The URL can be used to link to this page

Home My WebLink About2021-08-24; City Council; ; District 1 Council Member Applicant Interviews Meeting Date: Aug. 24, 2021 To: Mayor and City Council From: Scott Chadwick, City Manager Staff Contact: Faviola Medina, City Clerk Services Manager faviola.medina@carlsbadca.gov, 760-434-5989 Sheila Cobian, Director of Legislative & Constituent Services sheila.cobian@carlsbadca.gov, 760-434-2917 Subject: District 1 Council Member Applicant Interviews District: 1 Recommended Action Conduct the applicant interviews and adopt a resolution appointing one applicant to fill the District 1 vacancy to be effective at the time the oath is administered for a term ending with the November 2022 election. Discussion At the City Council meeting held July 20, 2021, the City Council declared a City Council District 1 vacancy. At that meeting, the City Council gave direction to fill the vacancy by appointing a successor to serve the remainder of the term of the former City Council member. The City Clerk’s Office received 13 applications by the close of the application period on Aug. 11 at 5 p.m. Exhibit 1 contains all applications submitted by the deadline. These applications were reviewed for voter registration and District 1 residency and immediately forwarded to the City Council for consideration as well as posted on the City’s website for public review. The City Council approved the final interview questions and appointment procedure at the City Council meeting held Aug. 17, 2021. Applicant interview and appointment procedure The interview procedure will be as follows: 1. The City Clerk will provide an overview of the interview procedure. 2. Members of the public may provide comments to the City Council using the standard City Council comment process. 3. Applicants will be called to speak via Zoom video in the order their applications were received. Each applicant’s interview will conclude in its entirety prior to moving on to the next applicant’s interview. 4. Applicants will be given three minutes to make opening remarks regarding their qualifications and interest in serving as the District 1 appointed City Council member. Aug. 24, 2021 Item #1 Page 1 of 166 5. The City Clerk will then ask the questions the City Council approved. Applicants will be given two minutes to respond to each question. 6. Applicants will then be given one minute to make their closing remarks. 7. The City Clerk will serve as the timekeeper, cutting the sound at the designated times so each applicant gets equal time. 8. To further ensure equal time, City Council members will not ask follow-up questions or make comments during applicant interviews. 9. If technical problems arise during an applicant’s interview, the City Clerk will stop the interview and the timer until the problems are resolved. 10. After the conclusion of all interviews, the City Clerk will request that the City Council members email the City Clerk the applicants’ names in rank order one through three with number one being the best. (Each value may only be used once.) 11. The rank will be assigned a corresponding numerical value. (A ranking of 1 is equal to a value of 1, a ranking of 2 is equal to a value of 2, etc.) 12. Once City Council members have submitted their ranked lists, a recess will be called, and the City Clerk will calculate the top three by combining rankings from all four City Council members. 13. The City Clerk will display to the City Council members and the public individual ranked lists and the combined top three. 14. The applicant whose ranking has the lowest numerical value will then be considered by a vote of the City Council. Discussion may ensue at this time. 15. This process will continue until consensus, three affirmative votes, is reached. Interview questions The following questions will be asked by the City Clerk: • What policies do you feel would be most effective in balancing the need for growth with maintaining the community’s character? • What do you think the City of Carlsbad’s role should be in addressing the problem of homelessness? • What policies would you recommend to ensure Carlsbad’s coastline can be enjoyed by residents for generations to come? • District 1 residents submitted many topics they would like to see addressed. How would you decide where to focus given your limited time in office? • A local resident business owner in your district has submitted an application seeking approval for a gas station with a convenience store as part of a new development that includes both commercial and residential uses. The gas station is an allowable use subject to a conditional use permit. Several residents in your district have raised concerns about the gas station’s traffic, health and safety, land use, and aesthetic impacts. Analyses have concluded the gas station would not create negative impacts in these areas of concern. How would you go about making a decision on the local resident business owner’s application? Following the interview process, the City Council may make an appointment to fill the District 1 vacancy to be effective at the time the oath is administered. Aug. 24, 2021 Item #1 Page 2 of 166 Fiscal Analysis This action has no fiscal impact. Next Steps If the City Council reaches consensus, the City Clerk Services Manager will agendize the Oath of Office to take place at the beginning of the next regularly scheduled City Council meeting. If a consensus is not reached at this meeting, the City Council will continue this meeting to Aug. 26, 2021, at 4:30 p.m., to conclude the interview and appointment process. Environmental Evaluation This action does not require environmental review because it does not constitute a “project” within the meaning of the California Environmental Quality Act under California Public Resources Code Section 21065 in that it has no potential to cause either a direct physical change in the environment or a reasonably foreseeable indirect physical change in the environment. Public Notification and Outreach This item was noticed in keeping with the Ralph M. Brown Act and it was available for public viewing and reviewing at least 72 hours before the scheduled meeting date. Exhibits 1. Candidate applications in the order received 2. City Council resolution Aug. 24, 2021 Item #1 Page 3 of 166 Exhibit 1 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 RECEIVED JUL 2 9 2021 CITY OF CARLSBAD CITY CLERK'S OFFICE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. H& q .1 '3/J a. m. rl. <r 12 rv: 12/ r1/BfJ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name {) a..-vk "-rct 0;,t"' nf Rirth· tv\ul 1) Required for Voter Registration Verification Home Address -A I District Number -I \-\. tr ---- City (_ ls\,~ ZIP ~ '2AJOg C'-"Y" f-1 -· Mo -- E-mail -- Occupation~ ,\--\--i t.. \') s -~-,Q. Employer~~~ Q..-rl \) ~ -r'l-~ r~ l Empri~tts ~,~~ J V ,\\~.e-~ city Cc"--+"'l~ .b ~ I ZIP Oj "2.-,trt)[{ Wo Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. 'X I am a registered voter in Carlsbad. ~ I am a Citizens Academy graduate. \ \-'S~hl .~~-hr :t: C,n.c..-.tA r wr,...~ 0-........ I have su fficient time to devote to t he responsibility of t he position and will attend the required meeting{s) if I am appointed. 'fJ I acknowledge that if appointed I will file necessary documents including a Form 700 Economic Disclosure Statement (a public record that will be posted on the City's website). J further agree to f attend Ethics Training as required under the Political Reform Act and any other required t rainings. Questions? Please call 760 434-2808 or omall clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 4 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code I section as it exists at the time of my appointment. l am aware that this application is a public document. ;( Please describe vo, r p, ofessional experience and releva1 t experience. 1) ~ ~ ½!( r ... ~l ~ (b 'ry I "132. -&O Lu (~b~ ~\ b~~l-(11 O-\'\'ti (_~½LJ Q ½ ~ ~• t -L-01) (,_ / 1A) ( 8 Please describe your educational background. ~5 ~~~1_(~~-t~~~B-'(0 -1~1& tv-,.,,~ ~ ~ 0.........-v."s( 1)-iv\~ ~(W«~) w~:sl--.A~~ ~,'lr!E ~ ~,-i)l~'\l\o -1~ t Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agef"lc1es. G,,.,,i,s~J [+; -N~ R-_ <)~ ------~ ~~~ ~Q/~~ ~\~~ ~w (J.____~, ~ c,\-~~ c_~ts 'r>J c,~ c~y'\ Aug. 24, 2021 Item #1 Page 5 of 166 Please explain why you wish to be appointed to City Council (attach a separate sheet if needed) What would you like to accomplish as a co1..1ncil person if appointed? 1 ~ ~ ~ ci \ \_~ c!A'-s-vv--s 5 ~ ~ ~ a_; dY--CA~~ 5 ~euY W, \_\ ~ '1 -rk C( 1 c~_ ~ ~'vV'--~ ~ t,i__ ~ ~+ s y ..,\.;; ~ F <r--n -k -'0. :c. he ll I-~ ~~-~ ~, ~ ~ ~ Jsz._s~ ~J (in; e-t-; t' 4__ > t) ..___ ~~w-JI t ~ ~ D1.,.\.,-,+ \ ~s,'"1-..,~ -'°"' ·ll °'-> N r-L ':>\-~ t c~ \ s ,'o o__,~ _ A ~~"-A ~-.... ~~ wll\ k h 1~+-b ~---I\) c, 1) ~ ~G.,; J\--T c~ ~~ ·fu ~\ \ ~ "'i ~ ~~ M ._cJ\-_ h-r-w~~ -\o-wc.__-,-l ~ :-h'--v ~~'y..,_J ~ J ku._l1~~ ~,,\i\ -~, o~ ~~J-/+ ~ ~ C\~. Aug. 24, 2021 Item #1 Page 6 of 166 Aug. 24, 2021 Item #1 Page 7 of 166 Additi onal information 01 comments r ~~ c.:f=-~ ~~+ ~\U-C>--Q o.._ ~~\~~ J: b.JL.~~ tLd--l=' ~ ~ k)~ ~Jzci_ h b.-"-f-ilk. Gi ~ 1 ~-I-L., rl\, ~ s1 .J-,,,.___ f"",,.d ~ o-orl. t, o._,,J_ ~ ~ s: > ~Sl . \,,J ~ If----1 ~ c_) ~ I &-o % <-~ ·¼ ~ k.11>"'~ 5 1 ~ vA c-°'-~ ~\-v.. ~5.\-i.V'\.\-4-Jl5,\-0 J c~) J. C\. <\--~~,\-, Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Last Name: Signature \_ Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application wit h resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 {760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@>c::irtsoadca.go .. Aug. 24, 2021 Item #1 Page 8 of 166 2020-2021 Statement of Economic Interests Form 700 A Public Document Table of Contents Quick Start Guide .................................................... p.2 Who? Where? How? When? .................................... p.3 Types of Statements ................................................. p.4 Cover Page and Schedules Cover Page ........................................................ p.5 ScheduleA-1 (Investments) ............................... p.7 Schedule A-2 (Business Entitiesff rusts) ............ p.9 Schedule B (Real Property) ............................... p .11 Schedule C (Income) ......................................... p.13 Schedule D (Gifts) .............................................. p.15 Schedule E (Travel Payments) ........................... p.17 Restrictions and Prohibitions .................................... p.19 Q &A ........................................................................ p.20 Helpful Resources • Video Tutorials • Reference Pamphlet • Excel Version • FAQs • Gift and Travel Fact Sheet for State and Local Officials California Fair Political Practices Commission 1102 Q Street, Suite 3000 • Sacramento, CA 95811 Email Advice: advice@fppc.ca.gov Toll-free advice line: 1 (866) ASK-FPPC • 1 (866) 276-3772 Telephone: (916) 322-5660 • Website: www.fppc.ca.gov December 2020 Aug. 24, 2021 Item #1 Page 9 of 166 Quick Start Guide D&tllled in.stru,~uons !.legin on pa~e3. WHEN IS THE ANNUAL STATEMENT DUE? • March 1 -Elected State Officers, Judges and Court Commissioners, State Board and Commission members listed in Government Code Section 87200 • April 1 -Most other filers WHERE DO I FILE? Most people file the Form 700 with their agency. If you're not sure where to file your Form 700, contact your filing officer or the person who asked you to complete it ITEMS TO NOTE! • The Form 700 is a public document. • Only filers serving in active military duty may receive an extension on the filing deadline. • You must also report interests held by your spouse or registered domestic partner. • Your agency's conflict of interest code will help you to complete the Form 700. You are encouraged to get your conflict of interest code from the person who asked you to complete the Form 700. NOTHING TO REPORT? Mark the "No reportable interests" box on Part 4 of the Cover Page, and submit only the signed Cover Page Pl . h h d I f II I ease review eac SC e u e care u 1v. Common Common Schedule Reportable Interests Non-Reportable Interests A-1: Stocks, including those held in an IRA Insurance policfes, government bonds, diversified Investments or 401K. Each stock must be listed. mutual funds, funos similar to diversified mutual funds. A-2: Business entities, sole proprietorships, Savings and checking accounts, and annuities. Business partnerships, LLCs, corporations and Entitites/Trusts trusts. (e.g., Form 1099 filers). B: Rental property in filer's jurisoiction, or A residence used exclusively as a personal Real Property within two miles of the boundaries of residence (such as a home or vacation property). the jurisdiction. C: Non-governmental salaries. Note that Governmental salary (from school district, for Income filers are required to report only half of example). their spouse's or partner's salary. D: Gifts from businesses, vendors, or Gifts from family members. Gifts other contractors (meals, tickets, etc.)_ E: Travel payments from third parties (not Travel paid by your government agency. Travel your employer). Payments Nole. Like reportable interests, non-reportable interests may also create conflicts of interest and could be grounds for disqualification from certain decisions. QUESTIONS? • advice@fppc.ca.gov • (866) 275-3772 Mon-Thurs, 9-11:30 a.m. E-FILING ISSUES? • If using your agency's system, please contact technical support at your agency. • If using FPPC's e-filing system, write to form700@fppc.ca.gov. FPPC Form 700 (2020/2021) advioo@fppc.ca.gov • 866·275•3772•www .. ca.gov Page · 2 Aug. 24, 2021 Item #1 Page 10 of 166 Gift Limit Increase The gift limit increased to $520 for calendar years 2021 and 2022. The gift limit in 2020 was $600. IJt., must file: • Elected and appointed officials and candidates listed in Government Code Section 87200 Employees, appointed officials, and consultants filing pursuant to a conflict of interest code (''code filers''). 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 offices that are designated ln a conflict of interest code (e.g., county sheriffs, city clerks, school board trustees, and water board members) Exception: • Candidates for a county central committee are not required to file the Form 700. • Members of newly created boards and commissions not yet covered under a conflict of interest code • Employees in newly c~eated positions of existing agencies For more information, see Reference Pamphlet, page 3, at www.fppc.ca.gov. t1 ~. to file: 87200 Fliers State offices :> Judicial offices :> Retired Judges :> County offices :> City offices :> Multi*County offices :> Your agency The clerl< of your court Directly with FPPC Your county filing official Your city clerk Your agency Code Fliers -State and Local Officials, Employees, and Consultants Designated in a Conflict of Interest Code: File with your agency, board, or commission unless otherwise specified in your agency's code (e.g., Legislative staff files 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 office. Hew to file: The Form 700 is available at www.tppc.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 filing officer to file electronically under Government Code Section 87500.2. '116'.. 1• to file: Annual Statements :> March 1, 2021 -Elected State Officers -Judges and Court Commissioners -State Board and State Commission Members listed in Government Code Section 87200 :> April 1, 2021 -Most other filers Individuals filing under conflict of interest codes in city and county jurisdictions should verify the annual filing date with their local filing officers. Statements postmarked by the filing deadline are considered filed on time. Statements of 30 pages or less may be emailed or faxed by the deadl\ne as long as the originally signed paper version is sent by first class mail to the filing official within 24 hours. Assuming Office and Leaving Office Statements Most filers file within 30 days of assuming or leaving office or within 30 days of the effective date of a newly adopted or amended conflict of interest code. EJc.ception: If you assumed office between October 1, 2020, and December 31 , 2020, and filed an assuming office statement, you are not required to file an annual statement until March 1, 2022, or April 1, 2022, whichever is applicable. The annual statement will cover the day after you assumed office through December 31, 2021 (See Reference Pamphlet page 6, for additional exceptions. Candidate Statements File no later than the final filing date for the declaration of candidacy or nomination documents. A candidate statement is not required if you filed an assuming office or annual statement for the same jurisdiction within 60 days before filing a declaration of candidacy or other nomination documents. Late Statements There Is no provision for filing deadline extensions unless the filer is serving In active military duty. (See page 19 for infonnation on penalties and fines.} 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 filed form. Obtain amendment schedules at www.fppc.ca.gov. FPPC Form 700 (2020/2021) advke@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov I'll&•• 3 Aug. 24, 2021 Item #1 Page 11 of 166 Types of Statements Assuming Office Statement: If you are a newly appointed official or are newly employed in a position designated, or that will be designated, in a state or local agency's conflict of interest code, your assuming office date is the date you were sworn in or otherwise authorized to serve in the position. If you are a newly elected official, your assuming office date is the date you were sworn in. • Report: Investments, interests in real property, and business positions held on the date you assumed the office or position must be reported. In addition, income (including loans, gifts, and travel payments) received during the 12 months prior to the date you assumed the office or position. For positions subject to confirmation by the State Senate or the Commission on Judicial Appointments, your assuming office date is the date you were appointed or nominated to the position. • Example: Maria Lopez was nominated by the Governor to serve on a state agency board that is subject to state senate confirmation. The assuming office date is the date Maria's nomination is submitted to the Senate. Maria must report investments, interests in real property, and business positions she holds on that date, and income (including loans, gifts, and travel payments) received during the 12 months prior to that date. If your office or position has been added to a newly adopted or newly amended conflict of Interest code, use the effective date of the code or amendment, whichever is applicable. • Report: Investments, interests in real property, and business positions held on the effective date of the code or amendment must be reported. In addition, income (including loans, gifts, and travel payments) received during the 12 months prior to the effective date of the code or amendment. Annual Statement: Generally, the period covered is January 1, 2020, through December 31, 2020. If the period covered by the statement is different than January 1, 2020, through December 31. 2020, (for example, you assumed office between October 1, 2019, and December 31. 2019 or you are combining statements), you must specify the period covered. • Investments, interests in real property, business positions held, and income (including loans, gifts, and travel payments) received during the period covered by the statement must be reported. Do not change the preprinted dates on Schedules A-1, A-2, and B unless you are required to report the acquisition or disposition of an Interest that did not occur In 2020, • Jf your disclosure category changes dur1ng a reporting period, disclose under the old category until the effective date of the conflict of interest code amendment and disclose under the new disclosure category through the end of the reporting period. Leaving Office Statement: Generally, the period covered is January 1, 2020, through the date you stopped performing the duties of your position. If the period covered differs from January 1, 2020, through the date you stopped performing the duties of your position (for example, you assumed office between October 1 , 2019, and December 31, 2019, or you are combining statements), the period covered must be specified. The reporting period can cover parts of two calendar years. • Report: Investments, interests in real property, business positions held, and income (including loans, gifts, and travel payments) received during the period covered by the statement. Do not change the preprinted dates on Schedules A-1, A-2, and B unless you are required to report the acquisition or disposition of an interest that did not occur in 2020. Candidate Statement: If you are filing a statement in connection with your candidacy for state or local office, investments, interests in real property, and business positions held on the date of filing your declaration of candidacy must be reported. In addition, income (including loans, gifts, and travel payments) received during the 12 months prior to the date of filing your declaration of candidacy is reportable. Do not change the preprinted dates on Schedules A-1, A-2, and B. Candidates running for local elective offices (e.g., county sheriffs, city clerks, school board trustees, or water district board members) must file candidate statements, as required by the conflict of interest code for the elected position. The code may be obtained from the agency of the elected position. Amendments: If you discover errors or omissions on any statement, file an amendment as soon as possible. You are only required to amend the schedule that needs to be revised; it is not necessary to refile the entire form. Obtain amendment schedules from the FPPC website at www.fppc.ca.gov. C,t-Once you file your statemen~ you may not withdraw it. All changes must be noted on amendment schedules. FPPC Form 700 (2020/2021) advke@fppc.oa.gov • 866•275•3772• www.fppc.ca.gov Pa&e -4 Aug. 24, 2021 Item #1 Page 12 of 166 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE C·1 l111f''.! F11•11l,J F?er,~t,er.! ;-,,,,,.1 ,:1,1;-.. a/ .. .;;.., 1ln,1 A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) I J\ fa..~c- (FIRST) [\')~ (MIDDLE) D . 1. Office, Agency, or Court Agency Name (Do not use acronyms) l,. Divis2 ±1, ~!rtm~~ ;::;;icable Your Position ► If Jiling for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: ____________________ _ Position:------------------ 2. Jurisdiction of Office (Check at least one box) D State D Multi-County ~City of ( --,-~--l-s \-a.2..-~----- 3. Type of Statement (Check at least one box) D Annual: The period covered is January 1, 2020, through December 31, 2020. -or- The period covered is _/_/, ___ ~ through December 31 , 2020. D Assuming Office: Date assumed _/_/ ___ _ D Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) D County of ----------------- □ Other ------------------ D Leaving Office: Date Left_/_/ ___ _ (Check one circle.) O The period covered is January 1, 2020, through the date of leaving office. -or- 0 The period covered is_/_/, ___ ~ through the date of leaving office ~ Candidate: Date of Election ·2A.) 2-\ and office sought, if different than Part 1: _______________ _ t---i~+tic,heduleaA-4-mvestmimts--schBOOle-ettached · ~me,J.QaJiL&,Busiaess..P-d2siticn~edP!e aUadte • Income -Gifts -schedule attached D Schedule B . Reel Pro erl -schedule attached D Schedule E • Income -Gifts -Travel Payments -schedule attached -or-0 None • No reportable interests on any schedule 5. Verification MAILING ADDRESS STREn CITY STATE ZIP CODE (Busiae$s or Aaencv Address Recommended • Public Document) DAYTIME TELEPHONE NUMBER EMAIL ADDRESS -i I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best 06f1y 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 perju: under the laws of the State of California that the foregoing is t~e ~orrect. Date Signed J ~ & q ~ "2.,.\ Signature ~ ,.__~,.,...,__--., /month, dav, year) Print Clear FPPC Forrn 700 • Cover Page (2020/2021) advice@fppc.ca.gov • 866·275-3772 • www.fppc.ca.gov Page• S Aug. 24, 2021 Item #1 Page 13 of 166 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► 1. BUSINESS ENTITY OR TRUST 7_7,...~ ~~i LL<:_ Name u.,.;\ 5\,.::J \j~\\::, i.-~. i '1-8 \ Address (Business Address Acceptable) Check one D Trust, go to 2 ~usiness Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSlNESS FAIR MARKET VALUE IF .APPLICABLE, LIST DATE: 0 $0. $1,999 __1__120 __j_JJJL 0 $2.000 · $10,000 0 $10,001 · $100,000 ACQUIRED DISPOSED ~$100,001 · $1,000,tlOO Over $1,000,000 NATURE OF INVESTMENT LLC... 0 Partnership D Sole Proprietorship ~ Other YOUR BUSINESS POSITION &'.\,J~ ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME 1Q THE ENTITY/TRUST) 0 $0 • $499 0 $500 • $1,000 0 $1,001 · $10,000 'tlh10,001 • $100,000 [J OVER $100,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE IAltacl> a separate shW 11 nocosmy) 0 None or [!:I Names lisle.d below rc~Lyj ~¼\ ~4 ► 4. INVESTMENTS ANO INTERESTS IN REAL PROPERTY HELD OR LEASED fil THE BUSINESS ENTITY OR TRUST Che.ck one box: 0 INVESTMENT ~ REAL PROPERTY ,. rt-~, c~l:5\.? c..J. \J \ \\~F-~ Name of Business Entity, if Investment, ill: Assessor's Parcel Number or Street Address of Real Property Description of Business Activity ru City or Other Precise Location of Real Property l'AIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 $2,000 -$10,000 □ :l,10,001 "$100,000 __l__j20 __J__/1,_0 0 $100,001 • $1,000,000 ACQUIRED DISPOSED ~ Over $1,000,000 NATURE OF INTEREST -~roperty Ownership/Deed of Trust O Stock O Partnership 0 Leasehold -----0 Other '(rs. remaining 0 Check box if additional schedules reporting investments or real property are attached ► 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one D Trust, go to 2 D Business Entity, complete the box, then go to 2 GENERAL DESCRIPTJON OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0$□-$1,999 __J__J~ __j_AL 0 $2,000 · $10,000 0 $10,00~ -$100,000 0 $100,001 · $1,000,000 D Over $1,000,000 ACQUIRED DISPOSED NATURE OF INVESTMENT 0 Partnership 0 Sole Proprietorship □ uther YOUR BUSINESS POSITION ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 0 $0 -5499 0 $500 -$1.,000 0 $1,001 • $10,000 0 $10,001 • $100,000 0 OVER ,$~ 00,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Allach a sopornte sheet ,r necess•1;1 0 None or O Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELO OR LEASED fil THE BUSINESS ENTITY OR TRUST Check one box: 0 INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Investment, Q! Assessor"s Parcel Number or Street Address of Real Property Description of Business Activity QC City or Other Precise Location of Real Property FAIR MARKET VALUE 0 $2,000 -$10,000 IF APPLICABLE, LIST DATE; 0 $10,001 • $100,000 0 $100,001 • $1,000,000 0 Over $1 ,000.000 NATURE OF INTEREST 0 Property Ownership/Deed of Trust 0 Leasehold .,.,..---,-,--0 Other Yrs. remaining ACQUIRED DISPOSED 0 Stock 0 Partnership D Check l>ox if additional schedules reporting investments or real property a re attached Comments:---------------------------FPPC Farm 700 -Schedule A-2 {202.0/2021) advice@fppc.ca.gov • 866-275·3772 • www.fppc.ca.gov Page• 9 Print Clear Aug. 24, 2021 Item #1 Page 14 of 166 Instructions Cover Page Enter yout name, mailing address, and daytime telephone number in the spaces provided. Because the Form 700 is .a publio document, you may list your business/office address Instead of your home address. Part 1. Office, Agency, or Court • Enter the name of the office sought or held, or the agency or court. Consultants must enter the public agency name rather than their private finn's name. (Examples: State Assembly; Board of Supervisors; Office 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). Do not use acronyms. • Enter your position title. (Examples: Director; Chief Counsel; City Council Member; Staff Services Analyst) • If you hold multiple positions 0.e., a city council member who also is a member of a county board or commission}, you may be required to file statements with each agency. To simplify your filing obligations, you may complete an expanded statement • To do this, enter the name of the other agency(ies) with which you are required to file and your position title(s) in the space provided. Do not use acronyms. 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 file with each a.gency. If you assume or leave a position after a filing 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 annual filing deadline must file a separate assuming office statement. In subsequent years, the city council member may expand his or her annual filing to include both positions. Example: Brian Bourne 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. Brian will complete one Form 700 using full disclosure (as required for the city position) and covering \nterests 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, Brian will make a copy and sign both statements. One statement will be filed with City of Lincoln and the other will be filed with Camp Far West lnigation District. Both will contain an original signature. Part 2. Jurisdiction of Office • 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 filers should review the Reference Pamphlet, page 13, to determine their jurisdiction. • If your agency is a multi-county office, list each county in which your agency has jurisdiction. • If your agency is not a state office, court, county office, city office, or multi-county office (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 filer is a member of a water district board with jurisdiction in portions of Yuba and Sutter Counties. .-.ncy NM11n1o (D• •~" ~ .,-"1~ Fc,11bcr !\nu irdgotion D11t1lc1 lli.-.tion, lkuiJ, lkptl'i1iv1\ (Jllhd,' -w'~lfl NlA 1,g, 9 _NI_A ________ _ 2. Jurisdiction of Off'ia• ~ -1 ~,, 04II 001J □st;,~ ■ •.11.~ CoYr!fr Yub,i. A §u-lh!f Coumi.c-.1 □~~--------- Part 3. Type of Statement Boa.id Met11btt o~~ut!.:u\C«rrmlllilG,.,....~•.l.,i\W.I.A!i") oo:uqd' _______ _ □"""--------- Check at least one box. The period covered by a statement is determined by the type of statement you are filing. If you are completing a 2020 annual statement, do not change the pre-printed dates lo reflect 2021. Your annual statement is used for reporting the previous year's economic interests. Economic interests for your annual filing covering January 1, 2021, through December 31, 2021, will be disclosed on your statement filed In 2022, See Reference Pamphlet, page 4. Combining Statements: Certain types of statements may be combined. For example, if you leave office after January 1, but before the deadline for filing your annual statement, you may combine your annual and leaving office statements. File by lhe earliest deadline. Consult your filing officer or the FPPC. Part 4. Schedule Summary • Complete the Schedule Summary after you have reviewed each schedule to determine if you have reportable interests. • 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 interes1s" box. Please do not attach any blank schedules. Part S. Verification Complete the verification by signing the statement and entering the date signed. All statements must have an original "wer signature or be duly authorized by your filihg officer to file electronically under Government Code Section 87500.2, When you sign your statement, you are stating, under penalty of perjury, that it is true and correct. Only the filer has authority to sign the statement. An unsigned statement is not considered fried and you may be subject to late filing penalties. FPPC Form 700 • Cover Page (2020/2021) advlce@fppc.ca.gov • 866-275-3772 • www-./ppc.ca.gov Page-6 Aug. 24, 2021 Item #1 Page 15 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other lnte.rests Name (Ownership Interest is Less Than 10%) Investments must be itemized. Do not attach brokerage or 'financial statements. •►-N•A•M•E-O•F•s•u•s•1N•E•s•s-E•N•T-ITY---------------. ,--►-N•A•M•E•o-F•B•u•s•1N•E•s•s-E•N•T-lT_Y _____________ _ GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 .$2,000 -$,10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 Stock O Other 0 $10,001 · $100,000 D Over $1,000,000 [Describe) D Partnership O Jncome Received of $0 • $499 0 Income Received of $500 or More /Report on Schedule C) IF APPLICABLE, UST DATE: ~_!2_JL_ ACQUIRED __J__J.2.Q__ DISPOSED ► NAME dF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSJNESS FAIR MARKET VALUE D $2,000 -$10,000 D $100,001 . $1,000,000 NATURE OF INVESTMENT D Stock O Other 0 $10,001 -$100,000 0 Over $1,00'0,000 (Describe) D Partnership O Income Received of $0 -$499 0 Income Received of $500 or More /Report on Schedule C) IF APPLICABLE, LIST DATE: __J__J2SJ_ ACQUIRED _J__J~ DISPOSED ► NAME OF BUSINESS EN1lTY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 · $10,000 □ $100,001 -$1.000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 0 Over $1,000,000 0 Stock D Other {beSGr16e) D Partnership O lnc;,:irne Received of $0 • $499 0 Income Received of $500 or More /Report on Scheciu/e CJ IF APPLICABLE, LIS'r DATE: __J__J2JL_ ACQUIRED Comments: __J__J2JL_ DISPOSED Print Clear GENERAL DESCRIPTION OF THIS BUSINESS FAIR MAR.KET VALUE 0 $2,000 -$10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT D $10,001 -$100.000 D Over $1,000,000 0 Stock O Other --------------(Des.cribe) 0 Partnership O Income Reoelved of $0 -$499 0 lnoome Reoelved of $500 or More (Report' on Scnedule OJ IF APPLICABLE, LIST DATE: __J-----122.__ ACQUIRED __J__J'J&_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT D $10.001 -$100,000 0 Over $1.000,000 0 Stock D Other ____________ _ (Describe) D Partnership O Income Received of $0 • $499 0 Income Received of $500 or Mare /Report oo Sctiedule C) IF APPLICABLE. LIST DATE: __J___j20 ACQUIRED __J__J2.0._ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $,00,001 -$1,000,000 0 $10,001 -$100,000 D Over $1,000,000 NATURE OF INVESTMENT D Slack O Other -----.,,.,,...,,,,,.,.. ____ _ (bescnbe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 or More (Report oo Sahedu/e C/ IF APPLICABLE, LIST DATE; __J__J2JJ_ ACQUIRED __J__J2JJ_ DISPOSED FPPC •orm 700 • Schedule A·1 (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -7 Aug. 24, 2021 Item #1 Page 16 of 166 Instructions -Schedules A-1 and A-2 Investments ''Investment" means a financial interest in any business entity (including a consulting business or other independent contracting business) that is located in, doing business i'n, planhing 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 beneficial 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 proprietorsh.ips • Your own business or your spouse's or registered domestic partner's business (See Reference Pamphlet, page 8, for the definition of "business entity.") • Your spouse's or registered dornestic partner's Investments even if they are legally separate property • Partnerships (e.g .. a law finn or family farm) • Investments fn 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 16, for more information on disclosing trusts.) • Business trusts You are not required to disclose: • Government bonds, diversified mutual funds, certain funds similar to diversified mutual funds (such as exchange traded funds) and investments herd in certain retirement accounts. (See Reference Pamphlet, page 13.) (Regulation 18237) • Bank accounts, savings accounts, money market accounts and certificates 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, mutual funds, or government bonds) (See Reference Pamphlet, page 15.) Reminders • Do you know your agency's Jurisdiction? • Did you hold investments at any time during the period covered by this statement? • Code filers -your disclosure categories may only require disclosure of specific investments. • Government defined-benefit pension plans (such as CalPERS and CalSTRS plans) • Certain 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 financial statements. • Disclose the name of the business entity. • Provide a general description of the business activity of the enti1y (e.g., pharmaceuticals, computers, automobile manufacturing, or communications). • Check the box indicating the highest fair market value of your investment during the reporting period. It you are filing a candidate or an assuming office statement, indicate the fair market value on the filing date or the date you took office, respectively. (See page 20 for more information.) • 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 requrred. Generally, these dates will not apply if you are filing a candidate or an assuming office statement. Examples: Frank Byrd holds a state agency position. His conflict of interest code requires full disclosure of investments. Frank must disclose his stock holdings of $2,000 or more in ahy company that Is located in or does business in California, as well as those stocks held by his spouse or registered domestic partner and dependent children. Alice Lance is a city council member. She has a 4% interest. worth $5,000, in a limited partnership located in the city. Allee must disclose the partnership on Schedule A-1 and income of $500 or more received from the partnership on Schedule C. FPPC form 700 (2020/2021) advice@fppc.~.gov • 866•275-3772 • www.fppc.C11.1ov Pagc-8 Aug. 24, 2021 Item #1 Page 17 of 166 Instructions -Schedule A-2 Investments, Income. and Assets of Business Entities/Trusts Use. Schedule A-2 to report investments in a business entity (including a consulting business or other independent contracting business) or trust (including a living trust) in which you, your spouse or registered domestic partner, and your dependent children, together or separately, 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 you, 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 fn 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 hi_ghest fair market value of your investment during the reporting period. • ff you initially acquired or entirely disposed of this interest during the reporting period, enter the date aequjred 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, officer, partner, trustee, employee, or held any position of management). A business position held by your spouse ls 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, dolng business in, planning to do business in, or that has done business during the previous two year-s in your agency's jurisdiction, as follows: • Dlsclose .each source of income and outstanding loan to the business entity or trust identified 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 dufing 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 official status are not reportable. • Disclose each individual or entity thai was a source of commission income of $10,000 or more during the reporting period through the business entity identified in Part 1. (See Reference Pamphlet, page 8.) 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. Mark "None" if you do not have any reportable $10,000 sources of income to disclose. Phrases such as "various clients" or "not disclosing sources pursuant to attorney-client privilege'' are not adequate disclosure. (See Reference Pamphlet, page 14, for information on procedures to request an exemption from disclosing privileged information.) Part 4. Report any investments or interests in real property held or leased by the entity or trust identified 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. FPPC Forh'I 700 (2020/2021) advice@fppc.ca.gov • 866-275•3772 • www.fppc,c0.gov Page• 10 Aug. 24, 2021 Item #1 Page 18 of 166 CALIFORNIA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) FAIR POLlTICAL PRACTICES COMMISSION Name ► ASSESSOR'S PARCEL NUMBER OR ST'REET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE. LIST DATE; 0 $2,000 -$10,000 __j--120..... __J__J2fL □ $10,001 -$100,000 0 $100,001 -$1,000,000 ACQUIRED DISPOSED 0 Over $1,000,000 NATURE OF INTEREST 0 OWl'lership/Deed of Trust 0 Eas1;>ment □ Leasehold □ Yrs. ll!mainlng Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 -$499 0 $500 -$1,000 0 $1 ,001 • $10,000 0 $10,001 . $100,000 0 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. 0 None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 $2,000 • $10,000 __J__J2fL __j__J2fL 0 $10,001 • $100,000 0 $100,001 -$1,000,000 ACQUIRED DISPOSED 0 Over $1,000,000 NATURI;: OF INTEREST 0 Ownership/Deed of Trust 0 Easement □ Leasehold □ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 .$0 -$499 0 $500 • $1,000 □ $1,001 • $10,000 □ $10.001 -$100,000 0 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. 0 None * You are not required to report loans from a commercial lending institution 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* NAME OF LENDER* ADDRESS (Business Address Acceptable) ADDRESS (Business Address·Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) INTEREST RATE TE.RM (Months/Years) ____ % ONone _____ % 0 None HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 · $1,000 0 $.1,001 • $10,000 0 $500 · $1,000 0 $1,001 -$10,000 0 $10,001 • $100,000 0 OVER $100,000 0 $10,001 -$100,000 0 OVER $'100,000 D Guarantor, if applicable D Guaran1or, if applicalile Comments:------------------------------------------ Print Clear FPPC Form 700 • Schedule B (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.lppc.ca.gov Page-U Aug. 24, 2021 Item #1 Page 19 of 166 Instructions -Schedule B Interests in Real Property 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 beneficial interest totaljn_g $2,000 or more any time during the reporting period. Real property is also considered to be "within the jurisdiction" of a local government agency if the property or any part of it is located within two miles outside the boundaries of the jurisdiction or within two miles of any land owned or used by the local government agency. (See Reference Pamphlet, page 13.) Interests in real property include: • An ownership interest (including a beneficial 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 rear property held in a retirement account (See Reference Pamphle~ 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 .D.2t required to report: • A residence, such as a hom e or vacation cabin, used exclusively as a personal resfdence (However, a residence in which you rent out a room or for which you claim a business deduction ma,y be reportable. If reportable, report the fair market value of the portion claimed as a tax deduction.) • Some interests in real property held through a blind trust (See Reference Pamphlet, page 16.) • Please note: A non-reportable property can still be grounds for a conflict of interest and may be disqualifying. To Complete Schedule 8: • Report the precise location (e.g., an asses·sor's parcel number or address) of the real property. • Check the box indicating the fair market value of your interest in the property (re.gardfess 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. • ldentffy the nature of your interest. If it is a leasehofd, Reminders • Income and loans already reported on Schedule B are not also required to be reported on Schedule C. • Rea{ property already reported on Schedule A"2, Part 4 is not also required to be reported on Schedule 8 . • Code filers -do your disclosure categories require disclosure of real property? disclose the number of years remaining on the lease. • If you received rental income, check the box indlcatlng the gross amount you received. • lf yol! 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, mark "None." • Loa.11s 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 official 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: Allison Gande is a city planning commissioner. During the reporting period, she received rental income of $12,000, from a single tenant who rented property she owned in the city's jurisdiction. If Allison received $6,000 each from two tenants, the tenants' names would not be required because no single tenant paid her $10,000 or more. A married couple is considered a single tenant. ...s.ae~BOR'S-Alora'.:;CL tlU.ttllT~ or/!;T<"~E.n AO~ 45·00 ·24th Street cnv Sacramento Ml'R> MM~l<ET VillCE o ,~r.oo.1,11.1;.:t: D 1·10,001 ,.1.100.000 ~ =~~:::~.~ r,.Ll\n.Jf<EOF"INJE~T QOw\.,:,lx,,t.\_h•1lnlf\'11~ lF ~?PUCA11LI.,. 11~1 Oll'Tt·. -----t,...___J~_!.,jJJ(X A<;;O.\J:RE.O Ol&FOSEO 1.F ~E«i,.\L PROPERTY,~~$ INP'~lt r.u:rr\:E:D O ®•l-"W □~!la)•~'IPOO O s1,to1.t10Jl!l'J ® .sw,r.<n • l'l«,l,COJ O 0 '/1,ltS,WI)~ &O'.JR.0£8 OF REN'DiL lt,i,::;;t.)t#. H y,,.u ..,...,,1 "' 1o,i, eii: 11rc:a1o;-ht~!:I, H2' th,;i n;O,,;, ,(/,' _,:h ,.,,,,,,,. 1),,,,1 i3" ~ ~J"!IIC roYrco 01 ~"""' nr 110,000 er rr-..::n,. Ot-.'Q,w Henry Walls No\\'IEOFL!:N.Ct!H." Sophia Pelroillo /IOORESS !ti,;:;~ ~'VU~lwj 2121 Blue Ski ParkWay, Sae<amimto N..~'4f...~A(..'Y(VtTr, 11 /\1'11', Cf' LENOel Restaurant Owner fNT(~;,1 KA(!!: TEAM C~ij,,t'(,~:i~) _8 -" 0 1-1.cn~ _15_Y_ea_rs __ _ rLQ l!cti.J ~E CUf",JM"l AE;ffif(T'II\Y: flF.RIOO 01~00 f.l,ID] O t1()..l1-$1(1):I.OO ~ $1{1.0M . ~100,0!l) 0 CN'FP $1(1D,00(1 Comment&: -----------1 FPPC F.orm 700 (2020/2021) advia,@fppc,ca,gov • 866·275•3772 • www.fppc.ca.gov Pige-12 Aug. 24, 2021 Item #1 Page 20 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name (Other than G!fts and Travel Payments) ► 1 INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) 13USINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 -$1,000 □ $10,001 · $100,000 D No Income -Business Position Only D $1,001 -s10,ooo 0 OVER !1100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary D Spouse's or registered domestic partner's income (For self,employed use Schedule A-2.) 0 Partnership (Les.s than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of ___________________ _ (Real property, car, boat, etc.) D Loan repayment D Commission or D Rental Income, list each source of $10,000 or more (De.scribe) D Other-------------------- (Describe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINl:SS POSITION GROSS INCOME RE:CEIVED 0 $500 -$1,000 □ $10,001 · $100,000 D No Income • Business Position Only 0 Sl ,001 -$10,000 0 OVER ~100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary D Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) D Partnership (Less than 10% ownership. For 1 Oo/o or greater use Sche<iule A-2.) D Sale of -------------------(Real property, car, boot, etc.) 0 Loan repayment 0 Commission or D Rental Income, /isl each source of $10.000 or more (Descrl_be/ 0 Other-------'--------------- (Desclibe/ ► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a oornmercial lending institution, or any indebtedness created as part of a retail ins_tallment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* ADDRESS (B!IS/hess Addres$ Acceptable) BUSINESS ACTlVITY, IF ANY, OF LENDER HIGHEST BALANCE DURlNG REPORTING PERIOD 0 $500 -$1,000 0 $1,001 • $10,000 □ $10,001 -$100,000 0 OVER $100,000 Comments: Print Clear INTEREST RATE TERM (Months/Years) -----% D None SECURITY FOR LOAN D None D Personal residence 0 Real Property------------------Street aodtess City D Guarantor __________________ _ 0 OU\er ____________________ _ (Describe) FPPC Form 700 -5<:hedule C {2020/2021) aclvice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page-13 Aug. 24, 2021 Item #1 Page 21 of 166 Instructions -Schedule C Income, Loans, & Business Positions (Income Other Than Gifts and Travel Payments) Repol"tlne Income: 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.) 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. The source and 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.) Reportable sources of income may be further limited by your disclosure category located in your agency's conflict of interest code Roporting Business Positions: You must report your job title with each reportable business entity even if you received no income during the reporting period. Use the comments section to indicate that no income was received. 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 • roport 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 ScheduleA-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 • An honorarium received prior to becoming a public official (See Reference Pamphlet, page 10.) • Incentive compensation (See Reference Pamphlet, page 12.) Reminders • Code filers -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. You ato .nm required to report: • Salary, reimbursement for expenses or per diem, or social security, disability, or other similar benefit payments received by you or your spouse or registered domestic partner from a federal, state, or local government agency. • stock dividends and income from the sale of stock unless the source can be identified. • Income from a PERS retirement account. (See Reference Pamphlet, page 12.) 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 coh1 mission 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. • Disclose the job title or business position, if any, that you held with the business entity, even if you did not receive income di.Iring the reporting period. Part 2. Loans Received or Outstanding During tho 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. FPPC Form ?00 (2020/2021) advice@rppc.ca.gov • 866-275·3?72 • www.fppc.ca.1ov Pqe•l.4 Aug. 24, 2021 Item #1 Page 22 of 166 CALIFORNIA FORM 7 00 SCHEDULED Income -Gifts FAIR POLITICAL PRACTICES COMMISSION Name ► NAME OF SOURCE (Not sn Acronym) ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mrn/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) __J_j_ __J__J __ s. ____ _ __J___j _ __J_j __ $, ___ _ __J___j _ ► NAME Of SOURCE (Not an Acronym) ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, Of SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) __J__J _ __J___j _ __J___j __ $, ___ _ __j__J __ ___J___j_ ___j_j __ $ ___ _ ► NAME OF SOURCE (Nol an Acronym) ► NAME OF SOURCE /Not an Acronym) ADDRESS (Business Address Acceptable) ADDRESS (Business Address ACC!!pl11b/e) BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE {mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/ddlVY) VALUE DESCRIPTION OF GIFT{S) __J___J_ _j___j _ __J___j __ $ ___ _ __ j_j_ ,$, ___ _ __J_j_ _j_j _ Comments:--------------------------------------------- Print Clear FPPC Form 700 • Schedule D (2020/2021) advice@fppc.ca.gov • 866-275·3772 • www.fppc.ca.gov Page• 15 Aug. 24, 2021 Item #1 Page 23 of 166 Instructions -Schedule D Income -Gifts 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. 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 fs 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. You may indicate an intermediary either in the "source" field after the name or in the "comments" section a.t the bottom of Schedule D. Commonly reportable gifts include: • Tickets/passes to sporting or entertainment events • Tickets/passes to amusement parks • Parking passes not used for official agency business • Food, beverages, and accommodations, including those provided 1n 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 official status • Wedding gifts (See Reference Pamphlet, page 16) • An honorarium received prior to assuming office (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, page10.) • Transportation and lodging (See Schedule E.) • Forgiveness of a loan received by you Reminders • Gifis from a single source are subject to a $500 limit In 2020. (See Reference Pamphlet, page 10.) • Code filers -you only need to report gifts from reportable sources. Gift Tracking Mobile Application • FPPC has created a gift tracking app for mobile devices that helps filers track gifts and provides a quick and easy way to upload the information to the Form 700. Visit FPPC's website to download the app. You are ll21 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 or government agency 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, and certain other family members (See Regulation 18942 for a complete list.). 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 Jndividual, other than a lobbyist registered to lobby your state agency, on holidays, birthdays, or similar occasions • Gifts of informatiohal material provided to assist you in the performance of your official 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 • Up to two tickets, for your own use, to attend a fundraiser for a campaign committee or candidate, or to a fundraiser for an organization exempt from taxation under Section 501 (c)(3) of the Internal Revenue Code. The ticket must be reoefved from the organization or committee holding the fund raiser. • Gifts given to members of your immediate family if the source has an established relationship with the family member and there is no evidence to suggest the donor had a purpose to influence you. (See Regulation 18943.) • Free admission, food, and nominal items (such as a pen, pencil, mouse pad, note pad or similar item) available to all attendees, at the event at which the official makes a speech (as defined in Regulation 18950(b)(2)), so Jong as the admission is provided by the person who organizes ,the event. • Any other payment not Identified above, that would otherwise meet the definition of gift, where the payment is made by an individual who is not a lobbyist registered to lobby the official's state agency, where it is clear that the gift was made because of an existing personal or business relationship unrelated to the official's position and there is no evidence whatsoever at the time the gift is made to suggest the donor had a purpose to influence you. 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. FPPC Form 700 (2020/2021) adlllce@fJ>pc.a.gov • 866-275-3772 • www.fpp<.\CLiOV Page -\6 Aug. 24, 2021 Item #1 Page 24 of 166 CALIFORNIA FORM 700 SCHEDULE E Income -Gifts FAIR POLITICAL PRACTICES COMMISSION Name Travel Payments, Advances, and Reimbursements • Mark either the gift or income box. • Mark the "501(c)(3)" box for a travel payment received from a nonprofit 501(c)(3) organization or the "Speech" box if you made a speech or participated in a panel. Per Government Code Section 89506, these payments may not be subject to the gift limit. However, they may result in a disqualifying conflict of interest. • For gifts of travel, provide the travel destination. ► NAME OF SOURCE (Not 11n Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 0 601 (c){3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):__}__J __ -__J__J_ AMT:------ (If gift} ► MUST CHECK ONE: □ Gift -or-□ Income Q Made a Speech/Participated in a Panel Q Other -Provide Description __________ _ ► If Gift, Provide Travel Destination ___________ _ ► NAME OF SOURCE (Not an Acronym) I\DDRESS (Busln= Address Acceptable) CITY AND STATE 0 501 {c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):__./__},_ • _j__J_ AMT:$, _____ _ (If gift) ► MUST CHECK ONE: □ Gift -or-□ Income Q Made a Speech/Participated in a Panel 0 Other -Provide Description __________ _ ► If Gift, Provide Travel Destination ___________ _ -----------------------► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 0 501 (c)(3) or DESCRIBE BUSINESSACTJVITY, IF ANY, OF SOURCE DATE(S).__/__J __ • __/__J __ AMT: ______ _ (If gift) ► MUST CHECK ONE: 0 Gilt -or• 0 Income Q Made a Speech/Partfcipated in a Panel 0 Other • Provide Descrfption __________ _ ► If Gift, Provide Travel Destination ___________ _ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 0 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):__./__./_ -__./__J_ AMT:$ _____ _ (If gift} ► MUST CHECK ONE: □ Gilt -or-□ lncotne Q Made a Speech/Participated in a Panel 0 Other • Provide Description __________ _ ► If Gitt, Provide Ttavel Oest/naUon ___________ _ Comments:----------------------------------------- Print Clear FPPC Form 700 -Schedule e (2020/2021) advice@fppc.ca.go11 • 866-275·3772 • www.fppc.c11,rov .,_,e · lJ Aug. 24, 2021 Item #1 Page 25 of 166 Instructions -Schedule E Travel Payments, Advances, and Reimbursements Travel payments reportable on Schedule E include advances and reimbursements for travel and related expenses, including fodg1ng ano 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 specific description of the purpose of your travel. (See the FPPC fact sheet entitled ''Limitations and Restrictions on Gifts, Honoraria, Travel, and Loans" to read about travel payments under section 89506(a).) You are nm 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, such as reimbursement for travel on agency business from your government agency employer. • A payment for travel from another local, state, or federal government agency and related per diem expenses when the travel is for education, training or other inter-agency programs or purposes. • Travel payments received from your employer in the normal course of your employment that are included in the income reported on Schedule C. • A travel payment that was received from a nonprofit entity exempt from taxation under Internal Revenue Code Section 501 (c)(3) for which you provided equal or greater consideration, such as reimbursement for travel on business for a 501 (c)(3) orgahization for which you are a board member. Note: Certain travel payments may not be reportable if reported via email on Form 801 by your agency. 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. When reporting travel payments that are gifts, you must provide a description of the gift, the date(s) received, and the travel destination. • 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 bmden 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 MaryClaire Chandler is the chair of a 501(c)(6) trade association, and the association pays for her travel to attend its meetings. Because MaryClaire is deemed to be providing equal or ► ..,,liEo,soURcsc,,".,..""""~ greater consideration for HeallhServlces TradeA,sacietian AOORE.....::.S (9~,\~Jla:l!'P.fd,,'l)b.l the travel payment by 1230 K.StreeL Suile61O ~~=.c.==-==-------v i rt u e of serving on the 0 ""''"0 "'"' -=S=ac;.=.ramac•c.crtt=o,..c:;CA'-'---------board, this payment may o "" ,,1P,orL\SS.c"'"""""es"cr""'v.,•ANY,c.Fw11sec be reported as income. Associatton ofHeallhcara Worl<era Payments for MaryClaire """'1'1-1--'-;,1,:'iii_j-1_ ,,.,,.ooo,oo to attend other events for • """10"'0' 0"' o Gift ..,,. oo '"""" which she is not providing o ""' • s,,.,,,, • .,.c, ..... '" • •• ,., e othflra PfO\lld-9 Oua:lp6im Travel reimbursement for services are likely =bo=•rd~m•=•"=□a~,·-------- considered gifts. Note that ►IIC.R,PM,,,Tr.•el""1i,,,,,~------- L-=~~~~~~~~~~~~~~~~~~~~~~~~:;;;I the same payment from a 501 (c)(3) would NOT be reportabf.e. Example: Mayor Kim travels to China on a trip organized by China Silicon Valley Business Development, a California nonprofit, 501(c)(6) organization. The Chengdu Munidpal People's Government pays for Mayor Kim's airfare and travel costs, as well as his meals and ►NMIECfso>JRcEr•"""""""!ffli lodging during the trip. ~~~:~~.:~!J!'.!;:~~:1,?0vemrnent The trip's agenda shows 2 Caoshl St, CaoShiJie, Qingyangau, Chen~du Sm, ('..fJY ANQ.5'tATE that the trip's purpose is Slctiuen Sheng, Chlna. 610000 to promote job creation O "'1(<>:')~nrsCRIO,RIJSlNESO>l>.OfMTY.il·ANY.orsauRCE and economic activity PAr..§I ~~ xx_~~ xx a~• 1 a.aR3a in China and in Silicon w,,.J Valley, so the trip is reasonably related to a governmental purpose. Thus, Mayor Kim must report the gift of travel, ► Mlr.it cm.ck Cf\11:: ~ G.11'\ --1;1r-D rr.t.om1t O Made s Speed'l/?artk!J),Us-:.l In t1 P.i:1MI G:) Other_ Pro~® ~su1~on Travel reimQursemen't for mp lo China. but the gift is exempt from the gift limit. In this case, the travel payments are not subject to the gift limit because the source is a foreign government and because the travel is reasonably related to a governmental purpose. (Section 89506(a)(2).) Note that Mayor Kim could be disqualified from participating in or mal<ing decisions about The Chengdu Municipal People's Government for 12 months. Also note that if China Silicon Valley Business Development (a 501 (c)(8) organization) paid for the travel costs rather than the governmental organization, tne payments would be subject to the gift limits. (See the FPPC fact sheet, Limitations and Restrictions on Gifts. Honoraria, Travel and Loans, at www.fppc.ca.gov.) FPPC Form 700 (2020/2021) advice@fppc.ca.go\l • 866-275•3172 • www.fppc.ca.gov Page -18 Aug. 24, 2021 Item #1 Page 26 of 166 Restrictions and Prohibitions The Political Reform Act (Gov. Code Sections 81000- 91014} requires most state and local government officials and employees to publlcly 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 officials, employees. and candidates are subject to a limit. In 2021-2022, the gift limit increased to $520 from a single source during a calendar year. In 2019 and 2020, the gift limit was $500 from a single source during a calendar year. Additionally, state officials, state candidates, and certain state employees are subject to a $10 limit per calendar month on gifts from lobbyists and lobbying firms registered with the Secretary of State. See Reference Pamphlet, page 10. State and local officials and employees should check with their agency to determine if other restrictions apply. Disqualification F>ublic officials are, under certain circumstances, required to disqualify themselves from making, participating in, or attempting to influence governmental decisions that will affect their economic interests. This may include interests they are not required to disclose. For example, a personal residence is often not reportable, but may be grounds for disqualification. Specific disqualification requirements apply to 87200 filers (e.g., city councilmembers, members of boards of supervisors, planning commissioners, etc.). These officials must publicly identify the economic interest that creates a conflict 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 18707, and the Guide to Recognizing Conflicts of Interest page at www.fppc.ca.gov. Honorarium Ban Most state and local officials, employees, and candidates are prohibited from accepting an honorarium for any speech given, article pl.lblished, or attendance at a conference, convention, meeting, or like gatherlng. (See Reference Pamphlet, page 10.) Loan Restrictions Certain state and local officials 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 officials, most state employees, local elected officials, county chief administrative officers, 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 filing officer who retains originally-signed or electronically filed statements of economic interests may impose on an individual a fine for any statement that is filed late. The ·fine is $10 per day up to a maximum of $100. Late filing penalties may be reduced or waived under certain circumstances. Persons who fail to timely file their Form 700 may be referred to the FPPC's Enforcement Division (and, in some cases, to the Attorney General or district attorney) tor investigation and possible prosecution. In addition to the late filing penalties, a fine of up to $5,000 per violation may be imposed. For assistance concerning reporting, prohibitions, and restrictions under the Act: • Email questions to advice@fppc.ca.gov. • Call the FPPC toll-free at (866) 275-3772. Form 700 is a Public Document Public Access Must Be Provided Statements of Economic Interests are public documents. The filing officer 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 identification may be required from persons seeking access. • Reproduction fees of no more than 10 cents per page may be charged. FPPC Form 700 (2020/2021) advice@fppc.ca,gov • 866·275-3772 ~www.fppc.ca.11ov Page-19 Aug. 24, 2021 Item #1 Page 27 of 166 Questions and Answers General Q. What is the reporting period for disclosing interests on an assuming office statement or a candidate statement? A. On an assuming office statement, disclose all reportable investments, interests in rear property, and business positions held on the date you assumed office. In addition, you must disclose income (including loans, gifts and traveJ payments) received during the 12 months prior to the date you assumed office. On a candidate statement, disclose all reportable investments, interests in real property, and business positions held on the date you file 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 file your declaration of candidacy. a. I hold two other board positions fn addition to my position with the county. Must I file 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 filing. 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, a nd distribute one original to the county and to each of the two boards. Remember to complete separate statements tor positions that you leave or assume during the year. Q. I am a department head who recently began acting as city manager. Should I file as the city manager? A, Yes. File an assuming office statement as city manager. Persons serving as ''acting," "interim," or "alternate" must file as if they hold the position because they are or may be performing the duties of the position. Q , My spouse and I are currently separated and in the process of obtaining a divorce. Must I still report my spouse's income, investments, and interests in real property? A. Yes. A public official must continue to report a spouse's economic interests until such time as d issolution of marriage proceedings is final. However, If a separate property agreement has been reached prior to that time, your estranged spouse's income may not have to be reported. Contact the FPPC for more information. Q. As a designated employee, I left one state agency to work for another state agency. Must I file a leaving office statement? A. Yes. You may also need to file an assuming office statement for the new agency. Investment Disclosure Q . I have an investment interest in shares of stook in a company that does not have an office in my jurisdiction. Must I still disclose my investment interest in this company? A. Probably. The definition of "doing business in the jurisdiction" is not limited to whether the business has an office 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 diversified 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 diversified mutL1al funds registered with the SEC are not reportable. Q . I am required to report all investments. I have an IRA that contains stocks through an account managed by a brokerage firm. Must I disclose these stocks even though they are held in an IRA and 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 . The value of my stock changed during the reporting period. How do I report the value of the stock? A. You are required to report the highest value that the stock reached during the reporting period. You may use your monthly statements to determine the highest value. You may also use the entity's website to determine the highest value. You are encouraged to keep a record of where you found the reported value. Note that for an assuming office statement, you must report the value of the stock on the date you assumed office. FPPC Fann 700 (2020/2021) a dvi'ce@fppc.ca.gov • 866-275•3nZ • www.fppc.ca.gov l'l&e-20 Aug. 24, 2021 Item #1 Page 28 of 166 Questions and Answers Continued Q. I am the sole owner of my business, an S-Corporation. I believe that the nature of the business is such that it cannot be said to have any "fair market value'' because it has no assets. I operate the corporation under an agreement with a large insurance company. My contract does not have resale value because of its nature as a personal services contract. Must I report the fair market value for my business on Schedule A-2 of the Form 700? A. Yes. Even if there are no tangfble assets, intangible assets, such as relationships with companies and cllents are commonly sold to qualified professionals. The "fair market value" is often quantified for other purposes, such as marital dissolutions or estate planning. In addition, the IRS presumes that "personal services corporations" have a fair market value. A professional "book of business" and the associated goodwill that generates income are not without a determinable value. The Form 700 does not require a precise fair market value; It is only necessary to check a box indicating the broad range within which the value falls 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'' fields? A. No. You must only report dates in the "Acquired" or "Disposed" fields 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 filing 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 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 Q. We have a Section 529 account set up to save money for our son's college education. Is this reportable? A. If the Section 529 account contains reportable interests (e.g., common stock valued at $2,000 or more), those interests are reportable (not the actual Section 529 account). If the account contains solely mutual funds, then nothing is reported. Jncome 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 located in or 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 or Federal 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. FPPC Form 700 (2020/20:U) advlce@fppc.ci!.gpy • 866•275-3772 • www.fppc.ca.gov Pa,e · 2l. Aug. 24, 2021 Item #1 Page 29 of 166 Questions and Answers Continued 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 ousiness in which you have an ownership interest of 10% or greater are disclosed on Schedule A-2. (See Reference Pamphlet, page 8.) a. My husband is a partner in a four-person firm where all of his business is based on his own billings and collections from various clients. How do I report my community property interest in this business and the Income generated in this manner? A. If your husband's investment in the firm is 10% or greater, disclose 100% of his share of the business on Schedule A-2, Part 1 and 50% of his income on Schedule A-2, Parts 2 and 3. For example, a client of your husband's must be a source of at least $20,000 during the reporting period before tt,e client's name is reported. 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 consideted sources of income? A. If your patients exercise sufficient control by selecting you instead of other doctors, then your patients, rather than their Insurance carriers, are sources of income to you. (See Reference Pamphlet1 page 14.) Q. I received a loan from my grandfather to purchase my home. Is this loan reportable? A No Loans received from family members are not reportable. Q. Many years ago, I loaned my parents several thousand dollars, which they paid back this year. Do I need to report this loan repayment on my Form 700? A. No. Payments received on a loan made to a family member are not reportable. 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 l have not reported this property before, do l 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. Q. I am a city manager, and I own a rental property located in an adjacent city, but one mile from the city limit. Do I need to report this property interest? A. Yes. You are required to report this property because it is located within 2 miles of the boundaries of the city you manage. Q. Must I report a home that I own as a personal residence for my daughter? A. You are not required to disclose a home used as a personal residence for a family member unless you receive income from it, such as rental income. Q. I am a co-signer on a loan for a rental property owned by a friend. Since I am listed on the deed of trust, do I need to report my friend's property as an Interest in real property on my Form 700? A. No. Simply being a co-signer on a loan for property does not create a reportable interest in real property for you. Gift Disclosure Q. If I received a reportable 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. FPPC Form 700 (2020/2021) 1d11lce@fppc.c".gov • 866-275•3772 • www.lppc,ca.g011 Pate • 22 Aug. 24, 2021 Item #1 Page 30 of 166 Questions and Answers Continued Q. Julia and Jared Benson, a married couple, want to give a piece of artwork to a county supervisor. Is each spouse co11sidered a separate source for purposes of the gift limit and disclosure? A. Yes, each spouse may make a gift valued at the gift limit during a calendar year. For example, during 2020 t he gift limit was $500, so the Bensons may have given the supervisor artwork valued at no more than $1 .000. The supervisor must identify Jared and Julia Benson as the sources of the gift. Q. I am a Form 700 filer with full disclosure, Our agency holds a holiday raffle to raise funds for a local charity. I bought $1 O worth of raffle 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 even~ I bought raffle tickets for, and won a quilt valued at $70. The quilt was donated by a ooworker. 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 1s 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 agencyts conflict 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 filer, 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. Q. I received free admission to an educational conference related to my official duties. Part of the conference fees included a round of golf. Is the value of the golf considered informational material? A No. The value of personal benefits, such as golf, attendance at a concert, or sporting event, are gifts subject to reporting and limits. FPPC Fortn 700 (2020/2021) advke@fppc,a,.g_ov • 866-27~3772 • www,fppc.1:11.cov P~p-U Aug. 24, 2021 Item #1 Page 31 of 166 This is an archive of a past election. See ~: //www.smartvoter.org/cah;d/ for current information. San Diego County, CA November 4, 2014 Election Full Biography for Mark Packa rd Candidate for Council Member; City of Carlsbad This information is provided by the candidate Mark Packard Biography Mark grew up in Carlsbad and has enjoyed watching his hometown grow into the thriving city it is today under the competent leadership of those who have been elected to office. He is the owner of Packard Deotal Group in the Village of Carlsbad, where he has served patients for more than three decades. Mark is a second-generation dentist. His father and two uncles opened Packard Dental in 1963. Today, two of Mark's sons practice at that dental office. As a local businessperson, he is sensitive to what it takes to run a small business. Mark strongly believes that being active in his community is the only way to improve it. 1 t is a philosophy of service that permeates the very core of his entire family. His uncle, Ron Packard, served as a Trustee of the Carlsbad Unified School District, as a Carlsbad City Councilperson and as Mayor, before being elected to Congress as a write in candjdate in 1982 and serving for 18 years. Mark served two terrru; as a Carlsbad Uniffod School Board Trustee before seeking election to the Carlsbad City Council in 2002. He currently serves as Carlsbad's Mayor Pro Tern, handling many of the duties of Mayor Matt Hall, when the Mayor is out of town. Mark's civic responsibilities don't stop with City Hall. He serves on many cjty-related boards and commissions including as Vice Chairperson of North County Transi t District (NCTD), as NCTD's representative on the SANDAG Board of Directors and as Chair of the North County Fire Dispatch Joint Powers Agreement (JPA). He has served as Chair of the City/Schools Coordinating Committee, Chair of the Encina Wastewater Authority, as Board Member of the Buena Vista Lagoon JPA and as the city's representative with the League of California Cities. He is an active member of the Carlsbad Hi-Noon Rotary Club and the Carlsbad Chamber of Commerce, and a leader in the Boy Scout's, bis church, and many humanitarian projects in both the U.S. and internationally. One of Mark's most rewarding activities is providing pro-bono professional dental services to underprivileged children in Mexico through Rotary International. Mark's wife, Bonnie, assists him on these projects. He was awarded the prestigious Masters Meed Community Leadership Award in 2005 by Aug. 24, 2021 Item #1 Page 32 of 166 the Carlsbad Chamber of Commerce and honored as a Distinguished Citizen by the San Diego-Imperial County Council of the Boy Scouts of America in 2008. He has a Bachelor of Science in Zoology from Brigham Young University and a Doctor of Medicine in Dentistry from Washington University. Mark speaks fluently in Spanish, a skill that has helped him professionally, civically and as a community volunteer. A husband and father of six children , and currently "grandpa" to 16 grandchildren, M~rk values and continues to defend the traditional family values that have been one of Carlsbad's strengths. In October 2014, Mark's 17th grandchild is expected to arrive. Three of his children and nine grandchildren live in Carlsbad. So when Mark says be wants a secure future for Carlsbad for him, Bonnie, his children and his grandchildren, he speaks with good reasoning and sincere motives. But he also wants these same things for every other family as well. Next Page: Poli ti cal Phi losoflh): CanJidr* Pa~c II Fi:ooood~ tu Cand1dJle II I his C11ntl·~t No, t'ffi t~, 2014 Home <Bal loL Lookuv 1.11 A hpuc ~mart Votc1 Tlze League of Women Voters does not support or oppose any candidate or political party. Created from information supplied by the candidate: Octoher 3, 2014 21:46 Smart Voter <http://www.smartvoter.org/> Copyright C!") Leagu<.: of Women Voters of California .l:lducation F'und hiJ:P..:l/ca.lwv.org Aug. 24, 2021 Item #1 Page 33 of 166 RECEIVED AIHi -3 2071 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 Cl rv OF CARLSBAD CITY CLERK'S OFFICE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. ,J.:41pm .~ Ro v , l~t:/J.DJ~ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Daniel J Hughes Reau/red for Voter Registration Verification Home Address I tstrict Number Cf;) City ZIP Carlsbad 92008 Home Phone Mobile E-mail -Occupation Manager Employer Mantel Mount Employer Address 2647 Gateway Road 105-435 City ZIP Carlsbad 92009 Wn,1, Phon"' Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to the responsibility of the position and will attend the required meetlng(s) If I am appointed. ✓ I acknowledge that if appointed I will file necessary documents Including a Form 700 Economic ✓ Disclosure Statement (a public record that will be posted on the City's website). I further agree to attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 34 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per ✓ Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. ✓ Please describe your professional experience and relevant experience. I am a seasoned COO and CEO level executive with extensensive leadership and consensus building experience. I co-founded and am current Board Chairman of Mantel Mount, a consumer product company with its headquarters in Carlsbad. Previous to that I acquired Coast Environmental in 2005 and operated as CEO with headquarters in Carlsbad until a successful sale in 2014. I currently serve on multiple Advisory Boards, serving as Facilitator on most. I have held a variety of executive level positions at General Motors Corporation, CertainTeed Corporation, and as General Manager of privately held manufacturing businesses. I have broad experience across multiple industries and business sizes. Please describe your educational background. B.S. Manufacturing Systems Engineering, Kettering University MBA Pepperdine University Please describe your current or past community involvement, Including any service on boards, commissions or committees, with private or public agencies. -President School Board, St. Patrick's -Chair Finance Council, St. Patrick's -Executive Board Member, Cancer for College -Volunteer, Showers of Blessings -Board Member, Gen Next -Mentor, Chairmen's Roundtable Aug. 24, 2021 Item #1 Page 35 of 166 Please explain why you wish to be appointed to City Council (attach a separate sheet if needed) I care deeply about our city and the challenges that we face together as a community. understand that we have a diverse population that depends on the services that the city provides. I am open-minded and I believe that bringing all of our diverse perspectives together and always considering the greater good will yield the best government actions for the benefit of all Carlsbad residents and businesses. As an experienced leader, moderator and facilitator, I will help bridge any gaps between council members in a positive and productive manner. On the personal side, I've got a wife and four kids (ages 20, 18, 13, 11) who are integrated into the Carlsbad community and I want the best for all families in Carlsbad. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). No What would you like to accomplish as a council person if appointed? As a council person, I would like to: -Work with fellow council members on the priorities determined by the council, anchored by focus on city services for police, fire, parks and recreation, other public safety services and city policies and regulations related to employment and affordability in Carlsbad -Serve on the North County Homelessness Action Committee to help find and implement solutions to improve homelessness in our community -Serve on the City/School Committee -Volunteer to serve as a Carlsbad city representative on San Diego County boards and agencies as deemed most appropriate by my fellow council members Aug. 24, 2021 Item #1 Page 36 of 166 Please give examples of using collaboration to become successful. -Led the effort to plan and build the new St. Patrick's school through a process of obtaining and acting on the collective input of the St. Patrick's com~unity . -In my business experience, my whole focus (notably through Advisory Boards) 1s to bring diverse perspectives together in order to collaborate, which almost always yields the best solutions What are the most pressing issues facing our community and how do you. plan to address them? I believe that the most pressing issues are homelessness and public safety. I plan to address those issues by engaging on the North County Homelessness Action Committee and by utilizing my experience and consensus building skills to help the city council focus on the most pressing needs of the community. I don't have magic wand to solve our problems, but I do know through experience that working together in an open-minded way will enable us to identify the most pressing priorities and to come up with the most efficient solutions. Aug. 24, 2021 Item #1 Page 37 of 166 Additional information or comments Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Daniel Last Name: Hughes s;g,aturec J51:r~~-------Date: Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 38 of 166 CALIFORNIA FORM 700 FAIR POI ITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date lnitic1I FIiing Received Fmng otr.'loJ use 011ty A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER · (LAST) Hughes 1. Office, Agency, or Court Agency Name (Do not use acronyms) Carlsbad City Council, District 1 Division, Board, Department, District, if applicable District 1 (FIRST) Daniel Your Position Candidate (MIDDLE) J ► If filing for mulUple positions, list below or on an attachment. (Do not use acronyms) Agency: __________________ _ Position:---------------- 2. Jurisdiction of Office (Check at least one bo,) □State D Mulll-County ______________ _ ~ City of Carlsbad 3. Type of Statement {Check at least one box) O Annual: The period covered Is January 1, 2020, through December 31, 2020. -or- The period covered is __J___J ___ ~ through December 31, 2020. 0 Assuming Office: Date assumed ___J___j ___ _ D Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) 0 County of ----------------00 the r ----------------- 0 Leaving Office: Dale Left ___J___J, ___ _ {Check one circle.) O The period covered is January 1, 2020, through the dale of leaving office. -or- 0 The period covered is ___J___j ___ ~ through the date of leaving office. Ii] Candidate: Dale of Election ______ and office sought, If different than Part 1: ______________ _ 4. Schedule Summary (must complete) ► Total number of pages Including this cover page: Schedules attached --- ~ Schedule A-1 • Investments -schedule attached Iii Schedule A-2 • Investments -schedule attached I!) Schedule B • Real Property -schedule attached D Schedule C • Income, Loans, & Business Positions -schedule attached 0 Schedule D • Income -Gifts -schedule attached D Schedule E • Income -Gifts -Travel Payments -schedule attached -or-□ None • No reportable interests on any schedule 5. Verification MAJUNG ADDRESS STREET (Busfnoss or AIJfillCI Address Recommended -Pubic Dowmenl/ CllY Carlsbad STATE CA ZJP COOE 92008 !DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS I ha~e used all reasonable diliqence in preparing this statement. I have reviewed this statement and lo the best of my knowledge the Information contained herein and In any attached scredules Is true and complete. I acknowledge this ls a public document. I certify under penalty of pe ury under the laws of the State of Callfomla that the foregoing Is true a/d correct Date Signed ~ I I z..1 Signature )) L \___._. 'dil'f, ye -.,c:::;-,l""Fit'"'U,,,,.....,~;-;', -=---S911<1..,., -,-,,.,,.,-stat-c-:-..,,.---,., ..,,.,,,=-yw--,fllng=-ollidal.-=c--,-,--- Print Clear FPPC Form 700 • Cover Page (2020/2021) advlce@fppc.ca.gov • 866-275-3772 • www.fppc.ca,gov Page-s Aug. 24, 2021 Item #1 Page 39 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 7 00 FAIR POLITICAL PHACllC:fS COMIIIISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name Daniel J Hughes Do not attach brokerage or financial statements. -►-N_AM_E_O_F_BU_S_I_N..,Es·s---E-NT~l~TY~------------., .. -►--NA_M_E_O_F_B_U_S-IN_E_S_S_E_N_T_ITY ____________ _ Bill.com GENERAL DESCRIPTION OF HIS BUSINESS Accounting FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT II) Stock O Other Ii) $10,001 • $100,000 0 Over s1,ooo.ooo (OHct1bG) lved of $0 -$499 D Partnership O Income R Olncome R ved of $500 or More (Repotl on Schedule 0) IF APPLICABLE, LIST DATE: __J__/1,JJ_ ACQUIRED __J2Q_ Q $POSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION O THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT D S1ock O Other 0 Partnership 0 $10,001 • $100,000 D Over $1,000,000 (Desc:tlbe) lved of $0 -$499 lved of $600 or Mora (Repoll on Schl!lduls C) IF APPLICABLE, UST DATE: __J---12!J_ ACQUIRED __J2Q_ ISPOSED GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -s,o,ooo 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over $1,000,000 0 Stock D Other -+---....,,..,=i:::,------1cn e __J---12!J_ ACQUIRED Comments: lved of $0 -$499 ved of $500 or More (Rspotl on Sche<lule CJ Print Clear STIRA GENERAL DESCRIPTION OF THIS BUSINESS real estate FAIR MARKET VALUE 0 $2,000 -$10,000 □ s100,001 -s1,ooo.ooo Ill s10,001 -s100.ooo O over 51,000,000 NATURE OF INVESTMENT REIT D Siock li] Other ------,,,,--.,,.-,------(Desct1bo) D Partnership O Income Rocelved of $0 -$499 O Income Received of $500 or More /Report on Sclledul• CJ IF APPLICABLE, LIST DATE: __J __ JJJ) _ ACQUIRED __J__J2JL_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • $10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 D Over $1,000,000 0 Stoel< 0 Other ____________ _ (OelCOD&) 0 Partnership O Income Received of $0 -$499 O Income Received of S500 or More (Reporl on Schedule C/ IF APPLICABLE. UST DATE: ___J__/2.fL_ ACQUIRED _J_./2.Q_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • $10,000 0 $100,001 • $1,000,000 □ $10,001 • $100,000 0 Over $1,000,000 NATURE OF INVESTMENT 0 Stock D Other -----,.,,,,=...------(Oascnbe) 0 Partnership O lncomo Received of $0 • $499 0 Income Received of $500 or More (Reporl on Sl:Mdul• CJ IF APPLICABLE, LIST DATE: __J__J2fl_ ACQUIRED __J__J2JL__ DISPOSED FPPC Form 700 • Schedule A-1 (2020/Z0U) advlte@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page-7 Aug. 24, 2021 Item #1 Page 40 of 166 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) CALIFORNIA FORM 7 00 FAIR POLITICAL PRACTIU S COMMISSION Name Daniel J Hughes ► 1 BUSINESS ENTITY OR TRUST Hughes Management Con pany, LLC Name 2221 Las Palmas Dr, Ste U, Carlsbad 92011 Address (Business Address Accepts le) Chee/< one D Trust, go to 2 ess Entity, complete the bo)(, then go to 2 l!:i) Busln GENERAL DESCRIPTION OF TH IIS BUSINESS Consultinq FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ~ $0-$1,999 --1--12.!L --1--12.fL $2,000 • $10,000 D $10,001 • s100,ooo ACQUIRED DISPOSED B s,oo,oo, • $1.000,000 Over $1,000,000 NATURE OF INVESTMENT Iii LLC 0 Partnership 0 Sole Proprtet< ~hip o& YOUR BUSINESS POSITION Q wner ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST) D $0 -$499 D ssoo . s1,ooo 0 $1,001 • $10,000 111 s 0,001 -s100,ooo 0 0 ER $100,000 ► 3 LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE \AU.1<h ii .... p.HJ!r •,ht'tl ,, m 1..,·•·.-n:n 0 None or Ill Names ll•te below Toolbox Medical lnnovali ns Hughes Holdings, LP ► 4 INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINFSS ENTITY OR TRUST Check one box: 0 INVESTMENT D RE PROPERTY Name of Business Entity, If lnves en~ m Assessor's Parcel Number or S t Address of Real Properly Description of Business Activity QC City or Other Precise Location of eal Property FAIR MARKET VALUE D s2.ooo -s10.ooo B $10,001 -$100,000 $100,001 · $1,000,000 O Over $1,000,000 NATURE OF INTEREST 0 Property OWnershlp/Deed of T st IF APPLICABLE, LIST DATE: --1--120 --1--12JL ACQUIRED DISPOSED 0 Slock 0 Partnership 0 Leasehold ____ 0 Other ________ _ Yrs. remaining 0 Che<;k box if additional ~ed les reporting invoalments or ro21 property are attached ► 1 BUSINESS ENTITY OR TRUST Hughes Holdings, LP Name 2221 Las Palmas Dr., Ste J , Carlsbad 9201 1 Address (Business Address Acceptable) Check one D Trust, go to 2 fi) Business Entity, oomplete the bo)(, then go lo 2 GENERAL DESCRIPTION OF THIS BUSINESS Holdina Comoanv FAIR MARKETVALUE IF APPLICABLE, LIST DATE: □ $0 -s1,999 __j__J2JL __j__j'2.0__ D s2,ooo -s10,ooo D s10,001 • s100,ooo ACQUIRED DISPOSED D s100.001 . $1,000,000 Ii) Over $1,000,000 NATURE OF INVESTMENT Ii] Partnership D Sole Proprietorship □ ouiei YOUR BUSINESS POSITION Owner ► 2 IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST) D so. $499 D $soo -s,.ooo 0 $1 ,001 -$10,000 liJ $10,001 -$100,000 0 OVER $100,000 ► 4 INVFSTMENTS AND INTERESTS IN REAL PROPERTY HELD OR I FASED ay THE BUSINESS ENTITY OR TRUST Check one box: 0 INVESTMENT ~ REAL PROPERTY 2221 Las Palmas Dr, Ste I and J Name of Business Enlity, if Investment, QC Assessor's Parcel Number or Street Address of Real Property Carlsbad, CA 92011 Description of Business Activity 9! City or O1/ler Precise Location or Real Property FAIR MARKET VALUE D s2.ooo -$10,000 0 $10,001 -$100,000 D s100.001 -s1,ooo,ooo II] Over $1,000,000 IF APPLICABLE, LIST DATE: __J__j2JL __j__j'lJL NATURE OF INTEREST la] Property Ownership/Deed or Trust 0 Leasehold ____ 0 Other Y111. remaining ACQUIRED DISPOSED 0 Stoclc D Partnership 0 Check box if additional schedules reporting investments or real properfy are attached Comments:------+--------------------FPPC Form 700 • Schedule A-2 (2020/2021) advlce@fppc.ca.gov • 866-275-3772 • www.rppc.ca.gov Page-9 Print Clear Aug. 24, 2021 Item #1 Page 41 of 166 I <BLUE> is a required field • Select from drop down list ---SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) 1 .. ---3. Sources of -1. Business Entity or Trust (For reporting a lnlst. enter the name then skip to box 2.) Income income 01 $10,000 or Received more LIST DATE INCLUDE YOUR NAME AND ADDRESS OF BUSINESS GENERAL NATURE OF PRORATA UST SINGLE ACQUIRED A YOUR ENTITY OR TRUST DESCRIPTION OF FAIR MARKET INVESTMENT SHARE OF SOURCES OF (Business Address Acceptab/o) BUSINESS VALUE' OR or (it •other," BUSINESS GROSS INCOME OF DISPOSED D POStTION (If Trust, 90 to 2) ACTIVITY describer INCOME TO $10,000 OR MORE (mm/dd/2019) ENTITYfTRUST' Manehu Holdings Corp. Holding Company Over Partnership Partner Over $100,000 $1,000000 DACCK Delaware Holding Co. Holding Company Over Other -C corp President Over $100,000 $1 000,000 CALIFORNIA FORM 7 0 0 FAIR POLITICAL PRACTICES COMMISSION Daniel J Hughes ------'-• •'-ft-Rnsiness-Entitv-or_ ... ..-u . Trust (Use a separate line for each investment or real property interest) LIST DATE NATURE OF INVESTMENT· REAL PROPERTY• ACQUIRED A INTEREST BUSINESS LIST PRECISE FAI.R MARKET OR or ENTITY/NAME, ANO LOCATION OF VALUE' (if "other," DISPOSED D BUSINESS ACTIVITY REAL PROPERTY (mm/dd/2018) describe)' AMO-tech Alphabet Inc -tech Altyrex Inc -lech Amazon Inc -tech American Express-finance Apple Inc -tech BIii.Com -finance Boeing -planes Constellation Brands -consumer Walt Disney-entertainment Oocusign -tech Oynalronics -croduct Enphase Energy F arfetech Lid -tech Lennar Homes -homes Uve Nation -entertainment $10,001 -$100 000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100 000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100 000 $10,001 • $100,000 $10,001 -$100,000 $10,001 • $100,000 $10,001 • $100 000 $10,001 -$100,000 $10,001-$100 000 $10,001 -$100 000 S10,001 • $100,000 FPPC Form 700 (2017/2018) Sch. A-2x FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Aug. 24, 2021Item #1 Page 42 of 166 <BLUE> is a required field * Select from drop down list SCHEDULE A-2 lnvesbnents, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES cor,P.1!SSION Daniel J Hughes --14') ---• -· ~-Sourc~s o!_ _ v·,",merests IA Rea1-12r.o:pe1'l¥ l:lelcl:b~ tbt Business.-Enti~ or_ 11ncomeor 1. Business Entity or Trust (For reporling a frost enter /he name then skip to box 2.) Income $10,000 or Received more UST DATE INCLUDE YOUR NAME AND ADDRESS OF BUSINESS GENERAi. NATURE OF PRORATA UST SINGLE ENTITY OR TRUST DESCRJPTION OF FAIR MARKET ACQUIRED A INVESTlolENT YOUR SHARE OF SOURCES OF (Business Address Acctptab/e) • OR or (if "other," BUSINESS GROSS INCOME OF BUSINESS VALUE DISPOSED D POSITION (If Trust, go to 21 ACTIVlTY (mmldd/2019) describe)~ INCOME TO $10,000 OR MORE ENTrrYrrRUST' l't," Trust (Use a separate line for each investment or real property Interest) LIST DATE NATURE OF INVESTMENT• REAL PROPERTY• ACQUIRED A INTEREST BUSINESS LIST PRECISE FAIR MARKET OR or ENTITY/NAME, ANO LOCATION OF VALUE' DISPOSED D (if "other,• BUSINESS ACTIVITY REAL PROPERTY (mm/dd/2018) doscribo)' Madeod Tech -tech Mercadolibre • tech MGM-casino Micron • tech MICf0soft · tech NIO-tech OKTA-tech Palantir-tech Palo Alto Netwoll(s-tech Paypal • tech Perpetua Resources• aold Qualcomm -tech Quantamscape • tech Sea ltd • tech Skywori(s • tech SRAX-tech Starbucks • coffee Take Two Interactive -tech $10,001 -$100,000 $10,001 -$100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 -$100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 -$100,000 $10,001 -$100,000 $10,001 • $100 000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 $10,001 • $100,000 FPPC Form 700 (2017/2018) Sch. A•2x FPPCToll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov Aug. 24, 2021Item #1 Page 43 of 166 <BLUE> is a required field * Select from drop down list SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) CALIFORNIA FORM 7 0 0 FAIR POUTl:::AL PRAC":ICES co~.-Ft~1ss10:J Daniel J Hughes -------------------~-----~ -~IPcnpertyHeJd:bytheBusiness..Entityor ncomeo . 1. Business Entity or Trust (Forreporling a trust, enter the name then skip to box 2.} Income $10 000 or Trust (Use a separate line tor each investment or real property interest.) NAME AND ADDRESS OF BUSINESS GENERAL LIST DATE ENTITY OR TRUST DESCRIPTION OF FAIR MARKET ACQUIRED (Business Address Acceptable) BUSINESS VALUE• OR DISPOSED (II Trust, go to 2) ACTIVITY {mmldd/2019) NATURE OF A INVESTMENT or (If "other," D describe)• YOUR BUSINESS POSITION Received mo;e INCLUDE YOUR PRO RATA LIST SINGLE SHARE OF SOURCES OF GROSS INCOME OF INCOME TO $10,000 OR MORE ENTITYrrRUS,-.J INVESTMENT• BUSINESS ENTITY/NAME, AND BUSINESS ACTIVITY Square -tech ,Target -retail ITeladoc-tech !Tesla -tech iTwillo • tech :Zoom -tech !VMware • tech Sierra Income • Alt .FS Energy-Alt [Mission Critical -alt STIRA-alt REAL PROPERTY• LIST PRECISE LOCATION OF REAL PROPERTY LIST DATE FAIR MARKET ACQUIRED VALUE• OR $10,001 • $100.,_000 $10,001 -$100.,_000 $10,001 -$100.,_000 $10,001 -_!100,000 $10,001 • $100.!.000 $10,001 • $100.,_000 $10,001 • $100.,_000 $10,001 • $100,_000 $100,001 • $1,000,000 $100,001 • i!._000,000 S100,001 • $1,000_._000 DISPOSED (mmldd/2018) A or D NATURE OF INTEREST (if "other,• describe)" FPPC Form 700 (2017/2018) Sch. A-2x FPPCToll-Free Helpline: 866/ASK-FPPC www.fppc.ca,gov Aug. 24, 2021Item #1 Page 44 of 166 MantelMount Partner Daniel J. Hughes • Co-founded and built consumer products company Jan 2015 -Present Coast Environmental CEO & Owner May 2004 -December 2014 • Sold business in December 2014 • Prime contractor to over 100 hospitals throughout California providing Indoor Air Quality and Life Safety services and solutions • Primary contractor on hospital infrastructure upgrade and construction projects at Naval Medical Center San Diego, Scripps La Jolla and Encinitas, Sharp Memorial, UCSD Hillcrest and Thornton, and others across the state Education: Pepperdine University 2003 Executive MBA GMI Engineering and Management Institute 1990 B.S. of Manufacturing Systems Engineering Board Positions: Small Company Advisory Board Member: • YARDZ • Toolbox Medical • Industrial Skylights • Cribsee • Sweetums Philanthropic Board Member • Cancer for College Executive Board • St. Patrick's Catholic Church o Chair Building Committee o President School Board • St. Margaret's Catholic Church o Finance Chair • Gen Next San Diego Aug. 24, 2021 Item #1 Page 45 of 166 Previous Business Experience: Plastic Technology Group March 1999-May 2004 General Manager • Responsible for Sales, Operations and Finance for a custom injection molding business providing products primarily to the medical diagnostics and device industries • Grew sales from $4.5MM in 1999 to over $6.0MM in 2003 • Increased net income from ($60,000) in 1999 to over $500,000 in 2003 CertainTeed Corporation May 1997 -March 1999 Plant Manager • Responsible for Operations in a 300+ person manufacturing facility producing vinyl fence, deck and railing product • Oversaw increase in production during sales growth from $20MM to $48MM in two years Air-Lock Plastics July 1995 -May 1997 Plant Manager • Responsible for Operations in a 100+ person manufacturing facility producing blow molded custom products including fuel tanks, firesafes, eyewash stations and various miscellaneous products • Played key role in turning a negative net income into a 10% net income in two years General Motors Corporation June 1985 -July 1995 Various Assignments • Various assignments on career fast track including operations supervisor, maintenance supervisor, quality control manager, sales and pricing manager, various engineering positions Aug. 24, 2021 Item #1 Page 46 of 166 e Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 . Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography t'e soral formation Name Date of Birth: RECEIVED AUG O 5 2021 CITY OF CARLSBAD CITV CLERK'S OFFICE Peltiv d r.>-: '° Pl'Vl ~\/ o'1,,o\\1v'i Julianne Nygaard Required for Vorer Reaistration Verlflcotion Home Address l f istrict Number W> City ZIP Carlsbad 92008 Home PhnnP MohilP E-mail Occupation retired Employer NA Employer Address NA City ZIP NA NA Work Phone Mobile NA NA , c,mo r1 edge -,ents Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to the responsibility of the position and will attend the required meeting(s) if I am appointed. ✓ I acknowledge that if appointed I will file necessary documents including a Form 700 Economic Disclosure Statement (a public record that will be posted on the City's website). I further agree to ✓ attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2806 or oma1I clerk@cartsbadca.gov Aug. 24, 2021 Item #1 Page 47 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eliglble to run for that seat in the November 2022 election per Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. Please describe your professional experience and relevant experience. 14 years Member, Carlsbad City Council ( 1990-2012 and 2004-2006) 3 years City Planning Commission (2009-2012) 8 years Board of Directors, Tri City Health Care District (2012-2020) 9 years Board of Trustees, Carlsbad Unified School District (1981-1990) Please describe your educational background. ✓ ✓ Bachelor of Arts, Education major and teaching credential, Arizona State University j Associate of Arts, Palomar College Graduate Vista High School Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. North County Transit District, Past Chair NCTD Representative to LOSSAN Rail Corridor Agency, Past Chair NCTD High Speed Rail Corridor Agency, Representative So. Ca. Intercity Rail Group, Past Chair Local Agency Formation Commission (LAFCO), Past Chair SANDAG Housing Element, Committee Member San Diego County Social Services Advisory Board, Past Chair League of California Cities Revenue and Taxation Policy, Committee Member North County Homeless, Task Force Tri City District Community Health Care Advisory Council ADAPT, Alcohol and Drug Abuse Task Force, Member Aug. 24, 2021 Item #1 Page 48 of 166 Carlsbad Community Involvement Growth Management Plan Ballot Measure (original signer) League of Women Voters Carlsbad Junior Women's Club Buena Vista Lagoon Foundation past member Agua Hedionda Lagoon Foundation. lncorporator {founding member) Carlsbad Child Care Commission Carlsbad Open Space Task Force Carlsbad United School District/City Council Coordinating Committee Carlsbad Community Television Foundation Carlsbad Senior Center/Schaar District Adminintrative Joint Committee Carlsbad Nutrition Program volunteer Accomplishments and Awards '1-999 State Assembly "Woman of the Year" -Nominated by Assemblywoman Par Bates 2000 "Woman of the Year" -Woman's Transportation Seminar San Diego Chapter 2001 "Commuinity Partner Health Hero" -Community Health Care Center & Council for Community Clinics 2009 -•community Leardership Award -Carlsbad Chamber of Commerce Educational Background Bachelor of Arts, Education -Arizona State University Palomar College Vista High School Profession and Personal Former Bementary Schoof Teacher Married to Paul Nygaard (53 years) Moved to our present home in 1976 Three grown children. Alex, Ben and Vanessa We have seven grand children Aug. 24, 2021 Item #1 Page 49 of 166 Please explain why you wish to be ~ppolnted to City Council (attach a separate sheet rt needed) I have recently retired from Tri City Health Care District Board of Directors. I could quickly get up to speed on the issues facing the Board. I love Carlsbad and am very proud of the amazing City that we have created together. It is well run and financially sound. It did not just happen. It has been many years since we passed the Growth Management Plan in 1986. I think it is time we take a look at how well it is working and if it needs to be adjusted to meet the needs of our current community. Clearly the state is taking over more and more control of local cities. We need to protect what we have here and adjust our future to protect our community. I helped write the open space plan and believe it is a critical element of community planning. Are yo.; related to, €-mployad by, or affiliated in any way with LJnyone on the City Council or Ci~ of carlsbad staff member:.? If v~. please list member name(s}. No wt-~t · ·ould Y"U lik~ to accomplish <1s a council person I' ap...,_po_Tn_t_ed_, ________ _ ' I am best known for helping people collaborate and come to consensus. When I was elected to the hospital board, the board was not well respected by the community. 1 There was a lot of turmoil and disrespect for each other. As a board member, I worked ' very hard to bring that group together. While it is still very difficult to make a community hospital work I think the current board now is working together and I have been part of that progress. I listen to the concerns expressed before coming to conclusions. I will bring these same skills to the council. I enjoy working with people to find collaborative solutions. It is the board's responsibility to work together to find the best solution for the whole community. Aug. 24, 2021 Item #1 Page 50 of 166 Plea<j glvE-e arnples or 11c:'ng collabor.;ti Jn to become successful. A few examples of successful collaboration on projects: 1. Coaster Service -As a city council member, I was an early proponent of creating the Coaster and was a negotiator and key vote to make the project happen. 2. Legoland -I was part of the team that brought Legoland to Carlsbad. I worked to assure positive community impact. 3. Affordable Housing -Faced with community concerns and state regulations, I worked with the council and involved interests to develop a plan with support that was acceptable to the community. This became an example of doing affordable housing in the right way. 4. COSTCO -Many people in the community were concerned about bringing this big box store to Carlsbad with it's impact on local roads. I was part of the collaboration team on the city council that developed an acceptable solution to the traffic and other planning issues which created a successful revenue generating project for our city. 5. La Posada -I collaborated with the faith community to provide farm workers with housing. While I was on the council, we developed a loan equity program to assure the program's success. 6. The Carlsbad Leaming Center -This continuing successful project faced some location and financial obstacles which I helped overcome. One solution I focused with ot:eulo...J.W)_c..bciooioo...ibA....bl~~ct_nroo.t:PJXLi.nto :tbic ocoioCL.. ________ _, What are tJie most pre~ing issues racing our communitv and how do vou plan to addres5 them? 1. Growth -I support an examination of the current Growth Management Plan. Many things have changed during the last 25 years and it is time to apply today's issues to the plan. 2. Homelessness -While not completely a local issue, the council needs to be involved in proposed state, federal and solutions from the nonprofit community. 3. Local Control -It is important for the council to maintain as much local control as possible. An update of the Growth Management Plan is part of the efforts to put the city in front and ahead of state and federal plans. 4. Design and Planning -The council should consider looking at the design criteria for new construction. The big boxes in the Village are not attractive and are too large for our Village. 5. SDG&E Power Plant project -I support a mixed use development of the former power plant site. I want to make sure that the whole community benefits from the development of this precious coastal resource. Aug. 24, 2021 Item #1 Page 51 of 166 Addit ~nal informatfo11 or comrnel'lt~ I have been involved almost my entire adult life in the Carlsbad community. I grew up in the area and my husband and family moved to my present home in 1976. At the time, Carlsbad was a small community without a major plan for the future. From School Board to City Council to the Hospital Board, I have played a part in the planning and development of this successful community. I have the time, interest and knowledge to spend the next year helping the council make some key decisions. I know this community and I want to see it continue to flourish. I've listed examples of my past collaboration and leadership. I can bring these skills to the current council to assist in decision making. By signing below, I declare under penalty of perjury under the laws of the State of california that the answers provided in this application are true and correct to the best of my knowledge. First Name: Julianne Last Name: Nygaard uat"· 08/02/2021 Complete a ,cations must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: _ e ·l<L;;-c-::: .ibeO.::;; ►o Aug. 24, 2021 Item #1 Page 52 of 166 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMl,IISSIO!l STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Initial Filing Received F••nv Oir.oal Use Only A PUBLIC DOCUMENT Please type or print In ink. NAME OF FILER (I.AST) (FIRST) (MIODLE} tvy9 a.av--d s.h+ltoooe L :'_jon e 1. Office, Agency, or Court Agenc1 Name (Do not use acronY11!,s) CLt o Chv---ls ba.J Division, Board, partme , Oistricl, if app!)cable CotLW:\. l vV\.£Jrober: Your Position ► II filing for multiple positions, list below or on an allachment. (Do not use acronyms) Agency:-------------------Position:---------------- 2. Jurisdiction of Office (Ch,ck at feast on, box} □Slate D Judge, Retired Judge, Pro Tem ~udge. or Court Commissioner (Statewide Jurisdkf1on) 0 Mulli-County ___ ....,._ _ _,_ ________ _ @city of Qa,,v"' \~ bi., J □county of --------------- 3. Type of Statement (Check at fmt on• bar) O Annual: The period covered is January 1, 2020, through Oeeember 31, 2020. •Or• The period covered is _.)_.) ___ ~ through December 31, 2020. 0 Assuming Office: Dale assumed _J___J __ _ 0 0 lh er ---------------- 0 Leaving Office: Date Left ___J_.J ___ _ (Check 01Je ci~.) O The period covered is January 1. 2020, through the dale ot leaving office. •Or• O The period covered is _.)_.) ___ ~ through the dale of leaving office. ~andldate: Date of Election _____ _ and office sought, if different than Pall I: _____________ _ 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 7 Schedules attached ~hedule A·1 • Investments -schedule attached 0 Schedule A·Z • /nveslmenls -schedule atlached ~edule B • Real Property -schedule attached 0 Schedule C • Income, Loans, & Business Positions -schedule attached 0 Schedule D • Income -Gifts -schedule attached 0 Schedule E • Income -Gills -Travel Payments -schedule attached •or-D None• No reportable interests on any schedule 5. Verification /MU.ING AOORESS STREET CITY STATE ZJPCODE (/lu,IIMIU Of AaEIICV Addo-Ms Recanmentled • Public lla:umenll CA- DAYTIME TEW't!ONE NUMBER J I Et/All ADDRESS I have used all reasonable d~igence in preparing this statement. I have reviewed this slalement and to the best of my knowledge the information conlained herein and in any atlached schedules is true and complete. I ac~oow1edge this is a public document. I certify under penalty of perjury under the laws of the Slate of Calllomla that Date Signed f--,t,-;;:u,.:J,t (-.U,, diy. yti,j Print Clear rPC Form 700 • Coves ,~ae (1010/lOll) ■cM(~lppc.a.111• • H6•275,3nJ • -w.fppc.a,sov ~ae-5 Aug. 24, 2021 Item #1 Page 53 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 7 00 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Name Nygaard, Julianne Investments must be itemized. ► NAME OF BUSINESS ENTITY TC Pipelines LP Unit LTD GENERAL DESCRIPTION OF TKIS BUSINESS Machinery FAIR MARKET VALUE D s2.ooo • s10.ooo 0 $100,001 • S1.000,000 NATURE OF INVESTMENT 0 Stock O Other 0 $10,001 • $100,000 0 Over S1 ,000,000 (Oesalbe) D Partnership O tnoome Received of $0 • $499 0 Income Received or SSOO or More (Repo,t on Schedu/o C) IF APPLICABLE. LIST DATE; __j__J...ll_ ACQUIRED __J__J__jL DISPOSED ► NAME OF BUSINESS ENTITY Skywork Solutions. Inc. GENERAL DESCRIPTION OF THIS BUSINESS Fab Less Semiconductors FAIR MARKET VALUE D s2,ooo -s,o.ooo 0 S100.001 • Sl,000,000 NATURE OF INVESTMENT IZ) Stock O Other 0 $10,001 • $100,000 0 Over S l.000,000 (Describe) 0 Partnership O Income Recelved or SO • S499 0 Income Received of S500 or More (R1tpot! on Sclledulo CJ IF APPLICABLE, LIST DATE: __J__j..ft. ACQUIRED __J__J-19_ DISPOSED ► NAME OF BUSINESS ENTITY Dlsney GENERAL DESCRIPTION OF THIS BUSINESS Entertainment FAIR MARKET VALUE D s2.ooo. s,o.ooo 0 $100,001 • S1,000,000 NATURE OF INVESTMENT IZ) S10,001 · S100.000 0 Over s1.000,000 [Z) Stock O Other {Descnbe) D Partnership O Income Received of SO • S499 O Income Received of S500 or More (Rtport on Schedule CJ JF APPLICABLE. LIST DATE: __J__J...ll_ ACQUIRED Comments: __j__J_jjl_ DISPOSED ► NAME OF BUSINESS ENTITY NIKI Inc. CLB GENERAL DESCRIPTION OF THIS BUSINESS Sports Gear FAIR MARKET VALUE 0 $2,000 • $10,000 0 $100,001. Sl,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over $1,000,000 0 Stock O Other ------,,,,..-..,,...~-----(Describe) D Partnership O Income Received of SO • 5499 0 Income Reooived of S500 or More (Repor1 on Schodula CJ IF APPLICABLE, LIST DATE: __J_J...19._ ACQUIRED __j__j.....lll. DISPOSED ► NAME OF BUSINESS ENTITY AT&T GENERAL DESCRIPTION OF THIS BUSINESS Telecomunications FAIR MARKET VALUE 0 S2,000 • S10,000 0 S100.001 · S1,000,000 NATURE OF INVESTMENT 0 $10,001 • S100,000 O over s1.ooo.ooo IZ) Stock O Other -----:::--::--:-------(De,crfbe) 0 Partnership O Income Received of SO -$499 0 Income Received or S500 or More /Reporl on Schedulo CJ IF APPLICABLE, LIST DATE: __J__J_jjl_ ACQUIRED __J__J~ DISPOSED ► NAME. OF BUSINESS ENTITY Targel Corp. GENERAL DESCRIPTION OF THIS BUSINESS Department Store FAIR MARKET VALUE 0 $2,000 • S10,000 0 $100.001 · Sl,000,000 0 $10,001 • $100,000 0 Over S1,000,000 NATURE OF INVESTMENT 0 Stock O Other ------,~=::.-------t0escn6e) D Partnership O Income Received of SO • $499 O Income Received of $500 or More /Report on Schedule C) IF APPLICABLE, LIST DATE: __J__J_jjl_ ACQUIRED __j__J_j:)_ DISPOSED FPPC Form 700 • Schedule A·l (Z019/2020) aduice@lppc.ca.gov • 866-175-3772 • wwv.1,lppc.-.1.gov Page• 7 Aug. 24, 2021 Item #1 Page 54 of 166 SCHEDULE A-1 Investments CALIFORNIAFORM 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests (Ownership Interest is less Than 10%) Name Nygaard, Julianne Investments must be itemized. ► NAME OF BUSINESS ENTITY John Deer GENERAL DESCRIPTION OF THIS BUSINESS Farm Machinery FAIR MARKET VALUE 0 $2,000 • s,o.ooo [Z] s100,001 -s,.000,000 NATURE OF INVESTMENT 0 $10,001 . $100,000 D Over S1.000,000 [Z) Stock D Other ------::::---=------(Descnbe) 0 Partnership O Income Received of SO • $499 0 Income Received of $500 or More (Reporl on Schedule C) IF APPLICABLE. LIST DATE: __J_j_j!L ACQUIRED __J__J~ DISPOSED ► NAME OF BUSINESS ENTITY Johnson & Johnson GENERAL DESCRIPTION OF THIS BUSINESS Pharmaceuticals FAIR MARKET VALUE 0 $2,000 · .$10,000 □ s,00.001 • s1.ooo.ooo NATURE OF INVESTMENT [Z) Stock O Olher 0 $10,001 . $100,000 0 Over $1,000,000 (Describe) 0 Partnershfp O Income Received of SO • S499 0 Income Received of $500 or More /Repo,t on Scnodule CJ IF APPLICABLE, LIST DATE: __J__J--19.._ ACQUIRED __J__J_j_.9__ DISPOSED ► NAME OF BUSINESS ENTITY General Motors GENERAL DESCRIPTION OF THIS BUSINESS Automobiles FAIR MARKET VALUE 0 $2,000 • $10,000 □ $100,001 • $1,000,000 NATURE OF INVESTMENT □ s10.001 • s,00,000 0 Over S1 ,000,000 [Z) Stock O Other {Descnbe1 D Partnership O Income Received or SO • $499 0 Income Received of S500 or More (Repo,t on Schedule C) IF APPLICABLE, LIST DATE: __J__J-19_ ACQUIRED Comments: __J__J...1..9_ DISPOSED ► NAME OF BUSINESS ENTITY Kimberly Clark GENERAL DESCRIPTION OF THIS BUSINESS Pharmaceuticals FAIR MARKET VALUE 0 $2,000 • $10.000 □ s100,001 • s1.ooo,ooo NATURE OF INVESTMENT 0 510,001 • $100,000 D Over $1,000,000 [Z) Stock O Olher ------::==-:-------(Desetibe) D Partnership O Income Received of SO -$499 0 Income Received of $500 or More (Report on Schedule CJ IF APPLICABLE, LIST DATE: _j_J...li.__ ACQUIRED __J_j...1..9_ DISPOSED ► NAME OF BUSINESS ENTITY Enbridge Energy Partners GENERAL DESCRIPTION OF THIS BUSINESS Power FAIR MARKET VALUE 0 52,000. $10,000 0 $100,001 • S'1,000,000 NATURE OF INVESTMENT 0 $10,001 • 5100,000 0 Over $1,000,000 [Z] Stock D Other ------:::----::-:-------(Descrlb•) 0 Partnership O Income Received of SO • S499 0 Income Received of S500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __J__J-19_ ACQUIRED __J__j.JJL DISPOSED ► NAME OF BUSINESS ENTITY Energy Transfer Partners GENERAt. DESCRIPTION OF THIS BUSINESS Power FAIR MARKET VALUE □ $2,000 • $10,000 0 S100,001 -s1.ooo,ooo 0 $10•,001 . 5100,000 D Over $1,000,000 NATURE OF INVESTMENT [Z) Stock D Other ------,t'"D=es""cn""b"'•>:-------O Partnership O Income Received of SO • $499 0 Income Received ol' $500 or More (Report on Schedule C) IF APPLICABLE, LJST DATE: __J__J~ ACQUIRED __J__/ 19: DISPOSED FPPC Form 700 -Schedule A-1 (2019/2020) advJce@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page• 7 Aug. 24, 2021 Item #1 Page 55 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Name Nygaard, Julianne fnveslments must be itemized. ► NAME OF BUSINESS ENTITY Frontier Communications GENERAL DESCRIPTION OF THIS BUSINESS Power FAIR MARKET VALUE 0 $2.000 • S10,000 D s,00.001 . s1.ooo.ooo NATURE OF INVESTMENT [{J S10,001 -S100.000 0 Over $1 ,000,000 0 Stock O Other (Oe$ct\be) D Partnership O Income Received or SO . S499 0 Income Received of S500 or More /Ropo,t on Schodu!• C/ IF APPLICABLE. LIST DATE: __J__J__jj_ ACQUIRED __J__J__jj_ DISPOSED ► NAME OF BUSINESS ENTITY Avanos Medical Inc. GENERAL DESCRIPTION OF THIS BUSINESS Medical Equipment FAIR MARKET VALUE 0 $2,000. $10.000 D s,00.001 • s1.ooo.ooo NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over S1.000.000 0 Slock O Other (Describe) 0 Partnership O Income Received of SO • $499 O Income Received of $500 or More (Repotl on SchedlJ/o CJ IF APPLICABLE, LIST DATE: __J__J~ ACQUIRED __J___J~ DISPOSED ► NAME OF BUSINESS ENTITY WD40 GENERAL DESCRIPTION OF THIS BUSINESS Industrials FAIR MARKET VALUE 0 $2,000 -$10,000 0 5100,001 -s1,ooo,ooo NATURE OF INVESTMENT 0 S10,001 • 5100.000 0 Over s1,000.000 0 Stock D Other (Describe) D Partnership O Income ReceiVed of SO -S499 O Income Rece1ved of S500 or More /Report on Schedule CJ IF APPLICABLE, LIST DATE: __J__J__jj_ ACQUIRED Comments: __J___J_ll_ DISPOSED ► NAME OF BUSINESS ENTITY Viasat GENERAL DESCRIPTION OF THIS BUSINESS Telecommunications FAIR MARKET VALUE D s2.ooo -s10.000 D s,00.001 -s1.ooo,ooo NATURE OF INVESTMENT IZ) S10,001 • $100,000 0 Over $1,000,000 0 Stock O Other -----.,.,,,--..,,....,,------- (DesClibe) 0 Partnership O Income Received of SO -S499 0 Income Received of $500 or More (Roport on Sehedulo C/ IF APPLICABLE, LIST DATE: __J__J_li_ ACQUIRED __J__J_ll_ DISPOSED ► NAME OF BUSINESS ENTITY Eli Lily GENERAL DESCRIPTION OF THIS BUSINESS Pharmaceuticals FAIR MARKET VALUE D s2,ooo • s,o,ooo □ s100.001 -s1.000.000 (Z] S10,001 -$100,000 0 Over s,.000.000 NATURE OF INVESTMENT (Z] Stock O Olher ____________ _ (Descnno) 0 Partnership O Income Received of SO -S499 O Income Received of S500 or More (Rr.port on Sch9dulo CJ IF APPLICABLE. LIST DATE: __J__J_j_.9_ ACQUIRED __J__J_j!J_ DISPOSED ► NAME OF BUSINESS ENTITY Verizon GENERAL DESCRIPTION OF THIS BUSINESS Telecommunications FAIR MARKET VALUE 0 52.000 -S10,000 0 $100,001. $1,000,000 0 S10,001 • S100,000 0 Over $1,000,000 NATURE OF INVESTMENT [Zj Stock O Olher -----,~==t"'" _____ _ (Oesc.nbej 0 Partnership O Income Received of SO -$499 O Income Received of $500 or More (Report on Scnedule C/ IF APPLICABLE, LIST DATE: __J__J~ ACQUIRED __J__J_ll_ DISPOSED FPPCForm 700 -Schedule A·l (2019/2020) advlce@fppc.ca.gov • 866-175-3772 • www.fppc.ca.gov Page• 7 Aug. 24, 2021 Item #1 Page 56 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Name Nygaard, Julianne Investments must be itemized. ► NAME OF BUSINESS ENTITY General Electric GENERAL DESCRIPTION OF THIS BUSINESS Power FAIR MARKET VALUE 0 S2,000 • S10.000 D s,00.001 • s, ,000.000 NATURE OF INVESTMENT 0 S10,001 • S100,ooo D Over $1,000,000 0 Stock O Other (De•ctfbe) 0 Partnership O Income Received or $0 • $499 0 Income Received of $500 or More (Repo,t on Sch<!<lula C} IF APPLICABLE, LIST DATE: __J__j...ll_ ACQUIRED __J__J__llL. DISPOSED ► NAME OF BUSINESS ENTITY Siemens AG GENERAL DESCRIPTION OF THIS BUSINESS Semi-Conductors FAIR MARKET VALUE 0 S2,000 • S10,000 □ s100,001 • $1,000.000 NATURE OF INVESTMENT (l] S10,001 • $100,000 0 Over $1,000,000 0 Stock O Other (Oescrt,e) 0 Partnership O Income Received of SO • $499 O Income Received of S500 or More /Roport on S<:lledu/e C) IF APPLICABLE. LIST DATE: __J__J...1.a_ ACQUIRED __J___J-1..9_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • $10,000 0 $100,001 • $1,000,000 0 S10,001 • $100,000 0 Over 51,000,000 NATURE OF INVESTMENT 0 Stock O Other (Descn6e1 0 Parlnership O Income Received or SO • 5499 O Income Received or 5500 or More (Ropo,1 on Schedule C) IF APPLICABLE, LIST DATE: ~__J...1.a_ ACQUIRED Comments: __j__J...ll_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 S2,000 • S10,000 0 S100,001 -S1 ,000.000 NATURE OF INVESTMENT 0 s10.001 • s,00.000 0 Over S1 ,000,000 D Stock O Other -----=---,--,-------(Descnbe) 0 Partnership O Income Received of SO -$499 0 Income Received of S500 or More (Roport on Schodu/9 CJ IF APPLICABLE, LIST DATE: ___J___J...tl.._ ACQUIRED __J__j..J.!J.... DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 S2,000 • $10,000 0 S100,001 -S1,000,000 IZ} $10,001 • S100,000 0 Over $1,000,000 NATURE OF INVESTMENT 0 Stock D Other ____________ _ (Descnbe) 0 Partnership O lnc-0me Received of SO • S499 O Income Received of S500 or More (Roport on Sch9dula C) IF APPLICABLE, LIST DATE: ___J__j.,J!L ACQUIRED __j___f....1.a... DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 52,000 • $10,000 □ s,00.001 -s1.000.000 0 S10.001 • 5100.000 0 Over Sl,000,000 NATURE. OF INVESTMENT 0 Stock O Other ------,...,.,=,,..-------\0e=ib0) D Partnership O Income Received of SO -5499 O Income Received of S500 or More (Rop011 on Sche<M• CJ IF .t\PPLICABLE. LIST DATE; ___J~...ll_ ACQUIRED __J__J_il_ DISPOSED FPPC Form 700 -Schedule A-1 (2019/2020) advlce@fppc.ca.gov • 866-27S-3772 • www.fppc.ca.gov Page -7 Aug. 24, 2021 Item #1 Page 57 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Name Nygaard, JuUanne Investments must be itemized. ► NAME OF BUSINESS ENTITY Costco GENERAL DESCRIPTION OF THIS BUSINESS Department Store FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT [Z] Stock O Other [Zj $10,001 -$100,000 0 Over $1,000,000 (Describe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 or More /Reporl on Schedule C) IF APPLICABLE, LIST DATE: __J__J_J!J_ ACQUIRED __J__J-19._ DISPOSED ► NAME OF BUSINESS ENTITY British Petroleum LC GENERAL DESCRIPTION OF THIS BUSINESS Petroleum FAIR MARKET VALUE [Zj $2,000 -$10,000 0 $100,001 -S1,ooo,ooo NATURE OF INVESTMENT [Z] Stock D Other 0 $10,001 -$100,000 0 Over $1,000,000 (Describe) D Part.nerstiip O Income Received of $0 -$499 0 Income Received of $500 or More (Rspo,t on Schec!ule CJ IF APPLICABLE, LIST DATE: __J__J....19._ ACQUIRED __J__J_ffi_ DISPOSED ► NAME OF BUSINESS ENTITY RaJ1heon GENERAL DESCRIPTION OF THIS BUSINESS Defense FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -S 1,000,000 NATURE OF INVESTMENT 1Z1 s10,001 • s,00,000 D Over $1,000,000 [{] Stock D Other (Di=nbeJ 0 Partnership O Income Received of SO • $499 0 Income Received of $500 or More /Repo,t on Schedule CJ IF APPLICABLE, LIST DATE: __J_j_J!J_ ACQU IRED Comments: __j___)....19._ DISPOSED ► NAME OF BUSINESS ENTITY Vanguard Healthcare GENERAL PESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10.000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 D Over $1 ,000,000 [Z] Stock D Other ----~,:--..,,...,------(Describe) 0 Partnership O Income Recei\/ed of $0 -$499 0 lnc-0me Received of $500 or More (Report on Schec!ule C/ IF APPLICABLE, LIST DATE: __J__J_j!J_ ACQUIRED __J~...ll_ DISPOSED ► NAME OF BUSINESS ENTITY Apple GENERAL DESCRIPTION OF TH(S BUSINESS Sports Ctar FAIR MARKET VALUE 0 $2,000. $10,000 0 $100.001 -$1.000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 D Over 51,000.000 [Z] Stock O Other ____________ _ (Describe) D Partnership O Income Received or $0 -$499 0 Income Received of $500 or More (Report on Sch•dtl/e Cl IF APPLICABLE, LIST DATE; __J__J_j_.9__ ACQUIRED __J__j....19._ DISPOSED ► NAME OF BUSINESS ENTITY Viasat GENERAL DESCRIPTION OF THIS BUSINESS Telecommunications FAIR MARKET VALUE Q $2,000 -$10,000 [Z] $100,001 -S1,000,000 0 $10,001 -S100,000 D Over $1,000,000 NATURE OF INVESTMENT [Z] Stock O Other -----,,.==,-------\Oescnoej D Par1nership O Income Received of $0 -$499 0 Income Recelved of $500 or More (Rapart on Schedule OJ IF APPLICABLE, LIST DATE: __J__j_jJ}_ ACQUIRED __J__J_jJL DISPOSED FPPC Folm 700 · Schedule A-1 (2019/2020) advlce@fppc.ca.gov • 866-275-3772 • www..fppc.ca.gov Page -7 Aug. 24, 2021 Item #1 Page 58 of 166 CALIFORNIA FORM 7 0 0 SCHEDULE B Interests in Real Property (Including Rental Income) FAIR POLITICAL PRACTICES COMMISSION Name Nygaard, Julianne ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 7120 Lantana Terrace CITY Carlsbad FAIR MARKET VALUE 0 S2,000 -S10,000 Q SI0,001 -$100,000 1Z1 s,00.001 -s,.000.000 0 Over s1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust □ Leasehold Yrs. rema,olng IF APPLICABLE, LIST DATE: __J__J_jjl __J__J.ft ACQUIRED DISPOSED 0 Easement □ Otl'ler IF RENTAL PROPERTY GROSS INCOME RECEIVED 0 so -5499 Q $500 -.s,.ooo O s,.oo, · S10.000 [Z) $10,001 -S100,000 0 OVER S100.000 SOURCES OF RENTAL INCOME. If you own a 10% or greater interest, list the name or each tenant that is a single source of income of $10,000 or more. 0 None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRE~S CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 $2,000 -S10,000 0 $10,001 -Sl00,000 __J__J_li_ __J__J.J..9._ D s100.001 -s,.000.000 ACQUIRED DISPOSED 0 Over Sl.000,000 NATURE OF INTEREST 0 OwnershlpiDeed or Trust 0 Easement □ leasehold Yrs remaining D Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 so · $499 0 ssoo • 51,000 Q S1,001 -$10,000 D s,0.001 -s,00.000 0 OVER S100,000 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. 0 Nona * You are not required to report loans from a commercial lending institution made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable} BUSINESS ACTIVITY IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ o/t QNona HIGHEST BALANCE DURING REPORTING PERIOD Q $500 • $1,000 0 S1.001 • S10,000 0 S10,001 -S100,000 O Guarantor. ,r applicable 0 OVER S100,000 NAME OF LENDER' ADDRESS (Business Addrtss Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % Q None HIGHEST BALANCE DURING REPORTING PERIOD 0 S500 -S1,000 0 S1,001 -$10,000 Q s ,0.001 -Sl00.000 0 OVER Sl00,000 D Guarantor. tf applicable Comments: ------------------c------~------------------ FPPC Form 700 • Sch,dul• 8 (20111/2020) idvke@fppc.ca,gov • 866-275•3n2 • www.fppc.cai.1ov Pace• 11 Aug. 24, 2021 Item #1 Page 59 of 166 Julianne Nygaard Tri City HealthCare District Board of Directors 2012 -2020 Carlsbad City Council 1990-2002 Mayor Pro Tern 1994-1996 Appointed to City Council to fill Noreen Sigafuse's Vacant seat 2004 -2006 Planning Commission 2009 -2012 Carlsbad Unified School District Board of Trustees 1981-1990 Regional Government Participation North County Transit District, Past Chair NCTD representative to LOSSAN Rail Corridor Agency, Past Chair NCTD High Speed Rail Corridor Agency, Representative Southern California Intercity Rail Group, Past Chair LAFCO Local Agency Formation Commission, Past Chair' SANDAG Housing Element, committee San Diego County Social Services Advisory Board, Past Chair San Diego County School Boards Association, Past Chair League of California Cities Executive Committee, Past Chair League of California Revenue and Taxation Policy Committee North County Homeless Task Force Tri City HealthCare District -Community Health Care Advisory Council ADAPT Alcohol and Drug Abuse Prevention, Task Force California School Boards Association Assembly Member, delegate North County Homeless Task Force Alcohol and Drug Abuse Task Force North County Health Services Foundation (New Facilities Committee) Aug. 24, 2021 Item #1 Page 60 of 166 Tri City HealthCare District Finance Committee, Past Chair CHAC Tri City HealthCare District Advisory Committee Past Chair Carlsbad Community Involvement Growth Management Plan Ballot Measure ( original signer) League of Women Voters, long time member Carlsbad Junior Women's Club past member Buena Vista Lagoon Foundation, City Council representative Agua Hedionda Lagoon Foundation Incorporator (founding.member) Carlsbad Child Care Commission Carlsbad Open Space Task Force (Including trails development) Carlsbad Community Television Foundation Carlsbad Senior Center -School District Administrative Joint Committee Carlsbad Nutrition Program, volunteer Awards 1999 State Assembly "Woman of the Year" Nominated by Pat Bates 2000 "Woman of the Year'' -Women's Transportation Seminar San Diego Chapter 2001 "Community Partner Health Hero" Community Health Care Center Council for Community Clinics 2009 "Community Leadership Award -Carlsbad Chamber of Commerce Educational BackgrQ.und Bachelor of Arts, Education -Arizona State University Associate of Arts Degree Palomar College Graduate Vista High School Professional and Personal Former Elementary School teacher Married to Paul Nygaard ( 53 years) Three grown children: Alex, Benjamin and Vanessa We have seven grand children (a set of twins, set of triplets and two Singles) Aug. 24, 2021 Item #1 Page 61 of 166 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 RECEIVED AUG -9 2021 CIT'f OF CARLSBAD CITY CLERK'S OFFICE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. ~Ri Sp rf) · . V , /cJ.) 'Jo I :) Requirements: 0 0\ • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Gary Nessim Required for Voter Registration Verijicot;;on Home Address I District Number one ~ City ZIP Carlabad 92008 Home Phone Mobile E-mail - Occupation Real Estate Broker Employer FirstTeam Real Estate Employer Address 500 Grand Avenue City ZIP Carlsbad 92008 Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to the responsibility of the position and will attend the required ✓ meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic ✓ Disclosure Statement (a public record that will be posted on the City's website). I further agree to attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 62 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per v' Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. V Please describe your professional experience and relevant experience. I have owned and operated a small business in Carlsbad Village for over 30 years and been active in the Carlsbad Chamber of Commerce, Carlsbad Village Business Association, Village and Barrio planning, fought to obtain building permits, walked door to door for signatures on Grand Avenue, helped install sparkling lights, assisted in moving the Farmers Market to State Street, pushed for a new Village and Barrio Master Plan, Recommended the Grand Promenade and keeping our new Civic Center in or near the Village. I experience the homeless activity regularly adjacent to my business ( for all 30 years) and home more recently. I have volunteered with several non profits and city commissions and chaired some. Please describe your educational background. San Diego State University BA Psychology 1983 ( Included courses in Urban Planning and Organizational Psychology) I Mediation training courses I Carlsbad Citizens Academy graduate Leadership 2000 graduate 1996 Real Estate courses in commercial, residential and affordable housing 1983-2011 Notary Public 1991-2011 US Navy Nuclear Power School training and operations 1974-1980 CERT graduate and volunteer Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. Carlsbad Village Association boardmember, member and community activist in village redevelopment for 30 years. Founded Imagine Carlsbad for village redevelopment review, leader of educational walking tours of village issues ( parking, Grand Promenade, Civic Center, Architectural Design, etc.) Negotiated with City, NCTD and Carlsbad Army Navy Academy on parking garage under football field (unsuccessful) Boardmember Move Your Feet Before You Eat Foundation League of Women Voters North San Diego County member, study group member, past boardmember Carlsbad Beach Erosion Committee member 8 years, chair 1 year Lifetime member and past president and boardmember Carlsbad Historical Society Lobbied for street and pedestrian lighting in the Barrio and Village. Aug. 24, 2021 Item #1 Page 63 of 166 Please explain why you wish t o be appointed to City Council (attach a separate sheet if needed) 11 am nonpartisan and have not been registered Democrat or Republican for over 25 \ years. I am a trained mediator and we need those skills for council to move issues [forward. I have spoken at and attended more City Council meetings that most I residents. I helped initiate and assisted in the Village and Barrio Master Plan update 1 and worked with Barbara Hamilton and Cori Schumacher on needed adjustments and -wish to move these forward. I have been studying homeless and affordable housing issues for several years and followed a League of Women Voters study closely this past year. I am retired, can read the material, understand building plans, work the council position full time for one year and share my knowledge with those who hope to run for a four year term in the future. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). No What would you like to accomplish as a council person if appointed? Assist in maintaining our position as the Best City in San Diego. Continue the movement towards open government. Hosting weekly open office hours via zoom or in person as the pandemic and city policy allows. Complete refinements to the Village and Barrio Master Plan and implement. Move forward on the Grand Promenade on Grand Avenue in the village. Calm the divisive spirit on the cify council that presently exists, just a little. Move forward on site selection for a new civic center. Aug. 24, 2021 Item #1 Page 64 of 166 Please give examples of using collaboration to become successful. \ Worked with City consultant Dover, Kohl & Partners successfully to create the updated Village and Barrio Master Plan, eventually adopted by Carlsbad City Council I Worked with Parks and Recreation department and Rotary on saving, rehabilitating and moving Twin Inns Gazebo to Magee Park. Negotiated replacing Shuffleboard court with a lawn to save money and resolve differences between the parties and complete the task. Bought and merged real estate offices to move through a real estate recession. With others formed CORE group of trail volunteer workers performing work on city trails as assigned by staff for several years. Solicited support and signatures from our Highland Drive neighborhood to remodel our historic home. What are the most pressing issues facing our community and how do you plan to address them? Divisiveness on the city council which blocks the City of Carlsbad from moving forward effectively to service our citizens. Negotiation, consensus building and mediation are effective tools. Homelessness and affordable housing issues can be tackled effectively as other cities are doing. Expand citizen input and education and work with the state. We have plenty of citizens of all ages that need smaller, more affordable living units, and less need for luxurious units. We can encourage development of the units we need. We have grown and need more parks and open space. We have the means. for example, our development of Buena Vista Reservoir Park to fill a need before all land is used up. Aug. 24, 2021 Item #1 Page 65 of 166 Additional information or comments I walk the Village, Barrio, Olde Carlsbad, the Seawall, Calavara Hills, and Batiquitos Lagoon Trail weekly observing everything from sewer lines to signage and the volume of users of our facilities. I bike the length of Carlsbad Boulevard weekly and imagine extension of the Seawall Walkway along all of the coast and coordinating with State Parks on their campground and other lands. We need more parking to accommodate our own residents visiting the ocean without further inconveniencing residents fortunate enough to live within walking distance to the water. We need a fresh face with a few new ideas to continue our tradition of leading the way foward and respecting the past. I am not a registered member of the Democratic or Republican party. I have made political contributions to all current Carlsbad City Council members and Mayor in past political campaigns. Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Gary Last Name: Nessim Signature: Date: 8/8/2021 Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at S p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@ carlsbadca.gov Aug. 24, 2021 Item #1 Page 66 of 166 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Initial Filing Received Fff,ng Olflcial U~;i On/)· A PUBLIC DOCUMENT Please type or print In Ink. NAME OF ALER (LAST) Nessim 1. Office, Agency, or Court Agency Name (Do not use acronyms) Carlsbad City Council Division, Board, Department, District, If applicable District 1 (FIRST) Gary Your PosiUon candidate (MIDDLE) Steven ► If filing for multiple positions, list below or on an atlachmenl (Do not use acronyms) Agency:---------------------Position:----------------- 2. Jurisdiction of Office (Check at least one box) D State D Multi.County ----------------- • City of Carlsbad 3. Type of Statement (Check at least one box) D Annual: The period covered is January 1, 2020, through December 31, 2020. -or-The period covered is __J_J ___ _, through December 31, 2020. 0 Assuming Office: Date assumed _}_} ___ _ 0 Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) 0 County of ----------------0 0th er ----------------- D Leaving Office: Date Left __J__J ___ _ (Check one circle.) O The period covered is January 1, 2020, through the date of leaving office. -or- 0 The period covered is __J___J ____ through the date of leaving office. ~ Candidate: Date of Election AuguSt 2001 and office sought, if different than Part 1: ______________ _ 14. Schedule Summary {must complete) ► Total number of pages including this cover page: 11 Schedules attached ii Schedule A-1 • Investments -schedule attached 0 Schedule A·2 • Investments -schedule attached Ill ·Schedule B • Real Property -schedule attached ---- ■ Schedule C • Income, Loans, & Business Positions -schedule attached D Schedule D • Income -Gifts -schedule attached _ D Schedule E • Income -Gifts -Travel Payments -schedule attached I •Or• □ None • No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Adihss Recommended -Pubic Docvmenl) CITY Carlsbad STATE CA ZIP CODE 92008 DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS 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 pubfo documenl I certify under penalty of perjury under the laws of the State of California that the tr,jg is true an~ ifect. c -- Date Signed 8/9/2021 Signature X/u A Ir~ (monlh, day, ye;,i Print Clear .r-----::-:,:--,.,,the-origln-,.~a/ly_s,gne.,..· -d.,-pape,--,-sla-rement----,-wffh=:--your--=fili,....ng-:officl=""'""a1.J.,..---- FPPC Form 700 • Cover Page (2020/2021) advice@fppc.<a.cov • 866-275-3772 • www.fppc.ca.gov Page-S Aug. 24, 2021 Item #1 Page 67 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRAC1tCES cor,,MISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name Gary Nessim Do not attach brokerage or financial statements. -►-N""A""M""E""o""-FB_U_S_IN_E_S_S_E_N_T_I_TY ______________ -►--N-AM_E_O_F--BU_S_I_N_E_S_S_E_N_TITY ______________ ,. AT&T GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Ii] $2,000 -S10,000 0 $100,001 • S1 ,000,000 NATURE OF INVESTMENT ■ Stock D Other 0 $10,001 • $100,000 D Over $1,000,000 (Oesaibe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 or More {Report on Schedule CJ IF APPLICABLE, LIST DATE: __}__}~ ACQUIRED __}~ DISPOSED ► NAME OF BUSINESS ENTITY Home Depot GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT Ill Stock O Other l!i S10,001 • $100,000 D Over $1,000,000 (Oesaibe) D Partnership O Income Received of SO -S499 O Income Received of $500 or More (RepO!t on SchedUJe CJ IF APPLICABLE, LIST DATE; __]__}20__ ACQUIRED __]__]2.Q__ DISPOSED ► NAME OF BUSINESS ENTITY Verizon GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Q $2,000 · $10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT IIJ Stock O Other [II $10,001 -$100,000 0 Over $1,000,000 <Descnbe) 0 Partnership O Income Received of SO -$499 0 Income Received of S500 or More /Report on Schedule C/ IF APPLICABLE, LIST DATE: __J__J2!L_ ACQUIRED Comments: __j__j2Jl._ DISPOSED Print Clear Cisco Systems GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 111 s2,ooo -s10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 D Over $1,000,000 Ill Stock O Other-----..:==------(Oesaibe) 0 Partnership O Income Received of SO -$499 0 Income Received of S500 or More (Rep0/1 or, Sc/,edule C/ IF APPLICABLE, LIST DATE: __]__}~ ACQUIRED __}__]~ DISPOSED ► NAME OF BUSINESS ENTITY Intel GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Ii) $2,000 • $10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 S10,001 -$100,000 D Over s1,ooo,ooo Ill Stock O Other ___________ _ (Oesatbe) 0 Partnership O Income Received of SO -$499 O Income Received of SSOO or More (Report on Schedule CJ IF APPLICABLE, LIST DATE: __j__J2Jl._ ACQ.UIRED ~_(2.Jl_ DISPOSED ► NAME OF BUSINESS ENTITY Abbot Laboratories GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT II S10,001 · $100,000 D Over s1,ooo.ooo ■ Stock O Other ----..,,.,=~-----(Oes&ibe) 0 Partnership O Income Received of $0 • $499 O Income Received of SSOO or More /Report on Schedule C) IF APPLICABLE, LIST DATE: --1--120 ACQUIRED __} __ Ji~ .. DISPOSED FPPC Form 700 • Schedule A-1 (2020/2021) advice@fppc.ca.gov • 866-275-3n2 • www.fppc.ca.gov Page-7 Aug. 24, 2021 Item #1 Page 68 of 166 SCHEDULE A-1 CALIFORNIA FORM 700 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Name Gary Nessim Investments must be itemized. Do not attach brokerage or financial statements. ---------------------------------. .. ---------------------► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY Abbvie GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT Ii] Stock O Other ■ $10,001 -$100,000 0 Over S1,000,000 (Dosalbe) D Partnership O Income Received of SO -$499 0 Income Received of $500 or More /Report on SG/Jedule C) IF APPLICABLE, LIST DATE: _j_j'iJ}_ ACQUIRED -1-12°- 'DISPOSED ► NAME OF BUSINESS ENTITY Amgen GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 . $10,000 □ s100,001 -s1.ooo.ooo NATURE OF INVESTMENT i. Stock D Other M s10,001 • s100,ooo D Over $1,000,000 (Describe) 0 Partnership O Income Received of SO • S499 O Income Received of S500 or More (Repolt on Sc/ledule CJ IF APPLICABLE, LIST DATE: __j__Jl,D_ ACQUIRED _j_j2L_ DISPOSED ► NAME OF BUSINESS ENTITY Astrazeneca GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • $10,000 D s100.001 -s1,ooo.ooo NATURE OF INVESTMENT Ii] Stock D Other Ill S10,001 • $100,000 0 Over $1,000,000 (Oesmbe) 0 Partnership O Income Received of SO -S499 O Income Received of S500 or More /Report on Schedule CJ IF APPLICABLE, LIST DATE: __J_j'}J}_ ACQUIRED Comments: __J_j2JL._ DISPOSED Print Clear Alphabet GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE □ $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT ■ $10,001 • $100,000 0 Over s1,ooo,ooo II] Stock O Other ----..,,,...-,-,,-.-----(Describe) 0 Partnership O Income Received of $0 -S499 0 Income Received of $500 or More (Report on Schedule CJ IF APPLICABLE, LIST DATE: _j_j"lJL. ACQUIRED _j_j~ DISPOSED ► NAME OF BUSINESS ENTITY Apple GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 52,000 -S10,000 D s100,001 • s1.ooo,ooo Iii $10,001 • $100,000 D Over $1,000,000 NATURE OF INVESTMENT Ill Stock D Other __________ _ (Desaibe) D Partnership O Income Received of SO -$499 O Income Received of $500 or More /Report on St:hedu/e C/ IF APPLICABLE, LIST DATE: _J_j2SL_ _J_j29._ ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Blackrock GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE □ s2.ooo. s10,ooo 0 $100,001 • $1,000,000 NATURE OF INVESTMENT 111 s10.001 -s100,ooo O Over $1,000,000 Ii] Stock D Other ____________ _ (besaibe) 0 Partnership O Income Received of SO • $499 O Income Received of S500 or More (Rel)O(I on Schedule CJ IF APPLICABLE, LIST DATE: __!_j.2.!L_ ACQUIRED __!_}20_ DISPOSED FPPC Form 700 -Schedule A-1 (2020/2021) advice@fppc.ca.gov • 866-275-3n2 • www.fppo.ca.gov Page-7 Aug. 24, 2021 Item #1 Page 69 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICE'S co:.w1ss10N Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name Gary Nessim Do not attach brokerage or financial statements. ----------------------.. .-----------------------► NAME OF BUSINESS ENTITY Boeing GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT Ii] Stock D Olher liJ $10,001 -$100,000 0 Over~1,ooo,ooo (Desaibe) 0 Partnership O Income Received of $0 -$499 O Income Received of $500 or More (Repo,t on SchedU/6 C) IF AP0PLICABLE, LIST DATE: ___j___J1JL. ACQUIRED ___J___j'2,9___ DISPOSED ► NAME OF BUSINESS ENTITY ConocoPhillips GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ■ $2,000 -S10,000 0 $100,001 • S1,000,000 NATURE OF INVESTMENT [I Stock D Other 0 $10,001 -$100,000 0 Over $1,000,000 (Desai'be) 0 Partnership O Income Received of $0 • S499 O Income Received of $500 or More (Rapo,t on Sc/Je<fule CJ IF APPLICABLE, LIST DATE: ___J___j2..Jl_ ACQUIRED __J___J'l,Q_ DISPOSED ► NAME OF BUSINESS ENTITY Cummings GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 1111 $2,000 . $10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT II] Stock D Other 0 $10,001 -$100,000 D Over s1.ooo,ooo (bes&ibe) 0 Partnership O Income Received of SO -S499 0 Income Received of $500 or More (Report oq Schedule OJ IF APPLICABLE, LIST DATE: __)___}20.,__ ACQUIRED Comments: ___j__J20_ DISPOSED Print Clear ► NAME OF BUSINESS ENTITY Chevron GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IIJ $2,000 • $10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 O Over $1,ooo,ooo 111 Stock D Olher -----,,,----,,--,------(Desaibe) D Pannership O Income Received of $0 -$499 0 Income Received of $500 or More (Repot1 on Schedule C) IF APPLICABLE, LIST DATE: __J___j'l,Q_ ACQUIRED ___j___j'lJL. DISPOSED ► NAME OF BUSINESS ENTITY Corteva GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE II $2,000 • S10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 O over s1,ooo,ooo ill Stock O other ___________ _ (Describe) 0 Partnership O Income Received of $0 • $499 O Income Received of $500 or More (Repo,t on Schedeile CJ IF APPLlCABLE, UST DATE: ___j___JM,_ ACQUIRED ___J___J29_ DISPOSED ► NAME OF BUSINESS ENTITY CVS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ■ $2,000 -$10,000 0 $100,001 • $1,000,000 0 $10,001 • $100,000 0 Over $1,000,000 NATURE OF INVESTMENT aJ Stock O Other ____ ......,.,,,,,,,,.....-----(Descnbe} 0 Partnership O Income Received of $0 -$499 O Income Received of $500 or More /Fleport on Schedule CJ IF APPLICABLE, LIST DATE: ___J__j'l,Q_ ACQUIRED _____J_/2..Jl_ DISPOSED FPPC Fenn 700 -Schedule A·l (ZOZ0/2021} adviee@fppc.ca.gov • 866-275-3772 • www.fppc.c:a.gov Page -7 Aug. 24, 2021 Item #1 Page 70 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITIC~L PRl>CTICES COl~MISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name Gary Nessim Do not attach brokerage or financial statements. -►-N_A_M __ E_"""""oF·B·u""s·1N·E·s·s··EN-T-l-TY----------------►-N_A_M_E_O_F_B_U_S_IN_E_S_S_E_N_T_IT_Y _____________ _ Deere & Co GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE D $2,000 -$10,000 D $100,001 -s1.000,000 NATURE OF INVESTMENT 11 $10,001 -$100.000 D Over $1,000,000 II] Stock O Other (De.scnl>e) D Partnership O Income Received of $0 -~99 0 Income Received of S500 or Mora (Repott oo Scliedute C) IF APPLICABLE, LIST DATE: _j__J7Jl.._ ACQUIRED _j_j'2J)_ DISPOSED ► NAME OF BUSINESS ENTITY Dupont DE Nemours GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Iii $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 S10,001 -$100,000 0 Over $1,000,000 [II Stock O Other (Desaibe) 0 Partnership O Income Received of SO -$499 0 Income Received of $500 or More (Rsporl on Sc/Jedule CJ IF APPLICABLE, LIST DATE: _j_j7Jl.._ ACQUIRED _j__j7Jl.._ DISPOSED ► NAME OF BUSINESS ENTITY Home Depot ( other account ) GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 S100,001 -S1,000,000 NATURE OF INVESTMENT 111 s10,001 -s100.ooo 0 Over $1,000,000 la] Stock O Other (Descr,bej D Partnership O Income Received of SO -$499 0 Income Received of S500 or More /Rl>port on Sche<lule CJ IF APPLICABLE, LIST DATE: __J_j2.Q__ ACQUIRED Comments: __j__J2!J._ DISPOSEO Print Clear Dow GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Ill s2.ooo -s10,ooo 0 $100,001 -$1 ,000,000 NATURE OF INVESTMENT □ $10,001 -$100,000 Dover s1,ooo,ooo II] Stock O Other -----=-,,....,-------(Describe) 0 Partnership O Income Received of $0 -$499 O Income Received or $500 or More (Report on Sche<lule C) IF APPLICABLE, LIST DATE: __J__J2Q_ ACQUIRED _j_j'l,g_ DISPOSED ► NAME OF BUSINESS ENTITY Exxon Mobil GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 11 s2,ooo -s10,ooo 0 $100,001 -S1 ,000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 D Over S1,000,000 0 Stock D Other ------=--.,,....,.-----,--(Desaibe) 0 Partnership O lncorre Received of $0 -$499 O Income Received of $500 or More (Repo,t on Schet:lu/e CJ IF APPLICABLE, LIST DATE: _j_j2JL. _j-129...._ ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Honda GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 111 s2,ooo -$10.000 0 $100,001 • $1,000,000 0 $10,001 -$100,000 D Over s1,000,000 NATURE OF INVESTMENT liJ Stoel< D Other ----...... ==------IOescnbe) 0 Partnership O Income Received of SO -$499 O Income Received of $500 or More /Report on Schedule CJ IF APPLICABLE, LIST DATE: _j_j7Jl.._ ACQUIRED _J_J'/&_ DISPOSED FPPC Form 700 -Schedule A-1 (2020/2021) advice@fppc.ca.gov • 866-27S-3772 • www.fppe.ca.gov i►.,ge -7 Aug. 24, 2021 Item #1 Page 71 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES CQ~lMISSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name Gary Nessim Do not attach brokerage or financial statements. ---------------------,---------------------► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY Honda GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 111 s2,ooo. $10,000 0 S100,001 -$1,000,000 NATURE OF INVESTMENT Ill Stock O Other 0 $10,001 · $100.000 D Over S1,000,000 (Desctibe) 0 Partnership O Income Received of $0 -$499 0 Income Received of S500 or More (Report on Schectule CJ IF APPLICABLE, LIST DATE: __j_fl._L_ ACQUIRED __J__J'J.O_ DISPOSED ► NAME OF BUSINESS ENTITY Johnson & Johnson GENERAL DESCRIPTION OF T HIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT 111 s10.001 . s100.ooo D Over s1,ooo,ooo Ii] Stock D Other -----.,--,,.------(Describe) D Partnership O Income Received of $0 • $499 O Income Received of $500 or More (Report on SChectu/e C) IF APPLICABLE, LIST DATE: __J__j20_ ACQUIRED __J__j'J.O_ DISPOSED ► NAME OF BUSINESS ENTITY Lockheed Martin GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • S10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT lli] Stock D Other (II S10,001 • $100,000 0 Over $1,000,000 (besa,bej D Partnership O Income Received of SO -5499 0 Income Received of 5500 or More /Report on Scl!eduli, C/ JF APPLICABLE. LIST DATE: __J__j'}JJ_ ACQUIRED Comments: __J__J'}JJ_ DISPOSED Print Clear Howmet Aerospace GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE iiJ $2,000 • $10,000 0 $100,001 -S1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over $1,000,000 II] Stock O Other ------,,a----,,..,,....-----(Desct1be) 0 Partnership O Income Recelved of $0 -$499 0 Income Received of $500 or More (Report on SChectu/e C) IF APPLICABLE, LIST DATE: __J__J.2Q_ ACQUIRED __j__JZJL_ DISPOSED ► NAME OF BUSINESS ENTITY Kimberly Clark GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • $1.000,000 NATURE OF INVESTMENT 111 s10,001 -s,00,000 0 Over $1,000,000 Ill stock D Other ----,.,...---e--,,------coe,;albe) 0 Partnership O Income Received of SO • $499 O Income Received of $500 or More (Report on Schedule C/ IF APPLICABLE, UST DATE: __J__J2Q_ __J-----12L ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY McDonalds GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • S1 ,000,000 ■ $10,001 -$100,000 0 Over $1,000,000 NATURE OF INVESTMENT al Stock O Other -----,,,==------(Oesaioej 0 Partnership O Income Received of SO • $499 O Income Received of $500 or More (Repol1 on Schedule C) IF APPLICABLE, LIST DATE: __J__fl,_O ACQUIRED __j__J'J.L. DISPOSED FPPC Form 700 • Schedule A·l (2020/2021) advice@fppc.ca.gov • 866·275-3772 • www.fppc..ca.gov Page-7 Aug. 24, 2021 Item #1 Page 72 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES CO'MJIS5I01, Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name Gary Nessim Do not attach brokerage or financial statements. -------"""""'"""'""" ........... ________________ .. --------------------► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY Merck GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Ill s2,ooo -s10,ooo 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 -S100,000 0 Over S1 ,000,000 Ii] Stock O Other (Descn1le) 0 Partnership O Income Received of $0 -$499 0 Income Received of S500 or More (Repo,t on Schedule CJ IF APPLICABLE, LIST DATE: _j_j'2JL_ ACQUIRED _j__J'}J)_ DISPOSED ► NAME OF BUSINESS ENTITY Novartis GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE. II) $2,000 -S10,000 0 $100,001 -S1 ,000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 0 Over $1,000,000 [I Stock O Other (Desaile) 0 Partnership O Income Received of SO -$499 0 Income Received of SSOO or More (Report on Schedule CJ IF APPLICABLE, LIST DATE: __J_j2j)___ ACQUIRED _j__j'2,!L_ DISPOSED ► NAME OF BUSINESS ENTITY Procter & Gamble GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT Iii $10,001 -$100,000 0 Over s1,ooo,ooo II) Stock O Other {Oescnbej 0 Partnership O Income Received of SO -$499 0 Income Received of $500 or More (Repo!I on Schedule c; IF APPLICABLE, LIST DATE: __J_j2D...._ ACQUIRED Comments: _j_j2fl._ DISPOSED Print Clear Metlife GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 S100,001 -S1 ,000,000 NATURE OF INVESTMENT 11 s, 0.001 -s100.000 D Over $1,000,000 Iii Stock D Other -----=--------(Desaibe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _j ___fl._JJ_ ACQUIRED _j_j?JL_ DISPOSED ► NAME OF BUSINESS ENTITY Pfizer GENERAL DESCRIPTION OF TRIS BUSINESS FAIR MARKET VALUE 111 s2,ooo -s10.ooo 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 0 Over $1,000,000 Iii Stock O Other -----,,,----,--,------(Dasallle) O Partnership O Income Recefved of SO -$499 O Income Received of $500 or More /Reparl on Schedule C) IF APPLICABLE. LIST DATE: _j_j2fl._ _j_____j2JJ_ ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY PulteGroup GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE. 0 $2,000 -$10,000 0 s100,001 -S1 ,000,000 II $10,001 -$100,000 D Over $1,000,000 NATURE OF INVESTMENT Ii] Stock O Other ____ ...,.......,...,..-----(Oescncej 0 Partnership O Income Received of so -$499 O Income Received of S500 or More (Report on Schedule C) IF APPLICABLE, UST DATE: _j__J~ ACQUIRED _j__J'2,!L_ DISPOSED FPPC Fonn 700 -Schedule A-1 (2020/2021) advice@fppc.ca,gov • 866-275-3772 • www.fppc.ca.gov Page• 7 Aug. 24, 2021 Item #1 Page 73 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 7 0 0 FAIR POLlllCAL PRACTICES co,,1~11SSION Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Name GaryNessim Do not attach brokerage or financial statements. --------------------... .---------------------► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY Sanofi S A GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE [i! $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT Iii Stock O Other 0 $10,001 -$100,000 0 Over s1,ooo,ooo (Oescrib") 0 Partnership O lnrome Received of SO -5499 0 lnrome Received of S500 or More (Report on Schedule CJ IF APPLICABLE, UST DATE: __j__JZJL__ ACQUIRED __j__JZJL__ DISPOSED ► NAME OF BUSINESS ENTITY Stanley Black & Decker GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 D s100.001 -s1.ooo,ooo NATURE OF INVESTMENT !II Stock O Other JII S10,001 -S100,000 0 Over $1,000,000 (Describe) 0 Partnership O Income Received of SO -$499 O lnrome Received of S500 or More (Report on Scl!edul• C) IF APPLICABLE, LIST DATE: __J__J2JL.._ ACQUIRED __J__J2!L_ DISPOSED ► NAME OF BUSINESS ENTITY Toyota Motor GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE II] $2,000 -S10,000 D s100.001 • $1,000.000 NATURE OF INVESTMENT ll] Stock D Other 0 $10,001 -$100,000 0 Over $1,000,000 (Des&&) 0 Partnership O Income Received of SO -S499 O Income Received of $500 or More (Repo,t OJ) Schedule C) IF APPLICABLE, LIST DATE: __J--12.Q_ ACQUIRED Comments: __j______(J&_ DISPOSED Print Clear Siemens AG GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Ill $2,000 -s10,ooo 0 $100,001 -S1 ,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over $1,000,000 Ii] Stock O Other ____________ _ (Describe) 0 Partnerahip O lnroma Received of SO -$499 0 lnrome Received of $500 or More (Report on Schedule CJ IF APPLICABLE, LIST DATE: __j__JZJ!.._ ACQUIRED --1--120 DISPOSED ► NAME OF BUSINESS ENTITY Teva Pharmaceutical GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE II] S2,000 • 510,000 □ s100,001 -s1.ooo,ooo NATURE OF INVESTMENT □ s10.001 -s100,ooo D Over S1 ,000,000 0 Stock O Other ------:-::----:--:------(Desaibe) 0 Partneiship O Income Recefved of SO -$499 O Income Received of SSOO or More (Reporl on Schedule CJ IF APPLICABLE, LIST DATE: __j__J-zL ACQUIRED __J__JZQ__ DISPOSED ► NAME OF BUSINESS ENTITY Travelers Companies GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ii! $2,000 • S10,000 0 s100,001 -$1,000,000 D s10,001 • s100,ooo 0 Over $1,000,000 NATURE OF INVESTMENT ■ Stock O Other ____ ......,...,... _____ _ (Desaibe) 0 Partnerahlp O Income Received of SO -5499 O Income Received of SSOO or More (Report on Schedule CJ IF APPLICABLE, LIST DATE: __J__J2!J_ ACQUIRED __J__J~ DISPOSED FPPC Fenn 700 • Schedule A-1 (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page• 7 Aug. 24, 2021 Item #1 Page 74 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 7 0 0 FAIR POLITICAL PR~CTICES COMMISS•O"l Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Name Gary Nessim Investments must be itemized. Do not attach brokerage or financial statements. ------------------------... ----------------------► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY United Natural Foods GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 111 :r-1,000 -s10,ooo 0 $100,001 -$1,000,000 NATURE OF INVESTMENT Ii] Stock O Other 0 $10,001 • $100,000 0 Over s1,ooo,ooo !Describe) 0 Partnership O Income Received of SO -$499 0 Income Received of $500 or More (Repo,t on SchB<lu/e CJ IF APPLICABLE, LIST DATE: _j__J20...._ ACQUIRED __j__j2fJ_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE □ $2,000 -$10,000 0 $100,001 -S1 ,000,000 □ $10,001. $100,000 0 Over S1 .000,000 NATURE OF INVESTMENT 0 Stock D Other (Doscribe) 0 Partnership O Income Received of $0 -$499 O Income Recelved of S500 or More (Report on Sc/lB<lute CJ IF APPLICABLE, LIST DATE: __J_j'},Q_ ACQUIRED __J__j'},Q_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 • $1,000,000 NATURE OF INVESTMENT 0 $10,001 -$100,000 0 Over s1,ooo,ooo 0 .Stock D Other (tlesdioe) 0 Partnership O Income Received or SO -$499 0 Income Recelved of $500 or More /Repott on Schedule C} IF APPLICABLE, LIST DATE: __J__J~ ACQUIRED Comments: __J__J~ DISPOSED Print Clear Walt Disney Co GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT Ill s10,001 -s100,000 D Over s1,ooo,ooo ■ Stock O Other -----=-,,...,.------(Desaibe) 0 Partnership O Income ReceTved of SO -$499 O Income Received of $500 or More (Repo,t on Schedule C) IF APPLICABLE, LIST DATE: _j__J~ ACQUIRED __J__J~ DISPOSED ► NAME OF BUSINESS ENTITY Envirepel Energy Inc GENERAL DESCRIPTION OF THIS BUSINESS Trash to Energy Projects Manufacturing/Operations FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 Iii $10,001 -$100,000 0 Over $1,000,000 NATURE OF INVESTMENT Accredited Investor Purchase 0 Stock Ill Other ----.,,....-...,,..,-----(Desaibe) 0 Partnership O Income Received or so -$499 O Income Received of $500 or More (Repori on Schedule CJ IF APPLICABLE, LIST DATE: __J__j2Q_ ACQUlRE.D __j__fl..JL_ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • $10,000 0 S100,001 -$1,000,000 NATURE OF INVESTMENT 0 S10,001 -S100,000 0 Over $1,000,000 0 Stock O Other --------==------(Oes&ibe} 0 Partnership O Income Received of so -$499 O Income Received of SSDO or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __J__J~ ACQUIRED __J__j'}JJ_ DISPOSED FPPC Form 700 • Schedule A-1 (2020/2021) advlce@fppc.ca.gov • 866--275-3772 • www.fppc.ca.gov Page-7 Aug. 24, 2021 Item #1 Page 75 of 166 CALIFORNIA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) FAIR POLITICAL PRACTICES CO'MMSSIOI< Name Gary Nessim ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS guest house CITY Carlsbad FAIR MARKET VALUE 0 $2,000 -$10,000 0 $10,001 -S100,000 0 $100,001 -Sl,000,000 Ill Over S1,000,000 NATURE OF INTEREST Ill Ownership/Deed of Trust D Leasehold Yrs. ,emalrlng IF APPLICABLE, LIST DATE: __J~2l}_ ~___J2JL ACQUIRED DISPOSED 0 Easement D Olher IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 -$499 0 $500 -$1,000 0 Si,001 -S10,000 Ii] $10,001 -$100,000 0 OVER S100,000 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. 0 None Sara Yerushalhiam ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0 $2,000 -$10,000 __J~2JL __J~2JL 0 $10,001 -$100,000 0 $100,001 -S1,000,000 ACQUIRED DISPOSED 0 Over $1,000,000 NATURE OF INTEREST 0 OWnerstup/Deed of Trust 0 Easement □ Leasehold □ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 so -$499 0 $500 • S1,000 0 $1,001 -S10,000 0 S10,001 -S100,000 0 OVER S100,000 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. O None " You are not required to report loans from a commercial lending institution made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER• ADDRESS (Business Address Accep/abfe) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Mor,ths/Years) ____ % □None HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 -$1,000 0 $1,001 -S10,000 0 $10,001 -$100,000 0 OVER S100,000 D Guarantor, If applicable NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % □None HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 • $1,000 0 $1,001 -$10,000 0 $10,001 -$100,000 0 OVER 5100,000 0 Guarantor. if applicable Comments:----------------------------------------- Print Clear FPPC Form 700 • Schedule B (2020/2021) advlce@fppc.ca.gov • 866·27S-3n2 • www.fppc.ca,gov Page -ll Aug. 24, 2021 Item #1 Page 76 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES CO,H,:,SSION Name (Other than Gifts and Travel Payments) Gary Nessim ► 1. INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INCOME FirstT earn Real Estate ADDRESS {Business Address Acceptable) 500 Grand Avenue BUSINESS ACTIVITY, IF ANY, OF SOURCE Real Estate Sales Commissions YOUR BUSINESS POSITION Brok.er Associate GROSS INCOME RECEIVED 0 $500 -$1,000 111 s10,001 • $100,000 D No Income -Business Position Only 0 S1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary 0 Spouse's or registered domestic partner's lncome (For self-employed use Schedule A-2.) D Partnership (Less than 10% ownership. 'For 10% or greater use Schedule A-2.) D Sale of __________________ _ (Real property, car. boat etc.) D Loan repayment ■ Commission or D Rental Income, list each source of $10,000 or mora Home sale commissions (Describe) D Other __________________ _ /Describe) NAME OF SOURCE OF INCOME IRA distribution ADDRESS (Business Address Acceptable) na BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 • $1,000 Ill s10,001 -s100,ooa D No Income -Business Posi1Jon Only 0 $1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary D Spouse's or registered domestic par1ner's income (For self-emplayed use Schedule A-2.) D Partnership (Less tha.n 10% ownership. For 10% or greater use Schedule A-2.) D Sale of -------------------/Reel property. car, boat, ate.) D Loan repayment D Commission or D Rental Income, //st each source of $10,000 or more /Describe) ■ Other IRA distribution (Desafbe) ► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a commercial lending institution, 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 official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 -$1,000 0 $1,001 -$10,000 0 $10,001 -$100,000 0 OVER $100,000 Comments: Print Clear INTEREST RATE TERM (Months/Years) ____ % ONQne SECURITY FOR LOAN D None D Personal residence 0 Real Property ________________ _ Street eddmss Ci!Y D Guarantor _________________ _ D Other-----------------~ (De$Ctibe) FPPC Form 700 • Schedule C (2020/2021) advice@fppc.ca.gov • 866-27S-37n • www.fppc.ca.gov Page-13 Aug. 24, 2021 Item #1 Page 77 of 166 RESUME OF Gary Nessim for nonprofit work age 68 2021 Carlsbad Village Association past boardmember, current member and community activist in village redevelopment for 30 years. Worked with Urban Place Consulting Group, Dover, Kohl & Partners and other City of Contractors on City projects Co-captain Hosp Grove Trail, past city wide trail captain Volunteer with North County Lifeline weekly Mediation training graduate Leadership 2000 Graduate 1996 Graduate of Carlsbad Citizens Academy CERT.Volunteer and Graduate California Notary Public 1991-2011 Friends of CaiTillo Ranch boardmenber League of Women Voters Member and Committee Volunteer Lifetime member and past President of Carlsbad Historical Society Served 8 years on and Chaired Carlsbad Beach Erosion Committee Graduate of San Diego State University BA in Psychology 1983 Board member of Move Your Feet Before You Eat Foundation Remodeled Historic home adjacent to Cole Library Lived and owned real estate in southeast Cai·lsbad 1980-1987 REAL TOR for 3 5 years, retired real estate office owner -broker- manager 1983-2017 Brokered property management, managed innovative 401 K plan for real estate agents, hired and fired employees and independent contractors. US Navy Veteran and Nuclear Power plant operator 1974-1980 Founded Imagine Carlsbad for village redevelopment, reviewed plans, led educational walking tours of village issues ( parking, Grand Promenade, Civic Center, Architectural issues) Active hiker, tennis, handyman, environmentally conscious, active traveler, assist in race management as volunteer. Aug. 24, 2021 Item #1 Page 78 of 166 (i) Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 . RECEIVED AUG l 'O 2021 CITY OF CITY CLER~~l~BAo ------::.::.:_:~~O>£_FFJCE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. C.:a8 a rn H.l- f?Tv: 7/131') /Ir Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Peder Norby Reqv1rea far vacer 11eg1stratlan Verif,,atlon Home Address I District Number b 1 H· Qty ZIP Carlsbad 92008 Home Phone Mobile E-mail Occupation Consultant Employer Norby Consulting Employer Address Same as home address. City ZJP Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to the responsibility of the position and will attend the required ✓ meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic ✓ Disclosure Statement (a public record that will be posted on the City's website). I further agree to attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 79 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per ✓ Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code s.ection as it exists at the time of my appointment. I am aware that this application is a public document. ✓ Please describe your professional experience and relevant experience. I have served as a consultant to the City of Encinitas as a Downtown Executive Director, The HWY. 101 Corridor Coordinator, General Plan Update Facilitator & Rail, Streetscape consultant for 21 years. I have served as a Special Projects Coordinator for the city of Carlsbad for 4 years. The organlz.ition that I directed in Encinitas and the City of Encinitas won the Great American MainStreet Award from fhe National Trust of Historic· Preservation in 2004. I owne<;I two Danish bakeries in Carlsbad 01 for 15 years, creating over 50 jobs in the village and a nutnber of other Danish bakeries in Encinitas, Del Mar and New Mexico. I served as a Field Trial test driver for BMW North America for 6 years, driving prototype hydrogen and electric cars prior to the launch of BMWi division in 2014. I have trained over 200 BMW dealers rr .. tionally in the operations and sales of electrk; vehicles. f have served as a consultant for Arcimoto, a micro mobility vehicle m.inufacturer in Eugene Oregon, assisting them in the selection of a site for operations in Downtown San Diego and in obtaining their Stale of California Manufacturers License and their State of California Dealers License. I hav.e also served as a strategic acivisor to BYTON automotive and " consultant to Sempra Energy working on EV emissions mapping. Please describe your educational background. I am a native San Diegan. I attended Patrick Henry High School, Mira Mesa Community College and San Diego State. In my junior year of college, I made the decision to leave my studies and started my first business in Carlsbad. This began my life long career as an entrepreneur and consultant. I purchased my first home in Carlsbad at the age of 19 and have been a homeowner in Carlsbad ever since. I believe my experience and the "practice" of my profession through the decades, has provided me with a unique and different educational experience, yet one just as necessary and rewarding as a traditional educational experience, in accomplishing the many goals, projects and initiatives for which I have been involved. Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. I have served on several Carlsbad Committees and non profit boards as a resident of Carlsbad. This includes the Hous1ng & Redevelopment Advisor Committee, Design Review Board, Prop E. Steering Committee, Carlsbad Educational Foundation Board, Carlsbad Tourism Board, VBA board, l agoon Foundation Board and others. I served for eight years as a San Diego County District 3 Planning Commissioner appointed by Supervisor Pam Slater Price (R) and Supervisor Dave Roberts (D). I served as the Chairperson of the California Site Selection Committee that secured Carlsbad for the location of the LEGOLAND theme part, prevailing over several hundred competitors nationwide, I also served as the Chairperson of the Political Action Committee (PAC) that secured a "yes" vote during the election for the Carlsbad Ranch Specific Plan (LEGOLAND). I served as a board member of the Californio1 MainStreet Alliance (CAMSA), a California statewide Non Governmental Organization (NGO), whose members provided professional development and technical assistance to certified and aspiring MainStreet cities. Aug. 24, 2021 Item #1 Page 80 of 166 Please explain why you wish to be appointed to City Council (attach a separate sheet if needed) l believe that the City of Carlsbad needs stability in terms of tenure and civility in D1. I have never run for public office, but have been previously called to serve and appointed to public office in the County of San Diego. It's not a career choice that I have chosen in the past, although I honor those who do serve and I understand the difficulties and sacrifices public service requires, I believe that l can be of assistance to the city council and the citizens of Carlsbad. I am by nature a "Hub'' or "centrist" personality and a certified facilitator that has a long track record of service and success in complex situations. I have many contributions as a team member or team leader in bringing agencies, communities and projects to a solution in order to move forward. I have no intentions of running for any public office in Carlsbad or elsewhere in the future. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). No. What would you like to accomplish as a council person if appointed? I believe that the current "Decibel Level" of rancor, angst and mistrust is very high in D1. In this heightened tense personalized environment with elevated voices, it's very difficult, if not impossible, for meaningful community discussions on the topics of the day to occur and for consensus to be reached. In order to effectively govern, the most pressing need is the ability to have productive civic discussions by reducing tensions, seeking to understand, striving to regain tn.ist and healing the divisions in our community among neighbors. We should celebrate our diversity of opinion and lifestyles reali:z:lng that's what makes Carlsbad, and specifically 01, so wonderful. I will do everything I can to assist and behave in a manor that seeks to accomplish this. Without civil discourse and calmer waters any future goals one wrshes to accomplish will be difficult. I'd like to see Carlsbad begin the challenging work of developing a successor plan to the Growth Management Plan {GMP). The GMP has been very successful in guiding the development of this community from 35,000 citizens in the 1980's to now over 115,000 citizens. As we are now 95% built out, we need to realize that the GMP is a document that is relevant to the last 5%, but not so relevant to the built environment of the other 95%. A successor plan is needed that focuses an the 95% built environment and how we live & thrive together as a community and as neighbors for the decades to come. I'd work towards establishing a consensus to begin a certified National Trust for Historic Preservation (NTHP) Main street Program for 1he Village and if the stakeholders desire, for the Barrio. I'd seek to end the "rotatron" of expensive outside consultants who the city has hired to provide. a vision for the area. The city should work 1o develop over time, strong boards, staff and guidance from our residents and business stakeholders, that can guide the future of our neighborhoods. · I would also work towards gaining consensus on accelerating the transition of our vehicle fleet to electric, the strengthening of our measures in the Climate Action Plan, and the information provided to our residents and businesses regarding all emission reduction strategies. Aug. 24, 2021 Item #1 Page 81 of 166 Please give examples of using collaboration to become successful. While our children were in Carlsbad Unified School District. I co-founded and co-chaired with two other parents, Julie Baker and Lynne Crockett, a program called "Kids Are Worth a Million" as part of the Carlsbad Educational Foundation. We were successful beyond our imagination in fund raising and service to our school district. Today, the fruits of this program continue to grow supporting Carlsbad public schools. I am thankful for all who contribute their time and efforts in helping our public schools. The three of us realized that we each had individual strengths very different from each other, that when combined had the possibility to do something very special. Without collaboration with each other, other school parents, teachers, principals, d1strict administrators, and businesses the effort would not have been successful. I have mentored several cities and communities, including Vista, Del Mar, Oceanside, Cardiff by the Sea, Leucadia and otl1er regions of California as they began their commercial districts' MainStreet Programs. ihe core of the program is collaboration among all stakeholders, program staff and city staff to accomplish their unique visions for their MainStreet areas. These programs continue to be successful because of the collaborative structure and efforts resulting in the betterment of their community as they envision it. Lastly, I grew up as one of 8 siblings learning early on that collaboration is a requirement, not an option. We are all very different and very close knit as a family. What are the most pressing issues facing our community and how do you plan to address them? The trahsition of the city and guiding policies from a "growth city" to a "built out city." Fostering more civil and respectful civic discussions, decorum and interactions, while encouraging diversity of opinion. The stark increase of violent crime in our city and in D1 that has manifested itself in the past few years. The crisis of the covid pandemic and how it disrupts and effects all aspects of our community. Reducing our emissions and improving our environmental stewardship with stronger partnerships with nature. Maintaining and improving the economic, cultural and environmental strength of our city. In all cases, I will participate with my ideas and suggestions, and more importantly, listen to those ideas and suggestions of others whether on the dais, in a community meeting or elsewhere, so that we can collectively craft the best path forward to address the issue of the day and the improvement of our city. Aug. 24, 2021 Item #1 Page 82 of 166 Additional information or comments Carlsbad is and remains a great city to live in, work in & to raise a family in. I am grateful for the leadership and for all who have served this city from its incorporation to today. I am arso thankful for each resident & D1 neighbor who answered the call and submitted an application to fill the council vacancy. Thank you for your review and consideration of my application. Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Peder Last Name: Norby Peder NO rby Digitally signed by Peder Nori:>y Signat ure: Date: 2021.08.09 22:35;51 -07'00' Dat e: 08/09/2021 Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, appllcatlons cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the stgned paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 83 of 166 CALIFORNIA FORM 700 ~All( F'JlillCi-L PP:,!CTIC.E'S C.ON't,•1C,~1on STATEMENT OF ECONOMIC INTERESTS COVER PAGE DAte Initial Fi!ir,,:, Rec,,m1«::l f:;."'liJ -:Jmr:.'V :k;. 1),-... "f A PUBLJC DOCUMENT Please type or print in "ink. NAME Of AUit (I.ASTJ N',l(•Y 1. Office, Agency, or Court Agency Name (Do not use acronyms) Cit~ Council. City .'.lf Garisbad Division, Board, DepartmenL District, if applicable Council Member District 1 Your Position (MIDDI.EI H" u; ► If fillng for multiple positions, list below or on an attaohment. /Do not use acronyms) Agency:-------------------Position:---------------- 2. Jurisdiction of Office {Check at least on, boK) □Slate D Judge, Relirell Judge, Pro Tem Judge, or Coort Comoissioner (S1il!awkle Jurisdicllon) 0 Mulli-Counly _____________ _ 0Coonty of ____________ _ [] City of Car.scaj 3. Type of Statement (Check at least one box) D Annual: The period covered is January 1, 2020, through December 31, 2020. -or• The period covered is __J___J ___ -through Oeoomber 31, 2020. D Assuming Office: Date assumed __} _ _,_ ___ _ □Olher ______________ _ D Leaving Office: Date Left___), _ __, ___ _ (Check one circle.) O The period covered Is Janu11ry 1, 2020, through the date of leaving office. -or- O The period covered Is ____J___J ___ ~ through the date of leaving office. c;J Candidate: Date at Beclion .-~ug/ 3.<Jp 4121 al!d office sought, W dlfferent lhan Part 1: _____________ _ 4. Schedule Summary (must complete) ► Total number of pages including this COVflT page: 5 Schedules attached 0 Schedule A-1 -lriveslmenls -sdledule attadled D Schedule A-2 • Investments-schedule attached () Schedule B • Real Property -schedule attached -or-□ None • No reportable interests on any schedule D Schedule C -Income. looos, & Business Po&iflons -schedule attached D Schedule D • /noome -G/fls -schedule attached D Schedule E • Income -Gifts -Travel Payments -schedule attached 5. Verification -------~==-~~-- WJLING ADDRESS STREET CflY rsv,,Jnm or Agency AddTO$S Recommended • PIH.~ Dociiml!lll) DAVTll,lc TEI.El'H<»IE NUMBER STATE I El,'Al!.AODRESS ZJPCOOE '32008 1 have used all reasonable diligence in prepasing this statemenl I have reviewed this slalemenl and to lhe best of my l<nol'lfedge the infOITnalinn cmlalned ............. -.. ...... ,, ..... .._ ,-... ··---,£_ ·-~dK'."'"":"":-"' ............. -........... ~ ~ Dato Signed P.ugusl ._,th 20£1 Signature /, A ✓ (_.,,, o-,; yvai/ /Flo uro oop,i,iry •!101d P'P" •l&lol!JMlll!fh )'OOr ti!tng &:i<ial} ---F9PC Fom, 7C0 • Covor Pa~ (2020/2021) 1dvf011)fppc:.ca.1w • 866--275-3.712 • ~t:it.gov "'&e·S Aug. 24, 2021 Item #1 Page 84 of 166 SCHEDULE A-1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Do not attach brokerage or financial statements. -----------------------.. ----------------------► NAME OF BUSINESS ENTITY Arcimcio (FUV) GENERAL DESCRIPT!ON OF THIS BUSINESS FAIR MARKET VALUE D $2.000 -$10.000 l:J $100,001 -$1,000,000 NATURE OF INVESTMENT !JI Stock O Other D $10.001 -$100.000 0 Over $1,000,000 (Describe) 0 PartnershJp O Income Received of $0 -S499 ® lnoome Received of S500 Of More (Report. on SchBdule CJ IF APPLICABLE, LIST DATE: __J___/l_j)_ ACQUIRED __J__J2fL_ DISPOSED ► NAME OF BUSINESS ENTITY Cassave (SAVA) GENERAL DESCRIPTION OF THIS BUSINESS pham1aceutical$ FAIR MARKET VALUE 0 S2,000 -$10,000 0 $100,001 • $1,000,000 0 $10,001 -$100,000 D OVer $1,000,000 NATURE OF INVESTMENT !£l Slock. 0 Other (O.,cribe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 ot More /Repon on &/Jodult) CJ IF APPLICABLE, LIST DATE: __j_____M_ ACQUIRED _ _,_ _ ___,2,L DISPOSED ► NAME OF BUSINESS ENTITY ,1.me1ican Funds GENERAL DESCRIPTION OF THIS B.\.ISINESS invasrnant Funds FAIR MARKET VALUE D $2,000 -s10,ooo D s100,001 -$1,000,000 NATURE OF I NVE:.STMENl' Q $10,001 -$100,000 0 Over $1,000,000 i;:;;J Stock O Other {08$cn6eJ D Partnership O Income Received of $0 -$499 0 Income Received of $500 or More (Rt,port on Sd,edul• CJ IF APPLICABLE", LIST DATE: _j-------12.fL_ ACQUIRED __J-12fJ_ DISPOSED ► NAME OF BUSINESS ENTITY Te:sla MotOiS (T3l!\) GENERAL DESCRIPTION OF THIS BUSINESS tu.,to Maker. Jolar Sortwar<? FAIR MARKET VALUE D s2.ooo -$10.000 [j $100,001 -$1,000,000 NATURE OF INVESTMENT D s10.001 -s100.ooo 0 Over $1,000,000 El S10ci< 0 Other ____________ _ (Describe) 0 Partnership O Income Received of $0 -$499 O Income Received of $5CO or Moro /Rapo,t on Sohedul• c) IF APPLICABLE, LIST DATE: __J___/l_j)_ ACQUIRED _j__J2J}__ DISPOSED ► NAME OF BUSINESS ENTITY Ark Invest (A.J'.iKK) GENERAL DESCRIPTION OF THIS BUSINESS inveis.ime··,t Funds FAIR MARKET VALUE 0 $2,000 -$10,000 Cl $100,001 -s1,ooo,ooo NATURE OF INVESTMENT D $10,001 -$100,000 D Over $1,000,000 [J Stock D Other ____________ _ (Oesaibe) 0 Partnership O Income Received of $0 -$499 O Income RIOC"ived of $500 or More (Reporl on Sc/tedu/e C) IF APPLICABLE, LIST DATE: __j_____M_ ACQUIRED __J___/l_JJ__ DISPOSED ► NAME OF BUSINESS ENTITY Empower GENERAL DESCRIPTION OF THIS BUSINESS Fletil'c-lf'ent fund FAIR MARKET VALUE D s2.ooo -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT L] $1.0,001 -$100,000 D Over $1,000,000 cl Stock O Olher -----~~-----{O&cn6e.) D Partnership O Income Received of $0 -S499 O Income Received of $500 or More (Roporr en Sohodul• c) IF APPLICABLE, LIST DATE: __J__/2._JJ_ __J___/l_j)_ ACQUIRED DISPOSED Comments: ------------------------------------------- FP~ ftlrm 700 -Schedule A-1 (2020/2021) Rd-Jice@fppc.ca.gov • 866~27S-377Z • www.fppc.a.gov Page-7 Aug. 24, 2021 Item #1 Page 85 of 166 ► 1 BUSINESS ENTITY OR TRUST Nnrby Co'1Suiting Name SCHEDULE A~2 Investments, Income,, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) ► 1 SUSINESS ENTITY OR TRfJST Na,ne C,>rlSl'.!<'<i Ca, e2008 Address /Business Adritess Acoeptsb/e) Address (Business Address Acceptable) Chock one Check one 0 Tru.st, go lo 2 D Business Entity, ccmpr,,ta the box. then go to 2 0 Trust, go to 2 0 Business Entity; comp/~le the box, /hen go to 2 GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THFS BUSINESS Lar.ll use. en&1·py, pian11inq, rail con&ultinp FAIR MARKE'r VALUE IF APPLICABLE, LIST DATE: 0 $0 • S1,999 __j__J2fl_ __J__J2fl_ 0 $2,000 -$10,000 CJ s10,001 • i,00.000. ACQt.llREO DISPOSED D s,00.001 -$1,000,000 0 Over $1,000,000 FAIR MARKET VALUE IF APPLICABLE, LIST DATE": Q $0-~1,999 __J___f2JJ__ __j__J2JL... 0 S2,000 -$10,000 Q S10,001 • $100,000 ACQUIR!;O DISPOSED □ s100,001 • $1,000.000 D Over $1,.000,0CO NATURE OF INVESTMENT NATURE OF INVESTMENT D Partnership [3 Sole Proprietorship □ Oth11:r 0 Partner.ship 0 Sote Pro'priato,shlp □ ulhe-r YOUR BUSINESS POSITION Sole Propr1etor I Consu!!rr1! YOUR BUSINESS POSITION ... ' ► 2 IDENTIFY THE GROSS INCOME RECEIVED (JtJCLUDE YOUR PRO RATA ► 2 IDENTIFY THE GROSS INCOM~ RlcCE.IVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUSTI 0 S0-.$499 D ssoo -$1.000 0 $1,001 • $10,000 ~ $10,001 -$100,000 0 OVER $100,000 ► 3 LIST THE NAME OF EACH REPORTABl-f SINGLE SOURCE Of INCOME OF S1D ODO OR MORE )..r,~u•., .... r.;,~" --• 1 ~ ~,,~,--., 0 None o, b':] Names listed balow City of Ent.initRs ► • INVESTMENTS AND INTERESTS IN REAL PROPERTY HELO OR LEASED BY THE BUSINESS ENTll Y OR TRUST CltfJck one box: □INVESTMENT 0 REAL PROPERTY Name of Business Entity, if Jnvesbnent, Qt Assessor's Parcel Num6er or Street Address Qf Re~r Property 0escrtptlon of Bus~ Activity !2! City or Other Precise Location of Real Property FAIR MARKET VALUE D $2,000. $10,000 a $10,001 • ~100,000 $100',001 • $1,000,000 D Over $1,000,000 NATURE OF INTEREST D Property OWne,ship/Deed of Trust IF APPLICABLE-, LIST DATE: __J__J2J)_ __J__/lJJ_ ACQUIRED DISPOSED D Stock D Partnership 0 Leasehold Yrs. "3maining D Other ---------- D Chsck bOx if addmonal schedules reporting investrnenlS or real property are attached SHARE DF 1HE GROSS INCOME !Q THE ENTITY'TRUST) 0 $0 -$499 0 $500 -$1,000 0 $1,001 -$10,000 0 $10,001 • $•100,CY.lO 0 OVER $100,000 ► 4 INVESTMENTS Arm INTERESTS IN REAL PROf>ERTY HELD OR LEASEO 1U THE BUSINESS ENTITY OR fRUST Check one box: □INVESTMENT D REAL PROPERTY Name of Busl11ess Entity, if Investment, l2C Assessor's Parcel Nu.mbar or Street Address of Real Property Description of Buslnes-s Activity fil City or Other Precise Localion of Real Prol'f'rty FAIR MAR.KET VALUE D $2,000 -~,o,ooo D $10,001 -$100,000 Q $100,001 • $1,000,000 D over $1,000,000 IF APPltCABlE, LIST DATE: __J__J2J)_ __j--11JL NATURE OF INTEREST O Property Ownership/Dead of Trust Q Leasehold -,,..--,-,--Q Other Yrs. remf'lining ACQUIRED DISPOSED Ostock 0 Partnership 0 Check box If additional schedult!a reporting lnvestmonts or real property are attached Comments:--------------------------FPPC F<nm 700 -Scm:do!e A-2 (2020/2021) advlcC!@Jfppc.,cagm, • 86~75-'377l • ·www.fppc.ca~gov Paga-9 Aug. 24, 2021 Item #1 Page 86 of 166 CALIFORNIA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) !AU, i10Ll11CAL PH(-.rf!\f ,.. f'.Ot/1~11SSIO~l Name Perllar Nmhy ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Carlsbad FAIR MARKET VALUE 0 $2,000 -$10,000 0 $10,001 -$100.000 0 $100,001 -$1,000,000 D Over $1,000,000 NATURE OF INTEREST [J ownership/Deed of Trost IF APPLICABLE, LIST DATE: ~---12JL. ~~2il_ ACQUIRED DISPOSED D Easement D Leasehold _____ _ □-------Q,nor Yrn. remaining IF RENTAL PROPERTY. GROSS INCOME RECEIVED 0 $0 ,$499 0 $500 • $.1,000 D $1.001 -s10.ooo 0 $10,001 -$100,000 0 OVER $100,000 SOURCES OF RENTAL INCOME: lr)'OU own a 10% or greater interes~ list the name of each tenant that is a single source of income of $10,000 or more. 0 None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Carlsbad FAIR MARKET VALUE 0 $2,000 -S10,000 0 $10,001 -$100,000 D s100.001 -$1,000,000 GI Over $1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust If APPLICABLE, LIST DATE: ~---12JL. __J~2il_ ACQUIRED DIS.POSED D Easement 0 Leasehold _____ _ El Oifica Susines8 Tax Y:fS~ remainfflg Olher IF RENTAL PROPERTY, GROSS INCOME RECEIVED □$a~ $499 □ ssoo -$1.000 □ s1.001 -$10.000 D s10.001 -$100.000 0 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. D None Abn;:,r Arguet.-, * You are not required to report loans from a commercial lending institution made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* ADDRESS (Business Address Acceptable/ BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ___ __;% D None HIGHEST BALANCE DURING REPORTING PERIOD D ssoo -s1,ooo □ $1.001 -$10.000 0 $10,001 -$100,000 O Guarantor, if applicable 0 OVER $100,000 NAME OF LENDER' ADDRESS (Business Add"'ss Acceptable} BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % QNone HIGHEST BALANCE DURING REPORTING PERIOD □ ssoo -$1,00□ D $1,001 -$10,000 D $10.001 -s100.ooo 0 Guaranlor, If applicable 0 OVER $100,000 Comments:----------------------------------------------FPPC Form 700 -s,~ed•I• B (2020/2021) advie2:@fppc..c.a.gov • 866-27.s..3772 • www.fpp~c:a.gCJv P.3£~-11 Aug. 24, 2021 Item #1 Page 87 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 700 FAIR J:.OI Iii.'~ r>RAr·1cr.:: •:•JJ,•r,•1~3,,Qtd (Other than Gifts and Travel Payments) ► 1 l'ICO~lf RECEIVE ) ., 1 INCOME R!:CEl\icO NAME OF SOURCE OF INCOME Ar~lmn'.O ADDRESS (Sut;lness Address Accep,abts/ Eugi?r11.1, Uf 9H02 BUSINESS ACTIVITY, IF ANY, OF SOURCE ao11sullanl YOUR BUSINESS POSITION •,or.;;l [_ ll GROSS INCOME RECEIVED □ i6oo. ,1.000 0 $10,001 • $100,000 0 No Income· Busiru= Positio!i °"1Y 0 $1,001 • $10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary O Spouse's or r,,glstered &lme!ltjc partner's inwme (For sslf-emploYed U&e Schod.ole A.•2.) 0 Partnci,llip (Less lhan 10% owne111hlp. For IO'll. or greater use -~, O Salo or ------------------(Real propany1 OM. botlZ. etc.} D Loa.n ropaymeot O Commission or O Rental Income, "" oxh '"""'" or i 10,@ or,..,. (Pn-) 0 0tt,cr ,,~,re~-forsemc,;s ran-:::e-,,,,.. (DacYIOe) NAME OF SOURCE OF INCOME ADDRESS (Bu•ln,ss Address Accepta~IG) BUSINESS ACTIVITY, IF ANY, OF SOURC!a YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 -$1,000 D 510.001 • !100,000 D Na l1100me -Business Position Only D $1,001. s10,ooo 0 OVER $100,000 CONSIOERATION FOR WHICH INCOME WAS RECENED 0 Salary D Spouse's or registered darnesUc parmer's Income (Fe< ..,~.employed use Sahed!Jle A.2.) 0 Pattnar.slrip (Less lhan 10% ownersnp. For 10'4 or great,,, use Schedule A•2.) 0 Sale of ------::----,----,------{Roal plOpot/f. ca,; b911, Ole/ 0 Loan re~ment D Commission or O Rent.al Income, list eiach &Otll't:e or $10,000 or 1r1ort1 ~ QOther _____________ _ ► .! L0AN5 RECEIVED OP. OUTS TANOING DURI/JG <HE REPORTIPIG PERIOD * You are not required to report loans from a commercial lending institution,, 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 official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Bumess Add/ess Acceptablti/ BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST 8/1.LANCE DURING REPORTING PERIOD 0 $600-$1,000 D $1,001 • s10.ooo 0 $10,001 • $100,000 0 OVER $100,000 Comnienti;: --- INTEREST RATE. TERM (Months/Yea,-,,) SECURITY FOR LOAN 0 NOtl5 0 Personal residonCGo 0 Real Property --------,su..=..,.,-,_.,..,...,------- QI)' D Guaranlor _________________ _ D Otller-----------,,-,---------(Do,aib•J fPpe-form 700 -S'chodulo C {2D21l/2otl) •dvi~ .. p • 8~75"3772 • www.fppc:, ... Jo11 l'a(IG• 13 Aug. 24, 2021 Item #1 Page 88 of 166 Peder Norby Peder is a native San Diegan and 36 year resident of Carlsbad Ca. Regionally, Peder served as a San Diego County Planning Commissioner for eight years, he served as the Chairman of the Technical Advisory Committee (TAC) that drafted the "Renewable Energy Master Plan for the County of San Diego. In 2007, Peder and his wife Julie, received the "Energy Excellence Award" given to one residential project a year in California, from the Center for Sustainable Energy, for the construction of Herons' House, their Net Zero Energy home in Carlsbad Ca. The Norby's have reduced their carbon footprint by 85% and generate 100% of the net electricity required for their home and their two electric BMW i3's via rooftop Solar PV. Peder served as a field trial driver with BMW North America, from 2008 to 2014, driving the BMW Mioi-E and BMW ActiveE prototypes, fogging a total of 130,000 miles in various electric vehicles. These vehicles were the development platforms for the BMWi brand. . Peder is a consultant with clients in land use, transportation, energy and agriculture. Aug. 24, 2021 Item #1 Page 89 of 166 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 RECEIVED AU6 l O 2071 CITY OF CARLSBAD CliY CLERK'S OFF'CE Cfio /0 uSa.. rn, Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. Kl.JI/ 1/71/J~ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Date of Birth: ' Name fi1,.2. EN J ,fr'/ /t /VZ l t/V tl Required for Vofer Registration Verification Home Address I District Number ({w I ,l City ZIP t,-Y:,.!)1])7 L,-./J{ ,~ 5E.,JJP •' Home phnnP Mobile E-mail . --Occupation R /: 7 .. ,Af. ft:.0 Employer Employer Address City ZIP Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. V I am a Citizens Academy graduate. V I have sufficient time to devote to the responsibility of the position and will attend the required meeting(s} if I am appointed. ../ I acknowledge that if appointed I will ffle necessary documents including a Form 700 Economic Disclosure Statement (a public record that will be posted on the City's website). I further agree to V attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov I I I I Aug. 24, 2021 Item #1 Page 90 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code ✓ section as it exists at the time of my appointment. I am aware that this application is a public document. ✓ Please describe your professional experience and relevant experience. ~7.£M,.<f' ~ /?!17'//Z,f;tJ G~tr/f✓-vl;i1'llJI;~ tt'S;V 1 .-:1.~:1,t, $ ;•.,-., -€? fofA A/-1, tc/11 £/'",; ~/;<-..-1 . ..-vu.A.C .1:J:.·'};.,t£Y f. . .,,.- $'..t-P CJY 1' ~ 1-:~> >14 r #' tfi f~ I> £1/A t ? -.:) vl'l-ll/'V .,ey ~(c, t ..,-:-.,,r,,'rt rA . < J .. ;, V ,8 0 ft fl. p .,A-f ~1( p 6 R f;f.,: '? /, ~ E-,r, $ o~ ,< . ./" ~c~ ~ ,,,. ,, a -· / / ✓ ~ ,I /fl'"Er' ;-_,,,, t_,{J -r ,.() _ I '/.l 1 '6.A• $:, Ex E:.'t.,v71 V£ or-NA 1/t>N'l~l /-)5 70 c-1A ,-,{f~V Please describe your educational background. /.~A ·· !J c Be R K E}. y Po </l' G.,f!_Jp CCJU >i5t'~ .l~ 1 vJ1l/.,,11~r .. l f;Y.,t·r Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. I<~ N c /./ o 5/t;¥ 7A /J, t~,, $a1A,-11 .1CA J. ti'itl-.Ji: ,i~; w V d ;_ l/1111'11 //. "5 J d"R C: .:lirr I 2 ;{7/'tW Aug. 24, 2021 Item #1 Page 91 of 166 Please explain why you wish to be appointed to City Council (attach a sepa rate sheet if needed) rH (\ ~ f't y .,. ,;' (fl' ?'r?,;-\tvf rt>{) 4'I Re 17 t 11·~ ! C 1/V Ct· r.:.1 t, L) r'v4, VJ;<) c..4,1, t:16'5,: ~") r,>'J't-.' J( ;'). ~~//;t/. U: ~: ~11,.' ~<.~'. '/I (,r ;,AJ,1crdJ_ l) I ~\" I i I.. I ,;:' r O ,. v•15 /1-* 1·: .~~ ~:., 5 . -<) er f.·) /.. ,'~ ) lv'(r ' /v1 /)Ii) fJ I 'J' fo!CI' .... -rr:; ·J', t> (. :; P 1-2 t./ r t·,1,,. c.J::.. , t d O o P o·J S' f:." f. 1, r o caA1}o//Vd6 //Vo ~.?"t'C/? Bur-//l!t!Lf-17/~-C-Atr ' ,411/{J , J .rJ.1)),: t-:!F ( g JJ: r t·~' S't-'(,) /," $ 7 /2/,.,:1 r C-<J/l/ .13 e,' £~; -f'Cl)l/15- , / /V Pe l<:r: Of? /1,-1 f V (1-T;./ /t. C fl.<lt",1'.,.J,,-~ wet< h er-7NE Co(l41 e.. t ~ Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). What would you like to accomplish as a council person if appointed? 7 0 s r fl. P.!V t:, ~n..; C"/ p u '7 l ·1 G. Lt> ._, / / t,~;~ .. -;.~ .1 <-'J:~!/ ,P &.v .Ne.I.(..~ 7o /VJ ... ~ ,/1,..-,-,...\ uv , .. r 5 11<A J:>1 -r' 1 a/./ 5 o~ C/v;-? tJ/5CtJul(-J: ~ I # 1llC' oe-c.-1 1'/6/'l/5 ,N4r p 6 :~-l£iM. c-r N~ PR-bCtz.r::·1-r .~,,. it W6. t:..J..f''A ~e· rf)F' T;,J 6.. i ·: 1·/ Y.. 1 tJ r: rl ;1··t ttW ~ rr 5 :,.., 5 f...},1 S/ )· {?.;;:; ,-r1 ,vt) /1'V /Jlt ·' I '/c hf.:~ Aug. 24, 2021 Item #1 Page 92 of 166 Please give examples of using collaboration to become successful. I . /16~.u..r lA-'4: >l CK.1.rc ,,.., l M-1"(, 0,11,//,) I~ //t.; :U..lt/ /J4T 4 C..~i'. Pd fr-Art" ft N 13 y·' f , 1. • µ• v J ~ .. ,~ i: t; A l (.,. [:.:.l R, 7'; :i-~" ~ i /... .'. : i .:Ut., .!.:. f." ;~· r;,:,,.t,;J P "-CJ Y &.C ~I C (J N"'rl? A ~7<>f< s, IJ/.i -,;-~} C/.f"(~ le?!;; /·} r ,~' t.:~,:,t;, lt~.,_.1 Fl ()r)," $4 l,1 f-1r,;t,;.\lr',,f: :.::t l},:t·i ·,,~· 1,i:1,t~'J' .. i/..,i.., .c ~~'-r't~",tH~-· s~~. _::.-,1 ~' r 1\-:i ,~ 1H1-1~A\ Lr:.1 r;s-ui,,. c,~y /!J.Y 1:.·";:.·i~,)1ij.,!,,l;>'f.'o,.,/,.,:; ,.,,1 r~~I, ... ,, j{/v r::r1 1 ,~ /:()Q'.tf.,~~, ,,.,.e1 • ~-J t,., ifJ', 'f ~~ tihj."t4~,· T'IJ1f(t..,'t.., ),)r,;..:) (); LV~· .. i~, . .r.>:J .~. r"'..:1. l 1,,:, ·r 1 \;;. 1 tV .. 9 ~ \r1/l,t' I.}, h1-· ,.,i ';.?;.. "-',J(' fil,. JJ ;' Ff,.,· t, ~'. J,t');i" C:.1k', ~ ' •l"' ..,:· (, ti ,t...t;.,,1i 8 O i(..<) ''-)'tJ M ~,, ··ro ,li .L 'I t--l ~ 1r;.<\ 'j, It' ,dJ ;::tv(I· tf, ti" j,e. ,, tJ ~ ,; VI :1 S IV (I' J,,V,1 'r .!" 'I': P .. U\rv"/ ' ;t: J ..! 1 ), i I r H C A I{ C,>·) ) It:;' Pf O A,fJ,4 I,, A d I) o. \.l What are the most pressing issues facing our community and how do you plan to address them? (J ;v [) t I? ~ R.o v -v ,;; r. \/ t;. "1 i..; ,_-:;: ,.;.;,:u I -r1u4 <,; < /t,,!t;·,rv(;, L 'aw-~,~ Ca51 f/,i;.Jl/,Vc'; ,,Vt/~.111· Ii ff f:, C rt Vt.: /VI Alll..?/c .1::.c, 6., V i o ' P4 A/ f" J', ', < , ·' t." C 0~ p·;.,, ii'y H<;.>-1 t-. 1 J.f t §' s v E 5 0 p c,.,,.;-SPA Ct.t /il-1,{, t.; ~ t;·_.-. 1\1J (.'.t I T (-</1, t~·r-I,:. t:,,. l1 1\,, T I< l':J t--/>A',_ & :i. ... f I p ' /'....:' J I <::. /➔ II{ f.. 1 /) (<. r t> &'v t: · , es r-i /vt c.l'v1 · ~:l i !, ... ,ve;: t,· I) CC,(J ,'\-(' l t. .A J) I:.·"·, r'l1!V AN~) I J lc:::-lV)'[l)rk::/.c/,(~ / ,k ~ u rt I ,v Cr r N-11 c (l )l,.,fl\,; (!,/' A. 1 t TY ) Al f~ U I • C:: C> t4J> f.'',, 7"cVJ' ' · . I • -ci1v 1.> :Ji';\--: tJ\ ·r) v ~-.... ~ .. v t\ 1 ,}I ;r , ·~ /lt•· c.l 1-•)'J ,.~ \. ·,; PJlvA),.Yf, ;,.;;.. I., 1., l f),1 ~"f A I( t , ~ t: rr 1' I) ,·t. ('' 1 ,.. ) 6 ,•·V' ,~ U/ I·/ //v (j·, Aug. 24, 2021 Item #1 Page 93 of 166 Additional information or comments Signature By signing below, I declare under penalty of perjury under the laws of the. State of California that the answers provided in t his application are true and correct to the best of my knowledge. First Name: A Lt,~ v· Last Name: , ,..1vi '.itV ;c.A No Signature: Signature Date: ~ / <il I :La~, r r · Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 94 of 166 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date lnltial Filing Received FIiing Official Use Only A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER /LAST) 1. Office, Agency, or Court Agency Name (Do not use acronyms) (FIRST) A t .1. e..A/ C4 1<-L5 l3A!J crry COUlt,,.ct,. Division, Board, Department, District, If applicable (MIDDLE) Jo4g v1JV Your PoslUon ► If filing for multiple positions, list below or on an attachment. {Do not use aaronyms) Agency: ____________________ _ Position:----------------- 2. Jurisdiction of Office (Check at least one bo'/1) □state 0 Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) D Multi-County ________________ _ 0 County of ---------------- ~ity of CA R L5 8A I} 3. Type of Statement (Check at least one box) D Annual: The period covered is January 1, 2020, through December 31, 2020. -or- □ Other ----------------- 0 Leaving Office: Date Left __J__J ___ _ (Check one circle.) The period covered is __J___J ___ ~ through O The period covered is January 1, 2020, through the date of leaving office. December 31, 2020. -or• D Assuming Office: Date assumed __J__J ___ _ O The period covernd is __J__J ____ , through the date of leaving office. Gt'candidate: Date of Election .1V () IV f,' and office sought, If different than Part 1: ______________ _ 14. Schedule Summary (must complete) -► Total number of pages including this" cover page: Schedules attached D Schedule A-1 • Investments -schedule -a«ached D Schedule A-2 • /11veslments -schedule attached D Schedule B • Real Property -schedule attached I -or-M' None • No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY (Business or Agency Address Recommendea -Pub/le Document) O Schedule C • Income; loans, & B11sines_s Positions -schedule attached· 0 Schedule D • Income -Gifts -schedule attached 0 Schedule E • Income -Gifts -Tl'§lvel Payments -schedule attached CA STATE ZIP CODE DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS .... 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 8 / '(1 /'?O Z I -~ ....... , ~ .... '(m-on""'lh-, d-aY,_ye_an ____ _ Print Clear Signature _,.C,.,4-'-~-c='"~~=-/i+-("'-A--=-{tU~...,.;*-;,<-·..;;..-;tZ_l10 _____ _ /File lhe efigrlml/y signed paper &iemenr with your nllng o/ficial.J fPPC Form 700 • Cover Page (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page-5 Aug. 24, 2021 Item #1 Page 95 of 166 12/94 -Present 4/90 -Present 8/83 -4/90 2/82 -8/83 7/74 -2/82 11/73 -7/74 Allen J. Manzano President , Educational Resource Associates -Consult , develop and finance educational resources Independent Consultant and Financial Manager Chairman, CEO, of a number of companies controlled by Infotechnology Inc., a publicly held venture capital organization including: Chairman and President, Telecommunications Industries Inc., Vienna , VA,, a financial computer systems and priority mail firm. President , Healthgroup International Inc. Los Angeles , CA , a health maintenance organization. Chairman, Challenge Systems, Richardson, TX, a hardware, software firm specializing in language translation. Chairman and President, American Cytogenetics , North Hollywood, CA., a specialty laboratory firm. Board Member of the above and of Clinical Sciences Inc., American Bionetics Inc., Biotech Capital Inc. and Hadron Inc. All companies were publicly traded. President, Pacific Health Resources, Los Angeles CA., a hospital and health care management company. President, Universal Health Network, Los Angeles, CA ., a preferrred provider organization. Group Vice President, Senior Vice President, American Hospi tal Association, Chicago, IL., a trade association Deputy Administrator , Health Care Operations, Cost of Living Council Department of Finance, Washington, D.C . Aug. 24, 2021 Item #1 Page 96 of 166 2/72 -11/73 9/59 -2/72 9/53 -9/59 President, Health Management systems Inc. Sacramento, CA., a health care systems and management consulting firm . State of California -various positions in personnel , finance, systems, and management including: Chief Deputy Director, Department of Health Care Services; Deputy Director, Department of Industrial Relations U.S. Navy -various duties as commissioned officer Boards and Comm issions: Member -U.S. Advisory Committee on Hospital Discharge Data Chairman -California Hospital Commission Member -California Advisory Coordination Council on Public Personnel Management Publications: Manzano, A.J . and Tibbets, s., PPO"s: An Executive Guide, Pluribus Press, 1984 Manz.ano, A.J. and O'Gara, E ., "Special .Planning Considerations11 in Planning, Financing and Construction of Health Care Facilities, Cushman and Perry (eds) Aspen Publications, 1983 Education: University of California, Berkeley, AB in English and History Sacra.men to State Uni ve.rsi ty, Business and Public Administration courses toward Masters degree . Aug. 24, 2021 Item #1 Page 97 of 166 RECEIVED Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 AUG O 2 2021 CITY OF CARLSBAD CITY CLERK'S OFFICE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. Requirements: • Cit izen of t he United States • Registered voter and res ident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Neal Keith Ed.D Requ1reo Jor voter 1<eg1strotion Verification HomP ArlrlrP<:<: I 1District Number City ZIP Carlsbad 92008 Home Phone Mobile E-mail Occupation teacher/coach Employer Vista Unified, Carlsbad Unified, MiraCosta College Employer Address 4930 Lake BLVD City ZIP Oceanside 92056 Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to the responsibility of the position and will attend the required ✓ meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic ✓ Disclosure Statement (a public record that will be posted on the City's website). I further agree to attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 98 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per ✓ Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. ✓ Please describe your professional experience and relevant experience. Born and raised in Carlsbad CA, I have seen many changes in our city. As a student I have studied business and business law. I have been to the white hosue, sat in the supreme court and taken part in political think tanks. I have been to the US embacy in China to discuss foreign policy. As a professional I am a teacher and a coach. My passion is to make our city the best it can be for our future generations. Please describe your educational background. I have an Ed.Din organizational Leadership, MA in education, BS in kinesiology, an AA in nutrition and I am a Carlsbad High School Graduate. I was an Academic All-American at San Diego Christian College. Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. I have been involved in the community as a volunteer soccer coach, Miracosta College Surf team coach, SageCreek High School soccer coach, and a college liazon for students college applications. I have taken part in beach clean ups, school clean ups, and am an advocate for todays youth. Aug. 24, 2021 Item #1 Page 99 of 166 Please explain why you wish to be appointed to City Council (attach a separate sheet if needed) I wish to be appointed for city council becasue I would like to take more responibility for the decissions being made in our city. I believe I am the right mix of "keep Carlsbad small" and Carlsbad is tourist community that needs to grow". I remember the strawberry farm on tamarack near the train tracks and the old Niemans restaurant, but I also appreciate the expantion and growth. I believe I am on the fence about many of the issues faced by our local government today and would appreciate hearing both sides before making any decissions. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name{s). no What would you like to accomplish as a council person if appointed? I would like to continue to see Carlsbad flurish. I want to encourage tourism to Carlsbad so that people can experience the beauty of Carlsbad but I belive Carlsbad needs to remain Carlsbad to keep our charm. Carlsbad is Carlsbad Pipelines, Ocean Palms hotel and Knock out pizza. Not Best Western, Sun Diego, or Hilton. I dont have anything that I would ant to accomplish, i only wish to be the best city council member that I can be. I hope to continue up the Carlsbad political ladder as I gain experience. Aug. 24, 2021 Item #1 Page 100 of 166 Please give examples of using collaboration to become successful. Being a college athlete has taught me to be a strong team player. I believe a leader is only as strong as his followers and every good leader needs a strong follower. I have a Doctoral Degree in organizational leadership and have a strong ability to read a room and understand the best ways to approach an issue. As a child I was taught to under sell and over deliver and to this day it has helped me build relationships. W hat are the most pressing issues facing our community and how do you plan to address them? Covid and its affect on business-every business will propose what it will do to sanitize and maintain a healthy covid free environment. I would encourage the City to provide scores or grades to businesses so that people can stay away from low scoring businesses if they are not vaccinated or high risk. Public parking-build more parking structures or provide parking shuttles from local parks and parking lots. Make use of some of the open lots to create village parking. Viggaluccis vallet parking all the cars in the bike lanes is highly dangerous to our cycle community. Parks for kids-Our youth sports are having a very hard time finding field space to practice on, and our schools are having a difficult time maintaining the fields. I propose that our school fascilities be used for city park fields when school is not in session. For example, Sage Creek High School Soccer field, Could be used as a public field outside of school hours. The fields are very nice and need to be rented and maintained accordingly but it could be done. The extra revenue could be used for the school to maintain the fields, purchase phys ed equipment and suppliment more campus security. Or jefferson elementery cant afford soccer nets for the soccer goals on the field, If a Soccer club uses the field they would leave goals on the field for the school to use. Beach permits for special events-weddings, sports events, concerts, etc .. I believe there are many activities that could take place on the beach for our community. We need to make these permits more accessable to encourage special events in the offseason. AirBNB-As important as it is for property owners to make an income from their extra properties, those owners need to be sure they are respecting our neighbors. there should be a punishment for owners if the police are called to the properties. It is not fair for the neighbors to have to deal with noisy neighbors. Aug. 24, 2021 Item #1 Page 101 of 166 Additional information or comments Carlsbad is the greatest city in the entire world, lets keep going. I have recently been offered a job in Oahu. while considering the possible move I have realized how passionate I am about our community and our youth. I wish we had a little bit more of the Hawaiin Ohana family values and city wide celerbations, we can do it! Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Neal Last Name: Keith Signature: /\J ~ . Date: 7/30/2021 Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on tt,is application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 102 of 166 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date lnltial Filing Received Fi/Ing Otlfcia/ Use On,Y Please type or print in ink. NAME OF FILER (LAST) Keith 1. Office, Agency, or Court Agency Name (Do not use acronyms) Carlsbad City Council Division, Board, Department, District, ~ applicable (FIRST) Neal A PUBLIC DOCUMENT Your Position Member (MIDDLE) William ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) A Carlsbad City Council gency: ____________________ _ Council Member Position:----------------- 2. Jurisdiction of Office (Check at least one boK) □State D Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) D Multi-County -----------------D County of ----------------Iii City of Carlsbad 3. Type of Statement (Check at least one box) Iii Annual: The period covered is January 1, 2020, through December 31, 2020. -or- The period covered is __J__J ___ _, through December 31, 2020. D Assuming Office: Date assumed __J__J, ___ _ 0 0th er ----------------- D Leaving Office: Date Left _J_j ___ _ (Check one circle.) O The period covered is January 1, 2020, through the date of leaving office. -or- 0 The period covered is _J_J, ___ _, through the date of leaving office. D Candidate: Dale of Election ______ and office sought, if different than Part 1: ______________ _ 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached D Schedule A-1 • Investments -schedule attached D Schedule A-2 • Investments -schedule attached D Schedule B • Real Property -schedule attached D Schedule C • Income, Loans, & Business Positions -schedule attached D Schedule D • Income -Gifts -schedule attached D Schedule E • Income -Gifts -Travel Payments -schedule attached -or-□ None • No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (B~siness or Agency Addmss Recommended • Public Document) CITY Carlsbad STATE CA ZIP CODE 92008 DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS 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 08-10-2022 (month, day. y,,arJ I Print Clear Signature (\j ~a11)1si}6~,~ ..nhyourMingoffidal./ FPPC Form 700 -Cover Page (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page-5 Aug. 24, 2021 Item #1 Page 103 of 166 CALIFORNIA FORM 700 SCHEDULE 8 Interests in Real Property (Including Rental !~come) FAIR POLITICAL PRACTICES COMMISSION Name Neal Keith Ed.D ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY Carlsbad CA FAIR MARKET VALUE 0 $2,000 -$10,000 0 $10,001 -$100,000 Iii $100,001 -$1,000,000 0 Over s1,ooo,ooo NATURE OF INTEREST Iii Ownership/Deed of T~st If APPLICABLE, LIST DATE: __j--12JL __J__J2D_ ACQUIRED DISPOSED D Easement 0 Leasehold _____ _ □-------Yrs. remaimfl!I IF RENTAL PROPERTY, GROSS INCOME RECEIVED □ so. s49s D s5oo -s1,ooo □ s1,001 -s10,ooo D s10,001 -s100,ooo 0 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. D None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE D s2,ooo -s10,ooo D s10,001 -s100,ooo 0 $100,001 -$1,000,000 0 Over$1,000,000 NATURE OF INTEREST 0 Ownership/Deed of Trust IF APPLICABLE, LIST DATE: __j--12JL. __J__j2JL ACQUIRED DISPOSED 0 Easement 0 Leasehold _____ _ □-------Y-rs. rerna.niog Olher IF RENTAL PROPERTY, GROSS INCOME RECEIVED □ :i:o. $499 □ s5oo -s1,ooo □ s,.001 -s10.aoa 0 $10,001 -$100,000 0 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. 0 None * You are not required to report loans from a commercial lending institution 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 tender's regular course of business must be disclosed as follows: NAME OF LENDER• ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY. IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % QNone HIGHEST BALANCE DURING REPORTING PERIOD D $5ao -s1.ooo D s,.001 -s10.ooo □ s10,001 -s100,aoo DOVER s,00.000 D Guarantor, if applicable NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % 0None HIGHEST BALANCE DURING REPORTING PERIOD D s500 -s,.oaa D s1,oa1 -s10,ooo 0 $10,001 -$100,000 D Guara.ntor, ~ applicable 0 OVER $100,000 Comments:------------------------------------------- Print Clear FPPC Form 700 • Schedule 8 (2020/2021) advice@fppc,ca.gov • 866•275-3772 • www.fppo.ca.gov Page-11 Aug. 24, 2021 Item #1 Page 104 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name (Other than Gifts and Travel Payments) Neal Keith Ed.D ► 1. INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF JNCOME Vista Unified School District ADDRESS (Business Address Acceptable) 1234 Arcadia Ave. Vista CA BUSINESS ACTIVITY, IF ANY. OF SOURCE Education YOUR BUSINESS POSITION Teacher GROSS INCOME RE'CENED 0 $500 -$1,000 Ill s10,001 -s100.ooo D No Income -Business Position Only 0 $1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Iii Salary D Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) D Partnership (less !ha11 10% ownership. For 10% or greater use Schedule A-2.) D Sale of -------------------(Real property, car. bOat, etc.) D Loan repayment D Commission or D Rental Income, /Is/ each source of $10,000 or more (Descdbe/ D Other __________________ _ /Describe) NAME OF SOURCE OF INCOME Carlsbad Unified Schoo District ADDRESS (Business Address Acc,;p/able) 6225 El Camino Real Carlsbad CA BUSINESS ACTIVITY, IF ANY. OF SOURCE Education YOUR BUSINESS POSITION Coach GROSS INCOME RECEIVED □ $500 -$1,000 0 S10.001 • $100,000 D No Income • Business Position Only Iii S1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Iii Salary D Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) D Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) D Sale of __________________ _ (Real properly, car. t>oBI. etc/ D Loan repayment D Commission or D Rental Income, /isl each sou~ of $10,000 or more (Descrfbe) D Other ___________________ _ (Desciibe) ► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a commercial lending institution, 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 official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* ADDRESS (Business Address Aaceplab/e) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD □ $500 -$1,000 0 $1,001 -$10,000 □ $10,001 -$100.000 0 OVER $100,000 Comments: Print Clear INTEREST RATE TERM (Months/Years) ____ % ONone SECURITY FOR LOAN D None 0 Personal residence D Real Property ________________ _ Street ac!dress City 0 Guarantor __________________ _ D Other __________________ _ (Describe) FPPC Form 700 -Schedule C (2020/2021) advice@fppc.ca.gov • 866-275-3TT2 • www.fppc.ca.gov Page-13 Aug. 24, 2021 Item #1 Page 105 of 166 Neal Keith EDUCATION: Academic All-American Stud.ent Athlete Pepperdine University-Ed.D. Organizational Leadership and Administration Point Loma Nazarene University-Master of Education *CBEST passed 2015 *CSET passed 2015 *Clear Teaching Credential Received December 2015 BCLAD/NCLB San Diego Chl'istian College-Major: kinesiology Mira Costa College-A.A. Nutrition Carlsbad High School General Education Diploma Current Employers: Vista Unified School District: Middle School PE teacher Principal: Steve Bailey Sage Creek High School: Head Boys Soccer Coach Athletic Director: Cory Leighton MiraCosta College: Head Surf Team Coach Athletic Director: Pat Conohan FC Golden State Soccer Club: Head Coach Director: Mindes Dorlean Past Em plovers: San Diego Zest USLpro soccer: Men's assistant coach April 2016-Jan. 2018 Manager: Koki Osumi San Diego Christian College: Men's Assistant Coach/Head of Recruiting 04/01/16-04/01/17 Athletic Director: Josh Westermann LA Galaxy Sao Diego Soccer Club: Head Coach: Contact: Glen Malone (Director). Aug. 24, 2021 Item #1 Page 106 of 166 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 RECEIVED AUG 1 0 7021 CITY OF CARLSBAD CITY CLERK'S OFFICE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m.%t> I.).·. sgp.m Kov G/r!)/ 19'1~ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Karl A. Schwarm Required for Voter Registrotion Verificotion Home Address I tstrict Number '1;iJ' City ZIP Carlsbad 92008 Home Phone Mobile E-mail Occupation Retired Employer Employer Address City ZIP Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. t/ I am a registered voter in Carlsbad. t/ I am a Citizens Academy graduate. t/ I have sufficient time to devote to the responsibility of the position and will attend the required II' meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic Disclosure Statement (a public record that will be posted on the City's website). I further agree to II' attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 107 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per II Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. t/ Please describe your professional experience and relevant experience. I have over 20 years of experience in multiple aspects of municipal government. I spent five years working for the City of Vista California and fifteen years with the City of San Marcos California where I served as Director of Housing and Neighbor Services. Prior to starting my career in local government, I served eleven years on active duty with the United States Marine Corps. I retired from the Marine Reserves in 2003 at the rank of lieutenant Colonel with a total 22 years of service to our Country. I have vast leadership experience in tactical, operational, and strategic operations both at the federal and local level. My areas of expertise in local government include housing, parking, code compliance, crime prevention, neighborhood revitalization, redevelopment, volunteer programs, contract services and several federal and state grant programs to include Community Development Block Grant, HOME and CalHOME. While serving as the Director of Housing and Neighborhood Services for the City of San Marcos I had leadership responsibility for day-to-day management and operations of the division to include project management, budgeting, scheduling, capital improvements, contract services, coordination with developers and customer service. I retired from the City of San Marcos in 2017 and joined Citygate as an associate in November of 2018. Please describe your educational background. I received my undergraduate education from California State University, Northridge, with a Bachelor of Arts degree in history. I also hold a Master's degree in human resource management from National University. Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. I have served as staff liaison to numerous boards and commissions while working for both the City of Vista and San Marcos. I am very familiar with the conduct, rules of order and function of said boards and commissions as well as the City Council. In addition, I also organized and lead community cleanup events in both Vista and in San Marcos. These annual neighborhood cleanups involved hundreds of volunteers painting homes and removing trash from over eleven different neighborhoods here in the north county. These cleanup events were a collaboration of both the public and private agencies. I addition, I have lived in Carlsbad's District 1 since 1992 and I have served on my neighborhood homeowners board of directors. Aug. 24, 2021 Item #1 Page 108 of 166 Please explain why you wish to be appointed to City Council (attach a separate sheet if needed) I've lived in this wonderful community of Carlsbad for almost 30 years and I believe it is time I step up and help out. I believe I can represent the wants and desires of the residents of District 1 and the city as a whole. I believe I would be a good addition to the current City Council in that I have a common sense approach to things and do not have political aspirations other than the betterment of the City of Carlsbad and the region. I have worked with both staff and councilmembers from our surrounding communities and have a good solid reputation. I believe I could step in fill the vacant seat for District 1, bringing a strong set of skills that would be an asset to the City. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). No I am not related to, or employed by anyone on the City Council or City of Carlsbad staff member. What would you like to accomplish as a council person if appointed? Carlsbad has done an excellent job in providing a wide variety of housing. I would like to assist in furthering the production of more affordable housing, for all income levels, and work to see a reduction in the homeless population living on our streets and parks. I would also like to see the continued re-vitalization of downtown Carlsbad and surrounding areas while maintaining our coastal "City by the Sea" charm along with more historical preservation of our past. In addition, I would like to start a recognition program for the companies and businesses that have made Carlsbad their home. As a long-time resident, I am always amazed at the diversity of businesses, both large and small, that I have found while wondering throughout the multiple business parks and commercial centers in town. Carlsbad is a great place to live, raise a family, and do business. One of the great things I love about Carlsbad is the strength and diversity of our business community. And one last thing I would like to address if appointed to the City Council, review parking along Pacific Coast Highway between Tamarack and Cannon. During the summer months there is a lack of parking. The parking is taken up by out-of-town visitors (we love them, except when their RVs take up all the parking). The RVs are parked almost end to end, all day, along this stretch of beach. Reviewing and discussing parking options that would allow more access to one of the best family beaches in the world would also be one of my goals if appointed to the Council. Aug. 24, 2021 Item #1 Page 109 of 166 Please give examples of using collaboration to become successful. One of the greatest examples of successful collaboration is the re-vitalizations of existing dilapidated properties or neighborhoods in need. The collaboration between the public and private sectors is key to a successful future in any city. Cities cannot go it alone in maintaining a robust and healthy community. I have led these kinds of collaborations in the past. The example is the Richmar Neighborhood in the City of San Marcos. The collaboration of all departments of the City along with the public and developers, allowed for the revitalization of an entire neighborhood; reducing crime, enhancing the quality of life of the residents with new housing, parks and infrastructure improvements. What are the most pressing issues facing our community and how do you plan to address them? The two greatest challenges facing not only Carlsbad, but the region as a whole, are the cost of housing and the rise of homelessness. The City of Carlsbad has done a commendable effort in creating access to both housing, and homeless services. Carlsbad has been on the forefront in the production of affordable housing in the coastal region of north county. I believe I can be a great resource in the efforts towards combating homelessness and the creation of more housing that is affordable to all income groups due to my background. Working together, we can build a Carlsbad where our children and grandchildren want to live, and more importantly, where they can afford to live. Aug. 24, 2021 Item #1 Page 110 of 166 Additional information or comments Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Karl Last Name: Schwarm Signature, ~]ww, Date: August 10, 2021 Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at S p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca .gov Aug. 24, 2021 Item #1 Page 111 of 166 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Initial Filing Recerved Filing orr.c,al Use Only Please type or print in ink. NAME OF FILER (LAST) Schwarm 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Carlsbad Division, Board, Department, District, if applicable District 1 (FIRST) Karl A PUBLIC DOCUMENT Your Position Candidate (MIDDLE) Andrew ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: ____________________ _ Position:----------------- 2. Jurisdiction of Office (Check at least one box) □ State D Multi-County ----------------- Iii City of Carlsbad 3. Type of Statemen~ (Check at least one box) D Annual: The period covered is January 1, 2020, through December 31, 2020. -or-The period covered is _}_} ___ ~ through December 31, 2020. D Assuming Office: Date assumed _]_] ___ _ D Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) D County of ---------------- □ Other ----------------- D Leaving Office: Date Left_}_] ___ _ (Check one circle.) O The period covered is January 1, 2020, through the date of leaving office. -or- 0 The period covered is -1-1---~ through the date of leaving office. Iii Candidate: Date of Election Appointment and office sought, if different than Part 1: ______________ _ '4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached D Schedule A-1 • Investments -schedule attached D Schedule A-2 • Investments -schedule attached Iii Schedule B • Real Property-schedule attached Ill Schedule C • Income, Loans, & Business Positions -schedule attached D Schedule D • lnc-0me -Gifts -schedule attached 0 Schedule E -Income -Gifts -Travel Payments -schedule attached I -or-□ None• No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended • Public Document) CITY Carlsbad DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS STATE California ZIP CODE 92008 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 Date Signed August 10, 2021 (monlh, day, yea1) Print Clear FPPC Form 700 -Cover Page (2020/2021) advice@fppc.ca,gov • 866-275-3772 • www.fppc.ca.gov Page-s Aug. 24, 2021 Item #1 Page 112 of 166 CALIFORNIA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) FAIR POLITICAL PRACTICES COMMISSION Name Karl A. Schwarm ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 6832 Camino de Amigo CITY Carlsbad FAIR MARKET VALUE 0 $2,000 -$10,000 0 $10,001 -$100,000 liJ $100,001 -$1,000,000 0 Over $1,000,000 NATURE OF INTEREST Ill Ownership/Deed of Trust □ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: __J----12fL __J__J2fL ACQUIRED DISPOSED 0 Easement □ Oilier IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 -$499 0 $500-$1,000 0 $1,001 -$10,000 Ill $10,001 -$100.000 0 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of eacll tenant that Is a single source of income of $10,000 or more. 0 None Jason and Justyna Conley ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 6484 Corte la Luz CITY Carlsbad FAIR MARKET VALUE 0 $2,000 -$10,000 0 $10,001 -$100,000 111 $100.001 -$1,000.000 0 Over $1,000,000 NATURE OF INTEREST Ill Ownership/Deed ofT rust □ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: __J__J2fL __J__J2D._ ACQUIRED DISPOSED O Easement □ Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 -$499 0 $500 -$1,000 0 $1,001 -$10,000 liJ $10,001 -$100,000 0 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list lhe name of each tenant that is a singl.e source of income of $10,000 or more. 0 None * You are not required to report loans from a commercial lending institution made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthsNears) ____ % ONone HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 -$1,000 0 $1,001 -$10,000 0 $10,001 -$100,000 0 Guaranlor, if applicable 0 OVER $100,000 NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % ONone HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 -$1,000 0 $1,001 -$10,000 0 $10,001 -$100,000 0 OVER $100,000 0 Gua.rantor. if applicable Comments:------------------------------------------- Print Clear FPPC Form 700 -Schedule B (2020/2021) advlce@fpp~.ca.gou • 866-275-3772 • www.fppc.ca.gov Page• 11 Aug. 24, 2021 Item #1 Page 113 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name (Other than Gifts and Travel Payments) Karl A. Schwarm ► 1 INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INCOME Citygate Associates, LLC. ADDRESS {Business Address Acceptable) 600 Coolidge Dr.,Folsum, CA 95630 BUSINESS ACTIVITY, IF ANY, OF SOURCE Consulting firm YOUR BUSINESS POSITION Consultant GROSS INCOME RECEIVED 0 $500 -$1,000 0 $10,001 -$100,000 II No Income -Business Position Only 0 $1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary O Spouse's or regislered domeslic partner·s income (For self-employed use Schedule A-2.) 0 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) D Sale or __________________ _ (Real properly, car, boat, etc.} 0 loan repayment O Commission or O Rental Income, /isl each sm,rce of $10,000 or more {Describa) 0 Other __________________ _ /DescriOe) NAME OF SOURCE OF INCOME ADDRESS {Business Address Acceptable) BUSINESS ACTIVITY. IF ANY. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 -$1,000 0 $10,001 • $100,000 O No Income -Business Position Only 0 $1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS Rt::CEIVED 0 Salary O Spouse's or registered domestic partner's income (For self-ilmployed use Schedule A-2.) 0 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of ------,-------------- /Real property, car, boar, ore./ 0 Loan repayment O Commission or O Rental Income, list each source of $10,000 or more (Describe) 0 Other __________________ _ (Desetibe) ► 2, LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a commercial lending institution, 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 official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF Lt::NDER' ADDRESS {Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 -$1,000 0 $1,001 -$10,000 0 $10,001 -$100,000 0 OVER $100,000 C ts No income received from Citygate Associates ommen : Print Clear INTEREST RATE TERM (Months/Years) ____ % ONone SECURITY FOR LOAN 0 None 0 Personal residence 0 Real Property ________________ _ Street address City 0 Guarantor _________________ _ 0 Other __________________ _ (Describe} FPPC Form 700 -Schedule C (2020/2021} advlce@rppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page-13 Aug. 24, 2021 Item #1 Page 114 of 166 Current Address Carlsbad, CA 92008 Obiective Karl Schwarm Contact Information Energetic, dependable and experienced professional seeking to assist with program development and delivery. Highlights Extensive neighborhood revitalization experience Excellent interpersonal communication skills Experienced in cost-benefit analysis Affordable Housing development guru Experience local Government, 1993-2017 City of Vista and San Marcos, CA • Developed over 460 affordable housing units in San Marcos • Revitalized an entire disadvantaged neighborhood through integrated services • Provided customer service to the general public, elected offidals and businesses • Thorough knowledge of Federal HOME and CDBG programs • Have working relationship with HUD, HCD, BIA and local housing developers • Extensive presentation and public speaking experience • Hands on experience in emergency situations and natural disasters • Developed and expanded both Parking and Code Compliance programs for local city • last position was Director of Housing and Neighborhood Services United States Marine Corps, 1983-2003 Worldwide service • Commissioned Officer of Marines • Proven combat leader; mission accomplishment orientated • Extensive world travel; familiar with customs, culture and languages of various regions Education Masters, Human Resource Management, National University 1995 B.A., History, California State University, Northridge 1983 Aug. 24, 2021 Item #1 Page 115 of 166 RECEIVED AUG I O 2021 CITY OF CARLSBAD CITY CLERK'S OFFICE 0 Application for Appointment to Fill Vacancy \lP for Carlsbad City Council District 1 . •. 1iii) J •,J.~p ,YJ. Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. {< D t/ q} :J..}/JOd--/ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Date of Birth: Required for Voter "Re lw6tion Vd',ficotion Home Address District Number City bad ZIP Home PhOAe E-mail Occupation Employer LA ... .J City Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. 'A I am a registered voter in Carlsbad. Ix I am a CJtlzens Academy graduate. y I have sufficient time to devote to the responsibility of the position and will attend the required 'x meeting(s) If I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic ,x Disclosure Statement (a public record that will be posted on the City's website). I further agree to attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 116 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per X Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. X Please describe your professional experience and relevant experience. Please describe your educational background. Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. (X,Yf 'ftal:S aS f)t:,, dtd 4 !loJA-s ~--~-11(.,-/tA._,....t__..~r19,__~--IL.>~ /!, Cjt'u/5 o{_(}..//!,/Jr,i d jloiJ . .k f",(,j / ';i!~I. -fir pt Ip I 1t~y f};,i ,t:1ti-pf _ dJ-c-u <Y7d ~ ~~ oo/tbJ,~ co//cJ:v/~~ /e/t{fit1N ~ ;/Jo ¢01e-Dc,µ1 /7-e-~ · Aug. 24, 2021 Item #1 Page 117 of 166 Please explaln why you wish to be appointed to City Council (attach a separate sheet if needed) --ro /"ha !<u ~ _A v-fZ c/ i>-ITtif I) 145 r c,(Jr-U/4yJ/-cthc. A [j,r]tl a v o, u..,, · Io w o//<. L,,.J, 171 1 vncf P"l.cJ+- a qc,,/vrl ./'~ CIJ {'Ou/Jed 77) cu:f ~ ~ - rJS t,'t,U ar>tl //)4>~°.'~~~,: -1-v l-<a f> c!a.,jJshC(I t{ l,U)/Jcl<./ fa/ c 1~ +o / 1 ve_, 1 ..-i Are you related to, employed by, or affiliated in any way with anyone on the City council or City;; ;•lsbad staff members? If yes, please list member name(s}, What would you like to accomplish as a council person if appointed? Aug. 24, 2021 Item #1 Page 118 of 166 What are the most pressing issues facin . them? g our community and how do you plan to address Aug. 24, 2021 Item #1 Page 119 of 166 Additional information or comments Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Last Name: Signature: Date: 15/20/-ZJ ~7 Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at S p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 120 of 166 CALIFORNIA FORM 700 JI\ I, I' ti 11' ,"'\1 I I,,', Ill I \ 1 r,f,Hwli\\11 ,t~ STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date lnltial Filing Received ht11:9 Off;,;.~, use Or.I { A PUBLIC DOCUMENT Please type or print in mk. NAME OF FILER (LAST) ,ADL- (MIDDLE) 1. Office, Agency, or Court Agency Name (Do nol use acronyms) 7 './ Your ► If filing for multiple pos~ions, list below or on an attachment (Do not use aaonyms) Agency: __________________ _ Pos~ion: ______________ _ 2. Jurisdiction of Office (Check at le.at one boxJ □state 0 Multi-Co111ty WCnyof c_-oi---,....-l'.:2-. b_a_J ___ _ 3. Type of Statement (Check ,t least one box) D Annual: The period covered is January 1, 2020, through Derember 31, 2020. -or- The period covered is __J__J ___ -through December 31, 2020. :)e{ Assuming Office: Dale ~urned ~_L tf}IJ z_,,/ D Jud(Je, Retired Judge, Pro Teni Judge, or Court Commissioner (Statewide Jurisdiction) D County of ---------------00t her ---------------- D Leaving Office: Dale Left__]__] __ _ (Check one circle.) 0 The period covered is Januiry 1, 2020, through the date cl leaving office. -or- 0 The period covered is __]__] ___ ~ t!Yough the date of leaving oflire. Candidate: Date of Election ______ and office sought, W different than Part 1: _____________ _ 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached --- O Schedule A-1 • lnveltments -schedule attached ~ Schedule A-2 • Investments -schedule attached ~ Schedule B -Real Prq,erly-sched~e attached _gSchedule C • Income, Loans, & Busness Posmoos -sdledule attached D Schedule D -Income -Gifts -schedule attached D Schedule E • lnoome -Gifts -Travel Payments -schedule attadled -or-□ None• No reportable interests on any schedule 5. Verification MAILING ADDRESS SlREET CllY STAlE ZIP CODE (Bus.ln!ISS or Ao81'1cv A~l8ss Reoommetr1od. Allie llrbJ,-,11 a{!ls~~ CA q2_oa? DAYTIME TELEPJ-oNE NLMAFR I El,IAIL.AO~ESS \ . l I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my kna,,,ledge the information oontained herein and in any attached sdledules is true and complete. I ackn<M'ledge this is a public dorument I certify under penalty of plljury under the laws of the State of Callfomla that the forego Print Clear FPPC Form 700 • Q)ve, Pa&e (2020/2021) advlc:e@fppc.ca.gDV • 866-275-lm • wwwJpp:.ca.1av PaJI!! • 5 Aug. 24, 2021 Item #1 Page 121 of 166 CALIFORN IA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) I {,ti I • 1111 I' 1\1 I I• , 1 )' I ' • •',lt,l \ \l< t, Name UJ/0 /1rti., 6 o G FAIR MARKET VALUE D s2,ooo -s10,ooo Q ~10.001 -$100,000 ~100,001 • $1,000,000 D CNer $1,000,000 E OF INTEREST nership/Oeed of Trust IF APPLICABLE, UST DATE: _J--12fl.... __J-----120_ ACQUIRED DISPOSED easehold _____ _ D Easement □------Other Yrs remellllng IF RENTAL PROPERTY, GROSS INCOME RECEIVED □ $0 -$499 □ s5oo -s1,ooo D s,.oo, -s10,ooo 0 $10,001 • $100,000 0 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. ONone ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE □ S2,ooo • s10,ooo D s,0,001 -s100,ooo 0 $100,001 -$1,000,000 O Over $1,000,000 NATURE OF INTEREST D OVffiership/Deed of Trust IF APPLICABLE, LIST DATE: __J__J2D_ __J__J29._ ACQUIRED DISPOSED D Easement 0 Leasehold _____ _ Yrs. ramlllllng 0------0U,ar IF RENTAL PROPERTY, GROSS INCOME RECEIVED □ so . $499 □ ssoo -s, ,ooo D s1,001 -s10,ooo 0 $10,001 -$100,000 0 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. QNone * You are not required to report loans from a commercial lending institution made in the lender's regular course of business on terms available to members of the public without regard to your official status, Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER• ADDRESS (Business Address Acceptable) BUSINESS ACTIVlTY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years} ____ % ONone HIGHEST BALANCE DURING REPORTING PERIOD D s500 -s1,ooo □ s1,001 -$10,000 0 $10,001 -$100,000 0 OVER $100,000 D Guarantor, if appflcable NAME OF LENDER• ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ____ % □None HIGHEST BALANCE DURING REPORTING PERIOD 0 S500 · $1,000 0 $1,001 -$10,000 0 $10,001 • $100,000 O Guarantor, If applicable 0 OVER $100,000 Comments:----------------------------------------- Pnnt C lear R>PC Form 700 · schedule B (2020/2021) advlce@fppc.ca.gov • 1166-275•37n • www.fppc.ca.gpv Page-11 Aug. 24, 2021 Item #1 Page 122 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 7 00 I /\1/, I •! 1 111 ,\ I I I, l\1 I I• J ', :\' \11 '-., \I, r1 Name {p(D )rn~ 8JG (Other than Gifts and Travel Payments) NAME OF. SOURCE OF INCOME 5 YOU~SINES~ POSITION . I~ 0 (/ IA c,,lll- GROSS INCOME RECEIVED 0 $500 -$1,000 0 $10,001 -$100,000 O No Income -Business Position Only 0 $1,001 -$10,000 ~OVER $100,000 0 f)ERATION FOR WHICH INCOME WAS RECEIVED ary D Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) D Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of -----7.':'"~--:--:---:--:------(Nesl property, car, boar, etc) O Loan repayment O Commission or O Rental Income, /1st eac:n source of S1U,CJU!) or more (1Jesct1b8) D Other ________ ::-:---:--:-------- (LJe~cnt,eJ GROSS INCOME RECEIVED O No Income -Business Position Only □ S500 -s1,ooo □ s1,001 -s10,ooo 0 $10,001 -$100,000 ~VER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED "[Ysalary O Spouse's or registered domeslic partner's income /',-(For self~mployed use Schedule A-2.) 0 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of ------::-:--:--~-:----::-:--:--;------{Ntml prope,ty, e&r, boa~ e:c.J D Loan repayment D Commission or D Rental Income, /J:JI Heh :,ov~• of S1cww or mot11 (Ue:,crbe) 0 Other _______ --::-:--"7-:-------- {IJescnbeJ ► ; LOANS RECEl'✓ED OR OUTSTANDING DURltJG THE REPURTIUG PERIOD * You are not required to report loans from a commercial lending institution, 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 official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER• ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY. OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 -$1,000 0 $1,001 -$10,000 □ s10,001 -s100,ooo 0 OVER $100,000 Comments; Print Clear INTEREST RATE ____ % □None TERM (Months/Years) SECURITY FOR LOAN D None O Personal residence 0 Real Property ______ -;::-:-.-=::-:------- SlrBet sd~ Cdy D Guarantor ________________ _ D Other----------:~~~-------(Vescnbe) FPPC form 700 -Scheduh, C (2020/2021) advlce@fppc.ca,gov • 866-275-3m • www.fppc.ca.gov Page-13 Aug. 24, 2021 Item #1 Page 123 of 166 CAROLINE E. BOL QUALIFICATIONS • Media and public relations expert in written, verbal, and visual platforms • Proven ability to inform and influence public opinion and promote company vision • Experience in crisis and disaster communication • Successfuily launched six broadcast productions which generated millions of dollars in revenue • Expertise in query software, graphics, photo production, video creation and editing PROFESSIONAL EXPERIENCE Producer, CBS Evening News, Los Angeles (Aug.2019-Present) • Produced, pitched, and wrote compelling copy for all broadcasts • Specia lized in breaking news Producer, Freelance, Los Angeles (Feb. 2019-Aug. 2018) • Edit, research and write digital segments for The Design Network • Produced segments for Fox's "First Responders live" Senior Producer, NBC4, Los Angeles (Oct. 2018-Jan . 2019) • Launched daily "California Live" TV show on three largest NBC stations in California • Managed and trained staff, wrote and copy-edited show, pitched and field produced Producer, NBC4, Los Angeles (Oct. 2017-Oct. 2018) • Researched, edited and wrote compelling copy for all broadcasts under intense deadline • Specialized in breaking news Producer, NBC, Los Angeles (Nov. 2014-Sept. 2017) • Field and segment producer for daily "Access Hollywood" national broadcast Senior Producer, CBS, Los Angeles (July 2009-Oct. 2014) • Producer for daily ,(Entertainment Tonight" and "The Insider" national broadcasts • Specialized in breaking celebrity news including criminal trials Senior Producer, Los Angeles (May 2006-Dec. 2010) Aug. 24, 2021 Item #1 Page 124 of 166 • Producer for "Entertainment Tonight," ET Online, Radaronline and TMZ Senior Producer, FOX, Los Angeles (Aug. 1999-May 2006) • Managed staff, wrote and copy-edited two-hour "Good Day LA11 newscast earning three EMMY Awards EDUCATION & CREDENTIALS Bachelor of Arts Communications, University of California, San Diego Writers Guild of America Directors Guild of America CBEST (California Teaching Credential) HIPAA (Health Insurance Portability & Accountability Act) Awareness Certification Three EMMY Awards Two Golden Mic Awards AWARDS Aug. 24, 2021 Item #1 Page 125 of 166 Application for Appointment to Fill Va ca ncy for Carlsbad City Council District 1 RECEIVED t1 Ub 1 I 2021 c,n OF CARLSBAD CIT" CLERKS OFFICE J;sq p ,m I Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. f<o \/ 11 / J 5 J ;2cBO Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Jan Neff-Sinclair Required for Voter Registration Verificotlon Home Address !tstrictN~ City ZIP Carlsbad 92010 Home Phone Mobile Not applicable E-mail Occupation Interior Designer I Artist Employer Self-employed Employer Address N/A City ZIP Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to t he responsibility of the position and will attend the required ✓ meeting(s) if I am appoint ed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic ✓ Disclosure Statement (a public record that will be posted on the City's website). I further agree t o attend Ethics Training as required under the Politfcal Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 126 of 166 I acknowledge that if appointed to fill the District 1 Council seat fora term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per ✓ Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. ✓ Please describe your professional experience and relevant experience. I was a Sof(ware/Flnnware Engineer for almost thirty years, with the last twelve years of my c:areer spent working for the USMC at Camp Pendleton. I dealt With the acquisition, Integration, maintenance, and testing of computer-based tactical systems. I was a Project Leader for a variety of end products, the most recent and relevant being the Target location, Designation, and Hand-Off System (TLDHS). a taryet acquisition, location, and designation system that can digitally hand off target data to fire support platforms. At that time. it was a joint project with the USMC, USN, and USA with the USMC as the lead agency. The project was in preliminary stages and I dealt with the differing needs of each of the services that was to utilize the system. This required coordination and collabcraUon with the material commands of each of the services. We created Requirements documents and Requests tor Proposals (RFPs) and reviewed and evaluated responses to the RFPs. A team oflour worked directly under me and t interfaced with civilians and officers at my rank(GS-12, Major) and above In all three services. Many of my Jobs prior to working for the Maline Corps were With small start-up companies. One tends lo wear many hats in small companies so I have been Involved In the entire product creation cycle from requirements gathering, requirements and slmilar document creation, drawing Up design documents and related schedules. following the schedules and managing the project, executing the design, testing, user documenr creation, and final lntegratfon. l'Ve dealt with Individuals in every department of some of the companies that I have worked for. Interactions were usually productive because I am a good listener and have strong analytical abilities. Please describe your educational background. After high school, I attended Illinois Institute of Technology in Chicago and was studying for a double major in Computer Science and Psychology with a minor in Education. However, I began working in the field as a Microprocessor Firmware Engineer and since there were so few people with my back.ground, it was far more lucrative to move to Silicon Valley and continue working than ii was to finish school at that time. I wrote assembly language for microprocessors but gradually transmoned to using C++ for program creation. t went back to school in the 1990s, taking general education requlrement classes and other necessary lower level classes at MiraCosta College. I transferred to CSUSM to finish my Computer Sdence degree but ended up retiring In 2005, so I did not complete that course of study. Although I no longer work in the industry, I keep up and am very computer literate. I can fix computers and use most computer applications. I took a class on computer forensics recently just to stay on top of things. After retiring, I began taking art and Interior Design and CAD classes at Palomar College. The school evaluated my 250+ semester hours of college work and granted an AA degree in General Studies with Emphasis in Science and Math in 2010. I obtained my AS degree in Interior Design in 2018. I am currently laking classes at MiraCosta in Architectural, Web, and Graphic Design with tl)e goal of gettihg an AA In Architectural Design and being able to create my own web site to sell my art. Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. CURRENT I'm• member or the Carlsbad Community Einorgency Response Team (CERT) and have been fo, over five years, I'm part of the Auxlliary Communications group (AUXCOMM) who uses ham radios to continue communication when tradllional methods or communication break doWn. Most recently, I worked with the fir"B depar1menl during Operation Collaborailon dispensing COVID-19 vaccinations at the Faraday Center. The city of Carlsbad has created a program with Junior Achievement called CltySlu" where instruclors go into third grade classrooms In Ca~sbad and teai;h the cliildren how cities and governments wor'~. The six-week program Is capped by the final session which is held in the City Council chamgers. All of lhe students play parts in a mod\ Council meeting, I've been a CityStuff inslructor for five years; 1·m port of the North San Diego County Watershed Monllo<fng Program that tests the watersheds of the three lagoons In Ca~sbad. Testing results are pn,vided to the stale, the San Diego Regional Water.Quality Control Board, and any local munlclpalilies affected. We lest monthly on the first Saturday of eve,y month. I'm a member of lhe Pine AVenue Communfty Garden Committee and our gardens representative on the Carlsbad Community Garden Collaboralive that runs the city gardens with Parks and Rec, I'm an elecllon poll worker, usually a Precinct tnspecior, I've worked eve,y election since 2016. I'm also a volunteer with the San Diego Fb,lt Clinic. We meet monthly at different 5ates anti people bring us items to repair. This gives new life to items and ke1ips them out of land fills. P,'\ST />;', a former member of Iha Woman's Club of Carl•bad, I was on the Art Commll(ee and ran painting contests at the local high schools. I was also• memberoflhe American Legion Auxiliary 1461n Oceanskie. I was a volunteer for Carlsbad Artwalk, the CardioVascular Disee<so Foundation, and Ute Feral Cat Coalitlon ~pay and neuler diolcs. t also VolUriteered at the Palomar Hospital dnve-through vaccination site after Operation Collaboration dosed down their Fara<lay vacdoatlon silo. I also led a Daisy Girl Seolll troop al Maanolia SchoQf. Aug. 24, 2021 Item #1 Page 127 of 166 Please explain why you wish to be appointed to City Council (attach a separate sheet if needed) I would like to emphasize preserving the art and architecture which represents the heart and charm of Carlsbad. I'd like to assist in the implementation of the Village and Barrio Master Plan to support that preservation mission. I'd like to collaborate on getting a professional and effective Design Review Board to ensure that building projects fit in with the nature and character of Carlsbad. I support more affordable housing, both in the rental market and in properties for purchase, so that those who work in Carlsbad and grow up in Carlsbad can afford to live here. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name{s). City Staff Affiliations David Harrison Marie Jones-Kirk various other personnel that interact with CERT 1eam members Teri Gerent other CityStuff personnel Rebeca Guerrero other Housing personnel What would you like to accomplish as a council person if appointed? I'd like to provide a fresh perspective to city issues. Engineers are concerned with how things work and how to solve problems. They are very analytical and can organize concepts and potential solutions well. I hope to bring people together and help those with divergent beliefs and opinions get along. I have friends on all sides of the political aisle as well as on all sides of various issues. I firmly believe that people can peacefully coexist while in disagreement on some topics. If every voice feels like it is heard, it is easier to accomplish this. I'd like to encourage the city to wrest back local control over housing from the state. All of the North County cities have more in common with each other than they do with LA and San Francisco, urban centers where the state mandates may work. ff the cities got together and sued the state like some Orange County cities have, we might be able to get out from state overreach. I'd like to help ensure that city budget priorities are in alignment with our community needs and wants as defined in resident satisfaction surveys. The citizens have prioritized what is important to them and the city government should align its goals to match. I'd like to see transparent monitoring of expenditures over $100,000, or some other agreed upon amount, to ensure fiscal accounfabirity. I hope to encourage the city to hire focally from among the many talented local residents and businesses instead of hiring expensive out-of-town contractors and consultants. This will provide for better work product with more accountability and will keep our funds in the focal economy. Aug. 24, 2021 Item #1 Page 128 of 166 Please give examples of using collaboration to become successful. In general, collaboration can ensure buy-in from all involved parties. The more buy-in there is, the more likely an endeavor will proceed successfully. And successful collaboration usually involves compromise. And successful compromising involves carefully listening to and understanding all perspectives on an issue. Every party gives a little to get a little and more parties end up satisfied. Collaboration involves teamwork and most endeavors whether profit-seeking or with loftier goals involve one or more teams. Volunteer situations often bring together diverse personalities on teams where the members don't know each other. That requires an even higher level of sensitivity since no one on the team is compelled to be a participant. Specifically, as described in this application's section on professional experience, my work with the TLDHS project involved collaboration and coordination among different Marine Corps factions as well as three military services. In the course of my career, there were many computer projects that required effective collaboration and coordination between Engineering, Marketing, and the executive branches of a company to be profitable. For example, when I worked on user software for the Exidy Sorcerer home computer, Marketing announced a price of $99 for a software product without consulting Engineering. It turned out that the parts alone for the product cost more than $99. So the company either had to directly eat the loss or provide far less functionality in the software than was originally advertised, thus reducing sales for the product. I learned this lesson very early in my career and have been a proponent of full transparent communication, coordination, and collaboration regarding projects ever since. What are the most pressing issues facing our community and how do you plan to address them? The pandemic is one of the most pressing issues in every community. I would like to see the city ensure the safety of our citizens' health and the success of our local businesses by following and enforcing public health mandates. That would ensure a more expedient and successful recovery from the pandemic. Carlsbad needs to change focus so that the right types of projects are being built in the appropriate locations. We need to build more affordable housing so the people who work here and the children who grow up here have a chance to live here. I would like to see the city be proactive in creating more affordable housing, both in the rental market and for sale to residents. The in-lfeu-of programs need to be updated so that developers are paying fair market rate for the special treatment they are granted. The Carlsbad General Plan is in conflict with the state unfunded housing mandates. I would like to see Carlsbad join together with other municipalities to fight the state government overreach into local affairs. We can use the Orange County cities' lawsuit as inspiration. I would like to see the homeless situation in Carlsbad improve. If we had enough shelter beds, we would have far fewer homeless people sleeping rough and using public areas as showers and restroom facilities. This would be good for the city, our visitors, and for the unsheltered themselves. Some of the mixed us properties who can't rent their lower floors might be targeted for very low income housing. The mall parking lot owned by the city might be a site for very low income housing to help combat the homeless problem. Sea-level rise is a pressing issue as it should be for all coastal communities. We must prepare for the inevitable. Beach maintenance is also a continuing concern as sandy beaches are a major draw for tourists and residents alike. We must ensure that our sand is regularly replenished and that sea-level rise is planned for when considering any building project. It's important to recognize the thoughts and values of the citizens of Carlsbad and ensure all voices and viewpoints are heard. Constructive criticism should always be welcomed. If appointed to the council, I will have office hours twice weekly, once during the day and once during the evening so that all working folks can be accommodated. Although I would be representing district 1, City Council votes affect all of Carlsbad so I would be open to any resident's input. Aug. 24, 2021 Item #1 Page 129 of 166 Additional information or comments Since I moved to Car1sbad in 1989, I've primarily lived in 01 but have also spent some time residing in 02 and 03. I have a good sense of what is important to people in different parts of Carlsbad. Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Jan Last Name: Neff-Sinclair Signature: Date: 08/11/2021 Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointmentto the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 130 of 166 • CALIFORNIA FORM 7 00 F/\IR POLITICAL PRACTJC[S COMMISSIOll STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Initial Filing Received Filing OffK:la/ Uss On(y Please type or print in ink . NAME OF FILER (LAST) Neff-Sinclair 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Carlsbad Division, Board, Department, District, if applicable City Council District 1 Representative (FIRST) Jan A PUBLIC DOCUMENT Your Position (MIDDLE) A City Council member ► If filing for muHiple positions, list below or on an attachment. (Do not use acronyms) Agency: ___________________ _ Position: _______________ _ 2. Jurisdiction of Office (Check at least one box) □State D Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) 0 Multi-County ----------------D County of ---------------111 City of Carlsbad 3. Type of Statement (Check at least one box} D Annual: The period covered is January 1, 2020, through December 31, 2020. -or- The period covered is __/__/ ___ _, through December 31, 2020. Iii Assuming Office: Date assumed 09 t 14 ' 2021 0 0 the r ---------------- 0 Leaving Office: Date Left __J___J ___ _ (Check one circle.) O The period covered is January 1, 2020, 1tlrough the date of leaving office. -or- 0 The period covered is __/__}_ ___ ~ through the date of leaving office. D Candidate: Date of Election ______ and office sought, if different than Part 1: _____________ _ 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1 Schedules attached --- O Schedule A-1 •Investments-schedule attached D Schedule A-2 • Investments -schedule attached O Schedule B • Real Property -schedule attached O Schedule C -Income, Loans, & Business Positions -schedule attached D Schedule D • Income -Gifts -schedule attached 0 Schedule E • Income -Gifts -Travel Payments -schedule attached -or-Ill None -No reportable interests on any schedule 5. Verification MAIUNGADORESS STREET (Business or Agency Addmss Recommended -Pliblic DocvmettJ Cl1Y Carlsbad DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS STATE CA ZIP CODE 92008 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 August 9, 2021 (monifi day; yeai) Print Clear FPPC Form 700 • Cowr Page (2020/2021) advke@fppc.ca.gov • 866-27Wn2 • www.fppc.ca,gow Page-5 Aug. 24, 2021 Item #1 Page 131 of 166 T Objective ---- Seeking appointment to Carlsbad City Council District 1 seat to fill out remaining term of office. ,.. Employment History 05/2016-10/2018 Signature Designs Kitchen & Bath, Carlsbad, CA Assistant Interior Designer/ Administrative Assistant 12/2015-05/2016 Signature Designs Kitchen & Bath, San Diego, CA Interior Design Intern 02/1995-05/2005 United States Marine Corps, Camp Pendleton, CA IT Specialist/ Computer Specialist GS-12 10/1994-02/1995 Z Microsystems, Carlsbad, CA Software/Firmware Engineer 01/1994-07/1994 Simpact Associates, San Diego, CA Software/Firmware Engineer 09/1991-09/1993 National Systems and Research Corp, Camp Pendleton, CA Firmware Engineer II 07/1989-01/1991 Bluebird Systems, Carlsbad, CA Software/Firmware Engineer 03/1986-03'1989 Fujitsu Systems of America, San Diego, CA Software Engineer 03'1983--03/1986 Met aComp, Inc., San Diego, CA Systems Engineer ,- . ' -. ' -· . -.... ___ -·· Aug. 24, 2021 Item #1 Page 132 of 166 T Education 08/1975-05/1978 Illinois Institute of Technology, Chicago, IL Computer Science/Psychology with minor in Education 01/1991-12/1999 MiraCosta College, Oceanside, CA Transfer Studies 08/1992 -05/1998 California State University San Marcos, San Marcos, CA Computer Science 01/2008-05/2018 Palomar College, San Marcos, CA Interior Design, Art 08/2010 -AA in General Studies with Emphasis in Science and Mathematics 08/2018 -AS in Interior Design 01/2019-present MiraCosta College, Oceanside, CA Architectural Design, Web Design 08/2024 -AA in Architectural Design " ' . . ' ; ;:,. ~ ... -·• ' -' -. . ! ~ . ' ~, -•• ~.-.. ' . --~ . ;__ ' -~ • ~~' Aug. 24, 2021 Item #1 Page 133 of 166 RECEIVED AUG 11 2021 Applic at ion for Appo intment to Fill Vacancy for Carlsbad City Counci l District 1 CITY OF CARLSBAD CITY CLERK'S OFFICE C/wo 3 : YS-p ,rn . 1 Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. ~o II d-/1 I :Jol9 Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: KYLE LH HARGRAVE Required for Voter Registration Verification Home Address I ;istrict Numb~ City ZIP CARLSBAD 92008 HnmP PhnnP Mobile -. -- J:-m::1il Occupation ATTORNEY AT LAW Employer SELF-EMPLOYED Emolover Address City ZIP CARLSBAD 92008 Wnrk PhnnP Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. ✓ I am a registered voter in Carlsbad. ✓ I am a Citizens Academy graduate. ✓ I have sufficient time to devote to the responsibility of the position and will attend the required ✓ meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic ✓ Disclosure Statement (a public record that will be posted on the City's website). I further agree to attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Ptease call 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 134 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per ✓ Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code ' section as it exists at the time of my appointment. · I am awi)re that this .ipplication 1s a public document. ✓ Please desciibe your professional experience and re levant experience. I opened my law practice in 2012. I am a solo-practitioner. In 2016, I moved to Juneau, Alaska. There, I served as the Interim Executive Director and Deputy Director of Juneau's Emergency Shelter/ Soup Kitchen. In 2019, I assisted in creating and establishing a local non-profit People's Legal Services (PLS). PLS provides sliding-scale representation to the under-served portion of the San Diego Community. I currently sit on the Executive Board of PLS. I hold the positions of Secretary and Chief Financial Officer_ Please desc ribe your educational background. I graduated from Rancho Buena Vista High School in 2003. I obtained my undergraduate degree from Point Loma Nazarene University. In 2012, I graduated with a Juris Doctorate from California Western School of Law. I am currently earning a Master's Degree from San Diego State University. I plan on graduating from SDSU this Fall. Please desuibe your current or past community involvement, including any service on hoards, commissions or committees, with private or public agencies. While at California Western School of Law I served as the Co-Director of the Community Outreach Committee. I also volunteered at the San Diego County Office of the Public Defender and the California Innocence Project. In Juneau, Alaska I served on Juneau's Coalition on Housing and Homelessness. I currently serve on the Executive 6oard of Directors ror Peoples Legal Services. Aug. 24, 2021 Item #1 Page 135 of 166 Please explain wlw you wish to be appointed to City Council (attach a separate sheet if needed) I wish to appointed to City Council because it serves as an excellent opportunity to give back to my community. The role of public servant carries great responsibility and also provides an avenue to make the community better. I believe I have the skill set to be an effective and competent City Council member. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? lf yes,_please list meniber name(s). I am not related to. employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members. What would you like to accomplish as a councii person if appointed? If appointed, I would like to accomplish the goals put forth by my colleagues and constituents. I would strive to put personal goals aside and be an objective advocate of the community. Working as team and collaborating with local partners to accomplish mutual goals provide the foundation of success. Aug. 24, 2021 Item #1 Page 136 of 166 Please give examples of using collaboration to become successflll. While in Juneau, Alaska, I identified a large gap in services regarding homelessness. I was able to work together hand-in-hand with local government employees to solve this problem. Through effective collaboration, we were able to create a ·warming center.' This took a tremendous amount of work and negotiations. We were able to find a appropriate location. provide adequate funding, and obtain a trained staff to operate the warming center.' This program is still in operation to today's date. While working with People's Legal Services, I learned to build community partners in order to secure grants and other sources of funding. Establishing and maintaining relationships is paramount to success. What are the most pressing issues facing 011r cormminity and how do you plan to address them? The problems facing our community do not deviate from the over-arching problems facing our entire slate. Combating homelessness is a prevalent issue. Working with local organizations and bridglng the gap between the private and public sector is a great starting point in the ongoing effort not just to ·manage homelessness.' but to eventually, ·end homelessness.' The COVID-19 pandemic is another pressing lssue in our community. Following Federal Guidelihes, adhering to State Guidelines, and listening to the community members of Carlsbad are a few ways to navigate safe,ly through a pandemic. Protecting small busfnesses and providing an envlronment for economic growth in Carlsbad is an issue that constantly requires attention. Advocating to for small businesses and allowing economic growth to proliferate are ways to provide a greater economic advantage for the entire community. Aug. 24, 2021 Item #1 Page 137 of 166 Additional information or comments I have been a resident of Carlsbad for the majority of my adult life. I am excited for an opportunity to give back to this community. My education and experience make me an excellent candidate for this position. My personality ahd skill set will allow me to excel in this environment. I am a great team player and pride myself on my communication skills. Thank you for considering me for this position. Signature ---------------------------------•---By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. First Name: Kyle Last Name: Hargrave Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carl.sbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: cl,~ r_k;[,1cMbbam . .9..:.5ov Aug. 24, 2021 Item #1 Page 138 of 166 CALIFORNIA FORM 7 00 ~AIH 1-'OU IICAL 1-'HAC I ICtS COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. NAME OF FILER (LAST) HARGRAVE 1. Office, Agency, or Court Agency Name (Do no/ 11se acronyms) CITY OF CARLSBAD Division. Board. Department Disiricr. ii applicable DISTRICT 1 (FIRST) KYLE A PUBLIC DOCUMENT Your Po51tfon CITY COUNCIL (MIDDLE) LEE HALLETT ► If flling for multiple positions. list below or on an attachment (Do not use acronyms) Agency, ____________________ _ Position ----------------- 2. Jurisdiction of Office (Check at least one box) [!State r::; Judge. Retired Judge. Pro Tern Judge, or Court Commissioner (Statewide Junsdiction) C Multi-County ----------------n county of ---------------- [i] City of CARLSBAD 3. Type of Statement (Check at least one box) Ii] Annual: The period covered is January 1. 2020, ihrough December :Jl. 2020 -or- □ Other -------------'------ D leaving Office: Dme Left __ ; __ ; ___ _ (Check one circle.) The period covered is __ j __ I ____ through O The period covered is January 1 2020. through the date of leaving office December 31, 2020 0 Assuming Office: Date assumed -or- O The penod covered is __ ! 1he date of leaving office . _____ through O Candidate: Date of Election ______ and office sought If different than Pm 1 ______________ _ 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached 0 Schedule A-1 -Investments -schedule attached [i] Schedule A-2 -Investments -schedule attached 0 Schedule B • Real Properly -schedule aitached -or-0 None • No repo1table interests on any schedule 5. Verification M.-<ILING .J,[JORESS STREET CIT" iB:,;~ir.f;S$ Cf' J.get;C/ J.dar~ss R::Xrr:rr.~ra5d. Pubfo D:~ii~I D Schedule C -Income. Loans, & Business Positi01Js -schedule attached D Schedule D • Income -Gifts -schedule attached D Schedule E -Income -Gifts -Travel Payments -schedule anached STATE Z!P CCOE CARLSBAD CA 92008 [.'.\"TIME TELEPHONE NUMBER El.~.l.lL .'.\DDRESS I have used all reasonable diligence m preparing this statement I have reviewed this statement and to the bes: of my knowledge the information rontained herein and in any attached sc:hedules is irue and complete I acknm•Aedge this is a public dorument I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed Print Clear FPPC Form 700 -Cover Page (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page· 5 Aug. 24, 2021 Item #1 Page 139 of 166 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) CALIFORNIA FORM 700 ~All{ POUi ICAL PHAC IICtS COMMISSION Name ► 1. BUSINESS ENTITY OR TRUST LAW OFFICE OF KYLE L.H. HARGRAVE Name Address (Bus;ness Address Acceptable) Check one 0 Tn1st go lo 2 al Business Entity complete the box. then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS LEGAL SERVICES FAIR MARKET VALUE IF APPLICABLE LIST DATE 0 so -$1998 __J__J2Q_ __J__J2Q_____ ti) S2.000 · $10 000 0 S10001 -S100000 ACQUIRED DISPOSED O s100.001 -s1 .000 coo D Oler s1 coo 000 NATURE OF INVESTMENT D Partnership [i] Sole Proprietorship :J 011,e;r YOUR BUSINESS POSITION OWNER/OPERATOR ► 2-IDENTIFY THE GROSS INCOME RECEIVED {INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 0 SO -S499 0 S500 -Si.000 Ii] S1 001 -S10 000 0 S10 001 -S100.000 n OVER S100000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Alla eh• ,.,.,.,. '"-•1 ,f ~«•WY I :J Ncne or [i; Names listed below KYLE L.H. HARGRAVE ► 4_ INVESTMENTS AND INTERESTS IN REAL PROPERTY HELO OR LEASED .llY THE BUSINESS ENTITY OR TRUST Check 011e box. □INVESTMENT Q REAL PROPERTY Name of Business Entity. if Investment Qr Assesso(s Parcel Number or Street Mdress oi Real Property Description of Business Acti....;ty Q! City er Other Precise Location of Real Property FAIR MARKET VALUE 0 S2 000 - S10 000 0 S10,001 -$100 000 0 S100 OOi -Sl 000 000 D Over S 1 000.000 NATURE OF INTEREST 0 Property Ownership'°Deed of Trust IF APPLICABLE. UST DATE __j__j20 __J__/2~ ACQUIRED DISPOSED D Stock 0 Pannership 0 l easehold Yrs remaining 0 Other O Check box if addi11onal schedules repcr!ing investments or real property are attached · ► 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable/ Check one 0 Trust. go lo 2 ::J Business Entity complete Ille box. then go lo 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR ldARKET VALUE IF APPLICABLE. UST DATE 0 so -S1 999 __J--120_ __j_f2iL C s2 ooo -s10.000 Q S10001-S100000 ACQUIRED DISPOSED 0 St00.001 -S1 000 000 [:: Over S1 000 000 NATURE OF INVESTMENT D Partnership C Sole Proprietorship □ 01/lor YOUR BUSINESS POSITION ► 2. IDENTIFY THE GROSS INCOME RECEIVED {INCLUDE YOUR PRO RAT SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) C so -S-499 0 S500 -S1 000 O s1 001 . s10 ooo O s,o 001 -s1c-0 ooo C OVER S100.GOO ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE {Att.11;:h,. -.ep.:r.i~ )heet 1f ne,'"e-:;! .. HYl 0 t\.~ne or O Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED .llY THE BUSINESS ENTITY OR TRUST Check one box. D INVEST~l!:NT 0 REAL PROPERTY Name cf Business Entity if Investment Q! Assessor"s Parcel Number or Street Address oi Real Property Dascriptlcn of Bustnass Acti,fty llr City or Other Precise Location of Real Property FAIR MARKET VALUE 8 S2 OC-0 -S10000 Sl0.001 -S100 000 0 S100,001 -S1 000.0GO 0 Over S1000000 NATURE OF INTEREST 0 Property Ownership.!Deed of Trust IF APPLICABLE LIST DATE --1--120 __j__/20 ACQUIRED DISPOSED 0 Steck 0 Pa11nership 0 Leasehold ____ 0 O'cher Yrs remal'ling D Ched< box 1f additional sr.hedules reporting investments or real prcperty are anachei:I Comments:--------------------------FPPC Form 700 · Schedule i>c2 {2020/2021) advice@fppr.ra.gov • 866-275·3772 • www.fw~.ca.gov Page-9 Print Clear Aug. 24, 2021 Item #1 Page 140 of 166 K"YLE L.H. HARGRAVE Carlsbad, CA 92008 EDUCATION California Western School of Law, San Diego, CA Juris Doctorate. April 2012 Area of Concentration in Criminal Prosecution and Defense Practice Co-director of the Community Outreach Committee Academic Achievement Award: Juvenile Justice Pro Bono Honor Society Westlaw and LexisNexis Certified Law Raza Law Students Association Point Loma Nazarene University, San Diego, CA Bachelor ofArts, Philosophy, May 2007 Point Loma Dormitory Leadership Program Surf and Serve Bread of Life (PLNU) EXPERIENCE People's Legal Services, San Diego, CA Board of Directors/ Of Counsel Fall 2018-Present Assisting in tbe founding and operating of sliding-scale legal services non-profit. Representation of modest means clients in a broad spectrum of legal fields. Juneau Cooperative Christian Ministries, Juneau, AK Interim Director/Deputy Director 2017-Summer 2018 Manage/operate Juneau's Emergency Shelter/Soup Kitchen. Assist with funding, staff conflict resolution, provide direct services to clients. The Law Office of Kyle L.H. Hargrave, San Diego, CA Attorney al Law, Jamuvy 2013-Present Actively practicing in a wide range of law, including but not limited to, family law, criminal law, and employment law. A former associate of Access to Law lniliative, a program developed to provide legal assistance to the indigent in the San Diego Community. Law Office of Hector J. Tamayo, San Diego, CA Legal Clerk, Fall/Winter 2012 Experience in private criminal defense; from client interview, legal writing, legal research, to providing assistance throughout the course of trial. Substantial experience ranging from simple misdemeanors to serious felonies, including homicide. San Diego Public Defender, San Diego, CA Cert.ified Legal Intern Alternate Public Defender, Spring 2012; Juvenile Delinguency, Fall 201 J; Primary Public Defender, Summer 2011 Active participation in legal research, representing clients in preliminary hearings, suppression hearings-, sentencing hearings, and probation violation hearings. Drafting and filing a variety of motions, client communications, felony arraignment hearings, assistance in frial preparations, consulting expert witnesses, and trial assistance. California Innocence Project, San Diego, CA Legal Intern. Spring 20 I 1 Prescreening clients and determining eligil>ility based on factual considerations provided by briefs, police reports, and court documents. Conducting client interviews to establish standing and eliciting information wbicb might lead to eventual exoneration. Updating clients on status of case and/or explaining relevant legal procedures. Legal research concerning courtroom procedures and Fou,th Amendment issues. Legal writing and translating client letters from Spanish to English. Aug. 24, 2021 Item #1 Page 141 of 166 SKILL(s) Spanish Language General conversation and reading skills; Successful completion of"Spaoish for Lawyers" class in Fall 201 l REFERENCES Anthony Medina, Esq. AM Law Group; Director of People's Legal Services Bob Seibel Former Director of California Western's Access to Law Initiative Mariya Lovishchuk Executive Director for Juneau Cliristian Cooperative Ministries. Aug. 24, 2021 Item #1 Page 142 of 166 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 RECEIVED AUG l 1 2021 CITY OF CARLSBAD CITY CLERK'S OFFICE '-I I 0•7 p ff} Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. /) / Ket/ 9/(R, ~ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Monica (Mona) Gocan Required for Voter Registration Verification Home. Address I tstrict Numb~ City ZIP Carlsbad 92010 Home Phone Mobile NIA E-mail Occupation Civil Engineer / Small Business Owner Employer 77 Electrical Services Emnlover Adnrn.~s City ZIP Carlsbad 92010 Work Phone Mobile. NIA Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. t/ I am a registered voter in Carlsbad. v' ~ I am a Citizens Academy graduate. v' I have sufficient time to devote to the responsibility of the position and will attend the required al meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic Disclosure Statement (a public record that will be posted on the City's website). I further agree to al attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please call 760 434-2808 or email cterk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 143 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per t/ Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. I am aware that this application is a public document. t/ Please describe your professional experience and relevant experience. I'm a Construction and Transportation Civil Engineer, and also a small business owner in Carlsbad. As my resume details, for the past 7 years, I've worked as a Civil Engineer for many companies and on many high-profile public projects in San Diego County. These positions allowed me to gain experience from the Owner's (Agency), Consultant's (CM), and Contractor's perspective to fully understand how public projects are planned, designed, and built. It also allowed me to not just be the first female engineer on the SANDAG Mid-Coast Rail Project and pave the way for future female engineers, but to also be part of many stakeholders' meetings at SAN DAG, County of SD, NAFVAC, and NCTD. Please describe your educational background. I have a bachelor's degree in Civil and Environmental Engineering from the University of Washington. I am also a graduate of the Traffic Engineering Workshop for Public Officials, City of Carlsbad Citizens Academy, Post-Accidents Training for FAA-Covered Supervisors and Railroad Representatives, Career and Leadership Development, Introduction to Project Management, and passed the Engineer-in-Training 8-hour examination for the State of Washington. Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. Currently, I'm the Chair of the Traffic and Mobility Commission for the City of Carlsbad. I've been nominated and elected Chair two years in a row and have served on the Commission for the past 5 years. For the past two years, I have also been an Advisory Council Member to the State of California District 76th Advisory Council for Transportation and Mobility. 2017 to 2019 -PTA President for Valley Middle School. 2016 to 2018 -Served on multiple committees for the WTS (Women in Transportation Seminar) 2012 to Present -Tutor and mentor high school students in math and science. Aug. 24, 2021 Item #1 Page 144 of 166 Please explaih why you wish to be appointed to City Council (attach a separate sheet if needed) My reasons for wanting to be appointed to Carlsbad City Council are as diverse as our community. First, my goal is to repair the broken aspects of unity, respect, and understanding brought on by the past years' polarizing events. Secondly, I want to give the parents of school-age children a more prominent voice and to engage them to participate in city meetings as well as volunteer on city boards and commissions. Third, I want to provide the much-needed representation of our working parents, small business owners, and 01 residents as a whole, and not merely the few groups who are more politically active and vocal. Are you related to, employed by, or affiliated in any way with anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). No What would you like to accomplish as a council person if appointed? One year is a short time but I would like to accomplish two things: 1. I would like to unite our community by respecting and listening to every voice in it, whether I agree with their point of view or not. It is imperative that everyone feels understood, not just heard. 2. I would like to engage parents of school-age children and the Hispanic community to attend board and commissions and city council meetings, volunteer on city commissions, and run for office. I strongly believe that diversity strengthens any team or community. When I joined the T&M Commission, I was the only female out of 5 commissioners, and also the only parent of a school-aged child. Carlsbad's demographic based on data.census.gov (2019) is 82.7% under 65 years old, and out of that, 23.1 % under 18 years old. This means that around 70% of Carlsbad's residents are parents of school-age children. However, if we look at the Boards & Commissions, Committees, and the Council, those residents are being underrepresented at the city level. And the Hispanic/ immigrant community is being underrepresented at the District level. 01 is currently 20% Hispanic, which is the highest out of all districts. We need to do more to engage those demographics. Aug. 24, 2021 Item #1 Page 145 of 166 Please give examples of using collaboration to become successful. As a business owner and project manager, I'm challenged every day to bridge numerous groups-each with their own missions and agendas. It is essential that I provide seamless, time-sensitive solutions. To achieve this effectively, I need to be highly considerate toward varying viewpoints, ensuring each group is equally heard and understood while putting my own personal views aside. As the Chair for the Traffic and Mobility Commission, I demonstrate similar effective bridge-building strategies. Two years ago, the commission was not in a good place. There was significant tension between staff and the commission. The commissioners felt they were not being heard or valued, and I'm sure staff felt the same way. However for the past two years, collaborative as a team, we got to the point wehre we have the best resoaltionship with staff and the community. As the commission, we achieved a lot in these past two years and were very effective in completing many projects and goals. And everyone seems happy and comfortable being part of this team. The foundation of my leadership is respect and acknowledgment of everyone~-no matter what level or side they're on. I'm also strongly committed to communication and mutual understanding. Oftentimes, people get frustrated with a situation because they don't know how that situation can't be different. If we take a moment and explain the true reason, they might have an easier time accepting it. What are the most pressing issues facing our community and how do you plan to address them? There are many challenges in our community, but I believe that every challenge provides an opportunity for community input and a strategic and non-partisan resolution. We need to do what is best for Carlsbad, not individuals, groups, etc ... but for the city as a whole. If we ask anyone. in the community, they say homelessness and affordable housing are the major issues. Despite my short term, I will do everything I can to educate myself on what the council can do to help the homeless while not enabling them. However, the most pressing issues to me are the division of our community, e-bike safety (I 've already been working on this issue this year), traffic safety around schools, and reliable school transportation. To explain further, single parents with 3 kids at 3 different schools (elementary, middle, HS) that work full time and are unable to take their kids to school at 8 am. This also supports my viewpoint that the largest population is not being represented and supported by the city. We have excellent transportation for the senior population (primarily because seniors are diligent about expressing their needs at the city council meetings), but who's going to express the needs of that single parent that works full time while taking care of 3 kids? No one. I haven't heard anyone's public comments discussing this issue. Aug. 24, 2021 Item #1 Page 146 of 166 Additional information or comments Because of my professional and volunteer experience, I understand the City Council's roll in establishing policy and the staff's roll in implementing them. I'm familiar with public work programs, environmental plans, design standards, master plans, zoning plans, city budgets, building infrastructure, and government agencies function as a whole. This allows me to hit the ground running as a council member and be able to offet informed decisions on existing or future proposals. Thank you for your consideration. It would be an honor to serve with you for the next year. Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. Monica Gocan First Name: Last Name: Signature: ~~=="· =---====-------------- Signature Date: 08/11/2021 Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at 5 p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 147 of 166 CALIFORNIA FORM 7 00 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Initial Filing Received Flling Off/cJal Use Otl/)1 A PUBLIC DOCUMENT Please type or print in Ink. NAME OF FILER (l.Asn Gocan 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Carlsbad Division, Board, Department, District, if applicable City Council (ARsn Monica (Mona) Your Position (MIDDLE) Costina City Council Member ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) City of Carlsbad Agency: ____________________ _ Traffic & Mobility Commission Member Position: ________________ _ 2. Jurisdiction of Office (Check at least one box) D State D Judge, ReUred Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) D Multi-County ----------------D County of ----------------Iii City of Carlsbad 3. Type of Statement (Check at least one box) Iii Annual: The period covered is January 1, 2020, through December 31, 2020. -or• The period covered is ___J__J_ ___ ~ through December 31, 2020. D Assuming Office: Date assumed ___j___J ___ _ □ Other ----------------- D Leaving Office: Date Left ___J___j ___ _ (Check one circle.) • The period covered is January 1, 2020, through the date of leaving office. -or- 0 The period covered is ___J___J ___ ~ through the date of leaving office. D Candidate: Date of Election _____ _ and office sought, if different than Part 1: ______________ _ -or-□ one -No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or A.qencv Address Rerommended • Public Document) Carlsbad, CA 92010 DAYTIME TELEPHONE NUMBER CITY . 3 D Schedule E • Income -Gifts -Travel Payments -schedule attached STATE ZIP CCDE I EMAIL ADDRESS 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 08/11/2021 (month, daY, year) Print Clear Signature ~~ p~erstatemenJwith 'l')UrfiUng officiaJ.J FPPC Form 700 • Cover Page (2020/2021) advice@fppc.ca.gov • 866·275-3772 • www.fppt.ca.gov Page-5 Aug. 24, 2021 Item #1 Page 148 of 166 SCHEDULE A-1 Investments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) Investments must be itemized. Do not attach brokerage or financial statements. -►-N_A_M_E_O_F_B_U_S_I_N_E_S_S_E_N_T_IT_Y ______________ ,. .. -►-N_A_M __ E_O_F__,B_U_S_IN-e""'s""'s .... E-N~T""'1rv .... ____________ _ Charles Schwab GENERAL DESCRIPTION OF THIS BUSINESS Investment and retirement FAIR MARKET VALUE 0 $2,000 • $10,000 111 s100.001 . s1,ooo,ooo ■ $10,001 • $100,000 0 Over $1,000,000 NATURE OF INVESTMENT Ill Stock II Other (D<ascnbe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 or More (Report on Schadu/e C! IF APPLICABLE, LIST DATE: _j_j~ ACQUIRED _j_j2JL. DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 □ $100,001 • $1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over s1,ooo,ooo D Stock D Other --------,---,---,------(Destlibe) 0 Partnership O Income Received of $0 -$499 O Income Received of $500 or More (Repor:f on Scl>edule C) IF APPLICABLE, LIST DATE: _j_j2JL. ACQUIRED _j_j'2Jl.._ DISPOSED ► NAME. OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 • $10,000 □ $100,001 -$1,000,000 NATURE OF INVESTMENT □ $10,001 • $100,000 D Over $1,000,000 D Stock D Other (bescnbe) 0 Partnership O Income Received of $0 -$499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _j_j'JJL. ACQUIRED Comments: _j_j2D...._ DISPOSED Print Clear GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -S10,ooo □ $100,001 • $1,000,000 NATURE OF INVESTMENT 0 S10,001 -S100,000 D Over s1.ooo.ooo 0 Stock O Other-----==:-------(Describe) 0 Partnership O Income Received of SO -$499 0 Income Received of $500 or More /Report on Scheoule C) IF APPLICABLE, LIST DATE: _j_j~ ACQUIRED _j_j~ DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 $2,000 -$10,000 0 $100,001 -$1,000,000 NATURE OF INVESTMENT 0 $10,001 • $100,000 0 Over $1,000,000 0 Stock O Other ____________ _ (Desaibe) 0 Partnerst,ip O Income Received or $0 -$499 O Income Received of SS00 or More /Reporl on Schedule C) IF APPLICABLE. LIST DATE: _j_J2SL_, _j__j2__JJ_ ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE D $2,000 -s10,ooo 0 $100,001 • $1,000,000 0 $10,001 • $100,000 0 Over $1,000,000 NATURE OF JNVESTMENT 0 Stock D Other ------.("'ues=cn"'be"'j _____ _ 0 Partnership O Income Received of $0 -S499 0 Income Received of $500 or More /Report on Scheoule C) IF APPUCABLE, LIST DATE: _j_j2SL_ ACQUIRED _j_j'JJL DISPOSED FPPC Form 700 • Schedule A-1 (2020/2021) adlllce@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page-7 Aug. 24, 2021 Item #1 Page 149 of 166 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► 1. BUSINESS ENTITY OR TRUST 77 Electrical Services Name Address (Business Address Acceptable) Chee/< one D Trust, go to 2 Ii] Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: □ so -s1,999 _J_J2D._ _j_J2JL D $2,000 -s10.ooo Ill $10.001 -s100.000 ACQUIRED DISPOSED 0 $100,001 -$1,000,000 D Over $1,000,ooo NATURE OF INVESTMENT 0 Partnership Ill Sola Proprietorship □ OIiier YOUR BUSINESS POSITION Owner ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST! D so -$499 0 S500-$1,000 D s1.oo.1 -s10,ooa 111 s10,oo, -s100.ooo 0 OVER $100,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Att.ich a -sep.iratt> s.\101.'t ,r Mc0~-1'Y) D None or O Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: D INVESTMENT D REAL PROPERTY Name of Business Entity, if Investment, m Assessor's Parcel Number or Street Address of Real Property Description of Bus1ness Activity Q[ City or Other Precise Location of Real Property FAIR MARKET VALUE □ $2,000 -$10,000 0 $10,001 -$100,000 0 $100,001 -$1,000,000 D Over s1,ooo,ooo NATURE OF INTEREST 0 Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: _j_j20 _j_j20 ACQUIRED DISPOSED D Stock D Partnership D Leasehold Yrs. rema/nfng D Other D Check box ir additional schedules reporting Investments or real property are attached ► 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one D Trust, go lo 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 0 SO -S1,999 IF APPLICABLE, LIST DATE: D $2,000 -s10,ooo D s10,001 -s100.ooo 0 $100,001 -$1,000,000 D Over $1,000,000 NATURE OF INVESTMENT _j_j'2JL ACQUIRED _j_J~ DISPOSED O Partnership D Sole Proprietorship D -----,0.,,theee:e-r ---- YOUR BUSINESS POSITION -------------- ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) D $0-s49s D $soo -$1,000 D s1,001. $10,000 0 510,001 -5100,000 0 OVER $100,000 ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED .!rJ'. THE BUSINESS ENTITY OR TRUST Check one box: □INVESTMENT D REAL PROPERTY Name of Busfness Entity, if Investment, Qf Assessor's Parcel Number or Street Address of Real Property Description of Business Activity QI City or Other Precise Location of Real Property FAIR MARKET VALUE 0 $2,000 -$10,000 0 510,001 -$100,000 D s100.00, -$1 ,000,000 D Over $1,000,000 NATURE OF INTEREST 0 Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: _j__/20 _J_J~ ACQUIRED DISPOSED 0 Stock D Partnership D Leasehold .... ---,-,--Yrs. remaining D Other D Check box if addilional schedules repo,ting investments or real property -are attached Comments:---------------------------f PPC Form 700 · Schedule A-1 (2020/2021) advlce@fppc.ca.gov • 866-27S-3772 • www.fppc.ca.gov Page· 9 Print Clear Aug. 24, 2021 Item #1 Page 150 of 166 EDUCATION S.S. in Civil Eriglneering University of Washington Professional Credentials E.I.T.-Engineer in Training Software Expertise Oracle Primavera P6 Prolog Converge/Manager laserFlclie FogBugz AutoCAD MicroStation ProjectWise CA4PRS (CA Analysis for Pavement Rehabilitation Strategy) HIPERPAV PROFESSIONAL AFFILLIAT/ONS City of Carlsbad Traffic Safety Commissioner, Chair California State Assembly, District 76thAdvisory Council Member for Transportation and Mobility ASCE (American Society of Civil Engineering) WTS (Women 1n Transportation Seminar) TRAINING ITE (Institute ofTransportatlon Engineers) -Traffic Eng)neering Workshop for Public Officials -2018 Post-Accident Training for FRA-Covered Supervisors and Railroad Representatives -2017 Track 101 -2017 Advance Estimating -2017 Roadway Worker Safety Training -2014 Introduction lo Project Management, Sound Transit -2011 Career & leadership Development. WTS -2011 7 ELECTRICAL SERVICES Monica (Mona) Gocan, E.I.T. -Owner Mona holds an undergraduate degree in Civil Engineering from the University of Washington and her professional experience includes transportation and construction civil engineering, construction, project and program rnanagement. Mona has vast office and field engineering experience working on multi-billion- dollar projects while managing multi-million-dollar budgets. And for the past 2 years Mona has been running all aspect of her own electrical contractor company. 77 Electrical Services -Owner Mona has started 77 Electrical Services with first getting the state contractor license in Dec 2016, while still working as a Civil Engineer. In 2018 she got a startup business loan then quit her full-time job to devote her time to her cornpany. Since then, she set up all the necessary documentation, accounts, certifications and business processes to be able to bid and perform public and federal work. 77 Electrical Services has completed 3 school projects as prime contractor and is finishing another school project as a sub-contractor. Due to Mona's professional background as a field/ office civil engineer and project manager on multiple construction projects, she is able manage all aspects of the business and field work. Project E)(perier.n?· SANDAG -Mid-Coast Corridor Transit, San Diego, CA ($2.18) Role: Scheduler/ Office Engineer (Construction Management Side) The Mid-Coast Trolley is a $2.1 billion project and it will extend service frorn Old Town Transit Center to the University City community, serving rnajor activity centers such as the Mission Bay area, the VA Medical Center, the UC San Diego, and Westfield UTC Transit Center. The project will provide an effective alternative to congested freeways and roadways for travelers and will result in fewer vehicle miles being traveled. SANDAG -Inland Rail Trail -San Marcos to Vista, CA ($37M) The Inland Rail Trail is a proposed 21-mile Class I bike facility through the cities of Oceanside, Vista, San Marcos, and Escondido, as well as an unincorporated portion of the County of San Diego. A Class I bikeway is a bike path that is physically separate frorn motor vehicle traffic. SAN DAG· Mid-Coast Corridor Transit, San Diego, CA (Oct 2016 -Oct 2017, $2.18) Role: Office and Field Engineer (Contractor Side) Mona's responsibilities included ensuring all project-wide electrical and systems' conduit was in place for subcontractor installation. Additionally, she managed field crews, $SM portion of the project while tracking of multiple heavy equipment coordination, completed quantity takeoff and procurement for permanent and temporary materials. Mona performed daily field inspections to ensure project was constructed in accordance to the IFC plans (structural, utilities, grading, etc.) and specifications, as well as following applicable safety and environmental regulations. Mona also served as an office engineer on this project and was actively involved in the recruitment efforts for Small and Disadvantaged Business enterprises. North Coast Transit District (NCTD) Positive Train Control (PTC) Project, San Diego, CA (Jul 2016 -Oct 2016, $87M) Pagel 1 Aug. 24, 2021 Item #1 Page 151 of 166 7 ELECTRICAL SERVICES Role: Deputy Project Manager PTC is an integrated command, control, communications and information system which can control train movement by using GPS technology, digital communications and on-board computers. This technology allows continuous monitoring of train locations, automatically overrides train movements and will stop a train should the crew is unable. Mona collaborated with the Project Manager and assisted with the management of this project and the railroad signal design and construction for the MidCoast Corridor project. Her duties included managing performance, cost, scope and construction schedules, managing subcontractor and field personnel, performing weekly field visits and job walks to ensure safety and quality measures. Mona managed Submittals, RFl's and Change Orders in addition to communication and coordinating with stakeholders to include Public Agencies and various other departments. North County Transit District (NCTD) Program Management Services Contract, San Diego, CA (Jan 2014-Ju 201S) Role: Transportation Engineer In this role, Mona served as a Tra[lsportation Office/Field Engineer on the project management team which was providing services related to program management, transportation planning and rail design. Duties included review of rail civil engineering designs, specifications and construction drawings, scopes of work, contractor invoices and contracts, and right-of-entry permit requests. Mona prepared independent cost estimates, task orders, status reports, attended project review and status meetings, and prepared meeting minutes. She implemented and executed a Timber Bridge Retrofit project through planning, design and construction phases under exigent conditions within scope, budget and schedule. Mona conducted extensive research and analysis of surveys, parcel maps, right-of- way maps, and various other relevant documents to identify the NCTD's property line along the Coastal and Sprinter corridors. She authored the Health and Safety, Planning and Design sections for a new NCTD Project Delivery Manual. Central Puget Sound Regional Transit Authority, Sound Transit {ST) Seattle, WA {2012) Project: Various Projects Role: Construction Manager Intern Sound Transit operates express b1.1s, commuter rail and light rail service in the Puget Sound region in Washington State and constructs capital projects in support of those services. As part of the constrnction management team, Mona performed a variety of services on various projects. Prototype Track Bridge Transition joint, Building and Testing project ($18M) Reviewed the cost estimate, and foundation and prototype plans. Eastlink Light Rail ($800M) Participated in contract packaging meetings. Page 12 Aug. 24, 2021 Item #1 Page 152 of 166 Application for Appointment to Fill Vacancy for Carlsbad City Council District 1 RECEIVED AUG 11 202f CITY OF CARLSBAD CITY CLERK'S OFrlCE Applications must be received by Wednesday, Aug. 11, 2021 at 5 p.m. ~ 0 V I I) 1 / )D/ ~ Requirements: • Citizen of the United States • Registered voter and resident of City of Carlsbad District 1 • Complete Form 700 • Attach a resume or professional biography Personal Information Name Date of Birth: Ryan Vaughn Required for Voter Reaisrration Verification Home Address loti~, City ZIP Carlsbad 92008 Home Phone Mobile E-mail Occupation Technical Product Manager Employer Jupiter Intelligence Employer Address San Mateo City ZIP San Mateo 94401 Work Phone Mobile Acknowledgements Yes No I am a resident of the City of Carlsbad District 1. t/ I am a registered voter in Carlsbad. t/ I am a Citizens Academy graduate. t/ I have suffi~ient time to devote to the responsibility of the position and will attend the required V meeting(s) if I am appointed. I acknowledge that if appointed I will file necessary documents including a Form 700 Economic Disclosure Statement (a public record that will be posted on the City's website). I further agree to t/ attend Ethics Training as required under the Political Reform Act and any other required trainings. Questions? Please earl 760 434-2808 or email clerk@carlsbadca.gov Aug. 24, 2021 Item #1 Page 153 of 166 I acknowledge that if appointed to fill the District 1 Council seat for a term ending with the Nov. 2, 2022 election, I will not be eligible to run for that seat in the November 2022 election per v' Carlsbad Municipal Code section 2.04.110. I further agree to abide by the provisions of this code section as it exists at the time of my appointment. -1 am aware that this application is a public document. t/ Please describe your professional experience and relevant experience. I spent 1 0 years working at Bank of America managing a team of model builders dedicated to forecasting the housing market (think Zillow). In early 2021 I joined Jupiter Intelligence to apply economic reasoning to the problems of Climate Change and how Climate related hazards interact with financial products. Please describe your educational background. JI completed my PhD in Urban and Environmental Economics at UCLA in 2017 _ _J Please describe your current or past community involvement, including any service on boards, commissions or committees, with private or public agencies. ;1 am a former member of the steering committee for San Diego 350 and I am currently the treasurer with the local chapter of the Surfrider Foundation. I was also a founding member of the San Diego chapter of the Climate Reality Project. --------------·--·-------------' Aug. 24, 2021 Item #1 Page 154 of 166 Please explain why you wish to be appointed to City Council (attach a separat e sheet if needed) -----------·---1' love this town. I feel incredibly lucky to be a homeowner in Carlsbad. I want to encourage responsible growth, while also preserving everything I love about the 1character of Carlsbad. I believe can lend my expertise in urban economics, mortage jfinance, and the economics of climate change towards this goal. As a resident of 01 I believe it is my civic responsibility to offer my time to the council. I ---------- Are yo u related to, employed by, or affiliated in any way wit h anyone on the City Council or City of Carlsbad staff members? If yes, please list member name(s). No What wo~~d you like to accomplish as a council p~rson if appointe_d_? ____ ---~ I would be most interested in helping develop and improve the local Climate Action !Plan, as well as the local coastal plan (LCP). As a lifelong surfer the LCP in particular is important to me as the beach is our greatest resource. Not only does the beach bring ! tourism dollars to our region, it is often the reason why Carlsbad residents locate here. I have two young daughters who love the beach. I hope it will be available and enjoyed 1by their future children as well. To meet this goal it must be properly preserved and 1 managed for future generations. I I ______ J Aug. 24, 2021 Item #1 Page 155 of 166 PleaJ~i~e ~~~'!'pies of usii:,g c~lla_borat~r:i to be_~me s~~essf1:1I_. _ ~ 11 believe success without collaboration is rare. The complexity of modern issues demands a range of subject matter expertise and multiple stakeholder points of view. r rom academic publications, to rock songs, collaboration is today's norm. !During my career, I have developed and deployed multiple enterprise scale applications ,and crossfunctional collaboration was always a key part of every project. Every thing I !have ever accomplished has come with the support of friends and co-workers. 1As a manager of people I find it is best to encourage each member of my team to \pursue topics they care about. Ability alone is not enough, one must also demonstrate an eagerness to listen and a passion for the topic at hand to provide truly great /solutions. This approach also encourages personal growth among each team member land creates a stronger more capable team. What are the most pressing issues facing our community and how do you plan to address them? -------. ----The problem of how to best modify local zoning ordinances to allow for increased !density while maintaining the character of our town is likely the most pressing near term 1issue facing this city. Carlsbad is going through many major changes. The pandemic has exacerbated the problems of housing supply and land use concerns as our !population explodes due to newly remote friendly jobs allowing professionals from all regions to locate based on quality of life rather than proximity to work, and it is hard to !find a better quality of life than the one offered by Carlsbad. !Additionally I am particularly passionate about the drafting and implementation of a jCAP and LCP that are, acheivable, aligned with statewide carbon emissions goals. allow for proper management of our coastlines in the face of rising seas. Aug. 24, 2021 Item #1 Page 156 of 166 Additional inforcnation or comments Signature By signing below, I declare under penalty of perjury under the laws of the State of California that the answers provided in this application are true and correct to the best of my knowledge. Ryan First Name: Vaughn Last Name: Signature: Date Signature Completed applications must be received by the City Clerk's Office no later than Wednesday, Aug. 11 at S p.m. Once submitted, applications cannot be amended. Remember that you must answer all questions on this application, provide a resume or biography and submit a Form 700 to be considered for the appointment to the City Council District No. 1 office. Incomplete application packages will not be considered. Option 1: Option 2: Mail or drop off the signed paper copy of your completed application with resume or professional bio and Form 700 to: City of Carlsbad City Clerk's Office 1200 Carlsbad Village Drive Carlsbad, CA 92008 (760) 434-2800 Postmarks are not accepted. Applications must be received by the City Clerk's Office by the due date. E-mail your completed application. Sign, date and e-mail the application with your resume or professional bio and Form 700 to: clerk@carisbadca.gov Aug. 24, 2021 Item #1 Page 157 of 166 CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS oa FAIR POLITICAL PRACTICES COMMISSION COVER PAGE A PUBLIC DOCUMENT Please type or print In Ink. NAME OF FILER (LAST) VP-vf,\+J 1. Office, Agency, or Court Agency Name (Do not use acronyms) Cl\tL ~ 'isA.. D c, ,-1 ( CJv..rc., 1.- Division, Board, Department District, if applicable (MIDDLE) \::..1 ~K vArR' (_ IL... U I (OJI\ l. 1 LO Q. Your Position ► If filing for multiple positions, list below or on an attachment (Do not use acronyms) Agency: ___________________ _ Position:---------------- 2. Jurisdiction of Office (Check at least one box) D State. D Multi-County ---------------- ~ City of C~eL s '"t,A D 3. Type of Statement (Check at /east one box) D Annual: The period covered is January 1. 2020, through December 31, 2020. -or- The period covered is __J____J ___ -through December 31, 2020. D Assuming Office: Date assumed ____J____J ___ _ D Judge, Retied Judge, Pro Tern JUdge, or Court Com:nissioner (Statewide Jurisdiction) D County of ---------------0 0th er ---------------- D Leavin,g Office: Date Left __J__J ___ _ (Check one circle.) O The period covered is January 1, 2020, through the date of leaving office. -or- 0 The period covered is____/___} ___ -throug~ the date of leaving office. (r9... Candidate: Date of Election ______ and office sought if different than Part 1: _____________ _ t--~f-6ched1i1le A 4 -11w86~1Hlt~►----~Sciletlul~..& &1sio~bsllloos -srb.ed.Yle atta Schedule D • Income -Giils -schedule attached 0 Schedule E • Income -Gifts -Travel Pa4fments -schedule attached -or-D one -No reportable interests on any schedule 5. Verification MAILING ADDRESS SlREET STATE ZIP CODE (Business Of Agency Address Recommended -Public Docvm6fl/) cA DAYTIMETELEPHO~E4NUMBER 4 18,IAIL ADDRFSS I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my i«\o\-Aedge lhe information con1ained herein and in any attached schedules is true and complete. I acknowledge this is a public docum I. I certify under penalty of perjury under the laws of the State of California that the foregoin i true and correct. Print Clear FPPC Form 700 • CoverPa1e (2020/2021) advlce@fppc.ca.eov • 866•275-3772 • www.fppc.c~.,ov Pa&• -s Aug. 24, 2021 Item #1 Page 158 of 166 SCHEDULE C Income, Loans, & Business Positions CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name (Other than Gifts and Travel Payments) ► 1. INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INC_OME -:ft£ tie, ,e__ rrf\J7 £LL--/<?{;°;.[(£" ADDRESS (Business Address Acceptable) \. 'jj 1.ND Si"' I '14'-tO\ Tec.l-\"--'o.:-cl7 '( BUSI NESS ACTIVITY: IF ANY, OF SOURCE ? '"' -I rovu l.\ YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 - $1,000 0 $10,001 -$100,000 D No Income -Business Posttion Only q $1,001 -$10,000 ~OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary O Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) D Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale of ------------------(Real property. car. boat etc.) 0 Loan repayment 0 Commission or O Rental Income, /isl each source of $10,000 or more {Desaibe) D other __________________ _ {Desaibe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0 $500 -$1,000 0 $10,001 -$100,000 D No Income• Business Posttlon Only 0 S1,001 -$10,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED 0 Salary O Spouse's or registered domestic partner"s income (For self-employed use Schedule A-2.) D Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) 0 Sale or --------,-------------(Real propetl'/ car boat, ~tc.) 0 Loan repayment 0 Commission or O Rental Income, list each source of $10,000 or /TIO'e (Describe) D Other __________________ _ ► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a commercial lending institution, 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 official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER• ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 0 $500 • $1,000 0 $1,001 • $10,000 □ $10,001 • $100,000 0 OVER $100,000 Comments: Print Clear INTEREST RATE TERM (Months/Years) __ ,__% D None SECURITY FOR LOAN 0 None 0 Personal residence 0 Real Property _______________ _ Slreel address City D Guarantor _________________ _ 0 Other __________________ _ {Describe) FPPC Form 700 • Schedule C (2020/2021) advice@fppc.ca.gov • 866·275-3772 • www.fppc.ca.gov Page• 13 Aug. 24, 2021 Item #1 Page 159 of 166 Chang~ April-2021 PhD Economist with expertise in applied micro and real estate economics. Credit Risk professional with a focus on Climate Change and physical risks Quantitative Management ofteams of3-4 modelers Data Scientist with experience in SQL, R, Python, SAS, ST AT A, Tableau, C++, C#-and others. Jndepeodent Model Development with expertise in enterprise level Model Risk overs\gbt Professional Experience Technical Product Manager (04/2021 -Present), Jupiter Intelligence I utilize Jupiter's groundbreaking climate data, coupled with customer and 3rd party data, to develop models th.at predict the financial impact of climate change on various client needs, from REITS to high profile corporations. Adctitionally, I lead analytics initiatives that leverage data mining techniques and statistical analysis to build high- quality insights with our programs and products. As a product manager] work with the technology team in an Agile framework to tran.slate prototype econometric models, into scalable cloud-based models running within the Jupiter production platform. SVP. Quantitative Operations Manager (11/2016 -04/2021). Credit Risk, Bank of America VP, Quantitative Operations Associate (06/2013 -11/2016), Bank of America A VP. Quantitative Operations Associate (06/2011 -0612013). Bank of'Amerfca Quantitative Operations Associate (01/2011 -06/2011 ), Bank of America At Bank of America I lead a team responsible for the development of multiple predictive business applications as well as providing economic expe1tise for ad-hoc questions relating to Real Estate markets. The modeling tecbniques I oversee range from simple linear regression to more advanced data science/machine learning approaches such as PCR, RIDGE, RFs and Boosted Trees. As an individual modeler and as a team leader 1 have brought multiple applications though the entire lifecycle management process, including oversight from federal regulators, internal model governance, model development (1T), and quality assurance (QA). I was responsible for creating ROI timelines for new/revi.sed models and for including these in creative and informative presentations for executive council oversight. I am also a champion of bringing Climate Risk assessments into Real Estate coUateral evaluations and serving as a consultant to enterprise environmental and social governance (ESG) in their efforts to prepare a framework for effective TCFD reporting and Climate Risk m itigation. Independent Consultant, ( 08/2013 -Present), Econometric Modeling • For the Swfrider Foundation: o Expe1t opinion research in response to a study for fees to be assessed on home owners creating sea wal Is in the Solana Beach, CA coastal area. o Expert opinion research on the economic value of surfing in Pue1to Rico • For the Ocean Science Trust: Analysis of spatial surveying strategies along coastal marine protected areas (MP As) in CA and provide recommendations for best practices for highest ROI in transect choice and modeling technology. Adjunct Professor (08/2013 -06/2015), California State University San Marcos Taught principals and advanced courses in Micro, Macro and Public Economics Aug. 24, 2021 Item #1 Page 160 of 166 Change Visiting Scholar (06/20 l 1-08/2014), Ziman Center. UCLA Anderson School of Management As an, unpaid, visiting scholar l retained access to multiple academic journal subscriptions maintained by UCLA. These subscriptions supported joint research with Matt Kahn and Stuart Gabriel into urban economics and mmtgage finance related topics. The paper l worked on during this time, on the political economy of subprime mortgages during the pre-crisis period, was published in the journal of housing economics. Adjunct Professor (08/2009 -01/2010), California State Universitv Northridge Developed and taught a course in Urban Economics. Independent Consultant (2005-2007). Natural Equity, Environmental Economist, Spatial and Econometric Modeling Worked under the principal investigators, Linwood Pendleton and Chris LaFranci, on survey creation, enumeration and analysis within marine protected areas (MPAs) in California. We created paper survey instruments for land based enumeration, and electronic GJS based sw·vey instruments were created for a spatially explicit enumeration of active divers within the Channel Islands marine protected area. Volunteering: Co-Lead, Climate Change Committe, Surfrider Foundation San Diego Chapter (January 2018 -June2019) Executive Committee. Treasur.er. Surfrider Foundation San Diego Chapter (2019-Present) The Surfrider Foundation is a multi-national non-profit organization dedicated to the protection and enjoyment of the world's oceans, waves and beaches for all people. Co-Founder, Climate Reality Project North County San Diego Chapter (2018-Present) The Climate Reality Project was founded by Al Gore in the wake of the first Inconvenient Truth film. The core missing of the project is to train regular citizens to be educated speakers on the main issues of climate change and empower them to reach out and educate their communities about its challenges and opportunities. Steering Committee, San Diego 350 (20 I 8-March 2019) SD3SO is a local non-profit inspired by the work of the national 350.org organization. The mission of SD350 is multi-faceted but always focused on supporting the transition of society away from fossil fuels and a Climate FriendJy future. Education University of California at Los Angeles PhD, Economics My graduate work focused on issues in urban and environmental economics. The main chapter ofmy dissertation, "Strategic Foreclosure: An empirical assessment of strategic behavior by lenders in the mortgage market.", uses a unique and proprietary dataset to provide reduced form evidence in favor of decreased foreclosure probabilities for delinquent loans when the lender is most likely to internalize local pecuniary externalities from the foreclosure decision. Results indicated, all else equal, moving a delinquent loan from a zip code one standard deviation below the mean number of portfolio loans in a zip code to a zip code one standard deviation above the this amount has a similar effect on the probability of foreclosure as the loan recovering almost 4 months of payments. Aug. 24, 2021 Item #1 Page 161 of 166 Change Another chapter of my dissertation, joint with Nei.l Lessem. pursued research on the market for solar panels. This paper extends a model of pro-social behavior by Benabou aod Tirole (2006) to show the reputation obtained from pro-social actions incrnases with the vaJue the commwlity places on pro-social behavior. Since solar panels are observable io friends and neighbors, and the green electricity program is not, reputational benefits should only effect solar adoption. We test this empirically and find that individuals living in greener neighborhoods are significantly more likely to purchase solar panels, regardless of their own green ideology. The final chapter oftny dissertation, joint with Man Kahn and Jonathon Zasloff, focused on the effect of the Caljfornia Coastal Zone Boundary (CZB) on housing prices and construction. The CZB is a well-defined regulatory boundary that offers a unique opportunity to sUldy the consequences of land use regulation on nearby housing located in the same political jurisdiction. Using two different geocoded data sets, we document gentrification within the boundary and discuss possible explanations for these patterns. San Francisco State University. M.A., Economics University of California at San Diego. B.A., Joint Degree in Economics and Mathematics Publications Gabriel, Stuart A. & Kahn, Matthew E. & Vaughn, Ryan K., 2015. "Congressional influence as a determinant of subprirne lending," Journal of Housing Economics, Elsevier, vol. 28(C), pages 91-102. Atiyah, Perla, Linwood Pendleton, R.yan K. Vaughn and Neil Lessem (2013) "Measuring the Effects of Restoration and Mitigation on Coastal Uses", Journal of Environmental Management Pendleton, Linwood and Mohn, Craig and Vaughn, Ryan and King, Philip G. and Zoulas, James G., (2012). "Size Matters: The Economic Value of Beach Erosion and Now·ishment in Southern California" Contemporary E conomic Po]jcy, Vol. 30, Issue 2, pp. 223-237 Kahn, M, R. Vaughn and J. Zasloff (2009) "The Housing Market Consequences of Environmental Regulation: The Case of the CaJjfornia Coastal Zone'', Journal of Housing Economics, Kahn, Matthew E. and Ryan K. Vaughn, (2009) "Green Market Geography: The Spatial Clustering of Hybrid Vehicles and LEED Registered Buildings" The B.E. Journal of Economic Analysis & Policy: Vol. 9: Iss. 2 (Contributions), Article 2. · Mohn, Craig, L. Pendleton, R. Vaughn, P. King, and J. Zoulas (2008) ''Waves of Change: Coastal Erosion and the Economic Value of Beach Nourishment", CA Department of Boating and Waterways TechnicaJ Document. Nelsen, Chad, L. Pendleton, and R. Vaughn (2006), "A Socioeconomic Study of Surfers at Trestles Beach". Shore and Beach, 75(4), 32-37 Working Papers "Public School Quality Valuation Over the Business Cycle" (Joint with Stuart Gabriel, Matthew Kahn and Owen :Hearey) "A Renewable Reputation: Green electricity, ideology and conspicuous conservation" (Joint with Neil Lessem) Strategic Foreclosure:An Empiiical Assessment of Strategic Behavior by BmTowers and Lenders in the Mortgage Aug. 24, 2021 Item #1 Page 162 of 166 Changt:1 Market (Job Market Paper) Invited Lectures December, 2014, Corelogic Quantitative Lunch Roundtable, "Dodgy Appraisals or Information Asymetry?: An Exploration of a Homes True Value" March, 2014, Fourth Annual Urban Coastal Research Symposium, Los Angeles, CA, "Measuring the Effects of Restoration and Mitigation on Coastal Uses" June, 2013, America Real Estate and Urban Economics Association (AREUEA) International Meetings, Jerusalem, lsrael, "Congressional Influence as a Determinant of Subprime Lending" January, 2012, American Economic Association (AEA) Annual Meetings, Current Tssues in Real Estate, "Race, Political Influence, and Access to Subprime Credit" November, 2010, National Regional Science Council (NARSC) Annual Meetings, "Housing: Lending and Foreclosures" Session October, 2010, "Strategic Foreclosure", Second Annual USC / UCLA / UC! Research Day Summer 2010, "Green Product Demand", UCLA-CIBER Global Green Business Week. Summer 2009, "Green Product Demand", UCLA-CJBER Global Green Business Week. Awards and Honors UCLA Ziman Center Fellow Chancellor's Prize, UCLA Graduate Fellowship Graduate Distinguished Achievement Award. SFSU Economics Skills Expertise in urban economics, environmental economics, econometrics, and Automated Valuation Models (AVMs), Home Price Indices (HPI), general predictive modeling, and risk scorecard techniques. I am skilled in programming in multiple statistical programming languages including: R, MATLAB, STAT A, SAS, Python. Recently the bulk of my team's work has been in R. lam very experienced in large dataset manipulation Aug. 24, 2021 Item #1 Page 163 of 166 Change within the MSSQL environment. I have done extensive work with ArcGIS. I have some experience coding applications in both C++ and C#/.NET References available upon request Aug. 24, 2021 Item #1 Page 164 of 166 RESOLUTION NO. 2021-195 A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF CARLSBAD, CALIFORNIA, APPOINTING ONE APPLICANT TO FILL THE DISTRICT 1 COUNCIL VACANCY TO BE EFFECTIVE AT THE TIME THE OATH IS ADMINISTERED FOR A TERM ENDING WITH THE NOVEMBER 2022 ELECTION WHEREAS, Council Member Corl Schumacher resigned h~r District 1 City Councll seat on July 9, 2021;and WHEREAS, the City Council of the City of Carlsbad, California, declared the existence of a City Council District 1 vacancy at the July 20, 2021, City Council meeting and gave direction to fill the seat by appointment; and WHEREAS, the City Clerk's Office received 13 applications by the close of the application period on Aug. 11, 2021, at 5 p.m.; and WHEREAS, following applicant interviews at the Aug. 24, 2021, City Councll meeting and City Council deliberations, the City Council wishes to make an appointment to fill the District 1 City Councll vacancy. NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Carlsbad, California, as follows: 1. That the above recitations are true and correct. 2. That the following Carlsbad resident is appointed to fill the District 1 City Council vacancy to be effective at the time the oath Is administered for a term ending with the November 2022 election: Peder Norby Aug. 24, 2021 Item #1 Page 165 of 166 PASSED, APPROVED AND ADOPTED at a Regular Meeting of the City Council of the City of Carlsbad on the 24th day of August 2021, by the following vote, to wit: AYES: Hall, Blackburn, Acosta, Bhat-Patel. NAYS: ABSENT: None. None .. MATT HALL, Mayor -(.r~ ~ FAVIOLA MEDINA, City Clerk Services Manager (SEAL) Aug. 24, 2021 Item #1 Page 166 of 166 Tammy Cloud-McMinn From: Sent: To: Subject: Doug Kappel on behalf of webmaster Wednesday, August 18, 2021 3:16 PM City Clerk FW: Feedback for Carlsbad, CA From: Carlsbad Web Team <webmaster@carlsbadca.gov> Sent: Monday, August 16, 202112:32 PM To: webmaster <webmaster@CarlsbadCA.gov> Subject: Feedback for Carlsbad, CA All Receive -Agenda Item# _L For the Information of the: CITY COUNCIL Date 8./;?b/CA vec _::::: CM ~ACM_ CM (3) ..::::::-- You have received this feedback from Jeannie Ramos< carlosandjeannie@gmail.com > for the following page: https://www.carlsbadca.gov/Home/Components/News/News/528/15 Thank you for this information. District 1 is fortunate to have 2 former city council members, Mark Packard & Julie Nygaard, who would be the very best candidates to be considered for the interim opening. They were both excellent city council members and contributed so much to making Carlsbad what it is today. Either candidate, based on past experience, would bring harmony to the council and be able to hit the ground running day 1. Their love for Carlsbad has been apparent based on all the previous experience for many, many years. They have made a positive impact in so many areas of our city in addition to serving on the Carlsbad City Council. {note: Carlos is 74 and has lived his entire life in Carlsbad; and I'm 72 and have lived in Carlsbad since December, 1969. We are very much aware of Mark's and Julie's proven abilities in leadership that are critical in supporting ALL citizens of District 1) I read through all of the other candidates statements and none compare to Mark or Julie. The learning curve for all of them would slow down progress in addressing the top critical issues facing our beloved Carlsbad right now. Perhaps the other candidates will consider running for office in the next election and in the meantime educate themselves about the laws, rules, regulations, etc. to make important decisions for all the citizens of Carlsbad. It's wonderful to see so many civic-minded members of our District. CAUTION: Do not open attachments or click on links unless ou reco nize the sender and know the content i safe. 1 Tammy Cloud-McMinn From: Council Internet Email Sent: To: Thursday, August 19, 2021 3:23 PM City Clerk Subject: FW: District 1 Appointment by City Council Members From: Vanessa Forsythe <vforsythe13@gmail.com> Sent: Thursday, August 19, 202112:56 PM To: Council Internet Email <CityCouncil@carlsbadca.gov> Subject: District 1 Appointment by City Council Members Regarding determining District 1 City Council Member I have come to appreciate the significance of District 1 as representativ~ of so much of how Carlsbad is recognized within and outside our community. It encompasses a major portion of our coastline and downtown; the Barrio and local businesses and other areas of historical and recreational interest. There is much and diverse interests that a representative needs to consider. I ask that you seek someone who is committed to maintaining a sustainable Carlsbad - this means more than just maintaining (and reacting to) what has been but more about what we need to be in the future. We need to consider the environment and need to adapt to the serious impacts of climate change affecting our community in all aspects of planning and development, including: housing (homelessness), businesses, managing our coast and infrastructure. I was upset to attend a recent in person city council meeting and see behavior that was mean spirited and divisive by some city residents from District 1 (and it seemed some city representatives even supported this behavior). Choosing someone who professes divisiveness or a single issue or is about their self interest should not be your choice .. While someone who has beeri a long standing community member is valuable for their experience I would encourage choosing someone with new ideas and interest in collaborating for the benefit of the entire community, not a special interest group (perhaps with legal and or educational background). Thank you for your consideration and commitment to the community, Vanessa Forsythe 2177 Vista La Nisa Carlsbad CA 92009 District 4 Do the best you can until you know better. Then when you know better, do better. Maya Angelou CAUTION: Do not open attachments or click on links unless ou recognize the sender and know the content i safe. 1 Tammy Cloud-McMinn From: Council Internet Email Sent: To: Thursday, August 19, 2021 4:50 PM City Clerk Subject: FW: Vacancy for D1 -----Original Message----- From: Don Burton <djb83@netzero.net> Sent: Thursday, August 19, 2021 3:45 PM To: Council Internet Email <CityCouncil@carlsbadca.gov> Subject: Vacancy for Dl In my opinion, all candidates must disclose whether they or any family members have made financial or in- kind contributions, direct or indirect (ie via PAC or local party organization), to any current councilmembers. This process needs to be as transparent as possible. Don Burton 7450 Esfera St 760-753-7715 CAUTION: Do not open attachments or click on links unless you recognize the sender and know the content is safe. 1 Tammy Cloud -McMinn From: Sent: To: Subject: -----Original Message----- Council Internet Email Friday, August 20, 2021 9:03 AM City Clerk FW: About the vacancy From: Glenn Bernard <glennrbernard@gmail.com> Sent: Thursday, August 19, 20214:59 PM · To: Council Internet Email <CityCouncil@carlsbadca.gov> Subject: About the vacancy How much grief and confusion was there in 1975 pursuant to the replacement of the American President who resigned? Answer: none. Automatically replaced by the Vice President. Similarly, since you're already focused on a vacancy, would you please just pass an ordinance so that when vacancies occur, just go back to the most recent election, and offer the position to whoever came in second. Copy something that works, and has been around for a long time. Keep it simple, and easy whenever you can. Sent from my iPhone CAUTION: Do not open attachments or click on links unless you recognize the sender and know the content is safe. 1 Tammy Cloud-McMinn From: Sent: To: Subject: Sharon B <exclusivesportstickets@gmail.com> Saturday, August 21, 2021 12:23 PM City Clerk Character Reference for Mona Gocan Hello Council members and Mr. Hall, I'm writing to provide a character reference for Mona Gocan. She has been advocating positively for the families of Carlsbad for all the years I have known her. She .stepped up to the role of PTA President at Valley Middle School and worked tirelessly to ensure she did the job well. Mona wanted to ensure ALL families were treated fairly, no matter their socio -economic class and she would do the same on Council. We don't see many in power, especially politicians thinking past their friends and donors' needs as they focus on their own image; camera ready crafting photos-ops while serving at the soup kitchen but when the media is gone, so quickly are they. Being a big part of the PTA means countless hours volunteering without expectation of reward, other than knowing you're doing it for the kids. 1 Not only does Mona care, she sees the big picture and as she is someone who has a lot of experience in engineering she takes that scientific approach to analyzing and strategic planning of projects, executing and evaluating for effectiveness. We need creative and smart people leading our city. Mona can do the job! Thank you, Sharon Bodon Sent from my iPhone CAUTION: Do not open attachments or click on links unless ou recognize the sender and know the content i safe. 2 Tammy Cloud-McMinn From: Sent: Anghera, Shelly <sanghera@moffattnichol.com> Sunday, August 22, 2021 7:08 AM To: City Clerk Subject: Letter of support -Mona Gocan District 1 City Council vacancy Dear Council Member Selection Committee, Thank you for considering this letter of recommendation for Mona Gocan to fill City of Carlsbad District 1 City Council vacancy. I have had a personal and professional relationship with Mona for over three years, as a fellow robotic program parent, advanced mathematics tutor for my son, President of the Valley Middle School PTA, and a small woman-owned .business owner in Carlsbad. Through these three years I have continued to be impressed with Mona's energy and commitment to get stuff done. She runs her own business, cares for her family (parent, husband, and child}, and volunteers many hours to various organizations that she supports. From getting out the vote, to fund raising, to education, to her leadership as Chair of the Traffic and Mobility Commission, Mona is deeply committed to her task and very effective at getting the work completed. She motivates teams by gaining consensus on goals and then uses her project management skills to support the team's efforts on various tasks. Her professional expertise already provides value to the City and now will be leveraged to a greater extent across the various departments within the City. As she stated in her application, she is very familiar with professional services (engineering, consulting), contracting, budgets, with an understanding of the long-term commitments (both leadership and funding) needed to support larger programs designed for the next generation of Carlsbad citizens. Mona is unique in her representation as a woman and as a young professional with children in the Carlsbad School District. I think her voice will represent a very engaged and busy sector of our community. Most woman at Mona's age do not have the time to provide their voice in this forum. I am sure I speak for many busy mom's (Dante 18 and Alessandra 14}, I would like our voices to be heard in the decision making process. I have the greatest respect Mona, she is an upright, conscientious citizen that is committed to doing good things. Thank you again for considering this letter of support. Shelly Anghera Home -1173 Chestnut Ave. Office 630 Grand Ave. Shelly Anghera, PhD Coastal, Water, & Environmental Technical Director 630 Grand Avenue, Suite D I Carlsbad, CA 92008 P 657.261.2675 I M 714.296.9017 moffattnichol.com Creative People, Practical Solutions.® 111111111111111 ~ rnoffatt & nichol 000 Per Title VI of the Civil Rights Act, Moffatt & Nichol will not discriminate on the grounds of race, color, or national origin in the selection and retention of subconsultants, including procurement of materials and leases of equipment. Moffatt & Nichol will ensure that minorities will be afforded full opporlunity to present proposals and will not be discriminated against in consideration for an award. For additional information go to: http://www. moffattnichol. comlcontentlsmall-business-outreach. CAUTION: Do not open attachments or click on links unless ou recognize the sender and know the content i safe. 1 Tammy Cloud-McMinn From: Sent: To: Subject: Council Internet Email Monday, August 23, 2021 8:26 AM City Clerk FW: Council appointee should be the person best suited to represent District 1 From: Joe Sardina <Joe.Sardina@protonmail.com> Sent: Sunday, August 22, 2021 7:38 AM Subject: Council appointee should be the person best suited to represent District 1 I just read the Union Tribune summary of the process Carlsbad will use to select a Council member for District 1. Reading the description of the process you'd never know that there are 4 Carlsbad districts or that the vacancy is for District 1. As a resident of District 1, I am very dissatisfied that the process doesn't include any input from residents of the district and includes no questions specific to district 1 or why a candidate is well suited to represent me and my community of interest. I strongly oppose appointing anyone who has previously served on the Council or on a City commision. We need someone to represent the residents NOT the other Council members. I had hoped to provide some input after hearing the candidates responses but given no opportunity to do that in the process, I can only base my preference on what I know of the candidates at this point. Based on that, I very strongly favor Gary Nessim to represent me and my neighbors! Joseph Sardina 4009 Canario St 92008 {760) 445-1342 ~ Joe Sardina Sent with ProtonMail Secure Email. CAUTION: Do not open attachments or click on links unless you reco nize the sender and know the content i safe. 1 Tammy Cloud-McMinn All Receive -Agenda Item # L For the Information of the: pTYCOUNCIL Date8/~'//J)CA ✓CC ✓ CM~ACM ✓ocM (3) ✓ From: Sent: To: Cc: Caroline Bol < lacaroline@att.net> Tuesday, August 24, 2021 8:03 AM Faviola Medina Sheila Cobian; Tammy Cloud-McMinn Subject: Re: Aug. 24 Regular City Council Meeting Information (3 p.m.) Hello! Unfortunately I need to withdraw my candidacy and won't be able to participate in tonight's zoom Thank you and good luck in filling the city council seat. Best Caroline Bal Sent from my LA Bureau in iPhone .. stay healthy all! On Aug 19, 2021, at 2:35 PM, Faviola Medina <Faviola.Medina@carlsbadca.gov> wrote: Hi Caroline Bol, You are invited to a Zoom webinar. Date Time: Aug 24, 2021 03:00 PM Pacific Time (US and Canada) Topic: Aug. 24 City Council Meeting Join from a PC, Mac, iPad, iPhone or Android device: Please click this URL to join. https://carlsbadca.zoom.us/w/96008286173?tk=j7L6xivlKye391yi4SX1JTzlL8nSoJwBwBxGDPApCtQ.DQ MAAAAWWoov3RZaVnVhYUREZVFQbTl2RTNvcnhwdXZnAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA&pw d=K3ZlaEVSU2VXTWgrMm5xOHRQMnk2QT09 Note: This link should not be shared with others; it is unique to you. Passcode: 330363 Or One tap mobile: US:+1213338847~,96008286173# or+1346248779~,96008286173# Or Telephone: Dial(for higher quality, dial a number based on your current location): US: +1 213 338 8477 or +1 346 248 7799 or +1 206 337 9723 or +1 786 635 1003 or +1 312 626 6799 or +1470 381 2552 or +1646 518 9805 Webinar ID: 960 0828 6173 Participant ID: 289059 1 Ta mmy Cloud-McMinn From: Sent: To: Subject: Mercedes Martin <musicmerce@gmail.com> Monday, August 23, 2021 4:33 PM City Clerk; Manager Internet Email; Council Internet Email; Attorney Council Agenda August 24, 2021 --Support for Gary Nessim to the Vacant City Council Seat Dear Mayor and City Council Members, Please accept this letter as support for your appointment of Gary Nessim to the vacant City Council seat in District 1. I would like to recommend him for this appointment because of his years of dedication enhancing the values in Carlsbad that we all appreciate. He has been instrumental in Imagine Carlsbad, Envision Carlsbad, the Village Business Association, the Grand Promenade, Carlsbad Trail Systems, and saving the historic gazebo and moving it to McGee Park - --to name a few of his endeavors. Gary is fair, honest, listens, and learns fast. Gary would be an asset to the City and to the City Council as he works and collaborates with its members to protect the Carlsbad that we love and to help prosper it as it grows. Please consider appointing Gary Nessim to the vacant District 1 City Council seat. Thank you. Sincerely, Mercedes Martin 3715 Longview Dr, Carlsbad, CA 92010 CAUTION: Do not open attachments or click on links unless nize the sender and know the content i safe. 1 Tammy Clo ud-McMinn From: Sent: To: Subject: Tony Bona <tonybonafide@gmail.com> Monday, August 23, 2021 4:43 PM Matthew Hall; Keith Blackburn; Priya Bhat-Patel; Teresa Acosta; Scott Chadwick; Celia Brewer; City Clerk; Faviola Medina Appointment for D1 council seat Hello all -As you all reflect on the appointed position for the D1 council seat, I would like to remind you of a very rare word (accompanied with the definition): Quockerwodger A "quockerwodger" is a slang term that originated in Britain in the 1850's to describe a wooden toy figure of a person whose limbs jerk wildly when you pull the string. The meaning was extended to politicians whose strings are pulled by someone else. Just as an example, you might think of an American political figure (perhaps an orange one) whose strings are being pulled by a Russian autocrat. The origins of the word "quockerwodger" are not known . There's one unconfirmed theory that it comes from "quock," a supposed dialect term meaning "tremble or shake" (like "quake"). The only reference I could find to "wodger" described it as the detritus of the woad plant, a member of the cabbage family used to make blue dye, but "wodger" doesn't have any apparent relevant meaning in "quockerwodger." There's at least one citation in which "wodger'' is used as a slangy British shortening of "what do you" (as in "Wodger think we oughta do next, mate?"). But that would have no bearing on "quockerwodger" either. https://thewordwideweb.tumblr.com/post/155955145954/word-of-the-day-quockerwodger I sure hope that you all vote for the best candidate to represent district 1 and not the best candidate that you may have made personal back-door deals for. Please NO MORE people with encumbrances or conflicts of interest. Do the right thing and stop all the silly deals. Stop being a QUOCKERWODGER. In the end, we will all know. Also in the end, your own political career is at stake . Thank you, Anthony CAUTION: Do not open attachments or click on links unless ou reco nize the sender and know the content i safe. 1 Tammy Cloud-McMinn From: Chih-Wu Chang <chihwu.chang@gmail.com> Monday, August 23, 2021 9:25 PM Sent: To: City Clerk Subject: Selection of D1 City Council Member Dear Councilmember, I applaud you for ensuring the selection process of the Dl City Council member is transparent. And I trust you will select the most qualified candidate. I hope you will consider the following section criteria during the candidate selection process: • Supports CDC guidelines to protect school teachers and students. • Supports CDC guidelines to protect healthcare workers • Supports CDC guidelines to protect residents and small businesses • Supports SANDAG's plan to expand access and quality of public transportation, including bike lanes. • Support the existing Climate Action Plan to protect our environment. • Supports the interest of Barrio Logan, specifically the growth plan in the area, and considers affordable housing for the Latino community and working class families. • Supports the Barrio's preservation mission. • Support any effort to collaborate with local communities in executing DEi programs. • Supports the existing plan to provide affordable housing. • Supports the existing plan to help the unhoused community. Best regards, Chih-Wu Chang 6488 Paseo Vuelo Carlsbad, CA 92009 CAUTION: Do not open attachments or click on links unless 1 Tammy Cloud-McMinn From: Sent: To: Brandon Perez < brandonjperez@gmail.com > Tuesday, August 24, 2021 12:50 PM City Clerk All Receive -Agenda Item# j_ For the Information of the: CITY COUNCIL Oat~ CA .,..----cc ....::;::: iU OCM K PCM (3\ '1i ,, Subject: City Council Meeting Public Comments -08/24/2021. District 1 City Council applicants Agenda : Mona Gocan Letter of Support. I would like this message to be read during the public discussion/comments under the 8/24 City Council meeting Agenda for District 1 City Council applicants. Thank you, Brandon Perez Carlsbad Resident Hon. Matt Hall, Mayor Hon. Keith Blackburn, Councilmember Hon. Dr. Bhat-Patel, Councilmember Hon. Teresa Acosta, Councilmember City Manager -Scott Chadwick Mayor Hall and City Council Members, It is with great pleasure to write this letter of support for Mona Gocan, Chairman of the Carlsbad Traffic and Mobility Commission, for the appointment of City Council Member for the vacant District 1 seat. This appointment will require a candidate that will have to quickly get up to pace with local government processes and issues the city faces. I can not think of anyone more suited than Chair Gocan as the best fit appointee. Over the past 5 years, Chair Gocan has provided great leadership as a Commissioner to the Traffic and Mobility Commission. Her tireless work, as Chair of the commission, has created an advisory group that is a strong conduit between the voice of the citizens of Carlsbad and City Council. Under Chair Gocan's leadership, the commission has been able to successfully provide key recommendations on city improvement plans, traffic easements, city planning, traffic enforcement and pedestrian safety; all with open ears to the citizens, staff and officials of the City of Carlsbad. A champion for school safety and a proud PTA member for the Carlsbad School District, Chair Gocan was able to get off the ground the Safe Routes to School and Bike Safety Awareness programs presented by City Staff and Carlsbad Police Department. Programs to assure our children are safe walking and riding around Carlsbad. Chair Gocan's commitment to the citizens, staff and to the City of Carlsbad gets my full support for the appointment to the District 1 -City Council chair. Thank you for your time and consideration. Regards, Brandon Perez Vice-Chair Carlsbad Traffic and Mobility Commission 1 Tammy Cloud-McMinn From: Sent: To:. Subject: Hello all City Council Members, CHIH-WU CHANG <chihwu.chang@me.com> Tuesday, August 24, 2021 1 :09 PM City Clerk Appointment of D1 City Council Seat Would you please appoint an individual who can stand up and speak up against bullying and harassment towards any City Council Member? And the individual needs to work with the local community to ensure diversity and inclusion in the city government. Best regards, Chih-Wu Chang 6488 Paseo Vuelo Carlsbad, CA 92009 CAUTION: Do not open attachments or click on links unless you recognize the sender and know the content is safe. 1 • What policies do you feel would be most effective in balancing the need for growth with maintaining the community’s character? Question 1 {city of Carlsbad • What do you think the City of Carlsbad’s role should be in addressing the problem of homelessness? Question 2 {city of Carlsbad • What policies would you recommend to ensure Carlsbad’s coastline can be enjoyed by residents for generations to come? Question 3 {city of Carlsbad • District 1 residents submitted many topics they would like to see addressed. How would you decide where to focus given your limited time in office? Question 4 {city of Carlsbad A local resident business owner in your district has submitted an application seeking approval for a gas station with a convenience store as part of a new development that includes both commercial and residential uses. The gas station is an allowable use subject to a conditional use permit. Several residents in your district have raised concerns about the gas station’s traffic, health and safety, land use, and aesthetic impacts. Analyses have concluded the gas station would not create negative impacts in these areas of concern. How would you go about making a decision on the local resident business owner’s application? Question 5 Email 1 ~~ b-P.an l lniffi-ti"1'1 Fmim '1'tm SIIJiedi DIie 'Ti'i ~r ~~~JO :12:'" lP1'd ~ &e are my fuFi 3 choices based on the mren.riews: 1.~·Nessim :t Peder , o]by 3. Ryan Vamglm Pri.ya Bhat-Paf~l Counciil Member District 3 ~ of CaJltbad 1100 Carlsba.d Village DI. Carls'ba.GL CA ~J:~O@B WtiW,carldmdca.gov Email 2 'i cIHoes are 1 Ryan Va1.r~nan 2. Kar~ Schwarm 3.. Pe der N o:Mbv Terr-esa hom: Oi ert @ca m ad ca..gov> Sent: Tuesd a y" Augus 2 4.r 2021 2 :4 5 M C.c: Sheila Co ian <Sl'teila .Cob:ian.@car~sba dca gov> Subjed: Rep D rnai I for !Ra king T op• 9, isttri dI 1 c.c:r.un□il Ap ca Ga11-d Aftenno<r1 .r Email 3Fn)inl !OJ rrmr Rim~ :t Dt$ti:lct 1 ~ ~IJ(:llflm tCO SillijfCt:i f.lliteil 11'l~r .....,_~ ~ !§:~@ IPiM 1 Peeler orby 2 julie ygaa.TO 3 Mmk Padkarn Sent fmm .my Verim:~ Samsung Gdaxy smmphone Get Outlook fo r Android lF.rom: Oitv en <Oert@cartsbad ca,g-0¥> Sent: Truresday.i ~gust 24r 2021 2 :45:0i P I[£: .S:nei la Ccbian <Sneiladl::obial'l@car l:ibadc:a .gov> Subject: Reca k Rep 'to Emai'J foli art in.g Top 3 Dis1:mictt Co c:i Ap p icamts City 01.ed-: would like to J'e.cali themes.sag~ "hplyto E.ro a~J :Fm:Ra:mkiog Top 1 Disb:ri.d 1 Cmmcil Appliem1s•_ Email 4 ~Pacl::a.rd PedeT mtby Mmm Gocan Get Ourtlaok fu r iOS Top 3 Peder Norby Mark Packard Ryan Vaughn Total Votes {city of Carlsbad