CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Offici{Jf UstJ Only

FAIR POLlTIc,,"L PRACTICES COMMISSION

A PUBLIC DOCUMENT COVER PAGE MAR -·1 2011

Please type or print in ink. BY: ii,
NAME OF FILER (LAST) (FIRST) (MIDDLE)

Perea Henry T.
1. Office, Agency, or Court
Agency Name
CA State Assembly
Division, Board, Department, Distric!. if applicable Your Position

31st Assembly District Assemblymember

III- If filing for multiple positions, list below or on an attachment.

Agency: Position:

2, Jurisdiction of Office (Check at least one box)

~State D Judge (Statewide Jurisdiction) '"
=
D Mulli-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ o County of _ _ _ _ _ _ _ _ _ _ _~=-~.';_._,.
:0- ._
_
DCilyof _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ D Olher _ _ _ _ _ _ _ _ _ _ _ _..::;;;:J-i'----T',:....'c.--7'.
t ,,.. ~,

,
3, Type of Statement (Check at least one box)
;--

D Leaving Office: Date Left ------1------1__ ~-

2? -- .
~ Annual: The period covered is January 1, 2010, through December 31, . ~..:

2010. ·or·
(Check one) .r-
The period covered is ------1------1_ _, through December 31, o The period covered is January 1, 2010, throughcttw daieof
2010. leaving office. l.D

D Assuming Office: Date ------1------1_ _ o The period covered is ------1------1_ _, through the date~
of leaving office.

D Candidate: Election Year _ _ _ _ __ Office sought, if different than Part 1: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

4. Schedule Summary
Check applicable schedules or "None," • Total number of pages including this cover page: __6,-_

D Schedule A·1 • Inveslmenls - schedule altached ~ Schedule C • Income, Loans, & Business Posilions - schedule altached
D Schedule A·2 • Inveslmenls - schedule altached ~ Schedule 0 • Income - Giffs - schedule altached
~ Schedule 8 . Real Properly - schedule altached ~ Schedule E • Income - Giffs - Travel Paymenls - schedule altached

~or·

D None· No reportable interests on any schedule

1certify under penalty of perjury under the laws of the State of California that ⁡‱⁴⁾⁲⁲⁥⁣⁴‫†‮‬

Date Signed _ _ _ _."03.:.,';0-0-:;:1',-'2..:.0,,,1,:...1____

(month, day, year)
Signature ‭‭‭‱‫※※※‬※⁩⁨⁾⁾‮‮‮‮‮››‮‬‭⁩⁖⁩⁩″›※⁦‫†※‮‬

•‧•‧※※※※⁴※※※⁕※⁖⁾※※※⁧⁩⁩⁤‫⁊⁩‮‬‭‭‭
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION

Name
Interests in Real Property
(Including Rental Income) Henry T. Perea

... STREET ADDRESS OR PRECISE LOCATION ... STREET ADDRESS OR PRECISE LOCATION

646 E. Beverly Way

CITY CITY

Fresno, CA 93704
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000 052,000 - $10,000
o $10,001 - $100,000 D $10,001 - $100,000
~ $100,001 - $1,000,000 ACQUIRED DISPOSED
o $100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver 51,000,000

NATURE OF INTEREST NATURE OF INTEREST

181 Ownership/Deed of Trust o Easement D OwnershiplDeed of Trust D Easement

o Leasehold - - : : - - : - - -
Yrs. remaining
D ----,::::----
Other
D Leasehold - - - - - -
Yrs. remaining
D-- ----
Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

0$0 - $499 0 $500 - $1,000 0 $1,001 - $10,000 D $0 - $499 D $500 - S1.000 D $1.001 - $10.000

~ $10,001 - $100,000 DOVER $100,000 o $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, Jist the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more. income of $1~,OOO or more.

Maria Trevino

* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status. Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* 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 (MonthsIYears) INTEREST RATE TERM (MonlhsfYears)

----'% D None ----.0/0 D None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000 D $1,001 - $10,000 D $500 - 51.000 D $1,001 - $10,000

D $10,001 - $100,000 DOVER $100.000 D $10,001 - 5100,000 DOVER $100,000

D Guarantor, jf applicable D Guarantor, if applicable

/"

Commenffi: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____
FPPC Form 700 (2010/2011) Sch. B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Henry T. Perea

,.. 1. INCOME RECEIVED .... 1. INCOME A.ECEIVED

NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME

Economic Opportunities Commission

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1920 Mariposa Mall, #300, Fresno, CA 93721

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Nonprofit Organization
YOUR BUSINESS POSITION YOUR BUSINESS POSITION

GROSS INCOME RECEIVED GROSS INCOME RECEIVED

0$500 - $1,000 D $1,001 - $10,000 D $500 - $1,000 D $1,001 - $10,000
[8J $10,001 - $100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary ~ Spouse's or registered domestic partner's income D Salary D Spouse's or registered domestic partner's income
D Loan repayment D Partnership D Loan repayment D Partnership

D Sale 0' _ _ _ _ _ _=,,-:-_...,.....,...,....,______ D Sale of -------;;c==-==:-:c".,.------

(Propelty, cat; boat, etc.) (Property. car. boat. etc.)

D Commission or o Rental Income, Irst each source of $10,000 or more D Commission or o Rental Income, tist each source of $10,000 or more

D Olhe' _ _ _ _ _ _ _ -,;;==_______
(Describe)
D Olhe' _ _ _ _ _ _ _ -,;;==_______
(QesClibe)

... 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your 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 (MonthslYears)

_ _ _ _% DNone
ADDRESS (Business Address Acceptable)

SECURITY FOR LOAN

BUSINESS ACTIVITY, IF ANY, OF LENDER D None D Personal residence

D Real Property _ _ _ _ _ _--,===::-______

Street address
HIGHEST BALANCE DURING REPORTING PERIOD

D $500 - $1,000 City

D $1,001 - $10,000 o Guarantor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
D $10,001 - $100,000
DOVER $100,000 D Othe' _ _ _ _ _ _ _ --;;;==_______
(Describe)

Comments:

FPPC Form 700 (2010/2011) Sch. c

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Name
Income - Gifts
Henry T. Perea

.... NAME OF SOURCE ... NAME OF SOURCE

League of CA Cities- Latino Caucus CA Restaurant Association

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

770 L Street, #1030, Sacramento, CA 95814 621 Capitol Mall, Suite 2000, Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

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

~~_L2~~ $ 103.00 Board Dinner ~~~ $ 100.00 Awards Dinner Tickets

---1---1_ S-$_ __

---1---1_ $ _ _ __ ---1---1_ S-$_ __

... NAME OF SOURCE II-- NAME OF SOURCE

Chuckchansi Economic Development Authority California State University, Fresno

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

46575 Road 417 Bid, Coarsegold, CA 93614 2771 E. Shaw Ave, Fresno, CA 93710
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Economic Development N/A

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

~~~ $, _ _4:.;:0:..:..10,,- Dinner ~~~ $ 420.00 Event Ticket

~~~ $,_....:8:.;:0:.:..00"- Event Tickets ---1---1_ S-S_ __

$, _ _ __ $

... NAME OF SOURCE II-- NAME OF SOURCE

International Brotherhood Electrical Workers- IBEW Save Mart Supermarkets

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1921 N. Gateway Blvd, #120, Fresno, CA 93727 P.O. Box 4278, Modesto, CA 95352
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Electrical Union Grocer

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

~~~ $ 150.00 Labor Leader of Year ~~~ $_-,5-,-0_'0_0 Fresno State of the

---1---1_ $ _ __ Dinner ---1---1_ $ _ _ __ City Address

---1---1_ $ _ _ __ ---1---1_ $ _ _ __

Commen~: ____________________________________________________________________________________

FPPC Form 700 (2010/2011) Sch. D

FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Name
Income - Gifts
Henry T. Perea

~ NAME OF SOURCE III- NAME OF SOURCE

AT&T Speaker John A. Perez for Assembly

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

555 E. Olive, Room B 162, Fresno, CA 93727 777 S. Figueroa Street, Suite 4050, L.A., CA 90017
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Utilities N/A
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/ddJyy) VALUE DESCRIPTION OF GIFT(S)

~~~ $_--=5:..::0.:..:.0-=-0 Reaching American .E..J~~ $ 110.00 Leather Portfolio

.....-.J.....-.J_ $ _ _ __ Dream Awards Dinner

.....-.J.....-.J_ $ _ _ __ .....-.J.....-.J_ $ _ _ __

III- NAME OF SOURCE III- NAME OF SOURCE

Fresno Leading Young Professionals- FYLP

ADDRESS (Business Address Acceptable) ADDRESS (Busines~ Address Acceptable)

Fresno, CA
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

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

..1!0E..J~ $_--=5:..::0.:..:.0-=-0 Award Banquet

.....-.J.....-.J_ $ _ _ __

$ $

.... NAME OF SOURCE to- NAME OF SOURCE

CA Democratic Party
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1401 21st Street, Suite 200, Sacramento, CA 95811

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

N/A
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT{S) DATE (mmfdd/yy) VALUE DESCRIPTION OF GIFT(S}

Swearing-In Reception

.....-.J.....-.J_ $,_ _ __

.....-.J.....-.J_ $,_ _ __

Comments: ___________________________________________________________________________________

FPPC Form 700 (2010/2011) Sch. 0

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE E
CALIFORNIA FORM
FAIR POLITICAl.. PRACTICES COMMISSION
700
Income - Gifts Name
Travel Payments, Advances, Henry T. Perea
and Reimbursements

• Reminder - you must mark the gift or income box.

• You are not required to report income from government agencies.
• You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3)
organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit.

,.. NAME OF SOURCE ,.. NAME OF SOURCE

League of CA Cities EdVoice

ADDRESS (Business Address Acceptable) ADDR,ESS (Business Address Acceptable)

1400 K Street, 4th Floor 1400 K Street

CITY AND STATE CITY AND STATE

Sacramento, CA 95814 Sacramento, CA 95814

BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (e)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE [g] 501 (e)(3)
Board of Directors Meetings Nonprofit Organization

OATE(S), ---1---1_ - ---1---1_ AMT, $_ _ _953.80

':":-=':'" DATE(S), 07 1 20 I...!Q. _ 07 I~...!Q. AMT, $,_ _ _3_6_3._4_6
(If applicable) (If applicable)

TYPE OF PAYMENT: (must check one) 0 Gift 181 Income TYPE OF PAYMENT: (must check one) [g] Gift 0 Income

DESCRIPTION, Transportation! Lodging! Meals for Board DESCRIPTION, Transportation! Lodging! Meals for Institute

of Directors Meetings Symposium

,.. NAME OF SOURCE .. NAME OF SOURCE

CA Issues Forum CA Foundation on the Environ and the Econ- CFEE

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1717 I Street Pier 35, Suite 202

CITY AND STATE CITY AND STATE

Sacramento, CA 95811 San Francisco, CA 94133

BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (e)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE [g] 501 (e)(3)

Nonprofit Organization Nonprofit Organization

DATE(S), ~~...!Q. _~~...!Q. AMT, $, _ _-=9.=2.::.:5.",0.:..0 DATE(S),.2!lJ 03 I...!Q. _ .2!lJ 05 J.Q. AMT,
1 $._ _----'4..::5-=-9."'8.:...9
(If applicable) (If applicable)

TYPE OF PAYMENT, (must check one) [g] Gift D Income TYPE OF PAYMENT: (must check one) ~ Gift D Income

DESCRIPTION, Transportation! Lodging! Meals provided DESCRIPTION, Transportation! Lodging! Meals for
for panel discussion regarding the roundtable workshops on CA's water
Legislatures priorities in 2011 supply

Commenw: _______________________________________________________________________________

FPPC Form 700 (201012011) Sch. E

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