline: B66/ASK-FPPC www.fppc.ca.gov
http://www.fppc.ca.gov/http://www.fppc.ca.gov/


5/5

SCHEDULE C

Income, Loans, & Business

Positions(OU'ler than Gifts and Travel Payments)

CALIFORNIA fORM 700fAIR POLITICAL PRACTICES COMMISSION

Name

' \ . T .

NAME OF SOURCE OF INCOME {,.

V V e U '\j tH r - i - ~ V , V 1v ivt""h uY'VADDRESS

io !5 5 v VI

BUSINESS ACTIVITY, IF ANY. OF SOURCE j ,..

Fa V\.V'\ l{t{h~YOUR BUSINESS POSITiON

GROSS INCOME RECEIVED

0$500 - $1. 000

0$10.001 - S100.000

[B S1,001 - $10,000

DOVER $100,000


~ S al ary nSpouse's or registered domestic partner's income

o Loan repayment

o Sale of -----------------(Property car, boac f'lC.)

o Commission or 0Rental Income, list each source [}i' 510.000 or more

o Other (Desc:rfbej

N,~E OF SOURCE OF iNCOME '

citl i}v"llt',- W - r C ( ~h (vdt:. F O \.A l / 1 c - L e j , h r h .ADDRESS

l '-lJ~ t-v'-t0~ ~ t J ~ ? Oat 1 ? 1 n"{j (~\.BUSINESS ACTIVITY. IF ANY, OF SOURCE

@Vt i'1 . C{Ci , f,u~,YOUR BUSINESS POSITION

1) . [ly c - fcl'l'L

GROSS INCOME RECEIVED

o $500 - S1,000 0$1.001 - S10,000~ $10,001 - $100.000 0OVER $100,000


~alary 0Spouse's or registered domestic partner's income

o Loan repayment

o Saie of --------------------(Property. car. boat. etc.)

o Commission or 0Rental Income, fist each source of 570,000 or mon.'

o Other(Describe)

* 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 termsavai!able 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 ACTIVITY IF ANY. OF LENDER

HIGHEST BALANCE DURING REPORTiNG PERIOD

o $500 - '$1.000o $1,001 - $10,000o S10,001 - S100,000DOVER $100.000

INTEREST RATE TERM (MonthsiYears)

____ % 0None

SECURiTY FOR LOAN

o None 0Personal residence

o Rea! Property Stroot adeiress----"-. ,

City

o Guarantor

o Other (Describej

Comments:

FPPC Form 700 (2008i2009) Sch, C

FPPC Toll-Free Helpline: 866IASK-FPPC wwwJppc.ca.gov

Documents

UC Regent - Lozano - Financial Disclosure