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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 <br />