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SCHEDULE E <br />Income — Gifts <br />Travel Payments, Advances, <br />and Reimbursements <br />Name <br />Mariaela Vallelo <br />• Mark either the gift or Income box. <br />a Mark the "501(c)(3)" box for a travel payment received from a nonprofit 501(c)(3) organization <br />or the "Speech" box if you made a speech or participated in a panel. Per Government Code <br />Section 89506, these payments may not be subject to the gift limit. However, they may result <br />in a disqualifying conflict of interest. <br />• For gifts of travel, provide the travel destination. <br />► NAME OF SOuRCE (Not so Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />CITYAND STATE <br />❑ 601(c)(3) or DESCRIBE BuSINESS ACTIVITY, IF ANY, OF SOuRCE <br />DATE(S): / / / / AMT: $ <br />(if gift) <br />► MuST CHECk ONE: ❑ Gift -or- ❑ Income <br />0 Made a Speech/Participated in a Panel <br />0 Other - Provide Description <br />► If Gift, Provide Travel Destination <br />► NAME OF SOURCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />CITY AND STATE <br />❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOuRCE <br />DATE(S): / / / / AMT: $ <br />(Ifgift) <br />► MuST CHECk ONE: ❑ Gift -or- I❑ Income <br />0 Made a Speech/Participated In a Panel <br />0 Other -Provide Description <br />I- If GA. Provide Travel Destination <br />► NAME OF SOuRCE (Not an Acronym) <br />N/A <br />ADDRESS (Business Address Acceptable) <br />CITY AND STATE <br />❑ 501 (o)(3) or DESCRIBE 13uSINES$ ACTIVITY, IF ANY, OF SOuRCE <br />DATE(S): / / / / AMT: $ <br />(if gift) <br />► Mu$TCHECk ONE: ❑ Gift -or- ❑ Income <br />© Made a Speech/Partlolpated in a Panel <br />0 Other -Provide Descriptior <br />► If Gift, Provide Travel Destination <br />P. NAME OF SOURCE (Not on Acronym) <br />ADDRESS (Business Address Acceptable) <br />CITYAND STATE <br />❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE <br />DATE(S): / / / / AMT: <br />(Ifglft) <br />h MuST CHECk ONE: ❑ Gift -or- ❑ Income <br />O Made a Speech/Participated Ina Panel <br />0 Other -Provide Description <br />► If GIH, Provide Travel Destination <br />Comments: <br />FPPC Farm 700 (2018/2019) <br />FPPC Advice Email: advice@fppc.ca.gov <br />FPPC Toll -Free Helpline: 666/2753772 www.fppc,ca.gov <br />0em-ia <br />