Schedule A-2, Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10 percent or greater)

Filer's Name:

1. BUSINESS ENTITY OR TRUST

Name of business entity or trust: Address of business entity or trust (Business Address Acceptable):

Trust or Business Entity (check one) Trust, go to No. 2 Business Entity, complete the box (the following questions), then go to No. 2

General Description of this Business:

Fair Market Value $0 to $1,999 $2,000 to $10,000 $10,001 to $100,000 $100,001 to $1,000,000 Over $1,000,000

Nature of Investment Partnership Sole Proprietorship Other, If other checked, describe other:

If Applicable, Acquired Date in 2021: (enter month and day)
If Applicable, Disposed Date in 2021: (enter month and day) Your Business Position

2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/ TRUST)

Gross income received (include your pro rata share of the gross income to the entity/trust) $0 to $499 $500 to $1,000 $1,001 to $10,000 $10,001 to $100,000 Over $100,000

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)

Name of each reportable single source of income of $10,000 or more None Names listed below

If names listed below checked, list the name of each reportable single source of income of $10,000 or more:

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST (Check one box)

Investments or Real Property (Check one) Investment Real Property

Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or City or Other Precise Location of Real Property

Fair Market Value $2,000 to $10,000 $10,001 to $100,000 $100,001 to $1,000,000 Over $1,000,000

Nature of Investment Property Ownership/Deed of Trust Stock Partnership Leasehold, If Leasehold checked, enter years remaining: Other, If other checked, describe other:

If Applicable, Acquired Date in 2021: (enter month and day)
If Applicable, Disposed Date in 2021: (enter month and day)
Check box if additional schedules reporting investments or real property are attached

1. BUSINESS ENTITY OR TRUST (If another one is applicable)

Name of business entity or trust: Address of business entity or trust (Business Address Acceptable):

Trust or Business Entity (check one) Trust, go to No. 2 Business Entity, complete the box (the following questions), then go to No. 2

General Description of this Business:

Fair Market Value $0 to $1,999 $2,000 to $10,000 $10,001 to $100,000 $100,001 to $1,000,000 Over $1,000,000

Nature of Investment Partnership Sole Proprietorship Other, If other checked, describe other:

If Applicable, Acquired Date in 2021: (enter month and day)
If Applicable, Disposed Date in 2021: (enter month and day) Your Business Position

2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/ TRUST)

Gross income received (include your pro rata share of the gross income to the entity/trust) $0 to $499 $500 to $1,000 $1,001 to $10,000 $10,001 to $100,000 Over $100,000

3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)

Name of each reportable single source of income of $10,000 or more None Names listed below

If names listed below checked, list the name of each reportable single source of income of $10,000 or more:

4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST (Check one box)

Investments or Real Property (Check one) Investment Real Property

Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or City or Other Precise Location of Real Property

Fair Market Value $2,000 to $10,000 $10,001 to $100,000 $100,001 to $1,000,000 Over $1,000,000

Nature of Investment Property Ownership/Deed of Trust Stock Partnership Leasehold, If Leasehold checked, enter years remaining: Other, If other checked, describe other:

Comments

End of Title Page, Schedule A-2 Form, HTML text-only version of Form 700, Years 2021 and 2022

General Contact

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Sacramento, CA 95811

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