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2015 Statements of Economic Interests - FPPC 700 Form - Arti (2)
FAIR POLITICAL PRACTICES COMMISSION STATEMENTS OF ECONOMIC INTERESTS ARTICLE II LIST AGENCY Huntington Beach RUN DATE 11/06/2015 FILING OFFICIAL Joan L Flynn, City Clerk ADDRESS 2000 Main Street PO Box 190 CITY, STATE Huntington Beach, California ZIP 92648 * Please review for accuracy and include the filer's email address * If a filer is not listed, please note name, position and assuming office date * If a filer has left, please note the date in the "Date Left" column, and send us his/her Leaving Office Form 700 e PAGE Pagel of 2 PHONE (714) 536-5404 FAX (714) 374-1557 E-MAIL lflynn@surfcity-hb org FILER POSITION EMAIL DATE LEFT NOTES Brendan, Patrick W Planning Commissioner Patrick brenden surfcrt -hb or GaeFpeF, GilGity 12-06-10 Leaving Office Statement previously provided — duplicate copy attached Crowe, William A Sity-Managef Planning Commissioner Bill crowe surfs -hb or Cutchen, Alisa D City Treasurer Alisa cutchen surfcrt -hb or Delgleize, Barbara A City Council Member Barbara Del leize surfer -hb or Gates, Michael City Attorney Michael Gates surfcit -hb or Hardy, Jill S City Council Member Jill Hard surfct -hb or Hoskinson, Michael Planning Commissioner Michael Hoskmson surfci -hb or Kalmick, Daniel R Planning Commissioner Dan Kalmick surfcrt-hb or Katapodis, Jim Mayor Jim Kata odis surfcrt -hb or Mandic, Constance Planning Commissioner Connie Mandic surfci -hb or O'Connell, William C City Council Member Billy OConnell surfci -hb or Peterson, Erik H City Council Member Erik Peterson surfci-hb or Pinchiff, Edward C Planning Commissioner Ed Pinch iffsurfci-hb or Posey, Michael L City Council Member Mike Pose surfci -hb or Semeta, Lyn Rossi Planning Commissioner Lynn Semeta surfct -hb or Sullivan, David A Mayor Pro Tern Dave Sullivan surfcit -hb or Wilson, Frederick A City Manager Fred Wilson surfci-hb or FAIR POLITICAL PRACTICES COMMISSION STATEMENTS OF ECONOMIC INTERESTS ARTICLE II LIST AGENCY Huntington Beach RUN DATE 11/06/2015 PAGE Page 2 of 2 The following filers do not appear on the list above Please note the name, position and assuming office date below FILER POSITION DATE ASSUMED OFFICE *** If there are no changes, please mark below () NO CHANGES Print Name Robin Estanislau Assistant City Clerk Signature ' Phone # (714) 536-5405 Please complete and return this form to Fair Political Practices Commission Attn: Technical Assistance Division 428 J Street Suite 620 Sacramento, CA 95814 Telephone: 1-866-275-3772 Date Received • ®- • - 1 1 STATEMENT 0� ECONOMIC INTERESTS Oftlel Use Only Aft PY -A PUBLIC DOCUMENT COVER PAGE 2D 11 JAN I I Q3 Please type or print in ink. NAME OF FILER (LAST) (FIRST) ' „ r (MIDDLE) Coerper Gil I FL' N 7 I'; G; C r-) C_ F, 0: I 1. Office, Agency, or Court Agency Name Huntington Beach Cdy Council ct,,Le i-/ two arn4.( ECIy Division, Board, Department, District, if applicable Your Position Council Member s If filing for m Ihple positions, list below or on an attachment Agency Position 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge (Statewide Jurisdiction) ❑ Multi -County ❑ County of © City of Huntington Beach, CA ❑ Other I Type of Statement (Check at least one box) Fx� Annual. The period covered is January 1, 2010, through December 31, ❑X Leaving Office Date Left 12 r 06 1 10 2010 -or- (Check one) The period covered is 01 1 01 1 10 through December 31, ® The period covered is January 1, 2010, through the date of 2010 leaving office ❑ Assuming Office- Date _L—1 O The period covered Is _l_—1 through the date of leaving office ❑ Candidate. Election Year Office sought, if different than Part 1 4. Schedule Summary Check applicable schedules or "None " ► Total number of pages including this cover page ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑X Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑X Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -or. ❑ None - No reportable interests on any schedule 5. Verification MAIL N6 ADDRESS STREET CITY STATE ZIP CODE (Busmess or Agency Address Recommended - Public Document) 2000 Main St Huntinaton Beach CA 92643 DAYITME TELEPHONE NUMBER E-MAIL ADDRESS ( 714 ) 536 — 5553 1 glcoerp 1 C gte net 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 07 JAN 2011 (month day, year) Signature ` X cr — (File the otipaly sign o -- statement with your rip FPPC Form 700 (201012011) FPPC Toil -Free Hetphne 86612763772 vvww:fppc ca.gov SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) The Coerper Family Trust Name 24800 Christiania Suite 200 Mission Viejo, CA 92691 Address (Business Address Acceptable) Check one ® Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000 000 NATURE OF INVESTMENT ❑ Sole Propnetorship ❑ Partnership ❑ Other YOUR BUSINESS POSITION a -s o - u o • -• - ❑ $D - $499 ❑X $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ stool - $10,o00 W. -o- o - • Wally and Bonnie Coerper e -o• o c o- - Check one box ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity or Street Address or Assessor's Parcel Number of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $z000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,o01 - $1,000,o00 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs remaining ❑ Check box if additional schedules reporting investments or real property are attached 16432 Rhone Ln Name Huntington Beach CA 92647 family trust Address (Business Address Acceptable) Check one ❑ Trust, go to 2 © Business Entity, complete the box, then go to 2 ill GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $2,000 - $1o,000 ❑ $10,00l - $1 oo,000 ❑X $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Sole Proprietorship ❑ Partnership ❑ Other YOUR BUSINESS POSITION ❑ $0 - $499 ❑x $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100 000 ❑ $1,001 - $10,000 and Bonnie Check one box ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity or Street Address or Assessor's Parcel Number of Real Property Descnpbon of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE LIST DATE ❑ $2,000 - $10.000 ❑ $10,001 - $1oo,0oo 1. 10 1.10 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership 71 Leasehold ❑ Other Yrs remaining 1-1 Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2010f201I) Sch A-Z FPPC Toti-Free Helphne 8661275-3772 www.fppc.ca gov SCHEDULE, B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION 16591 Dale Vista Lane CITY Huntington Beach CA 92647 FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $2,0o0 - $10,000 ❑ $10,0o1 - $1o0,000 - 10 _/__J 10 ® $100,001 - $1,000,Ooo ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST CL-Ownershrp/Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $5oo - $1,0oo ❑ $1 o01 - $to,000 ❑ $10,001 - $10c 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 ► STREET ADDRESS OR PRECISE LOCATION 16 432 Rh6ne Ln CITY Huntington Beach CA 92647 FAIR MARKET VALUE IF APPLICABLE, LIST DATE ❑ $2,000 - $10,000 ❑ $10,001- $100,000 110 ® $100,001 - $1,o00,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST Ownership/Deed of Trust ❑ Easement F7l Leasehold ❑ Ym remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑l $0 - $499 El$5oo - $1,000 El$1 001 - $1o,000 fi`' 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 that Is a single source of in,come of $10,000 or more "nd Bonnie Coerper * 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' GMAC Mortgage Corporation ADDRESS (Business Address Acceptable) P O Box 4622 Waterloo LA 50704 BUSINESS ACTIVITY, IF ANY, OF LENDER Financial Institution INTEREST RATE TERM (MonthsNears) 5 625 ,/o ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1 o00 ❑ $1,001 - $10,000 ® $10,001 - $100 000 ❑ OVER $100,000 ❑ Guarantor if applicable NAME OF LENDER' DNA ADDRESS (Business Address Acceptable) DNA BUSINESS ACTIVITY, IF ANY OF LENDER DNA INTEREST RATE % ❑ None TERM (MonthsNears) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $5oo - $1,000 ❑ $1,001 - $10 00o ❑ $10 001 - $100,000 ❑ OVER $100 000 ❑ Guarantor f applicable Comments 16 432 Rh6ne Ln inherited and owned by my wife, it is in the Corporation family trust FPPC Form 700 (201012011) Sch B FPPC Toll -Free Helphne: 866/275-3772 wwwfppc.ca.gov STATE OF CALIFORNIA FAIR POLITICAL PRACTICES COMMISSION 428 J Street • Suite 620 • Sacramento, CA 95814-2329 (916) 322-566o • Fax (916) 322-o886 To: City Filing Officials Subject: Form 700 Status and Notice of Officials whose Statements are Forwarded to the FPPC (Article II List) Attached to this e-mail is the list of names and positions of individuals whose statements should be forwarded to the FPPC. • Mayor • City Council Members • Planning Commissioners • Treasurer* • City Attorney (Primary) • City Manager (Primary) • Chief Administrative Officer *Forward the Finance Director's only if the city does not have a Treasurer. —r Add the names and positions of any individuals who do not appear on the list and newly -hired or appointed individuals whose statements should be forwarded to the FPPC. Indicate the date (month, day and year) he or she assumed office and forward their statement to me. — If a name appears on the list and the individuals has left office, indicate the leaving office date (month, day year) and forward his/her leaving office statements to me. — Remember that individuals who are re -appointed are not required to file leaving and assuming office statements; they will continue to file annuals statements. —+ Please forward any original assuming and leaving office statements for the positions mentioned above to my attention and continue to do so throughout the ,year. If you do not have a statement, let me know immediately and I will request it. Also, please forward to me any correspondence you have sent to the tiler in your attempt to obtain his/her statement. Please sign and return the completed Article II list to me by December 11, 2015 even if there are no changes. Please include any changes to your city's contact! E-mail completed Article II list by December 11, 2015 to: Tina Nezrab — (916) 322-5187 Fair Political Practices Commission E-mail: tnezrab@fppc.ca.gov 2015/2016Form 700 will be available January 1, 2016 For information on your duties simply click here: http://fppc.ca.gov/index.php?id=453