011400056 NFII-0056
<br />SCHEDULE C
<br />Income, Loanis, & �Businieiss,
<br />Positions
<br />(Othieir than Gifts and Travel Payrrients)
<br />INAMIE OF SOURCE OF INCOME
<br />Tfict Kennedy Commiesdon
<br />ADDRESS (flusimss Acbress A ccepiabk?)
<br />Irvine, CA 92614
<br />BUSINESS ACTIVITY, IF ANY„ OF SOURCE
<br />YOUR BUSINESS POSITION
<br />GROSS INCOME RECEIVED No InCorm BuSines% PoWtIon Oinly
<br />V wo $1,000 $1,0011 $10,0i Oo
<br />Ex] $10,001, sim,000 OVER $100,000
<br />CONSIDERATION FOR WHICH IIN,COME WAS, RECEIVED
<br />ff] Salary E] Spoine's or regiskered domestic partner's, inome
<br />(For a0f employed use ScluxlWe A 2 )
<br />Partnership (Loss than 10% ownership. For 10% o(greater use
<br />SchedWe A 2)
<br />E-1 Sale of
<br />(ReWparpody, cN, brot, o6c)
<br />w3 rt repayni,ie n t
<br />COMMISSIon, or E] Rental In Co Me, AV eo(ch riowtv of S B a 000 or frwxrp
<br />(Dascribu)
<br />Other...........................................................................................................................
<br />jarncr�be)
<br />OW
<br />Ramos. Isuri S
<br />NAMIE OF SOURCE OF INCOME
<br />ADDRESS (&xrsiner.s.q Addr*ss Accq)IaMo
<br />BUSINESS ACTIVITY IF ANY, OF SOURCE
<br />YOUR BUSINESS POSITION
<br />GROSS INCOME RECIEWED F] No Ilrworsnre BusIness Posftn Only
<br />F1 $500 $1,000 F1 $1,0,01 $10,00,0
<br />[-] $10,0011 $1100,000 [ ] OVER $100,000
<br />CONSIDERATION IFOR WHICH INCOME WAS RECEIVED
<br />0 salary E] Spoulse's or iregUskernd dornesbc paidneir's in roe
<br />(Fa self errployed use Schedule A 2 )
<br />[:]P,aaner.lhlp(Le%sthanlO%ownerslhip. Forl(D%orgrealoruso
<br />SchedWe Al 2.)
<br />Sale at
<br />(RaW prrVady, cm, hwa, eft )
<br />q marl. rapquient
<br />Comirnlssnon or n ReMall InCorre, hi each scvroo of $10,000 or more
<br />(DosrAtwp)
<br />F-] Other ...........................................................................................................................
<br />(Dosofit*)
<br />You are not required to report lloans fromi a cornry-ileircial lending institution, or any indebtedness created as part of
<br />a retail installment or credit card transaction, niade in the lender's regular course of biLlSiness on terrns available to
<br />mernbeirs of: the pubilic without regard to your Official status. Personal loans and loans received not in a lender's
<br />regular course of business miust be disclosed as follows:
<br />N,AMIE OF LENDEW IWERESTRATE "TERM (Motiths/Years)
<br />ADDRESS (Busmss Address A cceptabfe�
<br />BUSINESS ACTIVITY, OF ANY, OF LEINDIER
<br />HIGHEST BALANCE DURING REPORTING PERIOD
<br />El $1,00, $10,(),00
<br />El $10,aul $100,000
<br />DOVER $100,000
<br />None
<br />SECURITY FOR LOAN
<br />[] Nor* personal resideroe
<br />El IReAl Property
<br />Guarartor
<br />Ism
<br />cily
<br />0)0-fitwo)
<br />FPPC Form 700 (2018120119), $ch. C
<br />FPPC Advice Email.- advice@1ppc.ca.g0v
<br />FPIPC Toll -Free He$phne: 8661275-3772 www.fppic.ca,gov
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