COVER PAGE FEB 13 2015 LARAYNE CI~ · FEB 13 2015 (FIRST) LARAYNE CI~ ~.~ Agency Name (Do nof use...

Please type or print in ink.

NAME OF FILER

1. Office, Agency, or Court

STATEMENT OF ECONOMIC INTERESTS

COVER PAGE

RECEIVED TULARE CO 8U Q~ OURT , ,

FEB 13 2015

(FIRST)

LARAYNE CI~ ~.~

Agency Name (Do nof use acronyms)

Tulare County Superior Court

Division, Board, Department, District, if applicable

Visalia Division, Dept. 7

Your Position

Judge

~ If filing for multiple positions, list below or on an attachmenL (Do not use acronyms)

Tulare County Law Library Board Agency:

Member Position:

Jurisdiction of Office (Check at least one box)

[] State

[] Multi-County

[] Judge or Court Commissioner (Statewide Jurisdiction)

[] County of

[] City of [] Other

Type of Statement (Check at least one box)

[] Annual: ]’he pedod covered is January 1, 2014, through December 31, 2014.

The period covered is __].__J. December 31, 2014.

[] Assuming Office: Date assumed I I

., through

[] Leaving Office: Date Left I I (Check one)

O The period covered is January 1, 2014, through the date of leaving office.

O The period covered is I I . through the date of leaving office.

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

Schedule Summary Check applicable schedules or "None." ¯ Total number of pages including this cover page:

[] Schedule A-I -/nvestments - schedule attached

[] Schedule A-2 -/nvestments - schedule attached

[] Schedule B - Real Properly - schedule attached

[] Schedule C - Income, Loans, & Business Positions - schedule attached

[] Schedule D -/ncome - Gifts - schedule attached

[] Schedule E - Income - Gifts - Travel Payments - schedule attached

,.or.

[] None - No reportable interests on any schedule

I certify under penalty of perjury under the laws of the State of California t

Date Signed . ~-/1"~ /i~

(rroeh, d~, yea~

FPPC Advice Emaih [email protected] FPPC Toll-Free Helpline: 866/275-3772 www.fppc.r.a.gov

SCHEDULE A-1 Investments

Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%)

Do not attach brokerage or financial statements.

Name

NAME OF BUSINESS ENTITY

See Attached Schedule GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

[] $2,000 - $10,000

[] $100,001 - $1,000,000

[] $10,001 - $100,000

[] Over $1,000,000

NATURE OF INVESTMENT

[] Stock [] Other (Describe)

[] Partnership O Income Received of $0 - $499


GENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

[]$2,ooo- $1o, ooo []$ioo,ooi - $1,oo0,ooo

[--1510,001 - $100,000

[]Over $1.000,000


[] Stock [] Other (Des~be)

[] Partnership O Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE:

I i 14 / i t4 ACQUIRED DISPOSED



FAIR MARKET VALUE

[]$2,000 - $10,000 []$100,001 - $1,000.000


[] Stock [] Other

[]$10,001 - $100,000

~]Over $1.000.000

(Deschbe) [] Partnership O Income Received of $0 - $499

O Income Received of $500 or More (Repod on Schedu/e C)

IF APPLICABLE. LIST DATE:

I , / 14 / / 14 ACQUIRED DISPOSED



FAIR MARKET VALUE

[] S2,000 - [] $100,001 - $1,000,000

[]$10,001 - $100,000 []Over $1.000,000


(Desmbe) [] Partnership O Income Received of $0 - $499

O Income Received of $500 or More (Report on Schedule C)


/ / 14 / / 14 ACQUIRED DISPOSED

0 Income Received of $500 or More (Report on Schedule


/ , / t4 I i 14 ACQUIRED DISPOSED



FAIR MARKET VALUE

[]$2.000 - $10,000 []$IOO,OOl - $1,ooo,ooo

1"~$10,001 - $100,000

[’-]Over $1,000,000


[] Stock [] Other (Describe)

[] Partnership (~ Income Received of $0 - $499 (~) Income Received of $500 or More (Report on Schedule C)


I / t4 I /.,t4 ACQUIRED DISPOSED



FAIR MARKET VALUE

[~]$2,000 - $10,000

[]$I00,001 - $1.000,000


[] Stock [] Other

[]$10,001 o $100,000

[]Over $1,000,000

(Describe)

[] Partnership O Income Received of $0 - $499

O Income Received of $500 or More (Report on Schedule C)



Comments:

FPPC Form 700 (2014/2015) $ch. A-Z FPPC Advice Emalh [email protected]

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

SCHEDULE A-1

A. Heiskell Family Farms, G.P. (Investment) Investment Partnership (farming) Fair Market Value = $100,000 to $1,000,000 Nature of Interest = partnership interest Income: Over $500.

B. Berkshire Hathaway Insurance/diverse business ownership Fair Market Value:- $100,000 to $1,000,000 Nature of Investment: Stock Income: under $500.

Co J.G. Boswell Co., Inc. Farming/diverse business ownership Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: over $500

Edison International Electrical Utility Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

Eo General Electric Co. Electrical Equip Mfg/Financing. Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: over $500

Fo Caterpillar Inc. Equip Mfg Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: over $500

Chevron Corporation Petroleum Industry Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

Microsoft Corp Software Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

Haliburton Company Petroleum Services/Diversified Industrial Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

Pioneer National Resources Co. Natural Gas Exploration and Marketing Fair Market Value:- $100,000 to 1,000,000 Nature of Investment: Stock Income: under $500

Monsanto Co. Chemical/Agricultural Products & Services/Diversified Industrial Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

Chesapeake Energy Corp Natural Gas Exploration and Marketing Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

So Fluor Corp. Engineering and Construction Fair Market Value:- $10,000 to $100,000 Nature of" Investment: Stock Income: under $500

No Proctor & Gamble Co. Diversified Food Products Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: over $500

Tata Motors LTD Auto Manufacturing

Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

P. Tulare Industrial Site Development Foundation Industrial and Community Development Fair Market Value:- $1,000 to $10,000 Nature of Investment: Stock Income: Under $500

Q. Exelixis Inc. Pharmaceuticals Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

R. Sciclone Pharmaceuticals Pharmaceuticals Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: under $500

See Attached Schedule Name

SCHEDULE A-2 Investments, Income, and Assets

of Business Entities/Trusts (Ownership Interest is 10% or Greater)

Name

Address (Business Address Acceptable)

Check one [] Trust, go to 2 [] Business Entity, complete the box, then go to 2

(~ENERAL DESCRIPTION OF THIS BUSINESS

FAIR MARKET VALUE

[] $0 - $1,999 [] $2.000 - $1o.ooo [] $1o,ool - $1oo,ooo [] $1oo,ool - $1,ooo,ooo [] Over $1,ooo, ooo




[] Partnership [] Sole Proprietorship []

YOUR BUSINESS POSITION

[] $0 - $499

[] $5oo - $I,OOO [] $1,OOl. $1o,ooo

~"]$10,001 - SiOO,000 []OVER $10o,o00

Other

[] None or [] Names listed below

Check one bo~

[] INVESTMENT [] REAL PROPERTY

Name of Business Entity, if Investment, or’ Assessor’s Parcel Number or Street Address of Real Property

Description of Business Activity or City or Other Precise Location of Real Property

FAIR MARKET VALUE IF APPLICABLE, LIST DATE:

Name

Address (Business Address Acceptable)

Check one [] Trust, go to 2 [] Business Entity, complete the box, then go to 2



[] S0 - Sl,999 [] $2,000 - $1o, ooo / / 14 / / 14

[] $1o,ool - $1oo,ooo ACQUIRED DISPOSED

[] $100,001 - $1,000,000 [] Over $1,000,000


[] Partnership [] Sole Proprietorship []


[]$0-$499

[]$5oo - $1,ooo I-]$1,OOl - $1o,ooo

~J$10,001 - $100,000 F-I OVER Sl00,000

Names listed below

Check one box:

[] INVESTMENT [] REAL PROPERTY

Name of Business E~ty, if Investment, or Assessor’s Parcel Number or Street Address of Real Property

Description of Business Activity or City or Other Precise Location of Real Property


[’-152,000 - $10,000 []$IO,OOI - $IOO,OOO I 1 14

[]$IOO,OOl. $I,OOO,OOO ACQUIRED

[]Over $1,000,000

NATURE OF INTEREST

[] property Ownership/Deed of Trust [] Stock

[] Leasehold [] Other Yrs. remaining

/ /14 DISPOSED

[] Partnership

[]$2,000 - $10,000 1"-I$10,001 - $100,000 / / 14 , / / 14 1"-15100,001 - $1,000,000 ACQUIRED DISPOSED

[] Over $1,000,000

NATURE OF INTEREST

[] Property Ownership/Deed of Trust [] Stock

[] Leasehold I--]Other Y~. remaining

[] Check box if additional schedules reporting investments or real property are attached

[] Partnership

[] Check box if additional schedules reporting investments or real property are attached

Comments:, FPPC Form 700 (2014/2015) Sch. A-2

FPPC Advice Emall: [email protected] FPPCTolI-Free Helpllne: 866/275-3772 www.fppc.ca.gov

SCHEDULE A-2

1. BUSINESS ENTITY OR TRUST

Ao J. D. Heiskell Holdings LLC 116 W Cedar Street, Tulare, CA

Feed & Grains Business Fair Market Value = over $1,000,000 Nature of Interest =LLC Interest Position: Board Member-LLC Member

B. Hillman Ranches, L.P. (Investment) 116 W Cedar Street, Tulare, CA Farming Partnership Fair Market Value = $100,000- $1,000,000 Nature of Interest = Limited Partnership Position: Partner

C. Heiskell Ranches (Investment) 116 W Cedar Street, Tulare, CA Real Estate Fair Market Value = $100,000- $1,000,000 Nature of Interest = Limited Partnership Position: Partner

D. Heiskell Properties, LLC (Investment) 116 W Cedar Street, Tulare, CA Real Estate Fair Market Value = Over $1,000,000 Nature of Interest = LLC Interest Position: LLC Member

E. Hillman Milling Inc. (Investment) 116 W Cedar Street, Tulare, CA Fanning Partnership Fair Market Value = $10,000- $100,000 Nature of Interest = Stock Position: Board Member

F. J. D. Heiskell & Co .Inc. 116 W Cedar Street, Tulare, CA Real Estate Fair Market Value = $10,000- $100,000 Nature of Interest = Stock Position: Stock Owner

G. Lampe -Hillman Properties 131 E. Kern Ave. Tulare, CA Real Estate Fair Market Value = $10,000-$100,000 Nature of Interest =General Partnership Position: Partner

2. GROSS INCOME RECEIVED FROM THE ENTITY/TRUST

A. Over $100,000 B. Over-$100,000 C. $10,000- $100,000 D. Over $100,000 E. Over $100,000 F. $0-$499. G. $1,000 -$10,000

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME/LOANS OF $10,000 OR MORE

A. See attached schedule.

B. Gary Cia Realty (Puamana Vacations) Horizon Nut LLC. George Watte & Sons Farming

C. Que Pasa Restaurants Tulare District Health Care System

D. J.D. Heiskell Holdings, LLC

E. Horizon Nut LLC. George Watte & Sons Farming Mark Trigueiro Farms

F. J.D. Heiskell Holdings, LLC

G. N/A

4. INVESTMENTS AND INTEREST IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST BUSINESS & PARTNERSHIP/INVESTMENT INTERESTS

REAL PROPERTY INTERESTS

Heiskell Ranches, L.P.

APN: 149-120-006 (Tulare County) Commercial Real Property Fair Market Value = between $100,000 and $1,000,000

Nature of Interest = property ownership

2. APN: 170-380-006 (Tulare County) Commercial Real Property Fair Market Value = between $100,000 and $1,000,000

Nature of Interest = property ownership

3. Assessment Number: RP 08S15E041282 (Wendell Idaho) Commercial Real Property Fair Market Value = between $100,000 and $1,000,000 Nature of Interest = property ownership

Hillman Ranches, L.P.

APN 160-050-002 Agricultural Real Property Fair Market Value = between $100,000 and 1,000,000 Nature of Interest = property ownership

34 Puailima Street, Unit 31-4, Lahaina, Hawaii Rental Real Property Fair Market Value = over $1,000,000 Nature of Interest = property ownership

3. 34 Puailima Street, Unit 58-4, Lahaina, Hawaii Rental Real Property Fair Market Value = between $100,000 and 1,000,000 Nature of Interest = property ownership (50%)

J.D. Heiskell Holdings, LLC

Pixley, California

APN 295-050-001 APN 295-060-001 (Portion) Commercial Real Property Fair Market Value = over $1,000,000 Nature of Interest = property ownership

APN 175-213-004

Wendell, Idaho

APN RPO8S15 E040175A 1999 Frontage Road, Wendell, ID

Commercial Real Property Fair Market Value = over $1,000,000 Nature of Interest = property ownership

Mountain Home, Idaho

o Double J Milling Facility 2700 North 36 West Mountain Home, ID Commercial Real Property Fair market Value= Between $100,000 and $1,000,000 Nature of Interest = Ownership

Lahaina, Hawaii

o 34 Puailima Street, Unit 58-4, Lahaina, Hawaii Rental Real Property Fair Market Value = between $100,000 and 1,000,000 Nature of Interest = property ownership (50%)

Gooding, Idaho

1711 South 2300 East Gooding, ID 83330 Commercial Real Property Fair Market Value = between $100,000 and 1,000,000 Nature of Interest = property ownership (land owned-equipment leased)

Twin Falls, Idaho

2407 Warren Ave. Twin Falls Idaho Commercial Real Property Fair Market Value = between $100,000 and 1,000,000 Nature of Interest = property ownership (land owned-equipment leased)

Bakersfield, CA

27300 Old River Road Bakersfield, CA 93311 Commercial Real Property

Fair Market Value- between $10,000 and $1,000,000 Nature of Interest- Ownership

Fort Morgan, Colorado

113 Ensign St Fort Morgan, CO Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Stoneham, Colorado

41490 Marble Ave. Stoneham, CO 80754 Commercial Real Property Fair Market Value- between $1,000 and $10,000 Nature of Interest- Lease

Wiggins, Colorado

10. 107 Central Ave. Wiggins, CO 80654 Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

11. 14111 County Road 2 Wiggins, CO 80654 Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Platteville, Colorado

12. 450 Front Street Platteville, CO 80651 Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Hanford, CA

12. 10188 Kansas Ave. Hanford, CA 93230 Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Windsor, Colorado

13. 1604 Pelican Lakes Point, Suite 201 Windsor, CO 80550 Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Kersey, Colorado

14. 2533 WCR 55 Kersey, CO 80644 Commercial Real Property Fair Market Value- between $ 100, 000 and $1,000,000 Nature of Interest- Ownership

Twin Falls, Idaho

15. 139 River Vista Place, Suite 102 Twin Falls, ID Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

16. 2548 Beryl Ave. Twin Falls, ID Commercial Real Property

Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Goodland, TX.

17. 515 FM Road 54 Goodland, TX 79371 Commercial Real Property Fair Market Value- between 10,000 and $100, 0000 Nature of Interest- Ownership

Adams Center, New York

18. 1 Richer Dr. Adams Center, NY 13606 Commercial Real Property Fair Market Value- Over $1,000,000 Nature of Interest- Ownership

Sangerfield, NY

19. 7593 State Route 20 Sangerfield, NY 13425 Commercial Real Property Fair Market Value- Over $1,000,000 Nature of Interest- Ownership

Augusta, ME

20. 10 Dalton Road, Augusta, ME 04332 Commercial Real Property Fair Market Value- Over 1,000,000 Nature of Interest- Ownership

Sangerfield South, NY

21. 7598 State Route 20 Sangerfield, NY 13425 Commercial Real Property Fair Market Value- between $100,000 and $1,000,000 Nature of Interest- Ownership

Nephi, UT

22. 2979 W. 6300 South Nephi, UT 84648 Commercial Real Property Fair Market Value- between $1,000 and $10,000 Nature of Interest- Lease (joint venture)

Rogers, NM

23. 1908 South Roosevelt Road L Rogers, NM 88132 Commercial Real Property Fair Market Value- between 1,000,000 and $1,000, 000 Nature of Interest- Ownership

Curry, ID

24. 21300 Highway 30 Filer, ID 83328 Commercial Real Property Fair Market Value- between $1,000 and $10, 000 Nature of Interest- Lease

Wiggins, CO

25. 14111 County Road 2 Wiggins, CO Commercial Real Property

Fair Market Value- Over $1,000,000 Nature of Interest- Ownership

Heiskell Properties, LLC

Bliss, Idaho

DDG Warehouse Facility 805 US Highway 26 Bliss, Idaho 83314 Commercial Real Property Fair Market Value= Over $1,000,000 Nature of Interest= Ownership

Friona, Texas

o Warehouse Facility 1680 US Highway 60 Friona, Texas, 79035 Commercial Real Property Fair Market Value= Over $1,000,000 Nature of Interest= Ownership

Elkhorn, Nebraska

20010 Manderson St. Elkhom, Nebraska Commercials Office Building

Fair Market Value= Over $1,000,000 Nature of Interest = Ownership

J. D. Heiskell & Co. Inc.

Tulare CA

APN 175-201-010 APN 175-213-004 APN 175-212-021 APN 175-212-017 APN 175-212-022 APN 175-212-029 APN 175-212-038 APN 176-350-003 APN 160-060-002 Commercial Real Property Fair Market Value = over $1,000,000 Nature of Interest = property ownership

Lampe-Hillman Properties 1.2 North Tower Square, Tulare

Commercial Real Property Fair Market Value = $10,000 to $100,000 Nature of Interest- property ownership

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ROCKY ROAD DAIR

DJ DAI RY

M & H TRUCKING

002433 !TRCC INC

002460 GOLDEN GENES ##

002469 LONE OAK DAIRY

002471 LOPES DAIRY

002478 J & R AREIAS

002479 FIRE LAKE JERSE

002482 FRINGS RANCH LP

002487

’002491

002515

002536

002544

002545

002550

002553

002555

002559

002560

002561

002563

002568

002569

002575

002577

002605

002614

002615

002635

002647

002649

002652

002654

002659

002660

002663

002668

002670

!002671 002673 002688 002690 002691 002692 002695 002696 002698 002702 002704 002706 002714 002715

002723 002725 002728

ECHEVERRIA & SO

LAKEVIEW FARMS*

CARDOSO & SONS

KEVIN PASCOE

AREA 51 CAl-[LE

BRIAN & JAMES J

STANDARD CATTLE

140 CATTLE CO.

WESTRA FAMILY D

COUNTRYSIDE DAI

VALLEY VIEW FAR

CLOVERDALE DAIR

BAKKER DAIRY

FRIESlAN FARMS

RANCHO TERESITA

R & M CATTLE CO

MID VALLEY MILK

KOETSIER DAIRY

LEMSTRA CATTLE

MADDOX DAIRY L

VIVENZl FAMILY

EDUARDO SANCHEZ

OPEN SKY RANCH

DENIZMA DAIRY,

RIVAS DAIRY

EDUARDO SANCHEZ

NEWTON FARMS

B & C GOAT DAIR

AHLEM FARMS VIS

AHLEM FARMS PAR

DEL OASIS FARMS

NISSEN DAIRY IN

EAST VIEW DAIRY

WHITE RIVER - H

DREAM DAIRY #1

VINYL EXPRESSIO

ROBERT L SILVA

CORREIA, NUNO

COLBURN CATTLE

BIDART DAIRY

BELLANAVE CORP*

CLARIBEL FARMS

MENDONCA DAIRY

HELENA CHEMICAL

HIGH DESERT DAI

MATTOS, JOAQUIM

CIRCLE H DAIRY

002731

002751

002753

002800

002805

002809

002811

002816

002817

002818

002819

002821

002823

002832

002834

002837

002839

0O2842

002844

002845

002848

0O2849

002852

002854

002857

002861

002863

002865

002866

002873

i002875

002876

002880

002891

002893

002895

002897

002915

FOUR STAR DAIRY

FARIA FARMS INC

MELLEMA DAIRY &

DIXIE CREEK RAN

SILVA BROS DAIR

DE GROOT DAIRY

GRIMMIUS CATTLE

PATRICK BERT HE

HOLSTEIN FARMS*

MANUEL GOULART#

HEIN HETTINGA C

EUCALYPTUS CALF

GOMES, STAN

!GARCIA’S REGIST

BRAVO ANGUS RAN

SANTOS DAIRY, J

G & A DAIRY

SIMONIN LIVESTO

LITTLE ROCK DAI

J & F MARTINS D

PARREIRA-GASPAR

BRAVO ANGUS RAN

AMARAL DAIRY FA

SEVILLA CATTLE.

JER-Z-BOYZ RANC

SUMMERHILL DAIR

VINTAGE ANGUS R

BOS CAPITAL ASS

CODERVlEW HOLST

MILK MAID DAIRY

NEWHOUSE DAIRY

MILKY WAY DAIRY

STONE RANCH

B & B JERSEYS

GOLDEN WEST DAI

ROEST FAMILY DA

SHERWOOD RANCH#

McCUNE LIVESTOC

002917

002924

002928

002933

002935

002940

002945

002946

002947

SILVA DAIRY, MA

GOLDEN J JERSEY

IDB RANCH, EDDY

KERMAN CATTLE C

J LESS GUTHRIE

ROBERT & SANDRA

MENDONCA DAIRY#

KEVlN MEDESES

VlEIRA DAIRY, A

002948

002954

002956

!002960

002966

002972

002973

002979

002986

002992

002993

002995

002996

002997

002999

003001

003002

003008

003009

003010

003012

003014

003016

003017

003024

003027

003029

003031

1003050

i003060 1003080

003147

003148

003149

003153

003155

003157

003159

ORGANIC PASTURE

ELK CREEK DAIRY

D&MAG

L & L DAIRY

HATH DAIRY

KOCH FEEDS INC

SIMOES J.R., MAR ANTHONY L LOPES

JDS RANCH***SEE

RIBEIRO, FRANK*

DANIEL BRASIL D

MAPLE DAIRY***S

RIBEIRO & SONS

SANTOS DAIRY, T

MORALS & SONS,

ULY’S DAIRY

ULY’S DAIRY***S

DE JONG DAIRY,

BAR E DAIRY

NACE DAIRY, JIM

WOESSNER CATTLE

MANUEL P GARCIA

RIVER VALLEY DA

WHITESlDE DAIRY

2 L FARMS

AHLEM FARMS JER

A & C VlEIRA DA

SOZINHO DAIRY #

NUNES HOG RANCH

NUTRIUS LLC

OASIS HOLSTEIN

ALVES & SON DAI

ALFRED C NUNES

4-K DAIRY FAMIL

FRANK J BORGES

GENERATIONS DAI

MOHAMMED SATI’ER

CARVALHO FARMS

003163

003164

003167

003168

003183

003185

003189

003190

003197

MOREDA LAGUNA D

MELLO-D JERSEYS

M & T FARMS

GTA #2

L 7 FEEDERS

OLLIMAC DAIRY

VAN EXEL DAIRY

PACHECO & FAGUN

RICHARD & JONI

i003199 PACHECO DAIRY,

003203 HOMELAND CA’I-rLE

003207 SILVA DAIRY, AR

003224 PALLA ROSA DAIR

003228 PALLA ROSA B.V.

003400 PRODUCERS BAR 2

003534 ARTESIA DAIRY F

003585 RIVER RANCH DAI

003605 ROCKSHAR DAIRY

003645 ROSA DAIRY

003658 RYNSBURGER DAIR

003660 MOUNTAIN VIEW D

003670 S & H SWINE

003671 S & S DAIRY

003719 SANTOS DAIRY, A

003777 SHADY ACRES DAI

003789 SHIRK DAIRY

003854 SLOCUM, FLOYD

003901 TRINKLER DAIRY

003906 TRINKLER JR..

003916 SOUZA’S DAIRY I

003926 SOUZA, WILLIE##

003980 INDERBITZEN, LA

003985 EDELWEISS DAIRY

003999 SUNDANCE CATTLE

004014 TOLLENAAR HOLST

004057 TEMPLETON FEED

004072 TEMPLE CREEK DA

004077 POPLAR LANE DAI

004078 ROCKING S DAIRY

!004080 TE VELDE, GEORG

004084 DOUBLE J DAIRY

004094 3 BRAND CATTLE

004097 TIEMERSMA DAIRY

004104 TJAARDA DAIRY-C

004320 DOUBLE DIAMOND

004323 VANDERHAM DAIRY

004329 CROSSVIEW DAIRY

004382 VEENENDAAL DAIR

004429 WARMERDAM DAIRY

004462 WEISENBERGER’S

004600 INTEGRATED GRAI

005001 !A. & T.O. DAIRY

005022 BAKKER DAIRY

005036 GODINHO DAIRY

005070 CONTENTE & COMP

005080 DE GROOT & SON,

005132

005138

~005144

005160

005164

005187

005214

005228

005256

005269

005279

005283

005296

005344

005350

005384

005387

005422

005441

005461

005805

005871

005927

005959

006026

006050

006073

006080

006090

006096

1006122

1006127 1006136

006138

006163

006188 006207 006212 006224 006234 006267 006275 006286 006289 006290 006292 006340

BROWN’S DAIRY

BROWN CO, FRANK

GARClA & SONS

GOLDEN GENES IN

JCJ DAIRY INC##

LA TAPATIA

LOG HAVEN DAIRY

NASH FARMS INC.

MEDEIROS DAIRY

MELLO DAIRY, J.

PIRES DAIRY FAR

MENDES INC., A.

MARTINS BROS. D

~FM RANCH

RU ANN DAIRY LL

SIMAS, RICHARD

SLOCUM, VERNON

WlCKSTROM DAIRI

JONES FARMS

ROLLIN VALLEY F

MENDES & TOSTE

O & L DAIRY

SILVEIRA, JOSE

CORREIA FAMILY

VP FARMS

ROCHA DAIRY, JO

SILVA DAIRY FAR

DOUBLE B DAIRY

MEDEIROS & SON

PACIFIC COAST C

MT. WHITNEY DAI

LEGACY RANCH #1

ECHEVERRIA & SO

BIDART DAIRY

WEST CREEK DAIR

SEVEN-L HEIFER

BRASIL & MACHAD

HARRIS FEEDING

LAKESIDE DAIRY

FERNANDES DAIRY

ND FARMS

SOARES DAIRY, J

OLIVEIRA, ELMIR

I NYMAN BROS.

HILMAR HOLSTEIN

VlTORIA DAIRY,

SIMMONS ANGUS R

006344

006347

1006348

’006353

006354

006358

006360

006362

006363

006364

006365

006366

006375

006378

006383

006386

006387

006393

006396

006398

006402

006421

006425

006443

006454

006461

1006481

006484

006500

~006501

006506

006507

OO6510

006511

006519

006520

006522

006523

006528

006531

006535

006537

006539

006540

006541

006545

006546

ZYLSTRA DAIRY I

WICKSTROM JERSE

LUMAR DAIRY FAR

BELLANAVE CORP.

AHLEM DAIRY, JA

OAK BEND DAIRY

PETERSON & SONS

WILEY, BOB

MACHADO AND SON

GTA

FAUSTINO DAIRY

PEREIRA DAIRY,

VAN DYK CATTLE

LOCKWOOD Ill DA

SBS AG

SILVEIRA DAIRY,

MILK RIVER DAIR

BARCELLOS-MONST

LOURENCO DAIRY,

MARTINS FARMS L

OLIVEIRA DAIRY,

VlEIRA DAIRY, M

VERHOEVEN FAMIL

CADILLAC RANCH#

CREEKSIDE DAIRY

HORIZON JERSEYS

MARIO SIMOES DA

HOMEN DAIRY FAR

HOFFMAN DAIRIES

G & H DAIRY

SILVA & SON DAI

BRASIL DAIRY, M

DIAMOND H DAIRY

DE SNAYER DAIRY

MCFARLANE DAIRY

DFN-K HOLSTEINS

BETTENCOURT & 5

WAGNER DAIRY L.

BAR VEE DAIRY I

MORALS & SONS,

DOORNENBAL DAIR

COSTA VIEW FARM

MAYO BROS DAIRY

DURRER DAIRY

MEADOWLAKE DAIR

BORBA DAIRY, T

MINERAL KING DA

006548 006550 006552 ’006553 006559 006560 006561 006565 006566 006574 006576 006578 006580 006581 006582 006583 006586 006591 006592 006593 006607 006609 006614 006621 006635 006636 006639 006641 006651 006652 !006657 006666 006679 006682 006685 006686 006695 006696 006701 006702 006715 006727 006777 006794 006807 006809 006817

CLOVI~R PRAIRIE BOSMAN DAIRY SHERMAN DAIRY THOMAS DAIRY HIDDEN VALLEY D B & J DAIRY, BO GWERDER DAIRY I CAETANO DAIRY, WHITESIDE DAIRY VAN WARMERDAM D COELHO FARMS IN MARCHY DAIRY AMARAL DAIRY, A

I R.V. DAIRY MEIRINHO, JOE TRIANGLE M DAIR SILVA BROS. DAI

TE VELDE #1, BE TE VELDE RANCH, DIAMOND D DAIRY SCHEENSTRA DAIR

ELKHORN DAIRY,

PIERCE, JOSEPH

JER-Z-BOYZ RANC

ROCHA DAIRIES I

NUNES DAIRY, ED

JORDAO DAIRY, J

VANDER KOOI DAI

LOPES DAIRY L.P

BETTENCOURT & M VlO MAR DAIRY- MDM RANCHES TOLLCREST DAI RY COUCHMAN FARMS OCEAN VIEW FARM

HOY DAIRY INC, P & D DAIRY WHITE RIVER DAI DE JAGER DAIRY CORNERSTONE DAI WESTERN MILLING MOIOLA BROTHERS MERCED MILLING# JER-Z-BOYZ RANC VANDER EYK DAIR

MACHADO, ISABEL NEWHOUSE DAIRY

006841 GREENWOOD DAIRY

’006843 HERITAGE DAIRY

006847 NOBLE DAIRY

1006849 POSO CREEK FAMI

006854 STEVlNSON A COR

006855 AHLEM RANCH, CH

006859 DYKSTRA DAIRY

006892 DOUBLE L DAIRY

006894 LOPES FAMILY DA

006901 JAI ALAI DAIRY

006907 HEISKELL PROPER

006910 SOARES DAIRIES

006915 SOUTHERN CROSS

006918 MOONLIGHT DAIRY

006928 GARCIA FAMILY F

006941 ROSA DAIRY FARM

006943 ALAMO FARMS

006946 VAN GROUW DAIRY

006948 LUIZ & SONS DAI

006958 LANSING LLC DB

006960 BAR 99 INC

006968 RAY-LIN DAIRY

006983 TRI PALM DAIRY

006986 OTT & SONS DAIR

006990 LUIS DAIRY (LOU

006991 SIERRA VISTA DA

006993 MENDES, MANUEL

i007005 TULARE HIGH SCH

007008 CURTI FAMILY IN

007010 BOERTJE &. SON D

007012 LAWRENCE, FRANK

007015 MARTIN & SONS,

007018 SOUSA & SOUSA I

007020 NUNES DAIRY, TO

007024 SEPEDA BROS.

007028 GONSALVES DAIRY

007050 FAGUNDES, FRANK

007053 WESTRA, RICHARD

007076 MENDONCA & SON

007081 ZONNEVELD DAIRI

007085 KROES DAIRY

007099 RANCHO TERESlTA

007100 LERDA-GONI FAR

007101 MARIO SlMOES &

007103 ANGIOLA DAIRY

007104 MARTIN DAIRY LP

007105 MACEDO & SONS,

007116

007118

007139

!007141

007151

007169

007175

007179

007185

007187

007199

007206

007212

007222

007223

007229

007235

007237

007245

007254

007269

007273 007290

007292

007296

007297

007319

007322

007328

007333

1007348

007349

007374

007387

007391

007405

007409

007426

007447

007524

007702

007955

008622

009023

009653

010002

010200

MACHADO DAIRY,

J & E DAIRY####

TERRA LINDA DAI

EL MONTE DAIRY

KOETSIER DAIRY

CURTIMADE DAIRY

VAN BEEK BROTHE

RIBEIRO DAIRY F

MENDONCA DAIRY

MATI’OS AND SONS

RED ROSE DAIRY

MORALS DAIRY, L

PINHEIRO & SONS

~FERN OAK FARMS

MATTOS BROS.

PINHEIRO DAIRY°

PACHECO & ASSOC

VALADAO DAIRY

SILVEIRA DAIRY,

TOLEDO JR. & M.

SlMOES DAIRY #

CODORNIZ DAIRY

FERNJO FARMS #1

CARTMILL DAIRY

NUNES &SONS IN

PEDRO & SON DAI

MENDONCA & FAMI

PARREIRA FARMS

DAIRYLAND FARMS

ROSA DAIRY, M.F

HET[INGA FARMS

RIO BLANCO DAIR

DE JONG DAIRY

WATTE & SONS, G

VlEIRA DAIRY, A

WESTHILL DAIRY

MAPLE AVENUE DA

VlDA BOA DAIRY

GOLDEN STATE DA

ADAMSCOWS DAIRY

’SIMOES BROS DAI

BOERTJE, EDDIE

MARIO SIMOES JR

HILLMAN, SCOT T

KAUFFMANN, JOHN

ARCHER DANIELS

BEST AGRI-MARKE

010217

’010324

010360

010459

010577

010686 010926 010937 010967 011008 011038 011096 011266 011400 011480 011761 011855

012170

012222 012290 012474 012536 012596 012597 012642 012659 012686 012763 !013161

~013168

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013390

013820

013843

014031 014071 014399 014429

014462

014552

014734

014785

014810

014812

014881

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BOER COMMODITIE

CAL BY-PRODUCTS

BARCELLOS FARMS

CAMPOS BROS.

R.A. DAVIS COMM

E & B BULK TRAN

AUTO GLASS CENT

GOLDEN STATE CO

FEED SERVICES C

IMPERIAL WESTER

!JD HEISKELL INT

HUNT & BEHRENS

LACEY MILLING C

LOUGHLIN & COMP

MID VALLEY CO-O

PENNY NEWMAN GR

QUALITY GRAIN C

THE GAS COMPANY

STAR MILLING CO

STURGEON & BECK

FRONTIER AG CO

PAYROLL PEOPLE

COUNTY OF TULAR

TULARE COUNTY P

TULARE COUNTY T

CENTRAL VALLEY

TOSHIBA FINANCI

REATA CATTLE FE

ALL AMERICAN GR

CE NTRAL VALLEY

WILBUR-ELLIS CO

ZOOM IMAGING SO

EL TORO EXPORT

V.P. INCORPORAT

GE CAPITAL

VlRTUS NUTRITIO

PIXLEY COGEN PA

ARTOIS FEED INC

CALIFORNIA AGRI

PACIFIC ELEMENT

DMV

PROGRESSIVE DAI

CALIFORNIA AG C

MESA VERDE TRAD

PACIFIC ETHANOL

CARGILL ANIMAL

KINGS RIVER COM

015467 015557 015639 015665 015686 015744 016059 016160 016368 016445 016468 016556 016749 016923 017049 017278 017284 017641 017703 018317 018395 018413

018625

018626

018755

1018976

019166. 1019273 019275 019395 019550

019573

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020239

020340

020343

020447

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020642

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AGRI FEED

ADM

RIDLEY BLOCK OP

AMERICAN RIVER

IMPERIAL VALLEY

GAVILON LLC

CARGILL

SIERRA VALLEY H

CENTRAL VALLEY

BUl-rER SPUR CAT

CALGREN RENEWAB

FOSTER FEED YAR

O, UINN COMPANY

NUWEST MILLING

BUCKMAN-MITCHEL

ECOLOGY AUTO PA

INGREDION INC

SWENSON - BUILD

CORCORAN MACHIN

WILBUR-ELLIS CO

BIVENS & COMPAN

A PLUS EO.UIPMEN

GREEN VALLEY DA

BVB TRADING

HANSEN RANCHES

WM. BOLTHOUSE F

CALIFORNIA GRAI

KINERG¥

SHORELINE INN

CAPITAL RIVER (3

EL TORO LAND &

YOUNGS COMMERCl

LANUZA, RUBEN F

J P TRANSPORTAT

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FARMERS INSURAN

RIBEIRO DAIRY F

VANDEN BERGE DA

PITMAN FAMILY F

DMV RENEWAL

EJC MEMORIAL SC

CDFA 90295

CAIN TRUCKIN(3 I

BIVENS & COMPAN

A PLUS EO.UIPMEN

A(3 LENDERS

NUTRA BLEND LLC

021253 RLB CAI-I’LE CO L

022062 SHERYL STRAIN,

040175 SUPERIOR CAl-rLE

043151 UNITED PARCEL S

045988 OLAM COI-I’ON

053344 FARMERS COOP AL

082754 TULARE RECYCLER

100113 PAHRUMP HEIFER

100400 HETTINGA, HEIN

101220 AJB RANCH- NORT

102500 AUKEMAN DAIRY (

102550 AUKEMAN FARMS (

102620 B & D DAIRY

103810 BARCELLOS DAIRY

103823 BAR V-P DAIRY (

103880 BARRETO & SlLVE

105012 DUTCH DAIRY

106528 MOOLANE RANCH

107670 BRANDT CO.

107990 BROWER DAIRY IN

109330 CALFTECH CORPOR

111300 COUNTRYSIDE DAI

111301 COUNTRYSIDE DAI

111450 CLOVERDALE DAIR !114330 DG FARMS

1114500 DE JAGER FARMS

114520 DE GROOT DAIRY,

114550 DE GROOT DAIRY,

114560 DELTA VIEW FARM

114600 DE RAADT DAIRY,

114740 DE VRIES DAIRY

115190 DOUBLE DJ FARMS

115310 FRED A. DOUMA D

115330 I DOVER DAIRY

116780 DESPERADO DAIRY

116860 DYKSTRA, DICK 117000 DYT DAIRY

117435 MAYA DAIRY

117580 ENDEAVOR GOLD D

119200 FAUST FAMILY DA

123670 GOYENETCHE DAIR

123720 GIACOMAZZI FARM

123870 GIOLE1-FI AND SO

123910 GOYENETCHE DAIR

124380 GRIMMIUS CATTLE

126300 GH DAIRY #1, #2

126314 GONZALEZ FEED

126450

126550

126650

126890

127200

129500

132780

133900

135550

137500

140600

140680

140740

141400

142020

142520

142870

142960

146390

147030

149200

149202

149970

149980

151940

153700

~153850 154000

154860

157270

157680

157730

160440

160520

161650

161670

162430

164120

165120

165160

165180

165260

165261

181270

181360

181430

181433

HETTINGA, HEIN

HIGH DESERT DAI

HINKLEY DAIRY

HOLLAND’S DAIRY

HOOGENDAM DAIRY

lEST DAIRY, RIC

!JONGSMA DAIRY,

VlSSER DAIRY, K

IVALLEY VIEW FAR

GMC DAIRY #1

MACHADO DAIRY &

MAPLE DAIRY

MARCHETTI, JOSE

MCMOO FARMS

MESQUITE CATI’LE

MILK-TIME DAIRY

MONTEIRO & SONS

MOONSHINE DAIRY

NORTHSTAR DAIRY

OAKVlEW DAIRY F

SIERRA VISTA DA

DOUBLE OAK DAIR

POND HEIFER RAN

PONCE1-FA FARMS

CORCORAN PRISON

RIB-ARROW DAIRY

RIVERBEND DAIRY

RIVERVlEW DAIRY

RODONI DAIRY

SOUTH LAKES DAI

SCHO1-F DAIRY

R & M CATTLE CO

SKYVIEW DAIRY

SOUTHERN CALIFO

SOUSA DAIRY, TO

I5OUZA & SON DAI

SUNSET DAIRY

THOMMEN DAIRY

TRI lEST DAIRY

VLOT BROTHERS

TROOST DAIRY LP

TOP O’ THE MORN

TOP O’ THE MORN

VANDER EYK JR D

VANDER EYK DAIR

VANDERHAM & SON

VANDERHAM & SON

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1900790

VANDERHAM - WES

D & V DAIRY

VANDER POEL, PE

VANDER POEL DAI

VANDER POEL-NOR

VANDER SCHAAF D

VANDER TUIG DAI

VANDER WOUDE DA

LOUTERS DAIRY,

VAN FOEKEN DAIR

VERMEER & GOEDH

VlSSER DAIRY-

VlSSER HEIFER R

VISTA VERDE DAI

WEST STAR NORTH

WESTERN SKY DAI

WHITE RIVER DAI

FLINT DAIRY

HETrlNGA, HEIN

PLEASANT FEED S

CHINO VALLEY DA

WHITE RIVER RAN

G-2 PRODUCERS

V8 RANCH

HIGH PLAINS RAN

MICRO BASICS

SCHEDULE C Income, Loans, & Business

Positions (Other than Gifts and Travel Payments)

Name

NAME OF SOURCE OF INCOME

See A~ached Schedule

ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE


GROSS INCOME RECEIVED

[] =500 - =1.ooo [] =1,OOl - $1o,ooo [] $10,001 - =100,000 [] OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

[] Salary [] Spouse’s or registered domestic partner’s income (For serf-employed use Schedule A-2.)

[] Pmtnership (Less than 10% ownership, For 10% or greater use Schedule A-2.)

[] Sale of (Real pmpen~, car, boat, etc.)

[] Loan repayment

[] Commission or [] Rental Income, lis~ each source of SfO, O~O or mora

[] I~er ,. (Describe1

NAME OF SOURCE OF INCOME


BUSINESS ACTIVITY, IF ANY, OF SOURCE


GROSS INCOME RECEIVED

[] $500 - $1,000 [] $1,001 - $10,O00

[] $10,001 - =100,000 [] OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED

[] Salary [] Spouse’s or registered dome~c partner’s income (For self-employed use Schedule Ao2.)

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

[] Sale of

[] Loan repayment

[] Commission or

(Real proper~, car, boat, etc.)

[] Rental Income, ~st each source or $I0,0~0 or morn

(Oesc~e)

[] Other (Descdbe)

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)


BUSINESS ACTIVITY, IF ANY, OF LENDER

.% [] None

SECURITY FOR LOAN

[] None [] Personal residence

HIGHEST BALANCE DURING REPORTING PERIOD

[] =500 - $1,ooo

[] sI,OOl - SlO,OOO

[] $~o,ooi. =IOO,OOO

[] OVER $1oo,ooo

[] Real Property

[] Guarantor

[] Other

Street address

C~ty

(Describe)

Comments:

FPPC Form 700 (2014/2015) Sch. C FPPC Advice Emaih [email protected]

FPPCTolI-Free Helpllne: 866/275-3772 www.fppc.ca.gov

Schedule C

J.D. Heiskell Holdings, LLC 116 W. Cedar Street, Tulare, CA Feed & Grains Business Member: Board of Directors Gross Income: Over $100,000 Type of Income :Tax- Income Distribution

B. Hillman Ranches, L.P. 116 W. Cedar Street, Tulare, CA Farming Partnership/Partner Partnership Income Distribution (Draw) Gross Income: Over $100,000 Type of Income :Tax Distribution

Heiskell Family Farms 116 W. Cedar Street, Tulare, CA General Farming Partnership/Partner Partnership Income Distribution (Draw) Gross Income: $10,000 -$100,000 Type of Income: Partnership Draw

Heiskell Ranches L.P. 116 W. Cedar Street, Tulare, CA

General Partnership (Rental Real Estate)/Partner Partnership Income Distribution (Draw) Gross Income: $10,000 -$ 100,000 Type of Income: Partnership Draw

Eo Heiskell Properties, LLC 116 W. Cedar Street Investment Real Estate LLC Member Gross Income: Over $100,000 LLC Income Distribution

F. Lampe Hillman Properties 116 W. Cedar Street, Tulare, CA General Partnership (Rental Real Estate)/Partner Gross Income: $1,000 -$10,000 Partnership Income Distribution (Draw)

no

K

Hillman Milling Inc. 116 W. Cedar Street, Tulare, CA Investment- Farming Partnership Member- Board of Directors Income Distribution Gross Income: Over $100,000 Type of Income :Tax Distribution

J.G. Boswell Co., Inc. Farming/diverse business ownership Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: $500-$1000 Type of Income: Dividend

General Electric Co. Electrical Equip Mfg/Financing. Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: $1,000 -$10,000 Type of Income: Dividend

Proctor & Gamble Co. Diversified Food Products Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: $500-$1000 Type of Income: Dividend

Caterpillar Inc. Equip Mfg Fair Market Value:- $10,000 to $100,000 Nature of Investment: Stock Income: $1,000-$10,000 Type of Income: Dividend

SCHEDULE E Income - Gifts

Travel Payments, Advances, and Reimbursements

Name

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. These payments are not subject to the $440 gift limit, but may result in a disqualifying conflict of interest.

¯ NAME OF SOURCE (Not an Acronym)

J.D. Heiskell Holdings, LLC ADDRESS (Business Address Acceptable)

116 W Cedar Street CITY AND STATE

Tulare, CA

[] 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Commodity and Livestock Feed Sales

DATE(S): 03/06 / 14 . 11/21 / 14 AMT:$4,250.00 (if gift)

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

[] Made a Speech/Participated in a Panel

[] Other - Provide Description

Travel payments to attend board meetings and value of private air travel.


J.G. Boswell, Inc. ADDRESS (Business Address Acceptable)

101 W. Walnut St. CITY AND STATE

Pasadena, CA 91103

[] 501 (c)(3) or DESCRIBE BUSINESS ACTIV/T~, IFANY, OF SOURCE

DATE(S): .... 03106/ 14 . 11 /21 / 14 AMT:$ 5,000.00 (If gift)

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


[] Other- Provide Description

Value of pdvate air travel.



CITY AND STATE

[] 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE

[] Income

DATE(S): I I (If’gift) / I AMT: $.

TYPE OF PAYMENT: (must check one) [] Gift



AMT: $

[] Gin




ADDRESS (Business Address Acceptab/e)

CITY AND STATE

[] 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY,, IF ANY~, OF SOURCE

DATE(S): / / - I /

TYPE OF PAYMENT: (must check one) [] Income

Commen~:

FPPC Form 700 (2014/2015) Sch. E FPPC Advice Emalh [email protected]

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

COVER PAGE FEB 13 2015 LARAYNE CI~ · FEB 13 2015 (FIRST) LARAYNE CI~ ~.~ Agency Name (Do nof use...

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