Loading...
HomeMy WebLinkAbout02-22-2012 Library Commission Meeting Agenda Packet City of Saratoga Library Commission AGENDA DATE: February 22, 2012 TIME: 4:00 p.m. LOCATION: Saratoga Library/ Community Room 13650 Saratoga Avenue Saratoga, CA 95070 Call to Order Roll Call Report on Posting of the Agenda: Pursuant to Government Code Section 54954.2, the agenda for this meeting was properly posted on February 16, 2012. Accept Agenda Items & Order: No additional items may be added to this agenda pursuant to Government Code Section 59454.2. Oral & Written Communications: Any member of the public may address the Commission about any matter not on the agenda for this meeting for up to three minutes. Commissioners may not comment on the matter, but may choose to place the topic on a future agenda. Approval of Minutes: Draft minutes for the December 7, 2011 meeting. Old Business 1. Library General Obligation Bond & Facility Update 2. Library Commission Work Plan New Business 3. Form 700 Informational Report 4. Name Tags 5. Historical Display Reports 6. Melinda Cervantes, Santa Clara County Librarian 7. Gayathri Kanth, Community Librarian 8. Teri Creamer, Friends of the Saratoga Libraries 9. Sharon Andres, Library Commission Chair Agenda Items for the Next Meeting Adjournment In compliance with the Americans with Disabilities Act, if you are a disabled person and you need a disability-related modification or accommodation to participate in this meeting, please contact the City Clerk’s Office at 408.868.1269 or ctclerk@saratoga.ca.us. Requests must be made as early as possible and at least one full business day before the start of the meeting. Library Commission Agenda Note: In accordance with the Ralph M. Brown Act, copies of the staff reports and other materials provided to the Library Commission by City staff in connection with this agenda are available at the office of the City Manager at 13777 Fruitvale Avenue, Saratoga, California 95070. Any materials distributed by staff after the posting of the agenda are made available for public review at the office of the City Manager at the time they are distributed to the Library Commission. Certificate of Posting of Agenda: I, Mainini Cabute, Administrative Analyst II for the City of Saratoga, declare that the foregoing agenda for the meeting of the Library Commission of the City of Saratoga was posted on February 16, 2012 at the office of the City of Saratoga, 13777 Fruitvale Avenue, Saratoga, CA 95070 and was available for public review at that location. The agenda is also available on the City’s website at www.saratoga.ca.us. City of Saratoga Library Commission MINUTES DATE: December 7, 2011 TIME: 10:00 a.m. LOCATION: Book-Go-Round 14410 Oak Street Saratoga, CA 95070 Call to Order – 10:30 a.m. Roll Call Present: Andres, Baxter, Lemmon, McBane Mulford, Whitcomb Absent: None Staff & Liaisons: Melinda Cervantes, Gayathri Kanth, Terrie Creamer, Michael Taylor, Crystal Morrow Report on Posting of the Agenda: Pursuant to Government Code Section 54954.2, the agenda for this meeting was properly posted on November 29, 2011. Accept Agenda Items & Order: No additional items may be added to this agenda pursuant to Government Code Section 59454.2. Oral & Written Communications: Any member of the public may address the Commission about any matter not on the agenda for this meeting for up to three minutes. Commissioners may not comment on the matter, but may choose to place the topic on a future agenda. - No oral or written communications Approval of Minutes: Draft minutes for the October 26, 2011 meeting. - Whitcomb requested a spelling correction in the minutes. - MCBANE MULFORD/BAXTER MOVED TO APPROVE THE MINUTES AS AMENDED. MOTION PASSED 5-0-0. Old Business 1. Library General Obligation Bond Update - Morrow provided an update on projects funded through Library General Obligation (GO) Bond funds, including the remaining balance of the Bond funds. 2. Facility Update - Morrow reported that improvements to air flow in and outside the Friend’s room have been corrected, the project to install vinyl flooring in the back work area is out to bid, the roof safety project is expected to be complete by the end of the month, and the solar project is in progress. - Cervantes shared information about problems with vinyl flooring at the Los Altos Library. New Business 3. Approval of New Library Improvement Project – Fire Alarm Repair - Taylor presented a report and requested Commission authorization to use savings from the roof safety project, $4,600, to fund fire alarm repairs. Taylor explained that the alarm is going off when it should not and the problem may be fixed by replacing underground cabling for the alarm system. - BAXTER/WHITCOMB MOVED TO AUTHORIZE USE OF ROOF SAFETY PROJECT SAVINGS FOR THE FIRE ALARM REPAIR PROJECT. MOTION PASSED 5-0-0. 4. Library Commission Work Plan and Accomplishments - Andres introduced the item and invited McBane Mulford to share information on the Work Plan Subcommittee’s progress. - McBane Mulford reported that the subcommittee spoke with Kanth and Cervantes about how the Library Commission can support County Library efforts to increase support for the Library and the number of Library Cardholders. McBane Mulford suggested holding workshop to map community assets as a first step. The workshop would help the Commission identify resources in the community to help achieve County Library strategic plan objectives. The asset map could also be used for other purposes or by other organizations in the community. - Cervantes suggested that the Commissioners speak with Library Commissioners from other cities at eh Annual Friends and Commissioner’s forum and recommended that the asset mapping project be done without a specific focus on the library, to attract a broader range of stakeholders. - McBane Mulford proposed keeping the workshop open to the public and inviting community leaders and asking them to bring others who may be interested. - The Commission discussed timing of a workshop. - McBane Mulford said she would work with Baxter, Kanth, Cervantes, and Friends of the Saratoga Libraries to prepare a timeline and project scope to be distributed in January for the February meeting. Reports 5. Melinda Cervantes, Santa Clara County Librarian - Cervantes shared the following information with the Commission: - The Library has greatly expanded our electronic book collection with the recent addition of Kindle eBooks. In September, Overdrive and Amazon launched Kindle compatibility to approximately 11,000 United States public and school libraries in its network. On a related note, circulation of eBooks for children and adults increased by well over 1,000 percent from 2008 to 2010. - The Santa Clara County Library JPA Board discussed several aspects of the non-District resident library card fee at their October meeting, including concerns expressed in letters from Los Altos and Los Altos Hills city councils. At the next meeting of the Library JPA Board on January 26, 2012 at 1:30pm at the Library Administration Offices, 14600 Winchester Blvd., Los Gatos, staff will present recommendations to: - provide free WiFi services to all visitors - establish a fee for daily use of the Library’s networked computers - exempt Library volunteers who meet certain eligibility guidelines from paying the non- District resident fee - review the funding formula in the JPA Agreement, which received its last comprehensive review in 2001 - JPA agendas and minutes will be posted on the Library website the Friday before each meeting. www.santaclaracountylib.org - Administrative Services Manager Gay Strand retired on December 2 after thirteen years of service to the Library. Recruitment for her successor will be initiated very soon. - During the past two months, both Campbell and Los Altos libraries have undergone renovations to update furniture, enhance computer and electrical wiring, install new carpeting, and paint interior walls. - Over the summer, the Library implemented online credit and debit card payment of fines and fees, which has been very well-received. Over the next several months, SCCL will also be installing cash/credit/debit self-payment stations in each library. - At the California Library Association’s (CLA) Annual Conference in Pasadena on November 11-13, Patricia Lorenzo, the Santa Clara County Library Service Manager for Outreach and Public Awareness, will receive the prestigious Outstanding Librarian in Support of Literacy Award for her work managing The Reading Program. In addition, at the same conference, Deputy County Librarian Derek Wolfgram will be sworn in as Vice President/President-Elect of CLA. - Silicon Valley Reads celebrates its 10th Anniversary in 2012 kicking off on Wednesday, January 25, 2012 at 7:30pm at the Campbell Heritage Theater in Campbell. Two authors, Sumbul Ali-Karamali and G. Willow Wilson, whose books on what it is like to be both Muslim and American have been selected for Silicon Valley Reads 2012, the regional program that asks everyone in Santa Clara County to read the same books, at the same time, and talk about them. Santa Clara County Library is one of three co-sponsors along with the San Jose Public Library Foundation and the Santa Clara County Office of Education. - The Muslim Next Door by Sumbul Ali-Karamali and The Butterfly Mosque by G. Willow Wilson present two perspectives on their experiences as young American women who are also Muslim. Their stories provide insight into Islam including misconceptions about the faith and cultural traditions. - Silicon Valley Reads companion books for younger readers are: It’s OK to Be Different, a picture book by Todd Parr, One Green Apple by Eve Bunting (K-2), My Name is Bilal by Asma Mobin-Uddin (grades 3-6) and Skunk Girl by Sheba Karim (grades 7 and up). - The 2012 Library Friends and Commissioners Forum will be held in February 2012 at the Library Administration Offices. The date of the Forum has been tentatively scheduled for Saturday, Feb. 4th from 8:30am – Noon. Please save the date. - Silicon Valley Puzzle Fest: January 28-29, 2012. Pre-registration is open for the upcoming 6th annual Silicon Valley Puzzle Fest. Each year, Puzzle Fest is an entire weekend filled with crossword puzzles, Sudoku, and other word and logic puzzles. People from all over California and as far away as Arizona join us for workshops for all levels of puzzle lovers on Saturday and competed in our tournaments, featuring puzzles provided by NY Times puzzlemaster Will Shortz and Sudoku world champion Thomas Snyder, on Sunday. The Silicon Valley Puzzle Fest is sponsored by the Morgan Hill Library Foundation. http://svpuzzle.org/index.html 6. Gayathri Kanth, Community Librarian - Kanth indicated should would email her report to Morrow to be distributed to the Commission. 7. Teri Creamer, Friends of the Saratoga Libraries - Creamer shared the following information with the Commission: - 2012 membership drive kicked off in November - Silicon Valley Read- The Muslim Next Door author Sumbul Ali-Karamali will be at the Saratoga Library on Feb. 5. - Paperback book sale is January 21-22 in the Community Room. - Next Author Series is February 1 in the Community Room. - December 6- 7 PM: Friends Holiday Open House was at the Saratoga Library, the Redwood Choir performed, about 70 kids. We had a full house, standing room only! 8. Sharon Andres, Library Commission Chair - Andres had nothing additional to report Agenda items for the Next Meeting - Library Commission Work Plan Adjournment – 12:05 p.m. Minutes submitted by: Crystal Morrow, City Clerk City of Saratoga – City Manager’s Office Memo To: Library Commission From: Thomas Scott, Facilities Maintenance Supervisor Date: February 14, 2012, Re: Library Projects Update The information below is an update, as of February 14, 2012, of all completed and current/ongoing facilities projects at the Saratoga Library. Completed • Selected material and color for backroom work floor project. • Found Flooring contractor to install backroom vinyl flooring. Current/Ongoing Projects • Installation of ladder safety cage and 4 ladder safety extension poles are planned for February or March 2012. • Installation of solar panels on the Library roof will be lead by the Public Works Department. • PIV fire alarm repair project has received funding approval. Contractor must determine the date to begin the project. • Three additional contractors are prepared to work on the backroom flooring project: equipment handler, furniture company and electrical contractor. City of Saratoga Facilities Department City of Saratoga Memorandum To: City of Saratoga Library Commission From: Mainini Cabute, Administrative Analyst II City of Saratoga Date: February 22, 2012 Library Commission Meeting Subject: Form 700 At the beginning of each year, public officials at every level of state and local government are asked to complete the Statement of Economic Interests, otherwise known as the Form 700. This form is due on April 1st and requires public officials, and also those who advise them, to disclose their financial interests for two reasons. First, the form alerts public officials to financial interests that might be affected while making government decisions. Second, the disclosure informs the public about any potential conflicts of interest. The City of Saratoga requires Commission members to complete the Form 700 because Commissioners, at some capacity, participate in making governmental decisions that could affect their private financial interests. In cases where a public official has a conflict of interest, the official must recuse herself or himself from participating in the decision-making process. Attached with this memo is a complete Form 700 with instructions. Public Officials must file this form each year. The filed forms are public documents and are available to anyone who requests them. To read more information about the Form 700, please visit http://www.fppc.ca.gov/index.php?id=500. If you have specific questions or would like advice regarding your obligations, please contact the Fair Political Practices Commission (FPPC) at advice@fppc.ca.gov or call its toll-free number at 1-866-ASK-FPPC. You may also visit the FPPC website link at http://www.fppc.ca.gov/index.php?id=189. December 2011 2011/2012 Statement of Economic Interests Form 700 California Fair Political Practices Commission 428 J Street, Suite 620 • Sacramento, CA 95814 Toll-free advice line: 1 (866) ASK-FPPC • 1 (866) 275-3772 Telephone: (916) 322-5660 • Website: www.fppc.ca.gov A Public Document Also available on the FPPC website: • Form 700 in Excel format • Reference Pamphlet for Form 700 What’s New Reporting Investments – Exchange traded funds and similar fi nancial investments that resemble mutual funds are not reportable for most individuals. The term “investment” no longer includes certain exchange traded funds, closed-end funds, or funds held in an Internal Revenue Code qualifi ed plan. These non-reportable investment funds (1) must be bona fi de investment funds that pool money from more than 100 investors, (2) must hold securities of more than 15 issuers, and (3) cannot have a stated policy of concentrating their holdings in the same industry or business (“sector funds”). In addition, the fi ler may not infl uence or control the decision to purchase or sell the specifi c fund on behalf of his or her agency during the reporting period or infl uence or control the selection of any specifi c investment purchased or sold by the fund. (Regulation 18237) Reportable investments, such as stock, held in a brokerage account or other type of managed account continue to be reportable regardless of whether you have control over those investments. Who must fi le: Elected and appointed offi cials and candidates listed in Government Code Section 87200 Employees and appointed offi cials fi ling pursuant to a confl ict- of-interest code (“code fi lers”). Obtain your disclosure categories, which describe the interests you must report, from your agency; they are not part of the Form 700  Candidates running for local elective offi ces that are designated in a confl ict-of-interest code (e.g., county sheriffs, city clerks, school board trustees, and water board members) Members of newly created boards and commissions not yet covered under a confl ict-of-interest code Employees in newly created positions of existing agencies See Reference Pamphlet, page 3, at www.fppc.ca.gov or obtain from your fi ling offi cer. Where to fi le: 87200 Filers State offi ces  Your agency Judicial offi ces  The clerk of your court Retired Judges  Directly with FPPC County offi ces  Your county fi ling offi cial (e.g. Clerk of the Board of Supervisors) City offi ces  Your city clerk Multi-County offi ces  Your agency Code Filers — State and Local Offi cials and Employees Designated in a Confl ict-of-Interest Code: File with your agency, board, or commission unless otherwise specifi ed in your agency’s confl ict-of-interest code (e.g., Legislative staff fi les directly with FPPC). In most cases, the agency, board, or commission will retain the statements. Members of Boards and Commissions of Newly Created Agencies: File with your newly created agency or with your agency’s code reviewing body. Employees in Newly Created Positions of Existing Agencies: File with your agency or with your agency’s code reviewing body. See Reference Pamphlet, page 3. Candidates: File with your local elections offi ce. How to fi le: The Form 700 is available at www.fppc.ca.gov. Form 700 schedules are also available in Excel format. All statements must have an original “wet” signature or be duly authorized by your fi ling offi cer to fi le electronically under Government Code Section 87500.1. Instructions, examples, FAQs, and a reference pamphlet are available to help answer your questions. When to fi le: Annual Statements March 1, 2012 - Elected State Offi cers - Judges and Court Commissioners - State Board and Commission Members listed in Government Code Section 87200 April 2, 2012 - Most other fi lers Individuals fi ling under confl ict-of-interest codes in city and county jurisdictions should verify the annual fi ling date with their local fi ling offi cers. Statements postmarked by the fi ling deadline are considered fi led on time. Assuming Offi ce and Leaving Offi ce Statements Most fi lers fi le within 30 days of assuming or leaving offi ce or within 30 days of the effective date of a newly adopted or amended confl ict-of-interest code. Exception: If you assumed offi ce between October 1,2011, and December 31, 2011, and fi led an assuming offi ce statement, you are not required to fi le an annual statement until March 1, 2013, or April 2, 2013, whichever is applicable. The annual statement will cover the day after you assumed offi ce through December 31, 2012. See Reference Pamphlet, pages 6 and 7, for additional exceptions. Candidate Statements File no later than the fi nal fi ling date for the declaration of candidacy or nomination documents. Amendments Statements may be amended at any time. You are only required to amend the schedule that needs to be revised. It is not necessary to amend the entire fi led form. Obtain amendment schedules at www.fppc.ca.gov. There is no provision for fi ling deadline extensions. Statements of 30 pages or less may be faxed by the deadline as long as the originally signed paper version is sent by fi rst class mail to the fi ling offi cial within 24 hours. The Political Reform Act (Gov. Code Sections 81000- 91014) requires most state and local government offi cials and employees to publicly disclose their personal assets and income. They also must disqualify themselves from participating in decisions that may affect their personal economic interests. The Fair Political Practices Commission (FPPC) is the state agency responsible for issuing the attached Statement of Economic Interests, Form 700, and for interpreting the law’s provisions. Gift Prohibition Gifts received by most state and local offi cials, employees, and candidates are subject to a limit. For 2011-2012, the gift limit remains at $420 from a single source during a calendar year. This gift limit is effective until December 31, 2012. In addition, state offi cials, state candidates, and certain state employees are subject to a $10 limit per calendar month on gifts from lobbyists and lobbying fi rms registered with the Secretary of State. See Reference Pamphlet, page 10. State and local offi cials and employees should check with their agency to determine if other restrictions apply. Disqualifi cation Public offi cials are, under certain circumstances, required to disqualify themselves from making, participating in, or attempting to infl uence governmental decisions that will affect their economic interests. This may include interests they are not required to disclose (i.e., a personal residence is often not reportable, but may be disqualifying). Specifi c disqualifi cation requirements apply to 87200 fi lers (e.g., city councilmembers, members of boards of supervisors, planning commissioners, etc.). These offi cials must identify orally the economic interest that creates a confl ict of interest and leave the room before a discussion or vote takes place at a public meeting. For more information, consult Government Code Section 87105, Regulation 18702.5, and the Overview of the Confl ict of Interest Laws at www.fppc.ca.gov. Honorarium Ban Most state and local offi cials, employees, and candidates are prohibited from accepting an honorarium for any speech given, article published, or attendance at a conference, convention, meeting, or like gathering. See Reference Pamphlet, page 10. Loan Restrictions Certain state and local offi cials are subject to restrictions on loans. See Reference Pamphlet, page 14. Post-Governmental Employment There are restrictions on representing clients or employers before former agencies. The provisions apply to elected state offi cials, most state employees, local elected offi cials, county chief administrative offi cers, city managers, including the chief administrator of a city, and general managers or chief administrators of local special districts and JPAs. The FPPC website has fact sheets explaining the provisions. Late Filing The fi ling offi cer who retains originally-signed statements of economic interests may impose on an individual a fi ne for any statement that is fi led late. The fi ne is $10 per day up to a maximum of $100. Late fi ling penalties may be reduced or waived under certain circumstances. Persons who fail to timely fi le their Form 700 may be referred to the FPPC’s Enforcement Division (and, in some cases, to the Attorney General or district attorney) for investigation and possible prosecution. In addition to the late fi ling penalties, a fi ne of up to $5,000 per violation may be imposed. For assistance concerning reporting, prohibitions, and restrictions under the Act: Call the FPPC toll-free at (866) 275-3772. See the booklet entitled “Your Duty to File: A Basic Overview of State Economic Disclosure Law and Reporting Requirements for Public Offi cials” available at www.fppc.ca.gov. Form 700 Public Access Statements of Economic Interests are public documents. The fi ling offi cer must permit any member of the public to inspect and receive a copy of any statement. Statements must be available as soon as possible during the agency's regular business hours, but in any event not later than the second business day after the statement is received. Access to the Form 700 is not subject to the Public Records Act procedures. No conditions may be placed on persons seeking access to the forms. No information or identifi cation may be required from persons seeking access. Reproduction fees of no more than 10 cents per page may be charged. Introduction FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 1 Instructions — Cover Page Enter your name, mailing address, and daytime telephone number in the spaces provided. Because the Form 700 is a public document, you may list your business/offi ce address instead of your home address. Part 1. Offi ce, Agency, or Court Enter the name of the offi ce sought or held, or the agency or court. Consultants must enter the public agency name rather than their private fi rm’s name. (Examples: State Assembly; Board of Supervisors; Offi ce of the Mayor; Department of Finance; Hope County Superior Court) Indicate the name of your division, board, or district, if applicable. (Examples: Division of Waste Management; Board of Accountancy; District 45) Enter your position title. (Examples: Director; Chief Counsel; City Council Member; Staff Services Analyst) If you hold multiple positions (i.e., a city council member who also is a member of a county board or commission), you may be required to fi le statements with each agency. To simplify your fi ling obligations, you may complete an expanded statement. To do this, enter the name of the other agency(ies) with which you are required to fi le and your position title(s) in the space provided. Attach an additional sheet if necessary. Complete one statement covering the disclosure requirements for all positions. Each copy must contain an original signature. Therefore, before signing the statement, make a copy for each agency. Sign each copy with an original signature and fi le with each agency. Example: Scott Baker is a city council member for the City of Lincoln and a board member for the Camp Far West Irrigation District – a multi-county agency that covers Placer and Yuba counties. Scott will complete one Form 700 using full disclosure (as required for the city position) and covering interests in both Placer and Yuba counties (as required for the multi-county position) and list both positions on the Cover Page. Before signing the statement, Scott will make a copy and sign both statements. One statement will be fi led with City of Lincoln and the other will be fi led with Camp Far West Irrigation District. Both will contain an original signature. Remember that if you assume or leave a position after a fi ling deadline, you must complete a separate statement. For example, a city council member who assumes a position with a county special district after the April 2 annual fi ling deadline must fi le a separate assuming offi ce statement. In subsequent years, the city council member may expand his or her annual fi ling to include both positions. Part 2. Jurisdiction of Offi ce Check the box indicating the jurisdiction of your agency and, if applicable, identify the jurisdiction. Judges, judicial candidates, and court commissioners have statewide jurisdiction. All other fi lers should review the Reference Pamphlet, page 13, to determine their jurisdiction. If your agency is a multi-county offi ce, list each county in which your agency has jurisdiction. If your agency is not a state offi ce, court, county offi ce, city offi ce, or multi-county offi ce (e.g., school districts, special districts and JPAs), check the “other” box and enter the county or city in which the agency has jurisdiction. Example: This fi ler is a member of a water district board with jurisdiction in portions of Yuba and Sutter Counties. Part 3. Type of Statement Check at least one box. The period covered by a statement is determined by the type of statement you are fi ling. If you are completing a 2011 annual statement, do not change the pre-printed dates to refl ect 2012. Your annual statement is used for reporting the previous year’s economic interests. Economic interests for your annual fi ling covering January 1, 2011, through December 31, 2011, will be disclosed on your statement fi led in 2012. See Reference Pamphlet, page 4. Combining Statements: Certain types of statements may be combined. For example, if you leave offi ce after January 1, but before the deadline for fi ling your annual statement, you may combine your annual and leaving offi ce statements. File by the earliest deadline. Consult your fi ling offi cer or the FPPC. Part 4. Schedule Summary Enter the total number of completed pages including the cover page and either: Check the box for each schedule you use to disclose interests; - or - if you have nothing to disclose on any schedule, check the “No reportable interests” box. Please do not attach any blank schedules. Part 5. Verifi cation Complete the verifi cation by signing the statement and entering the date signed. When you sign your statement, you are stating, under penalty of perjury, that it is true and correct. Only the fi ler has authority to sign the statement. An unsigned statement is not considered fi led and you may be subject to late fi ling penalties. State Judge or Court Commissioner (Statewide Jurisdiction) Multi-County County of City of Other 2. Jurisdiction of Offi ce (Check at least one box) Agency Name Division, Board, Department, District, if applicable Your Position 1. Offi ce, Agency, or Court ► If fi ling for multiple positions, list below or on an attachment. Agency: Position: South Sutt er Water District Board Member X Porti ons of Yuba & Sutt er Counti es Leaving Offi ce: Date Left // (Check one) The period covered is January 1, 2011, through the date of leaving offi ce. The period covered is //, through the date of leaving offi ce. Annual: The period covered is January 1, 2011, through December 31, 2011. The period covered is //, through December 31, 2011. STATEMENT OF ECONOMIC INTERESTS COVER PAGE FPPC Form 700 (2011/2012) 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 Offi ce (Check at least one box) Candidate: Election Year Offi ce sought, if different than Part 1: Assuming Offi ce: Date assumed // Date Received Offi cial Use Only Please type or print in ink. 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM Agency Name Division, Board, Department, District, if applicable Your Position 1. Offi ce, Agency, or Court 4. Schedule Summary NAME OF FILER (LAST) (FIRST) (MIDDLE) Check applicable schedules or “None.” 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: MAILING ADDRESS STREET CITY STATE ZIP CODE ( ) DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) (Business or Agency Address Recommended - Public Document) Signature (File the originally signed statement with your fi ling offi cial.) 5. Verifi cation 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 A PUBLIC DOCUMENT ► If fi ling for multiple positions, list below or on an attachment. Agency: Position: -or- FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 3 Common Reportable Interests Schedule A-1: Stocks, including those held in an IRA or a 401K Schedule A-2: Business entities (including certain independent contracting), sole proprietorships, partnerships, LLCs, corporations, and trusts Schedule B: Rental property in the jurisdiction Schedule C: Non-governmental salaries of public offi cial and spouse/registered domestic partner Schedule D: Gifts from non-family members (such as tickets to sporting or entertainment events) Schedule E: Travel payments from third parties (not your employer) Common Non-Reportable Interests Schedule A-1/A-2: Insurance policies, government bonds, diversifi ed mutual funds, certain funds similar to diversifi ed mutual funds (such as exchange traded funds) and investments held in certain retirement accounts. See Reference Pamphlet, page 12 for detailed information. (Regulation 18237) Schedule A-1/A-2: Savings and checking accounts and annuities Schedule B: A residence used exclusively as a personal residence (such as a home or vacation cabin) Schedule C: Governmental salary (such as a school district) Schedule D: Gifts from family members Schedule E: Travel paid by your government agency Remember: Mark the “No reportable interests” box on Part 4 of the Schedule Summary on the Cover Page if you determine you have nothing to disclose and fi le the cover page only. Make sure you carefully read all instructions to ensure proper reporting. The Form 700 is a public document. Most individuals must consult their agency’s confl ict-of-interest code for reportable interests. Most individuals fi le the Form 700 with their agencies. Which Schedule Do I Use? FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 4 General Q. What is the reporting period for disclosing interests on an assuming offi ce statement or a candidate statement? A. On an assuming offi ce statement, disclose all reportable investments, interests in real property, and business positions held on the date you assumed offi ce. In addition, you must disclose income (including loans, gifts and travel payments) received during the 12 months prior to the date you assumed offi ce. On a candidate statement, disclose all reportable investments, interests in real property, and business positions held on the date you fi le your declaration of candidacy. You must also disclose income (including loans, gifts and travel payments) received during the 12 months prior to the date you fi le your declaration of candidacy. Q. I hold two other board positions in addition to my position with the county. Must I fi le three statements of economic interests? A. Yes, three are required. However, you may complete one statement listing the county and the two boards on the cover page or an attachment as the agencies for which you will be fi ling. Report your economic interests using the largest jurisdiction and highest disclosure requirements assigned to you by the three agencies. Make two copies of the entire statement before signing it, sign each copy with an original signature, and distribute one original to the county and to each of the two boards. Remember to complete separate statements for positions that you leave or assume during the year. Q. I am a department head who recently began acting as city manager. Should I fi le as the city manager? A. Yes. File an assuming offi ce statement as city manager. Persons serving as “acting,” “interim,” or “alternate” must fi le as if they hold the position because they are or may be performing the duties of the position. Q. As a designated employee, I left one state agency to work for another state agency. Must I fi le a leaving offi ce statement? A. Yes. You may also need to fi le an assuming offi ce statement for the new agency. Investment Disclosure Q. I have an investment interest in shares of stock in a company that does not have an offi ce in my jurisdiction. Must I still disclose my investment interest in this company? A. Probably. The defi nition of “doing business in the jurisdiction” is not limited to whether the business has an offi ce or physical location in your jurisdiction. See Reference Pamphlet, page 13. Q. My spouse and I have a living trust. The trust holds rental property in my jurisdiction, our primary residence, and investments in diversifi ed mutual funds. I have full disclosure. How is this trust disclosed? A. Disclose the name of the trust, the rental property and its income on Schedule A-2. Your primary residence and investments in diversifi ed mutual funds registered with the SEC are not reportable. Q. I am required to report all investments. I hold many stocks through an account managed by a brokerage fi rm. Must I disclose these stocks even though I did not decide which stocks to purchase? A. Yes. Disclose on Schedule A-1 or A-2 any stock worth $2,000 or more in a business entity located in or doing business in your jurisdiction. Q. I own stock in IBM and must report this investment on Schedule A-1. I initially purchased this stock in the early 1990s; however, I am constantly buying and selling shares. Must I note these dates in the “Acquired” and “Disposed” fi elds? A. No. You must only report dates in the “Acquired” or “Disposed” fi elds when, during the reporting period, you initially purchase a reportable investment worth $2,000 or more or when you dispose of the entire investment. You are not required to track the partial trading of an investment. Q. On last year’s fi ling I reported stock in Encoe valued at $2,000 - $10,000. Late last year the value of this stock fell below and remains at less than $2,000. How should this be reported on this year’s statement? A. You are not required to report an investment if the value was less than $2,000 during the entire reporting period. However, because a disposed date is not Questions and Answers FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 5 required for stocks that fall below $2,000, you may want to report the stock and note in the “comments” section that the value fell below $2,000. This would be for informational purposes only; it is not a requirement. Income Disclosure Q. I reported a business entity on Schedule A-2. Clients of my business are located in several states. Must I report all clients from whom my pro rata share of income is $10,000 or more on Schedule A-2, Part 3? A. No, only the clients doing business on a regular basis in your jurisdiction must be disclosed. Q. I believe I am not required to disclose the names of clients from whom my pro rata share of income is $10,000 or more on Schedule A-2 because of their right to privacy. Is there an exception for reporting clients’ names? A. Regulation 18740 provides a procedure for requesting an exemption to allow a client’s name not to be disclosed if disclosure of the name would violate a legally recognized privilege under California law. This regulation may be obtained from our website at www.fppc.ca.gov. See Reference Pamphlet, page 14. Q. I am sole owner of a private law practice that is not reportable based on my limited disclosure category. However, some of the sources of income to my law practice are from reportable sources. Do I have to disclose this income? A. Yes, even though the law practice is not reportable, reportable sources of income to the law practice of $10,000 or more must be disclosed. This information would be disclosed on Schedule C with a note in the “comments” section indicating that the business entity is not a reportable investment. The note would be for informational purposes only; it is not a requirement. Q. I am the sole owner of my business. Where do I disclose my income - on Schedule A-2 or Schedule C? A. Sources of income to a business in which you have an ownership interest of 10% or greater are disclosed on Schedule A-2. See Reference Pamphlet, page 8, for the defi nition of “business entity.” Q. How do I disclose my spouse’s or registered domestic partner’s salary? A. Report the name of the employer as a source of income on Schedule C. Q. I am a doctor. For purposes of reporting $10,000 sources of income on Schedule A-2, Part 3, are the patients or their insurance carriers considered sources of income? A. If your patients exercise suffi cient control by selecting you instead of other doctors, then your patients, rather than their insurance carriers, are sources of income to you. See Reference Pamphlet, page 14 for additional information. Real Property Disclosure Q. During this reporting period we switched our principal place of residence into a rental. I have full disclosure and the property is located in my agency’s jurisdiction, so it is now reportable. Because I have not reported this property before, do I need to show an “acquired” date? A. No, you are not required to show an “acquired” date because you previously owned the property. However, you may want to note in the “comments” section that the property was not previously reported because it was used exclusively as your residence. This would be for informational purposes only; it is not a requirement. Gift Disclosure Q. If I received a gift of two tickets to a concert valued at $100 each, but gave the tickets to a friend because I could not attend the concert, do I have any reporting obligations? A. Yes. Since you accepted the gift and exercised discretion and control of the use of the tickets, you must disclose the gift on Schedule D. Q. Mary and Joe Benson, a married couple, want to give a piece of artwork to a close friend who is a county supervisor. Is each spouse considered a separate source for purposes of the gift limit and disclosure? A. Yes, each spouse may make a gift valued at $420 during 2011-2012. Therefore, the Bensons may give the supervisor artwork valued at no more than $840. The supervisor must identify Joe and Mary Benson as the sources of the gift. Questions and Answers Continued FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 6 Q. I am a Form 700 fi ler with full disclosure. Our agency holds a holiday raffl e to raise funds for a local charity. I bought $10 worth of raffl e tickets and won a gift basket valued at $120. The gift basket was donated by Doug Brewer, a citizen in our city. At the same event, I bought raffl e tickets for, and won a quilt valued at $70. The quilt was donated by a coworker. Are these reportable gifts? A. Because the gift basket was donated by an outside source (not an agency employee), you have received a reportable gift valued at $110 (the value of the basket less the consideration paid). The source of the gift is Doug Brewer and the agency is disclosed as the intermediary. Because the quilt was donated by an employee of your agency, it is not a reportable gift. Q. My agency is responsible for disbursing grants. An applicant (501(c)(3) organization) met with agency employees to present its application. At this meeting, the applicant provided food and beverages. Would the food and beverages be considered gifts to the employees? These employees are designated in our agency’s confl ict-of-interest code and the applicant is a reportable source of income under the code. A. Yes. If the value of the food and beverages consumed by any one fi ler, plus any other gifts received from the same source during the reporting period total $50 or more, the food and beverages would be reported using the fair market value and would be subject to the gift limit. Questions and Answers Continued FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 7 “Investment” means a fi nancial interest in any business entity that is located in, doing business in, planning to do business in, or that has done business during the previous two years in your agency’s jurisdiction in which you, your spouse or registered domestic partner, or your dependent children had a direct, indirect, or benefi cial interest totaling $2,000 or more at any time during the reporting period. See Reference Pamphlet, page 13. Reportable investments include: Stocks, bonds, warrants, and options, including those held in margin or brokerage accounts and managed investment funds (See Reference Pamphlet, page 13.) Sole proprietorships Your own business or your spouse’s or registered domestic partner’s business (See Reference Pamphlet, page 8, for the defi nition of “business entity.”) Your spouse’s or registered domestic partner’s investments that are legally separate property Partnerships (e.g., a law fi rm or family farm) Investments in reportable business entities held in a retirement account (See Reference Pamphlet, page 15.) If you, your spouse or registered domestic partner, and dependent children together had a 10% or greater ownership interest in a business entity or trust (including a living trust), you must disclose investments held by the business entity or trust. See Reference Pamphlet, page 15, for more information on disclosing trusts. Business trusts You are not required to disclose: Insurance policies, government bonds, diversifi ed mutual funds, certain funds similar to diversifi ed mutual funds (such as exchange traded funds) and investments held in certain retirement accounts. See Reference Pamphlet, page 12 for detailed information. (Regulation 18237) Bank accounts, savings accounts, money market accounts and certifi cates of deposits Insurance policies Annuities Commodities Shares in a credit union Government bonds (including municipal bonds) Retirement accounts invested in non-reportable interests (e.g., insurance policies, diversifi ed mutual funds, or government bonds) (See Reference Pamphlet, page 15.) ● Government defi ned-benefi t pension plans (such as CalPERS and CalSTRS plans) Interests held in a blind trust (See Reference Pamphlet, page 16.) Use Schedule A-1 to report ownership of less than 10% (e.g., stock). Schedule C (Income) may also be required if the investment is not a stock or corporate bond. See second example below. Use Schedule A-2 to report ownership of 10% or greater (e.g., a sole proprietorship). To Complete Schedule A-1: Do not attach brokerage or fi nancial statements. Disclose the name of the business entity. Provide a general description of the business activity of the entity (e.g., pharmaceuticals, computers, automobile manufacturing, or communications). Check the box indicating the highest fair market value of your investment during the reporting period. If you are fi ling a candidate or an assuming offi ce statement, indicate the fair market value on the fi ling date or the date you took offi ce, respectively. Identify the nature of your investment (e.g., stocks, warrants, options, or bonds). An acquired or disposed of date is only required if you initially acquired or entirely disposed of the investment interest during the reporting period. The date of a stock dividend reinvestment or partial disposal is not required. Generally, these dates will not apply if you are fi ling a candidate or an assuming offi ce statement. Examples: John Smith holds a state agency position. His confl ict-of- interest code requires full disclosure of investments. John must disclose his stock holdings of $2,000 or more in any company that does business in California, as well as those stocks held by his spouse or registered domestic partner and dependent children. Susan Jones is a city council member. She has a 4% interest, worth $5,000, in a limited partnership located in the city. Susan must disclose the partnership on Schedule A-1 and income of $500 or more received from the partnership on Schedule C. Instructions – Schedules A-1 and A-2 Investments Reminders Do you know your agency’s jurisdiction? Did you hold investments at any time during the period covered by this statement? Code fi lers – your disclosure categories may only require disclosure of specifi c investments. IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED 11 11 11 11 1111 111111 1111 Name ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY Comments: SCHEDULE A-1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Do not attach brokerage or fi nancial statements. 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM FPPC Form 700 (2011/2012) Sch. A-1 FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 11 NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 9 Use Schedule A-2 to report investments in a business entity or trust (including a living trust) in which you, your spouse or registered domestic partner, and your dependent children together had a 10% or greater interest, totaling $2,000 or more, during the reporting period and which is located in, doing business in, planning to do business in, or which has done business during the previous two years in your agency’s jurisdiction. See Reference Pamphlet, page 13. A trust located outside your agency’s jurisdiction is reportable if it holds assets that are located in or doing business in the jurisdiction. Do not report a trust that contains non-reportable interests. For example, a trust containing only your personal residence not used in whole or in part as a business, your savings account, and some municipal bonds, is not reportable. Also report on Schedule A-2 investments and real property held by that entity or trust if your pro rata share of the investment or real property interest was $2,000 or more during the reporting period. To Complete Schedule A-2: Part 1. Disclose the name and address of the business entity or trust. If you are reporting an interest in a business entity, check “Business Entity” and complete the box as follows: Provide a general description of the business activity of the entity. Check the box indicating the highest fair market value of your investment during the reporting period. If you initially acquired or entirely disposed of this interest during the reporting period, enter the date acquired or disposed. Identify the nature of your investment. Disclose the job title or business position you held with the entity, if any (i.e., if you were a director, offi cer, partner, trustee, employee, or held any position of management). A business position held by your spouse is not reportable. Part 2. Check the box indicating your pro rata share of the gross income received by the business entity or trust. This amount includes your pro rata share of the gross income from the business entity or trust, as well as your community property interest in your spouse’s or registered domestic partner’s share. Gross income is the total amount of income before deducting expenses, losses, or taxes. Part 3. Disclose the name of each source of income that is located in, doing business in, planning to do business in, or that has done business during the previous two years in your agency’s jurisdiction, as follows: Disclose each source of income and outstanding loan to the business entity or trust identifi ed in Part 1 if your pro rata share of the gross income (including your community property interest in your spouse’s or registered domestic partner’s share) to the business entity or trust from that source was $10,000 or more during the reporting period. See Reference Pamphlet, page 11, for examples. Income from governmental sources may be reportable if not considered salary. See Regulation 18232. 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 offi cial status are not reportable. Disclose each individual or entity that was a source of commission income of $10,000 or more during the reporting period through the business entity identifi ed in Part 1. See Reference Pamphlet, page 8, for an explanation of commission income. You may be required to disclose sources of income located outside your jurisdiction. For example, you may have a client who resides outside your jurisdiction who does business on a regular basis with you. Such a client, if a reportable source of $10,000 or more, must be disclosed. Leave Part 3 blank if you do not have any reportable $10,000 sources of income to disclose. Adding phrases such as “various clients” or “not disclosing sources pursuant to attorney-client privilege” may trigger a request for an amendment to your statement. See Reference Pamphlet, page 14, for details about requesting an exemption from disclosing privileged information. Part 4. Report any investments or interests in real property held by the entity or trust identifi ed in Part 1 if your pro rata share of the interest held was $2,000 or more during the reporting period. Attach additional schedules or use FPPC’s Form 700 Excel spreadsheet if needed. Check the applicable box identifying the interest held as real property or an investment. If investment, provide the name and description of the business entity. If real property, report the precise location (e.g., an assessor’s parcel number or address). Check the box indicating the highest fair market value of your interest in the real property or investment during the reporting period. (Report the fair market value of the portion of your residence claimed as a tax deduction if you are utilizing your residence for business purposes.) Identify the nature of your interest. Enter the date acquired or disposed only if you initially acquired or entirely disposed of your interest in the property or investment during the reporting period. Instructions – Schedule A-2 Investments, Income, and Assets of Business Entities/Trusts IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED 11 11 11 IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED 11 11 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) Comments: Name Address (Business Address Acceptable) Name Address (Business Address Acceptable) FAIR MARKET VALUE $0 - $1,999 $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 GENERAL DESCRIPTION OF BUSINESS ACTIVITY INVESTMENT REAL PROPERTY Name of Business Entity, if Investment, or Assessor’s Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property ►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST Check one Trust, go to 2 Business Entity, complete the box, then go to 2 Check one Trust, go to 2 Business Entity, complete the box, then go to 2 ►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) ►2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) Name 700 Check one box: YOUR BUSINESS POSITION FPPC Form 700 (2011/2012) Sch. A-2 FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 $0 - $499 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 INVESTMENT REAL PROPERTY Name of Business Entity, if Investment, or Assessor’s Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property ►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST ►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) ►2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) Check one box: FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 $0 - $499 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM ►1. BUSINESS ENTITY OR TRUST ►1. BUSINESS ENTITY OR TRUST NATURE OF INVESTMENT Sole Proprietorship Partnership Other NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership Leasehold Other Check box if additional schedules reporting investments or real property are attached Yrs. remaining NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership Leasehold Other Check box if additional schedules reporting investments or real property are attached Yrs. remaining IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED 1111 FAIR MARKET VALUE $0 - $1,999 $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 GENERAL DESCRIPTION OF BUSINESS ACTIVITY YOUR BUSINESS POSITION NATURE OF INVESTMENT Sole Proprietorship Partnership Other 11 FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 11 Report interests in real property located in your agency’s jurisdiction in which you, your spouse or registered domestic partner, or your dependent children had a direct, indirect, or benefi cial interest totaling $2,000 or more any time during the reporting period. See Reference Pamphlet, page 13. Interests in real property include: An ownership interest (including a benefi cial ownership interest) A deed of trust, easement, or option to acquire property A leasehold interest (See Reference Pamphlet, page 14.) A mining lease An interest in real property held in a retirement account (See Reference Pamphlet, page 15.) An interest in real property held by a business entity or trust in which you, your spouse or registered domestic partner, and your dependent children together had a 10% or greater ownership interest (Report on Schedule A-2.) Your spouse’s or registered domestic partner’s interests in real property that are legally held separately by him or her You are not required to report: A residence, such as a home or vacation cabin, used exclusively as a personal residence (However, a residence for which you claim a business deduction may be reportable. If reportable, report the fair market value of the portion claimed as a tax deduction.) Please note: A non-reportable residence can still be grounds for a confl ict of interest and may be disqualifying. Interests in real property held through a blind trust (See Reference Pamphlet, page 16, for exceptions.) To Complete Schedule B: Report the precise location (e.g., an assessor’s parcel number or address) of the real property. Check the box indicating the fair market value of your interest in the property (regardless of what you owe on the property). Enter the date acquired or disposed only if you initially acquired or entirely disposed of your interest in the property during the reporting period. Identify the nature of your interest. If it is a leasehold, disclose the number of years remaining on the lease. If you received rental income, check the box indicating the gross amount you received. If you had a 10% or greater interest in real property and received rental income, list the name of the source(s) if your pro rata share of the gross income from any single tenant was $10,000 or more during the reporting period. If you received a total of $10,000 or more from two or more tenants acting in concert (in most cases, this will apply to married couples), disclose the name of each tenant. Otherwise, leave this section blank. Loans from a private lender that total $500 or more and are secured by real property may be reportable. 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 offi cial status are not reportable. When reporting a loan: -- Provide the name and address of the lender. -- Describe the lender’s business activity. -- Disclose the interest rate and term of the loan. For variable interest rate loans, disclose the conditions of the loan (e.g., Prime + 2) or the average interest rate paid during the reporting period. The term of a loan is the total number of months or years given for repayment of the loan at the time the loan was established. -- Check the box indicating the highest balance of the loan during the reporting period. -- Identify a guarantor, if applicable. If you have more than one reportable loan on a single piece of real property, report the additional loan(s) on Schedule C. Example: Joe Nelson is a city planning commissioner. Joe received rental income of $12,000 during the reporting period from a single tenant who rented property Joe owned in the city’s jurisdiction. If Joe had received the $12,000 from two or more tenants, the tenants’ names would not be required as long as no single tenant paid $10,000 or more. A married couple would be considered a single tenant. Instructions – Schedule B Interests in Real Property Reminders Income and loans already reported on Schedule B are not also required to be reported on Schedule C. Code fi lers – do your disclosure categories require disclosure of real property? IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED 11 11 ► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS CITY 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. NATURE OF INTEREST Ownership/Deed of Trust Easement Leasehold Yrs. remaining Other FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 IF RENTAL PROPERTY, GROSS INCOME RECEIVED OVER $100,000 $500 - $1,000 $0 - $499 $1,001 - $10,000 $10,001 - $100,000 INTEREST RATE TERM (Months/Years) % None HIGHEST BALANCE DURING REPORTING PERIOD Guarantor, if applicable OVER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER 4600 24th Street Sacramento, CA 95814 X X X Henry Wells Sophia Petroillo 2121 Blue Sky Parkway, Sacramento Restaurant Owner 8 15 Years X IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER IF APPLICABLE, LIST DATE: // // ACQUIRED DISPOSED 11 111111 SCHEDULE B Interests in Real Property (Including Rental Income) Name ► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS CITY INTEREST RATE TERM (Months/Years) % None 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. NATURE OF INTEREST Ownership/Deed of Trust Easement Leasehold Yrs. remaining Other Comments: FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 IF RENTAL PROPERTY, GROSS INCOME RECEIVED OVER $100,000 $500 - $1,000 $0 - $499 $1,001 - $10,000 $10,001 - $100,000 HIGHEST BALANCE DURING REPORTING PERIOD Guarantor, if applicable OVER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 FPPC Form 700 (2011/2012) Sch. B FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER ► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS CITY INTEREST RATE TERM (Months/Years) % None 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. NATURE OF INTEREST Ownership/Deed of Trust Easement Leasehold Yrs. remaining Other Guarantor, if applicable FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 IF RENTAL PROPERTY, GROSS INCOME RECEIVED OVER $100,000 $500 - $1,000 $0 - $499 $1,001 - $10,000 $10,001 - $100,000 HIGHEST BALANCE DURING REPORTING PERIOD OVER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 * 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 offi cial status. Personal loans and loans received not in a lender’s regular course of business must be disclosed as follows: FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 13 Report the source and amount of gross income of $500 or more you received during the reporting period. Gross income is the total amount of income before deducting expenses, losses, or taxes and includes loans other than loans from a commercial lending institution. See Reference Pamphlet, page 11. Also report your job title with each reportable business entity, even if you received no income during the reporting period. You must also report the source of income to your spouse or registered domestic partner if your community property share was $500 or more during the reporting period. A source of income must be reported only if the source is located in, doing business in, planning to do business in, or has done business during the previous two years in your agency’s jurisdiction. See Reference Pamphlet, page 13, for more information about doing business in the jurisdiction. Reportable sources of income may be further limited by your disclosure category located in your agency’s confl ict-of- interest code. Commonly reportable income and loans include: Salary/wages, per diem, and reimbursement for expenses including travel payments provided by your employer Community property interest (50%) in your spouse’s or registered domestic partner’s income - report the employer’s name and all other required information Income from investment interests, such as partnerships, reported on Schedule A-1 Commission income not required to be reported on Schedule A-2 (See Reference Pamphlet, page 8.) Gross income from any sale, including the sale of a house or car (Report your pro rata share of the total sale price.) Rental income not required to be reported on Schedule B Prizes or awards not disclosed as gifts Payments received on loans you made to others, including loan repayments from a campaign committee (including a candidate’s own campaign committee) An honorarium received prior to becoming a public offi cial (See Reference Pamphlet, page 10, concerning your ability to receive future honoraria.) Incentive compensation (See Reference Pamphlet, page 12.) You are not required to report: Salary, reimbursement for expenses or per diem, or social security, disability, or other similar benefi t payments received by you or your spouse or registered domestic partner from a federal, state, or local government agency. See Reference Pamphlet, page 11, for more exceptions to income reporting. To Complete Schedule C: Part 1. Income Received/Business Position Disclosure Disclose the name and address of each source of income or each business entity with which you held a business position. Provide a general description of the business activity if the source is a business entity. Check the box indicating the amount of gross income received. Identify the consideration for which the income was received. For income from commission sales, check the box indicating the gross income received and list the name of each source of commission income of $10,000 or more. See Reference Pamphlet, page 8. Note: If you receive commission income on a regular basis or have an ownership interest of 10% or more, you must disclose the business entity and the income on Schedule A-2. For income from rental property that is not required to be listed on Schedule B, enter “Rental Income” under “Name of Source,” check the box indicating the gross income received, and, if you had a 10% or greater interest in the rental property, list the name of each tenant if your pro rata share of the gross income from that tenant was $10,000 or more during the reporting period. Disclose the job title or business position, if any, that you held with the business entity, even if you did not receive income during the reporting period. Part 2. Loans Received or Outstanding During the Reporting Period Provide the name and address of the lender. Provide a general description of the business activity if the lender is a business entity. Check the box indicating the highest balance of the loan during the reporting period. Disclose the interest rate and the term of the loan. -- For variable interest rate loans, disclose the conditions of the loan (e.g., Prime + 2) or the average interest rate paid during the reporting period. -- The term of the loan is the total number of months or years given for repayment of the loan at the time the loan was entered into. Identify the security, if any, for the loan. Instructions – Schedule C Income, Loans, & Business Positions (Income Other Than Gifts and Travel Payments) Reminders Code fi lers – your disclosure categories may not require disclosure of all sources of income. If you or your spouse or registered domestic partner are self-employed, report the business entity on Schedule A-2. Do not disclose on Schedule C income, loans, or business positions already reported on Schedules A-2 or B. (Real property, car, boat, etc.) SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) GROSS INCOME RECEIVED Name FPPC Form 700 (2011/2012) Sch. C FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov OVER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM ►1. INCOME RECEIVED NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION ►1. INCOME RECEIVED NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 GROSS INCOME RECEIVED OVER $100,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $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 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 offi cial status. Personal loans and loans received not in a lender’s regular course of business must be disclosed as follows: SECURITY FOR LOAN None Personal residence Real Property Guarantor Other Street address City (Describe) (Real property, car, boat, etc.) CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse’s or registered domestic partner’s income Loan repayment Partnership Sale of Commission or Rental Income, list each source of $10,000 or more Other (Describe) CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse’s or registered domestic partner’s income Loan repayment Partnership Sale of Commission or Rental Income, list each source of $10,000 or more Other (Describe) FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 15 Beginning January 1, 2012, certain gifts you receive may not be reportable. In other cases, gift rules changed and are stricter. See the FPPC Gift Fact Sheets for more information. A gift is anything of value for which you have not provided equal or greater consideration to the donor. A gift is reportable if its fair market value is $50 or more. In addition, multiple gifts totaling $50 or more received during the reporting period from a single source must be reported. Gifts are reportable regardless of where the donor is located. Additional restrictions may apply to lobbyists. It is the acceptance of a gift, not the ultimate use to which it is put, that imposes your reporting obligation. Except as noted below, you must report a gift even if you never used it or if you gave it away to another person. If the exact amount of a gift is unknown, you must make a good faith estimate of the item’s fair market value. Listing the value of a gift as “over $50” or “value unknown” is not adequate disclosure. In addition, if you received a gift through an intermediary, you must disclose the name, address, and business activity of both the donor and the intermediary. Commonly reportable gifts include: Tickets/passes to sporting or entertainment events Tickets/passes to amusement parks Parking passes Food, beverages, and accommodations, including those provided in direct connection with your attendance at a convention, conference, meeting, social event, meal, or like gathering Rebates/discounts not made in the regular course of business to members of the public without regard to offi cial status Wedding gifts (See Reference Pamphlet, page 16) An honorarium received prior to assuming offi ce (You may report an honorarium as income on Schedule C, rather than as a gift on Schedule D, if you provided services of equal or greater value than the payment received. See Reference Pamphlet, page 10, regarding your ability to receive future honoraria.) Transportation and lodging (See Schedule E.) Forgiveness of a loan received by you You are not required to disclose: Gifts that were not used and that, within 30 days after receipt, were returned to the donor or delivered to a charitable organization without being claimed by you as a charitable contribution for tax purposes Gifts from your spouse or registered domestic partner, child, parent, grandparent, grandchild, brother, sister, aunt, uncle, niece, nephew, or fi rst cousin (Included in this exception are gifts from your spouse’s or domestic partner’s children, parents, brothers, sisters, and the spouse or registered domestic partner of the individuals listed above. The exception does not apply if the donor was acting as an agent or intermediary for a reportable source who was the true donor.) Gifts of similar value exchanged between you and an individual, other than a lobbyist, on holidays, birthdays, or similar occasions Gifts of informational material provided to assist you in the performance of your offi cial duties (e.g., books, pamphlets, reports, calendars, periodicals, or educational seminars) A monetary bequest or inheritance (However, inherited investments or real property may be reportable on other schedules.) Personalized plaques or trophies with an individual value of less than $250 Campaign contributions Gifts given to members of your immediate family unless you enjoy direct benefi t of the gift, use the gift, or exercise discretion or control over the use or disposition of the gift (See Commission Regulation 18943.) The cost of food, beverages, and necessary accommodations provided directly in connection with an event at which you gave a speech, participated in a panel or seminar, or provided a similar service but only if the cost is paid for by a federal, state, or local government agency. This exception does not apply to a state or local elected offi cer, as defi ned in Section 82020, or an offi cial specifi ed in Section 87200. To Complete Schedule D: Disclose the full name (not an acronym), address, and, if a business entity, the business activity of the source. Provide the date (month, day, and year) of receipt, and disclose the fair market value and description of the gift. Instructions – Schedule D Income – Gifts Reminders Gifts from a single source are subject to a $420 limit. See Reference Pamphlet, page 10. Code fi lers – you only need to report gifts from reportable sources. SCHEDULE D Income – Gifts Comments: Name FPPC Form 700 (2011/2012) Sch. D FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) // $ // $ // $ FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions - 17 Travel payments reportable on Schedule E include advances and reimbursements for travel and related expenses, including lodging and meals. Gifts of travel may be subject to the gift limit. In addition, certain travel payments are reportable gifts, but are not subject to the gift limit. To avoid possible misinterpretation or the perception that you have received a gift in excess of the gift limit, you may wish to provide a specifi c description of the purpose of your travel. See the FPPC fact sheet entitled “Limitations and Restrictions on Gifts, Honoraria, Travel, and Loans” at www.fppc.ca.gov. You are not required to disclose: Travel payments received from any state, local, or federal government agency for which you provided services equal or greater in value than the payments received Travel payments received from your employer in the normal course of your employment that are included in the income reported on Schedule C Payments for admission to an event at which you make a speech, participate on a panel, or make a substantive formal presentation, transportation, and necessary lodging, food, or beverages, and nominal non-cash benefi ts provided to you in connection with the event so long as both the following apply: --The speech is for offi cial agency business and you are representing your government agency in the course and scope of your offi cial duties. --The payment is a lawful expenditure made only by a federal, state, or local government agency for purposes related to conducting that agency’s offi cial business. Note: This exception does not apply to a state or local elected offi cer, as defi ned in Section 82020, or an offi cial specifi ed in Section 87200. A travel payment that was received from a non-profi t entity exempt from taxation under Internal Revenue Code Section 501(c)(3) for which you provided equal or greater consideration To Complete Schedule E: Disclose the full name (not an acronym) and address of the source of the travel payment. Identify the business activity if the source is a business entity. Check the box to identify the payment as a gift or income, report the amount, and disclose the date(s). -- Travel payments are gifts if you did not provide services that were equal to or greater in value than the payments received. You must disclose gifts totaling $50 or more from a single source during the period covered by the statement. Gifts of travel are reportable without regard to where the donor is located. When reporting travel payments that are gifts, you must provide a description of the gift and the date(s) received. -- Travel payments are income if you provided services that were equal to or greater in value than the payments received. You must disclose income totaling $500 or more from a single source during the period covered by the statement. You have the burden of proving the payments are income rather than gifts. When reporting travel payments as income, you must describe the services you provided in exchange for the payment. You are not required to disclose the date(s) for travel payments that are income. Example: City council member Rick Chandler is the chairman of a trade association and the association pays for Rick’s travel to attend its meetings. Because Rick is deemed to be providing equal or greater consideration for the travel payment by virtue of serving on the board, this payment may be reported as income. Payments for Rick to attend other events for which Rick is not providing services are likely considered gifts. Instructions – Schedule E Travel Payments, Advances, and Reimbursements TYPE OF PAYMENT: (must check one) Gift Income SCHEDULE E Income – Gifts Travel Payments, Advances, and Reimbursements Name Comments: FPPC Form 700 (2011/2012) Sch. E FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov TYPE OF PAYMENT: (must check one) Gift Income 700 FAIR POLITICAL PRACTICES COMMISSION CALIFORNIA FORM  You must mark either the gift or income box.  Mark the 501(c)(3) box for a travel payment received from a nonprofi t 501(c)(3) organization. These payments are not subject to the $420 gift limit, but may result in a disqualifying confl ict of interest. DATE(S): // - // AMT: $ (If gift) DATE(S): // - // AMT: $ (If gift) TYPE OF PAYMENT: (must check one) Gift Income TYPE OF PAYMENT: (must check one) Gift Income DATE(S): // - // AMT: $ (If gift) DATE(S): // - // AMT: $ (If gift) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE 501 (c)(3) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE 501 (c)(3) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE 501 (c)(3) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE 501 (c)(3) Made a Speech/Participated in a Panel Other - Provide Description Made a Speech/Participated in a Panel Other - Provide Description Made a Speech/Participated in a Panel Other - Provide Description Made a Speech/Participated in a Panel Other - Provide Description Library Commissioners Report Melinda Cervantes, County Librarian Santa Clara County Library February 2012 Silicon Valley Reads events continue through April. See the Silicon Valley Reads 2012 booklet or www.siliconvalleyreads.org for information on over 100 programs to be offered this year. Through December 31, 4,298 non-resident library cards have been sold, and 6,087 free student limited cards have been issued. New services, collections, and policies include: o AWE Early Literacy Stations have been purchased for every library o Playaway Views have been added to children’s collections o The new Smart Investing @ the Library portal has been launched on the Library website at http://www.sccl.org/investing/ o OneClickDigital, a new e-audiobook service, is now available on the library’s website o Beginning February 1, library patrons may place holds on all feature film DVDs At the JPA Board meeting on January 26, the Board approved the following actions: o Requesting the Santa Clara County/Cities Managers’ Association to review the JPA Funding Formula o Creating free wireless access in all libraries that does not require authentication with a library card (anticipated to go live in March) o Establishing a $4 fee for non-cardholders to use the Library’s networked computers for a two hour session (anticipated to go live in March) o Annually issuing free library cards to library volunteers who do not live in the library district and who have contributed 60 or more hours of volunteer service in the prior fiscal year The next meeting of the Santa Clara County Library Joint Powers Authority Board on February 23, 2012 at 1:30pm at the Library Administration Offices, 14600 Winchester Blvd., Los Gatos. JPA agendas and minutes will be posted on the Library website the Friday before each meeting: www.sccl.org.