The URL can be used to link to this page

CA Form 700 Statement of Economic Interests - Misetich RECEIVED CITY OF RANCHO PALOS VE DES Date Initial FilingReceived CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS i-f.. af v5e �,=FY FAIR POLITICAL PRACTICES COMMISSION JAN 08 2016 A PUBLIC DOCUMENT COVER PAGE Please type or print in ink. CalLIr— , ;E 1�*; ~ i r'. - y E NAME OF FILER (LAST) (FIRST) (MIDDLE) Misetich Anthony 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rancho Palos Verdes Division, Board, Department, District, if applicable Your Position City Council/Successor Agency/Improvement Authority Councilman/Member ► If filing for multiple positions,list below or on an attachment. (Do not use acronyms) Agency: see Exhibit A Position: 2. Jurisdiction of Office (Check at least one box) ❑State ❑Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County ❑County of ©City of Rancho Palos Verdes ❑Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2015,through ❑ Leaving Office: Date Left_JJ December 31,2015. (Check one) -or- The period covered is—_J—J ,through 0 The period covered is January 1,2015,through the date of December 31,2015. leaving office. -or- El Assuming Office: Date assumed 0 The period covered is—J l_ ,through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Sche les attached IldbafTedule A-1•Investments—schedule attached chedule C-Income,Loans, &Business Positions—schedule attached 5Schedule A-2-Investments—schedule attached ❑Schedule D-Income—Gifts—schedule attached ❑ Schedule B-Real Property—schedule attached ❑Schedule E-Income—Gifts—Travel Payments—schedule attached -or- O None- No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended-Public Document) DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 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 and correct. w Date Signed I ).� Signature (month,day,year) (File the originally 'ned statement with your filing official.) FPPC Form 700(2015/2016) FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov Exhibit A 2015 STATEMENT OF ECONOMIC INTERESTS — FORM 700 COVER PAGE ATTACHMENT FOR EXPANDED STATEMENT Councilman Anthony M. Misetich Agency: South Bay Cities Council of Governments (SBCCOG) (Assuming) ..... SCHEDULE A-I CALIFORNIA FORM700 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) VVJjri 9 ey Do not attach brokerage or financial statements. ONTRVNt/ ► NA F BUSINESS E TIN ► NAME OF BUSINESS ENTITY I i�0T i k) • NC. GENERAL DESCRIPT•N OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS P'' TIZOL"€A)141 0 Igilk.kgr til°/\13 FAIR MARKET VALUE FAIR MARKET VALUE 0$2,000-$10,000 10,001 -$100,000 ❑$2,000-$10,000 ❑$10,001 -$100,000 ❑$100,001-$1,000,000 ❑Over$1,000,000 ❑$100,001 -$1,000,000 ❑Over$1,000,000 1_\1±NTU}VE OF INVESTMENT NATURE OF INVESTMENT D•Stock []Other ❑ Stock ❑Other (Describe) (Describe) ❑ Partnership 0 Income Received of$0-$499 ❑ Partnership 0 Income Received of$0-$499 O Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C) IF APPLICABLE,UDATE: IF APPLICABLE,LIST DATE: / -S/ 4C 15 15 15 ACQUIRED DISPOSED ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE FAIR MARKET VALUE 0 $2,000-$10,000 0 $10,001 -$100,000 0$2,000-$10,000 ❑$10,001 -$100,000 ❑$100,001 -$1,000,000 ❑ Over$1,000,000 ❑$100,001 -$1,000,000 ❑Over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Stock p Other ❑ Stock ❑Other (Describe) (Describe) ❑ Partnership 0 Income Received of$0-$499 ❑ Partnership 0 Income Received of$0-$499 Q Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE,LIST DATE: _j-I 15 _j____I 15 _/_J 15 ____/___JAL ACQUIRED DISPOSED ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE FAIR MARKET VALUE 0$2,000-$10,000 0$10,001 -$100,000 ❑$2,000-$10,000 0$10,001 -$100,000 0$100,001-$1,000,000 ❑Over$1,000,000 ❑$100,001 -$1,000,000 ❑Over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT 12Stock ❑Other ❑ Stock ❑Other (Describe) (Describe) ❑ Partnership 0 Income Received of$0-$499 ❑ Partnership 0 Income Received of$0-$499 O Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C) IF APPLICABLE,LIST DATE: IF APPLICABLE,LIST DATE: ____t_J 15 -J-J 15 __/_CA _/_J 15 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700(2015/2016)Sch.A-1 FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov SCHEDULE A-2 CALIFORNIA FORM 700 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION Name of Business Entities/Trusts (Ownership Interest is 10% or Greater) i__ ■ an id ( p ► 1. BUSINESS ENTITY OR TRUST ► 1. BUSINESS ENTITY OR TRUST Sijq)( QOIJS Vii:N I A)tir Nc. Name I Name ' Address(Business Address Acceptable) I I Address(Business Address Acceptable) Check one Check one 0 Trust,go to 2 0 Business Entity, complete the box, then go to 2 0 Trust,go to 2 0 Business Entity,complete the box,then go to 2 GENERL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS YA 1 N.) .5 ( 0Si)LT, CT FAIR MARKET VALUE IF APPLICABLE,LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE: ❑$0-$1,9990$0-$1,999 El$&,0.00-$10,000 ___/- 1/ 5 ____J____/____J____/1 5 ❑$2,000-$10,000 / / 15 _/_/15 IM19o,00i-$100,000 ACQUIRED DISPOSED ! ❑$10,001 -$100,000 ACQUIRED DISPOSED ❑$100,001-$1,000,000 0$100,001 -$1,000,000 ❑Over$1,000,000 ❑Over$1,000,000 NATURE OF INVESTMENT Po RAT a_1 NATURE OF INVESTMENT Li Partnership ❑Sole ProprietorshipiuN Other /�' ❑Partnership ❑Sole Proprietorship ❑ Other YOUR BUSINESS POSITION P p R.. _5 1 1) (.E 1 1/4.) J YOUR BUSINESS POSITION ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) ❑$0-$499 0$10,001 -$100,000 ❑$0-$499 ❑$10,001 -$100,000 ❑$500-$1,000 ❑ OVER$100,000 ❑$500-$1,000 ❑OVER$100,000 ❑$1,001 -$10,000 0$1,001 -$10,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF$10,000 OR MORE(Attach a separate sheet if necessary.) INCOME OF$10.000 OR MORE jAttach a separatL sheet if nccessari.) ❑ None or p Names listed below ❑ None or • Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR ►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box: ❑INVESTMENT 0 REAL PROPERTY ❑ INVESTMENT 0 REAL PROPERTY Name of Business Entity,if Investment,or Name of Business Entity,if Investment,or Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE,LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE: 0$2,000-$10,000 E:1$2,000-$10,000 15 15 ❑$10,001 _ $100,000 ice 15 -/-/15 0$10,001 $100,000 / / / / 0$100,001 -$1,000,000 ACQUIRED DISPOSED ❑$100,001 -$1,000,000 ACQUIRED DISPOSED ❑Over$1,000,000 ❑ Over$1,000,000 NATURE OF INTEREST NATURE OF INTEREST El Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Property Ownership/Deed of Trust ❑Stock ❑Partnership ❑Leasehold ❑Other ❑ Leasehold ❑Other Yrs.remaining Yrs.remaining ❑Check box if additional schedules reporting investments or real property ❑Check box if additional schedules reporting investments or real property are attached are attached &LL 0 co i SJ vi2`�S N)° I An FPPC Form 700(2015/2016)Sch.A-2 Comments: FPPC Advice Email:advice@fppc.ca.gov k\,) cr1-i --NE ZTURis 71 p 0/J FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov r SCHEDULE C CALIFORNIA FORM 700 Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name (Other than Gifts and Travel Payments) IA kYrifoP MIF' ' ► 1.INCOME RECEIVED ► 1.INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME (74'k. c 'D tJi u L.T IN& :PJJC ADDRESS(Business Address Acceptab ) ADDRESS(Business Address Acceptable) BUNESS ACTIVITY,IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE 160< 1 �.°PSOLT'A) Cr NES� � YOUR BUSINg§S POSITION YOUR BUSINESS POSITION 14*3 I P N 1 GROSS INCOME RECEIVED GROSS INCOME RECEIVED ❑$50 , 00 El$1,001 -$10,000 ❑$500-$1,000 ❑$1,001 -$10,000 10,001-$100,000 ❑ OVER$100,000 ❑$10,001 -$100,000 ❑OVER$100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑Spouse's or registered domestic partner's income ❑ Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) ❑Partnership(Less than 10%ownership. For 10%or greater use ❑ Partnership(Less than 10%ownership. For 10%or greater use Schedule A-2.) Schedule A-2.) ❑ Sale of ❑ Sale of (Real property,car,boat,etc.) (Real property,car,boat,etc.) ❑ Loan repayment ❑ Loan repayment ❑ Commission or El Rental Income,list each source of$10,000 or more ❑ Commission or ❑ Rental Income,list each source of$10,000 or more (Describe) (Describe) p Other ❑ Other (Describe) (Describe) O. 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 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 (Months/Years) % ❑ None ADDRESS(Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY,OF LENDER El None 0 Personal residence ❑ Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑$500-$1,000 City ❑$1,001 -$10,000 ❑ Guarantor ❑$10,001 -$100,000 ❑ OVER$100,000 ❑ Other (Describe) Comments: FPPC Form 700(2015/2016)Sch.C FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov