Date Received STATEMENT OF E~OMI,(~riNTERES]~S:D BY …€¦ · 1. Office, Agency, or Cou~ Agency...

Date Received STATEMENT OF E~OMI,(~riNTERES]~S:D BY

P/ease type or print in ink. 2013 FEB II PH NAI~,E OF FILER (~S~ (FIRS~

Hess Robe~

1. Office, Agency, or Cou~ Agency Name

Superior Cou~

Division, Board, Depa~ment, District, if applicable Your Position

Los Angeles County Judge

~ If filing for multiple positions; list below or on an affachment.

=

Agency: "" Position:

Jurisdiction of Office (Check at least one box)

[] State

[] Multi-County

[] City of

[] Judge or Court Commissioner (Statewide Jurisdiction

[] County of -

[] Other

Type of Statement (Check at least one box)

[] Annual: The period covered is January 1, 2012, through December 31, 2012.

-or- The period covered is / / December 31, 2012.

[] Assuming Office: Date assumed / /

, through

[] Leaving Office: Date Left __/ I (Check one)

© The period covered is January 1, 2012, through the date of leaving office.

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

[] Candidate: Election year

Schedule Summary Check applicable schedules or "None."

[] Schedule A-I - Investments - schedule attached

[] Schedule A-2 - Investments - schedule attached

[] Schedule B - Real Property - schedule attached

and office sought, if different than Part 1:

12 ¯ Total number of pages including this cover page:

[] Schedule C - Income, Loans, & Business Positions - schedule attached

[] Schedule D -Income - Gifts - schedule attached

[] Schedule E - Income - Gifts - Travel Payments - schedule attached

-or-

[] None - No reportable interests on any schedule

herein and in any attached schedules is true and complete. I ackr

I certify under penalty of perjury under the laws of the

Date Signed 01/28/2012 (month, day, year)

FPPC Form 700 (2012/2013) FPPC Advice Email: advice@[ppc.ca.gov

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

SCHEDULE A-1 Investments

Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%)

Do not attach brokerage or financial statements.

NAME OF BUSINESS ENTITY

Apple, Inc. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Electronics

FAIR MARKET VALUE

[] $2.000- $10.000

[] $100.001 - $1.000.000

NATURE OF NVESTMENT

[] Stock [] Other

[] $10.001 - $100.000

[] Over $1.000.000

(Describe)

[] Partnership O Income Received of $0 - $49g

O Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE. LIST DATE:

__/ I 12 ! L 12 ACQUIRED DISPOSED


Chevron Texaco GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Petroleum

FAIR MARKET VALUE

[] $2.000 - $10.000

[] $100.001 - $1.000.000

NATURE OF INVESTMENT

[] Stock [] Other

[] $10,001 - $100.000

[] Over $1.000.000

(Describe)

[] Partnership O Income Received of $0 - $499

O Income Received of $500 or More (Report on Schedule

IF APPLICABLE. lIST DATE:

__1 I 12 / .... L 12 ACQUIRED DISPOSED


Exxon Mobil GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Petroleum

FAIR MARKET VALUE

[] $2,ooo ~ $1o,ooo [] $1oo,ool - $1,ooo,ooo


[] Stock [] Olher

[] $10,001 - $100.000

[] Over $1.000.000

(Describe) [] Partnership O Income Received of $0 - $499

O Income Received of $500 or More (,Report on Schedule


__/, /. 12 / / 12 ACQUIRED DISPOSED

¯ NAME OF BUSINESS ENTITY

General Electric GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Manufacturing

FAIR MARKET VALUE

[] $2.000 - $10.000

[] $100.001 - $1.000.000

[] $10,001 - $100.000

[] Over $1.000.000


[] Stock [] Other (Describe)

[] Partnership C) Income Received of $0 ¯ $499



/1 12 __1 ,/ 12 ACQUIRED DISPOSED

~,. NAME OF BUSINESS ENTITY

Google GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $10,001 - $100.000

[] Over $1.000.000

Internet

FAIR MARKET VALUE

[] $2.000 - $10,000

[] $100.001 - $1.000,000



[] Pannership (~ Income Received of $0 - $499

C) Income Received of $500 or More (,Report on Schedule

IF APPLICABLE LIST DATE:

/ / 12 __/ / 12

ACQUIRED DISPOSED


Occidental Petroleum GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $10,001 - $100,000

[] Over $1,000,000

Petroleum

FAIR MARKET VALUE

[] $2,000 - $10,000

r-]$1oo,ool - $1;ooo, ooo


[] Stock []Other (Describe)




J /. 12 12 / 11 / 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (201212013) Sch. A-1 FPPC Advice Emaih [email protected]



/~.Z, Inc.




GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Electrical products

FAIR MARKET VALUE

[] $2.000 - $10.000 [] $10.001 - $100.000

[] $100,001 - $1,000,000 [] Over $1,000,000





Cimarex Energy


Petroleum

FAIR MARKET VALUE

[] $2,ooo - $1o,ooo [] $1oo,ool. $1,ooo,ooo

[] $101001 - $100,000

[] Over $11000,000

NATURE oF INVESTMENT



O Income Received of $500 of More (Report on Schedu/e C)

IF APPLICABLE, LIST DATE:

__] / 12 __/ / 12 ACQUIRED DISPOSED


Berkshire Hathaway CI. B GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Holding company

FAIR MARKET VALUE

[] $2,000- $10,000

[] $100,001 - $1,000,000


[] Stock [] Other

[] $10.001 - $100.000

[] Over $1,000,000

(Describe)

[] Partnership O Income Received of $0 - $499 O Income Received o! $500 or More (Report on Schedule C)


/ L 12 " / / 12 ACQUIRED DISPOSED


Cabela’s GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Sporting goods

FAIR MARKET VALUE

[] $2.ooo - $io, ooo [] $100,001 - $1,000.000


[] Stock [] Other

[] $10,001 - $100.000

[] Over $1,000.000




__./ / 12 __/ / 12 ACQUIRED DISPOSED

0 Income Received of $500 or More (Report on Schedule C)


__1 I 12 __J.__l. 12 ACQUIRED DISPOSED


Columbia Sportswear


Clothing

FAIR MARKET VALUE

[] $2.000 -$10.000

[] $100,001 - $1,000,000

[] $10.001 - $100,000

[] Over $1,000.000


[] Sl~ock [] Other (Describe)




/ / 12 __J.__l. 12 ACQUIRED DISPOSED


Darling, International GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Recycling

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000


[] Stock [] Other

[] $10,001 - $100,000

[] Over $1,000,000

(Describe) [] Partnership O Income Received of $0 ~ $499



__/ L 12 __1 /. 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (2012/2013) Sch. A-1 FPPc Advice Email: [email protected]






Dawson Geophysical GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $10,001 - $100,000

[] Over $1,000,000

Petroleum exploration

FAiR MARKET VALUE

[] $2,000 - $10.000

[] $100,001 - $1,000,000



[] Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule


I ! 12 __./.__L 12 ACQUIRED DISPOSED


Denbury Resources GENERAL DESCRIPT!ON OF BUSINESS ACTIVI ,TY

[] $10,001 - $100,000

[] Over $1,000,000

Petroleum

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $1oo,o01 - $1,ooo,ooo






/ /.12 09 / 28 / 12

ACQUIRED DISPOSED


Exide Technologies GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Batteries

FAIR MARKET VALUE

[--]’ $2.000 - $10,000

[] $100,001 - $1,000,000

[] $10,001 - $100,000

[] Over $1,000,000






__1 / 12 __/ I 12 ACQUIRED DISPOSED

klame

Hess, Robert L.


Helmerich & Payne GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $10,001 - $100,000

[] Over $1,000,000


FAIR MARKET VALUE

[] $2,000 - $10.000

[] $100,001 - $1,000,000






__/ / 12 I.__L 12 ACQUIRED DISPOSED


International Business Machines GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Computers

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000

[] $10,001 . $100,000

[] Over $1,000,000






__! / 12 / /. 12 ACQUIRED DISPOSED


Johnson & Johnson


[] $10,001 - $100.O00

[] Over $1,000.000

Consumer products

FAIR MARKET VALUE

[] $2,000 - $10.000

[] $100.001 - $1,000,000



[] Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule


__/ / 12 / I 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (2012/2013) Sch. A-1 FPPC Advice Email: [email protected]


SCHEDULE A-I Investments




Liberty Global A GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Media

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $1001001 - $1,000,000

[] $10,001 - $100,000

[] Over $I,000,000


[] Stock [] Other (~Describe)



National Oilwell Varco GENERAL DESCRIPTION OF BUSINESS ACTIVITY


FAIR MARKET VALUE

[] $2,000- $1o, ooo [] $100,001 - $1,000,000

[] $10.001 - $100,000

[] Over $1,000,000



/ /. 12 I.__L 12 ACQUIRED DISPOSED


Merck & Company


Pharmaceuticals

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000.000


[] Stock [] Other.

[] $!0,001 - $100,000

[] Over $1.000,000

(Describe)

[] Pannership O Income Received of $0 - $499

O Income Received oi’ $500 or More (Report on Schedule C)


I L 12 __] 1 12 ACQUIRED DISPOSED


Mesabi Trust Cffs GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Basic materials

FAIR MARKET VALUE

[] $2,000- $1o,ooo [] $100.001 - $1,000,000


[] Stock [] Other

[] $10,001 - $100.000

[] Over $1,000,000

(Describe) [] Partnership O Income Received Of $O - $499



__/ / 12 / /. 12 ACQUIRED DISPOSED






/ / 12 / I 12 ACQUIRED DISPOSED


Nautus Medical, Inc. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Medical products

[] $10.0Ol . $100,000

[] Over $1,0o0,ooo

FAIR MARKET VALUE

[] $2,000. $10,000

[] $100,001. $1,000,000


[] Stock [] Other ~ (Describe)

[] ParZnership O Income Received of $0 - $499



__/ . ] 12 ! ! 12 ACQUIRED DISPOSED


Pfizer, Inc.


Pharmaceuticals

FAIR MARKET VALUE

[] $2,ooo - $1o, ooo [] $1oo,ool - $1,ooo,ooo

[] $10,001 - $100,000

[] Over $1,000.000



Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule

[] Pannership


1. 12 ~/ ! 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (2012/2013) Sch. A-1

FPPC Advice Email: [email protected]






Powell Industries GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Electrical products

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000

[] $10.001 - $100.000

[] Over $1,000.000






! L 12 / / 12 ACQUIRED DISPOSED

¯ NAME oF BUSINESS ENTITY

Resolute Energy Corp. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Petroleum

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000


[] Stock [] Other

[] $10,001 - $100,000

[] Over $1,000,000

(Describe)


O Income Received of $500 or More (Reporton Schedule C)

IF APPLICABLE, LIsT DATE:

09 / 24 L 12 __].__/ 12 ACQUIRED DISPOSED


Sparton Corp. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Electronics

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1.000.000


[] Stock [] Other

[] $10,001 - $100,000

[] Over $1,000,000


O Income Received of $500 or More (Report on Schedu/e C)


] / 12 __/ / 12 ACQUIRED DISPOSED

Name

Hess, Robert L.


Timkin Company GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $1o, ool - $1oo,ooo

[] Over $1,ooo,ooo

Manufacturing

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000






04 /27/ 12 I /. 12 ACQUIRED DISPOSED


Whiting Petroleum



FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000

[] $10,001 - $100,000

[] Over $1,000,000



[] Partnership O Income Received of $0- $499



__] / 12 / / 12

ACQUIRED DISPOSED


ABB, Ltd. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Construction

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100.001 - $1,000,000


[] Stock [] Other

~’] $10,001 - $100,000

[] Over $1,000,000




__/ ! 12 L__L 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (2012/2013) Sch. A-1 FPPC Advice Email: advice@fppc,ca.gov






Anglo American Corp. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Mining

FAIR MARKET VALUE

[] $2.000 - $10,000

[] $100,001 - $1,000,000


[] Stock [] Other

[] $10,001 - $100.000

[] Over $1,000.000

(Describe)



IF APPLI CABLE. LIST DATE:

,i /. 12 / /. 12 ACQUIRED DISPOSED


Autoliv, Inc. GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Automotive equipment

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100.001 - $1,000,000

[] $10.001 - $100.000

[] Over $1.000,000


[] Stock [] Other (Describo)




__/ I. 12 / /. 12 ACQUIRED DISPOSED

NAME OF BUSINESS ENTITY ¯

Banco Latinamericano de Exportaciones, SA GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Financial services

FAIR MARKET VALUE

[] $2,000 - $10.000

[] $100,001 - $1,000,000


Banco Santander GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Financial services

FAIR MARKET VALUE

[] $2.000 - $10,000

[] $100.001 - $1,000,000

[] $10,g01 - $100.000

[] Over $1.000.000






/ / 12 i I. 12 ACQUIRED DISPOSED


E.on, AG GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $10.001 - $100.000

[] Over $1.000.000

Utility

FAIR MARKET VALUE

[] $2.000- $10,000

[] $100.001 - $1,000.000

[] $10,001 - $100.000

[] Over $1,000,000


[] Stock [] Other (Describe}







I / 12 / L 12 ACQUIRED DISPOSED



! /. 12 / /. 12 ACQUIRED DISPOSED


Investor AB "B" GENERAL DESCRIPTION OF BUSINESS ACTIVITY

[] $10,001 - $100.000

[] Over $1,000,000

Holding company

FAIR MARKET VALUE

[] $2,ooo - $1o.ooo [] $1oo,ooi- $1,ooo.ooo






__~.__L 12 ! / 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (2012/2013) Sch. A-1 FPPC Advice Email: [email protected]






Koninkliike Phillips Electronics, NV GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Consumer products

FAIR MARKET VALUE

[] $2.000 - $10.000

[] $100,001 - $1.000.000

[] $10.001 - $100.000

[] Over $1,000,000


[] Stock [] Other (Descdbe)




i L 12 / t. 12 ACQUIRED DISPOSED


Nestle, SA GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Food products

FAIR MARKET VALUE

[] $2.000 - $10,000

[] $100.001 . $1.000.000


Tokio Marine Holdings GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Insurance holding company

FAIR MARKET VALUE

[] $2,000 - $10.000

[] $100.001 - $1.000,000


[] Stock [] Other

[] $10,001 - $100.000

[] Over $1,000,000

(Describe)


[] Stock [] Other

[] $10,001 - $100.000

[] Over $1.000,000

(Describe) [] Parlnership O Income Received of $0 - $499



--L__], 12 / /. 12 ACQUIRED DISPOSED


Telefonica de Espana GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Telecommunications

FAIR MARKET VALUE

[] $2.ooo - $1o,ooo [] $1oo.ooi. $1,ooo.ooo

[] $10,001 - $100,000

[] Over $1,000.000






I I. 12 __J.__l. 12 ACOUIRED DISPOSED




I / 12 05 / 21 / 12

ACQUIRED DISPOSED


Toyota Industries Corp.


Manufacturing

FAIR MARKET VALUE

[] $2.000 - $10.000

[] $100.001 - $1,000.000

[] $10,001 . $100.000

[] Over $1,000.000


[] Stock ,r~ Other (Doscdbe)


O Income Received of $500 or More (Report on $chedute C)


/ / 12 11 / 01 /. 12 ACQUIRED DISPOSED


Toyota Motors


Automobiles

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000


[] Stock [] Other

[] $10,001 - $100,000

[] Over $1,000,000




--./ / 12 04! 26 / 12

ACQUIRED DISPOSED

Comments:

FPPC Form 700 (2012/2013) Sch~ A-1 FPPC Advice Email: [email protected]

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


Exide Technologies


Batteries

FAIR MARKET VALUE

[] $2,ooo. $1o.ooo [] $100,001 - $1,000,000




[] $10,001 - $100,000

[] Over $1,000,000

NATURE OF -- ~Jorpora[e bonds INVESTMENT A .

[] Stock Other (Describe)


O Income Received of $500 or More (Re#ort on Schedule


02 / 21 / 1~2 __J.__L 12

ACQUIRED DISPOSED



FAIR MARKET VALUE

[] $2,000 - $10;000

[] $100,001 . $1,000,000

[] $10,001 - $100,000

[]’ Over $1,0001000



[] Partnership O Income Received of $0 -$499



/ L 12 / /. 12 ACQUIRED DISPOSED



FAIR MARKET VALUE

[] $2,000 - $10.000

[] $100,001 - $1,000.000

[] $10;001 - $I00,000

[] Over $1,000,000






I / 12 __1 I 12 ACQUIRED DISPOSED



FAIR MARKET VALUE

[] $2;000 - $10,000 [] S10,001- $100,000

[] $100,001 - $1,000,000 [] Over $1,000,000




O Income Received of $500 or More (Report On Schedule C)


__1 / 12 / L 12 ACQUIRED DISPOSED



FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1~000,000

[] $10,001 - $100,000

[] Over $1,000,000






/ I 12 I / 12 ACQUIRED DISPOSED



FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000

[] $10,001 - $100,000

[] Over $1,000,000




O Income Received of $500 or More (Reporton Schedule


__/ / 12 / / 12 ACQUIRED DISPOSED

Comments:

FPPC Form 700 (201212013) $ch. A-1 FPPC Advice Email: [email protected]

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

SCHEDULE B Interests in Real Property

(Including Rental Income)

.Name

ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS

SE 1/4, Sec. 13, T4S, R5W, SBB+M

CITY

Unincorporated Riverside County


35 lots in Gavilan Park, Book 13, pp. 25-25, and in

CITY

Unincorporated Riverside County

FAIR MARKET VALUE IF APPLICABLE. LIST DATE:

[] $2,00o -$1o,00o [] $10.001 - $100,000 / / 12 / ! 12

[] $100,001 - $1.000.000 ACQUIRED DISPOSED

[] Over $1,000,000

NATURE OF INTEREST

[] Ownership/Deed of Trust [] Easement

[] Leasehold [] Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED

[] $0- $499 [] $500 - $1,000 [] $1,001 - $10.000

[] $101001 - $100,000 [] OVER $100,000

SOURCES OF RENTAL INCOME: If yOU own a 10% or greater

interest, list the name of each tenant that is a :single source of

income of $10,000 or more.

--I None

Gavilan Tract # 1, Book 10 p. 25 of maps, no street address, undivided fractional interest

FAIR MARKET VALUE IF APPLICABLE, LIST DATE:

[] $2.000- $10,000

[] $1o,ool. $1oo,ooo L__L 12 __/ /12

[] $100,001 - $1.000,000 ACQUIRED DISPOSED

[] Over $1,000,000

NATURE OF INTEREST

[] Ownership/Deed of Trust [] Easement



[] $O- $499 [] $500- $1,000 [] $i,o01 - $10.000

[] $10,001 - $100.000 [] OVER $100.000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant thai is a single source of income of $10,000 or more.

[] None’

No street address, undivided fractional interest

You are not required to report loans from commercial lending institutions 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

INTEREST RATE TERM (MonthslYears)

% [] None

HIGHEST BALANCE DURING REPORTING PERIOD

[] $500 - $1,000 [] $1,001 - $10,000

[] $10,001 - $100,000 [] OVER $100,000

[] Guarantor, i[ applicable

NAME OF LENDER"



INTEREST RATE TERM (Months/Years)

% [] None


[] $500 - $1.000 [] $1.001 - $10,000

[] $10,001 - $100,000 [] OVER $100,000

[] Guarantor, if applicable

Comments:

FPPC Form 700 (2012/2013) Sch. B FPPC Advice Email: [email protected]



4000 Meridian Blvd.

CITY

Mammoth Lakes

SCHEDULE B Interests in Real Property

(Including Rental Income)

¯ ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS


~--~ $2,000 - $’~0,00O

[] $1o,ool. $1oo,ooo / / 12 / / 12

[] $100,001 - $1,000,000 ACQUIRED DISPOSED

[] Over $1,000,000

NATURE OF INTEREST

[] Ownership/Deed of Trust j"-] Easement

Olher [] Leasehold

Yrs. remaining


[] $o- $499 [] $5oo. $1,ooo [] $1.ool. $1o,ooo

[] $10,001 - $100,000 [] OVER $10O;00O

SOURCES OF RENTAL INCOME: If you own a 10% or greater

interest, list the name of each tenant that is a single source of

income of $10,000 or more.

[] None

Vacation rental

CITY


[] $2.000- $1o,ooo [] $10,001 - $100,000 __1.__/. 12 __/ / 12

[~’ $100,001 - $1,000,000 ACQUIRED DISPOSED

[] Over $1.000,000

NATURE OF INTEREST

[] OwnershiplDeed o[ Trust ]Easement



[] $0- $499 [] $500- .$I,000 [] $1,001 - $I0,000

[] $I0,001 - $I00,00O [] OVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more.

[] None

* You are not required to report loans from commercial lending institutions 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 AcceptableJ



% [] None


[] $500 - $1,000 [] $1,001 - $101000

[] $10,001 - $100,000 [] OVER $100,000

[] Guarantor, if applicable

NAME OF LENDER’




% [] None


[] $500- $1,000 [] $1.001 - $10,00O

[] $10,001 - $I00,000 [] OVER $100,000

[] Guarantor. if applicable

Comments:

FPPC Form 700 (2012/2013) Sch. B FPPC Advice Email: [email protected]


SCHEDULE D Income - Gifts

Name

Hess, Robert L.

NAME OF SOURCE (Not an Acronym)

Italian American Lawyers Association


P.O. Box 712057, Los Angeles, CA 90071

BUSINESS ACTIVITY, IF ANY, OF SOURCE

Voluntary bar association

DATE (mmldd/~) VALUE

¯ NAME OF SOURCE (Not an Acronym)

DESCRIPTION OF GIFT(S)

Dinner


BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)

04/1._~/8 12 $ 45

/ ! $

I.__J. $

NAME OF SOURCE (Not an Acronym)


BUSINESS ACTIVITY. IF ANY, OF SOURCE

DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)

__L__I.__

I I

__1. L__ $

I /

! !

I f



BUSINESS ACTIVITY, IF ANY. OF SOURCE

DATE (mmldd/yy) VALUE

I L__ $

/ / $,

/ / $,

DESCRIPTION OF GIFT(S)



BUSINESS ACTIVITY. IF ANY. OF SOURCE

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

! /

/ /

I ~


ADDRESS (Business Address Acceptable]

BUSINESS ACTIVITY. IF ANY. OF SOURCE

DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S)

/ / $.

/ / $.

/ /.__ $.

FPPC Form 700 (201212013) Sch. D FPPC Advice Email: advice@fppc,ca,gov

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

Date Received STATEMENT OF E~OMI,(~riNTERES]~S:D BY …€¦ · 1. Office, Agency, or Cou~ Agency...

Documents

Transcript of Date Received STATEMENT OF E~OMI,(~riNTERES]~S:D BY …€¦ · 1. Office, Agency, or Cou~ Agency...