CALIFORNIA FORM 700 StAtement Of eCOnOmiC intereStS · FPPC Advice Email: [email protected] FPPC...

LeavingOffice: Date Left / / (Check one)

The period covered is January 1, 2016, through the date of leaving office.

The period covered is / / , through the date of leaving office.

Annual: The period covered is January 1, 2016, through December 31, 2016.

The period covered is / / , through December 31, 2016.

StAtementOfeCOnOmiC intereStS

COverPAge

FPPC Form 700 (2016/2017)FPPC Advice Email: [email protected]

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

I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document.

icertifyunderpenaltyofperjuryunder the lawsof theStateofCalifornia that the foregoing is trueandcorrect.

DateSigned (month, day, year)

3. typeofStatement (Check at least one box)

State Judge or Court Commissioner (Statewide Jurisdiction)

Multi-County County of

City of Other

2. JurisdictionofOffice (Check at least one box)

Candidate: Election year and office sought, if different than Part 1:

AssumingOffice: Date assumed / /

Date InitialFilingReceivedOfficial Use Only

Please type or print in ink.

700FAIr POLITICAL PrACTICES COMMISSION

CALIFORNIA FORM

Agency Name (Do not use acronyms)

Division, board, Department, District, if applicable Your Position

1.Office,Agency,orCourt

nAmeOffiLer (LASt) (firSt) (miDDLe)

MAiLiNg ADDrESS STrEET CiTY STATE ZiP CODE

( )DAYTiME TELEPhONE NuMbEr E-MAiL ADDrESS

(Business or Agency Address Recommended - Public Document)

Signature (File the originally signed statement with your filing official.)

5.verification

A PuBLIC DOCuMENT

► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)

Agency: Position:

-or-

-or-

None - No reportable interests on any schedule

4. ScheduleSummary(mustcomplete)Schedules attached

ScheduleA-1 - Investments – schedule attached ScheduleA-2 - Investments – schedule attached ScheduleB- Real Property – schedule attached

► Total number of pages including this cover page:

-or-

ScheduleC- Income, Loans, & Business Positions – schedule attached ScheduleD- Income – Gifts – schedule attached Schedulee - Income – Gifts – Travel Payments – schedule attached

Minor Lloyd B

California Institute of Regenerative Medicine

ICOC Board Member

✘

7

✘ ✘

291 Campus Dr Stanford CA 94305-5101

650 724-5688 [email protected]

03/29/2017 12:50 PM

✘

Filed Date: 03/29/2017 12:50 PMSAN: FPPC

Electronic Submission

IFAPPLICABLE,LISTDATE:

/ / / / ACQuIRED DISPOSED











16 16 16 16

1616

161616

Name

►NAMEOFBuSINESSENTITY

GENERALDESCRIPTIONOFTHISBuSINESS











Comments:

SChEDuLE A-1Investments

Stocks,Bonds,andOther Interests(Ownership Interest isLessThan10%)

Do not attach brokerage or financial statements.


CALIFORNIA FORM

FPPC Form 700 (2016/2017) Sch. A-1FPPC Advice Email: [email protected]


FAIRMARKETvALuE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000






16

NATuREOF INvESTMENT Stock Other

(Describe) Partnership IncomeReceived of $0 - $499

IncomeReceivedof$500orMore (Report on Schedule C)


(Describe) Partnership IncomeReceivedof$0 -$499














1616

Lloyd Minor

AETNA INC NEW

Healthcare

✘

✘

16 16

ALPHABET INC CL A

Technology

✘

✘

16 16

APPLE INC

Technology

✘

✘

16 16

CDW CORP

Technology

✘

✘

16 16

CISCO SYSTEMS INC

Technology

✘

✘

16 16

COMCAST CORP CL A NEW

Communications

✘

✘

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Lloyd Minor

DANAHER CORP

Industrials

✘

✘

16 16

FACEBOOK INC CL A

Technology

✘

✘

16 16

GENERAL ELECTRIC COMPANY

Industrials

✘

✘

07 28 16 16

HANESBRANDS INC

Consumer Cyclical

✘

✘

16 16

HP INC

Technology

✘

✘

16 16

INGERSOLL RAND PLC

Industrials

✘

✘

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Lloyd Minor

NATIONAL RETAIL * PROPERTIES INC

Real Estate

✘

✘

16 16

PAYPAL HOLDINGS INC

Financial

✘

✘

11 08 16 16

PNC FINANCIAL SERVICES GROUP INC

Financial

✘

✘

16 16

THERMO FISHER SCIENTIFIC INC

Healthcare

✘

✘

16 16

VERIZON COMMUNICATIONS INC

Communications

✘

✘

16 16

VISA INC CLASS A

Financial

✘

✘

16 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Lloyd Minor

Ameteck Inc.

Industrials

✘

✘

16 01 13 16

Entergy Ar Inc.

Utilities

✘

✘

16 09 15 16

Linkedin Corp

Technology

✘

✘

16 06 13 16

Nvidia Corp

Technology

✘

✘

16 01 06 16

Nvidia Corp

Technology

✘

✘

16 05 19 16

Nvidia Corp

Technology

✘

✘

16 08 09 16













16 16 16 16

1616

161616

Name













Comments:





CALIFORNIA FORM









16



















1616

Lloyd Minor

Visa Inc.

Financial

✘

✘

16 01 22 16

Slow Ventures IIIA, LP

Venture Capital

✘

✘Other

11 09 16 16

16 16

16 16

16 16

16 16

FPPC Form 700 (2016/2017) Sch. CFPPC Advice Email: [email protected]


(Real property, car, boat, etc.) (Real property, car, boat, etc.)

SChEDuLE CIncome, Loans, & Business

Positions(Other than Gifts and Travel Payments)

GROSSINCOMERECEIvED No Income - Business Position Only No Income - Business Position OnlyGROSSINCOMERECEIvED

Name

OvER$100,000 OvER$100,000 $500 - $1,000 $500 - $1,000 $1,001 - $10,000 $1,001 - $10,000

$10,001 - $100,000 $10,001 - $100,000


CALIFORNIA FORM

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME

ADDRESS (Business Address Acceptable)

BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION

► 1. INCOME rECEIVED NAMEOFSOuRCEOF INCOME


BuSINESSACTIvITY, IFANY,OFSOuRCE

YOuRBuSINESSPOSITION

NAME OF LENDER*


BuSINESSACTIvITY, IFANY,OFLENDER

INTERESTRATE TERM(Months/Years)

% None

HIGHESTBALANCEDuRINGREPORTINGPERIOD

$500 - $1,000

$1,001 - $10,000

$10,001 - $100,000

OvER$100,000

Comments:

► 2. LOANS rECEIVED Or OuTSTANDING DurING ThE rEPOrTING PErIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retailinstallmentorcreditcardtransaction,madeinthelender’sregularcourseofbusinessontermsavailabletomembersofthepublicwithoutregardtoyourofficialstatus.Personalloansandloansreceivednotinalender’sregular course of business must be disclosed as follows:

SECuRITYFORLOAN

None Personal residence

Real Property

Guarantor

Other

Street address

City

(Describe)

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other

CONSIDERATIONFORWHICHINCOMEWASRECEIvED Salary Spouse’sor registereddomesticpartner’s income

(For self-employed use Schedule A-2.)

Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)

Sale of

Other

(Describe) (Describe)

(Describe) (Describe)

Rental Income, list each source of $10,000 or more Rental Income, list each source of $10,000 or moreCommission or Commission or

Loan repayment Loan repayment

Lloyd Minor

Stanford University

3145 Porter Drive

University

Dean, Medical School

✘

✘

Johns Hopkins University

Keswick Road

University

Retiree

✘

✘Tuition Benefit for Dependent Children

Monday,April10,2017at2:41:03PMPacificDaylightTimeAmyCheung

Page1of1

Subject: No#fica#on-YourSubmi1edForm700Date: Wednesday,March29,2017at12:50:44PMPacificDaylightTimeFrom: [email protected]: LloydBMinorCC: MariaBonneville,AmyCheung

Dear Lloyd Minor, Congratulations! Your Statement of Economic Interest, Form 700 has been successfully filedwith our office on 03/29/2017 12:50 PM.

Electronic Confirmation #: 6612

Agency: California Institute of Regenerative MedicinePosition: ICOC Board MemberFiling Type: AnnualFiling Year: 2016Number of pages: 7

If you need to view, print or amend your filed form, a copy of your filing has been saved in yourprofile under 'Previous Filings' in the eDisclosure System. Hope you enjoyed your online filing experience. System Logon Link: https://form700.fppc.ca.gov/

https://form700.fppc.ca.gov/

CALIFORNIA FORM 700 StAtement Of eCOnOmiC intereStS · FPPC Advice Email: [email protected] FPPC...

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