CA Form 700 Statement of Economic Interests - Campbell RECEIVEDReceived
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTER INTEIWgF pilpor,Lni% ger,
FAIR POLITICAL PRACTICES COMMISSION
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A PUBLIC DOCUMENT COVER PAGE ift
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NAME OF FILER (LAST) (FIRST) r (MlDPLE)Y
CAMPBELL BRIAN r OFFICE
1. Office, Agency, or Court OOTY OF
R�II�O���A�.OS VERDES
Agency Name (Do not use acronyms)
CITY OF RANCHO PALOS VERDES JAN Q 4 2018
Division, Board, Department, District, if applicable Your Position
CITY COUNCIL COUNCILMEMBE
0FFICE
If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: SEE ATTACHED Position:
2. Jurisdiction of Office (Check at least one box)
❑State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
0 City of RANCHO PALOS VERDES ❑Other
3. Type of Statement (Check at least one box)
111Annual: The period covered is January 1, 2016,through 0 Leaving Office: Date Left 12 / 05 2017
December 31, 2016. (Check one)
-or-
The period covered is_—J , through ® The period covered is January 1, 2016, through the date of
December 31, 2016. -or-leaving office.
❑ Assuming Office: Date assumed—J—___I 0 The period covered is J—_I ,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:
Schedules attached
❑ Schedule A-1 -Investments—schedule attached ..jchedule C-Income, Loans, &Business Positions—schedule attached
Schedule 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-
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 teregog is true and correct.
Date Signed 1 —
9 Signature _
(month,day,year) ( with your filing official.)
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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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) Brian Campbell
► 1. BUSINESS ENTITY OR TRUST ► 1. BUSINESS ENTITY OR TRUST
BC Urban, LLC
Name Name
Address(Business Address Acceptable) 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
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE,LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE:
❑$0-$1,999 0$0-$1,999
❑$2,000-$10,000 / / 16 / /16 ❑$2,000-$10,000 / / 16 / /16
0$10,001.-$100,000 ACQUIRED DISPOSED 0$10,001-$100,000 ACQUIRED DISPOSED
0$100,001 -$1,000,000 0$100,001 -$1,000,000
❑Over$1,000,000 0 Over$1,000,000
NATURE OF INVESTMENT LLC NATURE OF INVESTMENT
❑ Partnership 0 Sole Proprietorship ❑X ❑ Partnership ❑ Sole Proprietorship 0
Other Other
YOUR BUSINESS POSITION Managing Member
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$0-$499 ❑$10,001 -$100,000 0$0-$499 0$10,001 -$100,000
0$500-$1,000 ❑X OVER$100,000 0$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 (Attach a separate sheet if necessary.}
0 None or 0 Names listed below 0 None or II Names listed below
NAVIGATOR WEST, LLC
*See notes 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 0 INVESTMENT ❑ REAL PROPERTY
Name of Business Entity,if Investment,or Name of Business Entity,if Investment,Q
Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity gi Description of Business Activity QI
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 0$2,000-$10,000
❑$10,001 -$100,000 /_/ 16 _____J___/16 0$10,001 -$100,000 / / 16 / /16
❑$100,001-$1,000,000 ACQUIRED DISPOSED ❑$100,001 -$1,000,000 ACQUIRED DISPOSED
o Over$1,000,000 ❑Over$1,000,000
NATURE OF INTEREST NATURE OF INTEREST
❑Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Property Ownership/Deed of Trust ❑Stock 0 Partnership
o Leasehold ❑ Other 0 Leasehold 0 Other
Yrs.remaining Yrs.remaining
❑Check box if additional schedules reporting investments or real property 0 Check box if additional schedules reporting investments or real property
are attached are attached
Comments:*All other income sources not within the jurisdiction FPPC Form 700(2016/2017)Sch.A-2
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Brian Campbell
► 1. INCOME RECEIVED ► 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
NAVIGATOR WEST, LLC COUNTY SANITATION DIST OF LA COUNTY
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE
Renewall of tenant at retail rental property Board Director
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Real Estate Broker Mayor of RPV
GROSS INCOME RECEIVED ❑No Income-Business Position Only GROSS INCOME RECEIVED ❑No Income-Business Position Only
❑$500-$1,000 ❑$1,001 -$10,000 ❑$500-$1,000 Q$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
0 Salary 0 Spouse's or registered domestic partner's income ❑Salary 0 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 0 Partnership(Less than 10%ownership. For 10%or greater use
Schedule A-2.) Schedule A-2.)
❑Sale of 0 Sale of
(Real property,car,boat,etc.) (Realro
p party,car,boat,etc.)
0 Loan repayment ❑ Loan repayment
❑X Commission or 0 Rental Income,list each source of$10,000 or more . 0 Commission or ❑ Rental Income,list each source of$10,000 or more
Approx$13,000.00 commision
(Describe) (Describe)
❑Other ❑X Other Fee for Attending Board of Director Meetings
(Describe) (Describe)
► 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 ❑ None ❑Personal residence
❑ Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
0$500-$1,000
City
❑$1,001 -$10,000
❑$10,001 -$100,000 ❑Guarantor
❑ OVER$100,000 ❑ Other
(Describe)
Comments:
FPPC Form 700(2016/2017)Sch.C
• FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov