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Gyllenhammer, John Form 700STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received COVER PAGE Filing Official Use Only A PUBLIC DOCUMENT ''ease type or print in ink .AME OF FILER (LAST) (FIRST) (MIDDLE) ` v G NAP-AlkamIIIr . -So kn 'EJLIMtMOk 1. Office, Agency, or Court Agency Name (Do not use acronyms) orange G!y Counc; Division, Board, epartment, bistrict, if applicable Your Position D\sill (D Clay (ooAcik IMCMb2r— ► 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) 7 State �I Multi -County cityof OrmnAe.. CA 3. Type of Statement (Check at least one box) —II Annual: The period covered is January 1, 2021, through December 31, 2021. -or- The period covered is through December 31, 2021. Assuming Office: Date assumed Position: Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) Al County of Other Leaving Office: Date Left I (Check one circle.) The period covered is January 1, 2021, through the date of leaving office. .or - The period covered is — — — J___J, through the date of leaving office. /Candidate: Date of Election ILI 81 Z02.2—and office sought, if different than Part 1: Schedule Summary (must complete) ► Total number of pages including this cover page: 2— Schedules attached Schedule A-1 - Investments — schedule attached Schedule A-2 - Investments — schedule attached Schedule B - Real Property — schedule attached -or- —1 None - No reportable interests on any schedule chedule 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 Aaencv Address Recommended - Public Document) r 000ACe , CA 17%9 DAYTIME TELEPHONE NUMBER I EMAIL ADDRESS I have used all reasonable diligence in preparing this statement. I have reviewecYthis statement and to herein and in any attached schedules is true and complete. I acknowledge this is a public document. of my knowledge the information contained I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Sig 09I sl 22. Signature FPPC Form 700 - Cover Page (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5 SCHEDULE C • - • - 1 1 Income, Loans, & Business Positions Name (Other than Gifts and Travel Payments) JdAn C�,UetikaLmMer NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) 333 riiw Bkck W S ee a5c Omme-) IA BUSINESS ACTI\1ITY, IF ANY, OF SOURCE Uni? YOUR BUSINESS POSITION 1,e sp-&-ck Pg R sso r GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 $10,001 - $100,000 ❑ OVER $100,000 CONS IDERATI�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 ❑ Other (Describe) (Describe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ 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 (Describe) * 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 ❑ $10,00, - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (MonthsNears) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 -Schedule C (2021/2022) advice@fppc.ca,gov ° 866-275-3772 ° www.fppc.ca.gov Page -13