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Davison, James - Assuming Office 2019-04-03 City of Pismo Beach CALIFORNIA FORM 70® STATEMENT OF ECONOMIC INTERESTS DCltyir } ceived as FAIR POLITICAL PRACTICES COMMISSION -COVER PAGE APR0 3 2019 ''''?LT.se type or print in ink. A PUBLIC DOCUMENT . . Received i OF FILER (LAST) (FIRST) (MIDDLE) rgvr.S . . c INNe.5 . . b 1. Office, Agency; or Court . Agency Name ( c: not use acronyms) .. Con -Cre�c 4 Visi or i�urec IJoa.rC�- • eci . • .. Division; Board, Department, 'strict, applicable . .. Your Position ilry S V►'1 o `.J ectc 1.(1 : o. If fling for multiple positions, listbelow or on an attachment; (DO not use acronyms). Agency: . Position: 2. Jurisdiction of Office (Check at least one box) ❑State 0 Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County . _. • 0 County of n XCity of e-5 01 d l,eci,c_.� : . ❑Other . 3. Type Of Statement (Check at least one box) 0 Annual: The period covered is January 1, 2018,through. 0 Leaving Office: Date Left December 31, 2018. (Check one circle.) -Or- - , The period covered is 1 l , through 0 The period covered is January 1, 2018,. through the date of December 31, 2018. -or-leaving office. I Assuming Office:. Date assumed ,' Z0I• f 0 The period covered is—J ,through the date of leaving office. - - • 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: :_ Schedules attached • Schedule A-1 -Investments–schedule attached CKSchedule C=Income, Loans,&Business Positions-schedule attached ❑ Schedule A-2=Investments-schedule attached 0 Schedule D:-Income–Gifts-schedule attached ❑ Schedule B-Real Property–schedule attached ❑Schedule E=Income–Gifts-Travel Payments–schedule attached -or- .0 Nope- No reportable interests onany schedule 5. Verification . - . : . . MAILING ADDRESS STREET .CITY STATE ZIP CODE (Business or Agency Address Recommended-Public Document) DAYTIME TELEPHONE NUMBER EMAIL ADDRESS . 1 ii 1 I ( T 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 foreg i.' rue and corritc Date Signed: .3^3.i-1 1 : Signature �.. (month,day year) (File the originally signed paper statement with your filingofficial.) FPPC Form 700(2018/2019) FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov Page-5 SCHEDULE C CALIFORNIA FORM 700 Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name i (Other than Gifts and Travel Payments) ®tet VISoI^ ► 1. INCOME RECEIVED. ► 1. INCOME RECEIVED NAME SOURCE OF INCOME NAME OF SOURCE OF INCOME PC i t:C C4 l-take\ ( pVn r/ ADDRESS (Business Address Acceptable) I ADDRESS (Business Address Acceptable) 100 5F-,tvv5on Ave, P76ectri► cA 73/ BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION YOUR BUSINESS POSITION 6cenecak McorDer GROSS INCOME RECEIVED ❑No Income-Business Position Only GROSS INCOME RECEIVED ❑No Income-Business Position Only ❑ $500.-$1,000 ❑ $1,001 -$10,000 El$500-$1,000 ❑ $1,001 -$10,000 ❑ $10,001 -$100,000 X OVER$100,000 ❑ $10,001 -$100,000 ❑OVER$100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary . ❑ Spouse's or registered domestic partner's income ❑ Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) ❑ Partnership(Less than 10%ownership. For 10%or greater use ❑ Partnership(Less than 10%ownership. For 10%or greater use Schedule A-2.) Schedule A-2.) ❑ Sale of ❑ Sale of (Real property,car,boat,etc.) (Real property,car,boat,etc.) ❑ Loan repayment ❑ Loan repayment 'I ❑ Commission or ❑ Rental Income,list each source of$10,000 or more ❑ Commission or ❑ Rental Income,list each source of$10,000 or more (Describe) (Describe) ❑ Other ❑ Other (Describe) (Describe) I. 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* INTEREST RATE TERM (Months/Years) % ❑ None ADDRESS(Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence ❑ Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500-$1,000 City ❑ $1,001 -$10,000 El Guarantor El $10,001 -$100,000 ❑ OVER$100,000 ❑ Other ` (Describe) I ---- Comments: FPPC Form 700(2018/2019) FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov Page-13