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LLC D Corporation VTA & MTG: Regional D Trust IB] Governmental Agency D Nonprofit Organization □ T

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LLC D Corporation VTA & MTG: Regional D Trust IB] Governmental Agency D Nonprofit Organization □ T Son 1Jose Cfty c 2016 OCT 17 PH 31 31 INCOME AND TIME DISCLOSURE STATEMENT (San Jose Municipal Code Chapter 12.19) NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Liccardo Sam T. 408-535-4800 REPORTING PERIOD During the Reporting Period, how many hours did you spend rendering seNices unrelated to your duties of office forwhich you earned Income? (Ifyour answer is none, please proceed to Section 2 below.) □ LESS$500 IB1$500-$1,000 [xi$1,001-$10,000 □ $10,001-$100,000 □ OVER$100,000 *If aggregate in Reporting Year is more than$500, proceed to Section 2. If aggregate in Reporting Year is less than$500, proceed to Section 5. □ $0-$499* □ $500-$1,000 [x]$1,001-$10,000 □ $10,001-$100,000 □ OVER$100,000 *If aggregate in Reporting Year is less than$500, proceed to Section 5. If aggregate in Reporting Year is more than$500, proceed to Section 3. NAME OF BUSINESS ENTITYffRUST/GOVERNMENTAL AGENCY Valley Transportation Authority; Metropolitian TransportationCom m ission ADDRESS VTA: 3331 N. 1st. St. San Jose, 95134; MTG: 375 Beale St. #800 San Francisco, 94105 TYPE OF BUSINESS ENTITYffRUST/GOVERNMENTAL AGENCY: D Proprietorship D Partnership □ LLC D Corporation VTA & MTG: Regional D Trust IB] Governmental Agency D Nonprofit Organization □ T.-... .-.c-nr..-t .... tir..-. /1.,..,,.....,,,..;,...c, other GENERAL DESCRIPTION OF BUSINESS ENTITYffRUST/GOVERNMENTAL AGENCY ACTIVITY: VTA & MTG: Regional Transportation Agencies POSITION: VrA· Boardmeamhear MIC· Cammissianear Perct_iem paym ents GENERAL DESCRIPTION OF SERVICES RENDERED: _ _ _ _ _ _ _ _ _ _ _________________ I have used all reasonable diligence in pr artfl this statement. I have reviewed this statement and to the best of my knowledge the information contained rein and in an attache schedules is true and complete. I certifyunder penalty of perjury under the laws of · the State of Califo ia t at the for oin rue and correct. ( . � " :/ ' Si Date Signed __/_()_-_/� _-_,/ �--­ nt with the CityClerk.) (month, day, year) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 1 NAME OF ELECTED OFFICIAL Date of 10/14/16 CITY OF SAN Sam Liccardo This Filing JOSE FORM DFR1 OFFICE HELD PERIOD COVERED BY THIS For OfficialUse Only REPORT 1 Mayor 7/1/16 9/30/16 Page ___ of� TO DATE OF AMOUNT DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR SOLICITAT/ON CONTRIBUTED CONTRIBUTION 8/9/16 $10,000.00 Mike Akatiff; Ack Avionics Yes on F 440 W Julian St, San Jose, CA 95110 8/7/16 $10,000.00 Sanjeev Acharya; SiliconSage Builders Yes on F 560 S Mathilda Ave, Sunnyvale, CA 94086 8/7/16 $2,000.00 Chuck Toeniskoetter; Toeniskoetter Construction Yes on F 1960 The Alameda #20, San Jose, CA 95126 8/7/16 $10,000.00 Chris Neale; CORE Companies Yes on F 470 S Market St, San Jose, CA 95113 8/19/16 $5,000.00 David Hilliard; Symphony Yes on F 11828 La Grange Ave, Los Angeles 90025 8/16/2016 $26,000.00 George Marcus; Marcus & Millchap Yes on F 800 N 1st St, San Jose, CA 95112 Date NOTHING TO REPORT 0 Signature City of San Jose Form DFR-1 (Nov/201 O) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 2 DATE OF AMOUNT DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR SOLICITAT/ON CONTRIBUTED CONTRIBUTION 8/21/16 $1,000.00 Robert Freed; SummerHill Yes on F 555 W Campbell Ave, Campbell, CA 95008 8/21/16 $2,500.00 Tod Spieker; Spieker Properties Yes on F 1600 Technology Dr, San Jose, CA 95110 8/20/16 $5,000.00 Eric Hietala; Signature Yes on F 323 Martin Ave, Santa Clara, CA 95050 8/20/16 $10,000.00 Bill Baron; Brandenburg Yes on F 1122 Willow Street, Suite 200, San Jose, CA 95125 8 /20/16 $10,000.00 Todd Sklar; Shorenstein Yes on F 235 Montgomery Street, 16th Floor, San Francisco, CA 94104 8 /20/16 $12,500.00 Gil Cheso; Allied Waste/Republic Yes on F 1601 Dixon Landing Rd, Milpitas, CA 95035 Date NOTHING TO REPORT Signature □ City of San Jose Form DFR-1 (Nov/201 O) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 1 NAME OF ELECTED OFFICIAL Date Stamp Date of 10/14/16 CITYOF SAN Sam Liccardo This Filing JOSE FORM DFR1 OFFICE HELD PERIOD COVERED BY THIS For OfficialUse Only REPORT Pagel_ of Mayor 7/1/16 9/30/16 '4--- TO DATE OF AMOUNT DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR SOLICITATION CONTRIBUTED CONTRIBUTION 8/25/16 $25,000.00 Brian Bumb; Berryessa Flea Market Yes on F 1590 Berryessa Rd, San Jose, CA 95133 8/24/16 $1,000.00 John Davis; TMFC Corporation Yes on F 521 Charcot Ave #101, San Jose, CA 95131 8/24/16 $2,500.00 Carl Salas; Salas O'Brien Yes on F 305 S 11th St, San Jose, CA 95112 8/23/16 $5,000.00 Mark Kroll; Sares Regis Yes on F 850 Meridian Way, San Jose, CA 95126 8/23/16 $10,000.00 Marty Kropelnicki; California Water Service Yes on F 1720 N 1st St, San Jose, CA 95112 8/21/16 $500.00 Todd Harris; Tech Credit Union Yes on F PO Box 1409 San Jose, CA 95109 Date NOTHING TO REPORT 0 Signature City of San Jose Form DFR-1 (Nov/201 0) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 1 NAME OF ELECTED OFFICIAL Date Stamp Date of 10/14/16 CITY OF SAN Sam Liccardo This Filing JOSE FORM DFR1 OFFICE HELD PERIOD COVERED BY THIS For OfficialUse Only REPORT Mayor 7/1/16 9/30/16 Page !d__ of .L:t- TO DATE OF AMOUNT FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING SOLICITAT/ON CONTRIBUTED CONTRIBUTION 9/1/16 $1,000.00 Larry Kuechler; Armanino LLP Yes on F 50 W San Fernando St, San Jose, CA 95113 9/2/16 $1,000.00 Dave Henderson; Samaritan Medical Yes on F 554 Blossom Hill Rd, San Jose, CA 95123 8/28/16 $2,500.00 Pieter Smith; Westwood Properties Yes on F 55 S 6th St, San Jose, CA 95112 9/14/16 $5,000.00 Don Peterson; Mill Creek Yes on F 411 Borel Avenue, Suite 405, San Mateo, CA 94402 9/20/16 $5,000.00 Mike Peterson; Preston Pipelines Yes on F 133 Bothelo Ave, Milpitas, CA 95035 9/29/16 $5,000.00 Michael Van Every; Republic Properties Yes on F 84 W Santa Clara St, San Jose, CA 95113 Date NOTHING TO REPORT 0 Signature City of San Jose Form DFR-1 (Nov/2010) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 2 DATE OF AMOUNT DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR SOLICITATION CONTRIBUTED CONTRIBUTION 8/19/16 $5,000.00 Robert Emami; ROEM Yes on F 1650 Lafayette St, Santa Clara, CA 95050 8/16/16 $5,000.00 Joe Parisi; Therma Yes on F 1601 Las Plumas Ave, San Jose, CA 95133 8/14/16 $5,000.00 Art Zafiropoulo; Ultratech Yes on F 3050 Zanker Rd, San Jose, CA 95134 8/16/16 $10,000.00 Stuart Schiff; DivCo Yes on F 575 Market St, San Francisco, CA 94105 9/8/16 $10,000.00 Martin Menne; MCM Diversified Yes on F 777 N. 1st St., San Jose, CA 95112 8 /23/16 $10,000.00 Sanford Diller; Prometheus Yes on F 1900 South Norfolk Street, Suite 150, San Mateo, CA 94403 Date NOTHING TO REPORT □ Signature City of San Jose Form DFR-1 (Nov/201 D) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 2 DATE OF AMOUNT DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR SOLICITAT/ON CONTRIBUTED CONTRIBUTION 9/23/16 $200.00 David Lebaron Jr; Saputo Dairy Foods Yes on F 2711 N Haskell Ave, Dallas, TX 75204 9/14/16 $500.00 Thang Do; AEDIS Architects Yes on F 387 S 1st St #300, San Jose, CA 95113 9/14/16 $500.00 Jay Ross; Hopkins Carley Yes on F 70 S 1st St, San Jose, CA 95113 9/ 14/16 $500.00 Teresa Alvarado; SPUR Yes on F 76 S 1st St, San Jose, CA 95113 9/14/16 $500.00 Walter Soellner; retired Yes on F San Jose 95112 9 /14/16 $500.00 Ramsey Nijmeh; Diamond Quality Printing Yes on F 1465 Monterey Hwy, San Jose, CA 95110 Date NOTHING TO REPORT □ Signature City of San Jose Form DFR-1 (Nov/2010) Type or print in ink. Amounts may be rounded to whole dollars. Disclosure of Fundraising Report Form Page 1 NAME OF ELECTED OFFICIAL Date Stamp Date of 10/14/16 CITY OF SAN Sam Liccardo This Filing JOSE FORM DFR1 OFFICE HELD PERIOD COVERED BY THIS For Official Use Only REPORT Mayor 7/1/16 9/30/16 Page _:J__ of lfL_ TO DATE OF AMOUNT DESCRIPTION OF EVENT OR PURPOSE OF FUNDRAISING FULL NAME, ADDRESS, EMPLOYER AND OCCUPATION OF CONTRIBUTOR SOLICITA TJON CONTRIBUTED CONTRIBUTION 8/31/16 $1,000.00 Joe Lewis; Orchard Commercial Yes on F 2055 Laurelwood Rd, Santa Clara, CA 95054 8/31/16 $2,500.00 Brian Bothman; Bothman Construction Yes on F 2690 Scott Blvd, Santa Clara, CA 95050 8/31/16 $10,000.00 Charles Liang; SuperMicro Yes on F 980 Rock Ave, San Jose, CA 95131 8/30/16 $1,500.00 Murphy Sabatino; M & M Properties Yes on F 2156 O'Toole Ave# L, San Jose, CA 95131 8/30/16 $3,500.00 Rob Facchino; Terracommercial Yes on F 160 W Santa Clara St# 990, San Jose, CA 95113 8/30/16 $5,000.00 Phil Rolla; Dan Caputo Co.
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