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Gladson, Adrienne Form 700STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Filing Official Use Only COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. _L NAME OF FILER (LAST) (FIRST) (MIDDLE) Gladson Adrienne Joy 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Orange, City Council - District 6 Divisioon�, Board, Department, District, if applicable Your Position 1 / ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) State . Multi -County ® City of Orange Position: Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) County of Other 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2021, through Leaving Office: Date Left I I December 31, 2021. (Check one circle.) -or- — The eriod covered is January 1, 2021, through the date of The period covered is L� ,through — P ry 9 December 31, 2021. -or-leaving office. Assuming office: Date assumed I I _ The period covered is J I through the date of leaving office. ❑� Candidate: Date of Election 11 /8/2022 and office sought, if different than Part 1: Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached L] Schedule A-1 - Investments — schedule attached ❑■ Schedule A-2 - Investments — schedule attached Schedule B - Real Property — schedule attached -or- _ None - No reportable interests on any schedule E', Schedule C - Income, Loans, & Business Positions — schedule attached Schedule D - Income — Gifts — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) DAYTIME EMAIL CA 92869 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 8/7/2022 Signature (month, day, year) FPPC Form 700 - Cover Page (2021/2022) advice@fppc.ca.gov - 966-275-3772 - www.fppc.ca.gov Page - 5 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) ll� 1. BUSINESS ENTITY OR TRUST Adrienne Gladson Consulting and Notary Services Name 3403 E. Lambeth Court Unit A, Orange, CA 92869 Address (Business Address Acceptable) Check one Trust, go to 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Development entitlement assistance FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $0 - $1,999 $2,000 - $10,000 -//2_ 1121- ® $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT - Partnership ® Sole Proprietorship Other YOUR BUSINESS POSITION Owner SHARE OF -•SS INCOME TO THE ENTITY/TRUST) $0 - $499 _ $10,001 - $100,000 $500 - $1,000 OVER $100,000 ®I $1,001 - $10,000 li� 3. LIST THE NAME OF •RTABLE SINGLE SOURCE OF INCOMEOF $10,000 OR • None or Names listed below PROPERTYDo. 4. INVESTMENTS AND INTERESTS IN REAL . OR LEASED BY THE BUSINESS ENTITY OR Check one box: INVESTMENT REAL PROPERTY Name of Business Entity, if Investment, 4I Assessor's Parcel Number or Street Address of Real Property Description of Business Activity is City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 t29 __j --- j21 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership Leasehold Other Yrs. remaining Check box if additional schedules reporting investments or real property are attached Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION 10- 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one Trust, go to 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $0 - $1,999 $2,000 - $10,000 $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Partnership Sole Proprietorship - - Other YOUR BUSINESS POSITION SHARE OF •SS INCOME TO THE ENTITY/TRUST) $0 - $499 $10,001 - $100,000 $500 - $1,000 OVER $100,000 $1,001 - $10,000 li� 3. LIST THE NAME OF •RTABLE SINGLE SOURCE OF INCOMEOF $10,000 OR • None or -' Names listed below PROPERTY111- 4. INVESTMENTS AND INTERESTS IN REAL • OR LEASED BY THE BUSINESS ENTITY OR Check one box: INVESTMENT REAL PROPERTY Name of Business Entity, if Investment, 91 Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Qr City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 /21 _/_ j21 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership Leasehold Other Yrs. remaining Check box if additional schedules reporting investments or real property are attached FPPC Form 700 -Schedule A-2 (2021/2022) advice@fppc-ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 9 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Adrienne Gladson Consulting and Notary Services ADDRESS (Business Address Acceptable) 3403 E. Lambeth Court #A, Orange, CA 92869 BUSINESS ACTIVITY, IF ANY, OF SOURCE Land use and entitlement assistance/notary YOUR BUSINESS POSITION Managing Principal Planner GROSS INCOME RECEIVED n No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 ® $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED It Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) J Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Ll Sale of ❑ Loan repayment (Real property, car, boat etc.) CCommission or ^ Rental Income, list each source of $10,000 or more (Descrtbe) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Adrienne.• • NAME OF SOURCE OF INCOME Sagecrest Planning + Environmental ADDRESS (Business Address Acceptable) 27128 Paseo Espada, Suite 1524, SJC, CA, 92675 BUSINESS ACTIVITY, IF ANY, OF SOURCE Planning Consulting Firm YOUR BUSINESS POSITION Senior Planner GROSS INCOME RECEIVED ^I No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 ® $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Sale of (Real property, car, boat, etc.) Loan repayment Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) Other I I _ Other (Describe) (Describe) 11� 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' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % None SECURITY FOR LOAN None Personal residence Real Property — Street address Guarantor Other City (DesWbe) FPPC Form 700 - Schedule C (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -13