Schedule A-2, Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10 percent or greater)

Ownership Interest is 10 Percent or Greater

California Form 700 (2018/2019) Fair Political Practices Commission
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1. BUSINESS ENTITY OR TRUST

Check one:




Fair Market Value:






If applicable, list date in 2018:


Nature of Investment:




2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/ TRUST)






3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)





4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST (Check one box)





Fair Market Value:





If applicable, list date in 2018.



Nature of Interest:











1. BUSINESS ENTITY OR TRUST (If another one is applicable)

Check one:




Fair Market Value:






If applicable, list date in 2018:


Nature of Investment:




2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/ TRUST)






3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)





4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST (Check one box)





Fair Market Value:





If applicable, list date in 2018.



Nature of Interest:











 

[End of Schedule A-2: Investments, Income, and Assets of Business Entities/ Trusts]