Tavoularis, Kathy Form 700STATEMENT OF ECONOMIC INTERESTS gate Initial Filing Received
COVER PAGE re,,,_r crr,c,�i z e.,,l
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NAME OF FILER
f A PUt5LIC DOCUMENT; E ' A.
Vi fVq1--W 1 a I A 1
((u1tDDLF)
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1. Office, Agency, or Court
(FIRST)
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable Your Position
i► 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
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
'City of (pI❑ Other
3. Type of Statement (Check at least one box)
Nd Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is . 77 y , through
December 31, 2021.
❑ Assuming Office: Date assumed — I
❑ Candidate: Date of Election
❑ Leaving Office: Date Left I I
(Check one circle.)
The period covered is January 1, 2021, through the date of
leaving office.
.or -
The period covered is I I through
the date of leaving office,
and office sought, if different than Part 1:
Schedule Summary (must complete) P. Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments — schedule attached
NI )Schedule A-2 - Investments — schedule attached
Schedule B - Real Property — schedule attached
-Or- ❑ None - No reportable interests on any schedule
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 nr Anenry Address Rernmmended - Puhlir. Nromant)
UAT I INIt I tLtYNUNt NUMdth V
I nave used all reasonaoie diligence in preparing this statement, I have reviewed this statement and to thAest 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 f"n f^vn !n i. fr„n nA —r—f
Date Signed � �a`-a, Signaturc
(mo th, day, year)
FPPC Form 700 - Cover Page (2022/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page-5
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
OR TRUST
:T-na/ ?� A � S PjdQ i P , Ls .
Name
- E n 01ra-
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 usiness 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 /21
$10,001-$100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
Partnership N Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION
I NMI •1:10 11 A 1 W 5101IT11111• • ••
• -• • •gill INIZINI
❑ $0 - $499 ❑ $10,001 - $100,000
$500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
IN -
None or ❑ Names listed below
• INTERESTS IN REAL PROPERTYOR
LEASED BY THE 13USINESS ENTITY OR
Check one box:
INVESTMENT REAL PROPERTY
eUj, Ave
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Addres of Re I,Property
Ag
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000
❑ $10,001 - $100,000
M` $$ 00,001 - $1,000,000 ACQUIRED DISPOSED
C❑ Over $1,000,000
NATURE OF INTEREST
Oroperty Ownership/Deed of Trust ❑ Stock ❑ Partnership
1❑� Leasehold ❑ Other
Yrs. remaining
Check box if additional schedules reporting investments or real property
are attached
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 -l-/21 _/_/21
❑ $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
kupon, •• • • • ••
SHARE OF ••SS INCOME TO THE ENTITYITRUST)
❑ $0 - $499 ❑ $10,001 - $100,000
El $500 - $1,000 ❑ OVER $100,000
$1,001 - $10,000
❑ None or ❑ Names listed below
PROPERTY4. INVESTMENTS AND INTERESTS IN REAL • OR
LEASED BY THE BUSINESS ENTITY OR
Check one box:
❑ 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:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 _J /21 /21
$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:
FPPC Form 700 - Schedule A-2 (2021/2022)
advice@fppc.ca.gov m 866-275-3772 • www.fppc.ca.gov
Page
SCHEDULE 6
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
l U - - E,7 .
Par l
CITY
,f C
/.
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
$2,000 - $10,000
❑ $10,001 - $100,000
-/-/2l -/2l
100,001 - $1,000,000
ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
nership/Deed of Trust
Easement
Leasehold
❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
[] $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
�] $1o,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
�] Over $1,000,000
NATURE OF INTEREST
Ownership/Deed of Trust
F] Leasehold
IF APPLICABLE, LIST DATE:
-J /2? f
ACQUIRED DISPOSED
Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
$0 - $499 $500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
* You are not required to report loans from a commercial lending institution 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* I I NAME OF LENDER"
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000 ❑ $1,001 - $10,000
$10,001 - $100,000 [] OVER $100,000
Guarantor, if applicable
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
j� $500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 OVER $100,000
Guarantor, if applicable
Comments:
FPPC Form 700 - Schedule B (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www,fppc.ca.gov
Page -11
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NNArM^E OF SOURCE OF INCOME
1frV,'pCC
J�L1 x-:-fi'?. ®
ADDRESS (Business Address Acceptab
BUSINESS ACTIVITY, F ANY, SE
OU
j rA(N- e1
:a5 !�ltiQ� .
YOUR BUSINESS
j
USINES�S POSITION
g
GROSS INCOME RECEIVED No Income - Business Position Only
$500 - $1,000 ] $1,001 - $10,000
[,001 - $100,000 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
alary 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)
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 0 $1,001 - $10,000
�] $10,001 - $100,0o0 [ 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.)
'I] Sale of
Loan repayment
(Real property, car, boat, etc.)
] Commission or ] Rental Income, list each source of $10,000 or more
(Describe)
Other I [ Other
(Describe) (Describe)
ll� Z 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 (MonthsNears)
% ❑ None
SECURITY FOR LOAN
None ❑ Personal residence
Real Property
Street address
n Guarantor
Other
city
(Describe)
FPPC Form 700 -Schedule C (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page -13