R Cook Paul
R Cook Paul
R Cook Paul
Agency: Position:
o Cily of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Olher _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
3. Type of Statement (Check at least one box)
~ Annual: The period covered is January 1. 2010. through December 31, o Leaving Office: Date Left -----1-----1_ _
2010. (Check one)
-or-
The period covered is -----1-----1_ _ , through December 31, o The period covered is January 1, 2010, through the dale of
2010, leaving office.
o Assuming Office: Date -----1-----1_ _ o The period covered is -----1-----1_ _, through the date
of leaving office.
4. Schedule Summary
Check applicable schedules or "None."
8_
,... Total number of pages including this cover page: _ _
~ Schedule A·1 • Investments - sChedule atlached o Schedule C • Income, Loans, & Business Positions - schedule attached
o Schedule A·2 • Inveslments - schedule attached ~ Schedule 0 • Income - Giffs - schedule allached
~ Schedule B • Real Property - schedule attached ~ Schedule E • Income - Giffs - Travel Payments - schedule allached
-or-
O None· No reportable interests on any schedule
I certify under penalty of perjury under the laws of the State of California that t
Stock - Pharmacy
FAIR MARKET VALUE FAIR MARKET VALUE
D 52,000· $10,000 [gl $10,001 - $100,000 0$2,000 - S10,000 o $10,001 - S100,000
D $100,001 - $1,000,000 DOver $1,000,000 0$100,001 - $1,000.000 DOver $1,000,000
Comments: ________________________________________________________________________________________
FPPC Form 700 (201012011) Sch. A-1
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) Paul Cook
Parcel # 058901177
~---==========
... STREET ADDRESS OR PRECISE LOCATION
Parcel # 058901178
CITY CITY
o Leasehold ---:-c-----:-- 0 - - - = - - - -
Yrs. remaining Other
o Leasehold ---:-c----,-,--- 0 - - = - - - -
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o SO· $499 0 $5QO - $1,000 0 $1,001 - $10,000 o SO - $499 D $500 - $1,000 0 $1,001 - $10,000
0$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, list 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 $10,000 or more.
* 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:
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
o $10,001 - $100,000 DOVER $100,000 o $10,001 - $100,000 DOVER $100,000
Comments: ______________________________________________________________________________________
FPPC Form 700 (201012011) Sch. B
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) Paul Cook
... STREET ADDRESS OR PRECISE LOCATION ... STREET ADDRESS OR PRECISE LOCATION
o Leasehold - : c - - _ : - -
Yrs. remaining
0 - - -Other
,---- o Leasehold - : - : - - _ : - -
Yrs. remaining
0---= -----
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
o SO - $499 o $500 - $1,000 o $1,001 - $10,000 D $0 - $499 D $500 - $1,000 0 $1,001 - $10,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list 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 S10,000 or more.
* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business oh 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:
_ _ _ _% o None _ _ _ _% o None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 D $1,001· $10,000 D $500 - $1,000 0$1,001 - $10,000
Comments: _______________________________________________________________________________________
1095 Barona Rd, Lakeside, CA 92040 California State Capitol, Sacramento, CA 95814
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)
---.1---.1_ $, _ _ __ ---.1---.1_ $ _ _ __
1215 K St., Ste. 1400, Sacramento, CA 95814 157 E. Merritt Ave, Tulare, CA 93274
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmfdd/yy) VALUE DESCRIPTION OF GIFT{S) DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)
---.1---.1_ $ _ _ __ ---.1---.1_ $, _ _ __
$ $
1000 G Street, Ste 230, Sacramento, CA 95814 1215 K St., Ste. 1733, Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
---.1---.1_ $ _ __ ---.1---.1__ $ _ _ __
Comments: __________________________________________________________________________________
900 University Ave., Riverside, CA 92521 P.O. Box 6609, Eaglewood, CO 80155
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S)
----1----1_ $, _ _ __
California Correctional Peace Officers Association Roll International Corporation and Affiliates
ADDRESS (Business Address Acceptable) ADDRESS (Btlsiness Address Acceptable)
755 Riverpoint Dr., West Sacramento, CA 95605 11444 W. Olympic Blvd., Los Angeles, CA 90064
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddfyy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF G1FT(S)
~~~ $,_----'.3-'-0."-0-'-0 Food & Beverage E.L2~~ $_---"12::.:..o.00=_ Holiday Gift Box
$ $
DATE (mm/ddfyy) VALUE DESCR)PTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
Comments: __________________________________________________________________________________
333 W. Santa Ana Blvd, 3rd Floor, Santa Ana, CA 6075 Kimball Ave, Bldg A, Chino, CA 91708
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY. IF ANY, OF SOURCE
DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)
~~~ 14~.~94_
$,____ Food & Beverage ~~~ $_----=.0:.:,.5.'-4 Food & Beverage
---.l---.l_ $ _ _ _ __
---.l---.l_ $. _ _ _ __ ---.l---.l_ $ _ _ _ __
1521 I St, Sacramento, CA 95814 P.O. Box 8291, Huntington Beach, CA 92615
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddfyy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)
$------- $
777 S Figueroa St, Ste 4050, Los Angeles, CA 90017 4 Country View Rd, Malvern, PA 19355
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT{S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)
---.l---.l_ $ _ _ _ _ __ ---.l---.l_ $ _ _ _ _ __
---.l---.l_ $ _ _ _ __ ---.l---.l_ $ _ _ _ __
Comments; __________________________________________________________________________________
SCHEDULE E
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Sacramento, CA Folsom, CA
BUSINESS ACTIVIlY, IF ANY, OF SOURCE D 501 (e)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (e)(3)
DATE(S), ~~~ _~~~ AMT, $, _ _~1~,1-.:::0::0'' :0::0 DATE(S) J2J~~ _J2JJ2J~ AMT $;_ _--=3:=2:::3"--7-=-2
(If applicable) (If applicable)
TYPE OF PAYMENT: (must check one) [8] Gift 0 Income TYPE OF PAYMENT: (must check one) ~ Gift D Income
DESCRIPTION, Ontario Airport parking while on legislative DESCRIPTION, Served on panel for Conference
bUSiness
BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (e)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (e)(3)
TYPE OF PAYMENT: (must check one) ~ Gift 0 Income TYPE OF PAYMENT: (must check one) 0 Gift D Income
Comments: ___________________________________________________________________________________