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Ramos James Chacon

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Ramos James Chacon Date Initial Filin COVER PAGE FEB 17 2 15 BOARD OF SUPERVISORS Ramos James Chacon Age~7 Na~e ~Do not use acronyms) Board of Supe~isors Division, Board, Depa~ment, District, if applicable Your Position 3 Me~er ~ If filing for multiple position, list below or on an attachment. (Do not use acronyms) Agency: See attachment Position: 2. Jurisdiction of Office ~ChecX at/east o.e boxl [] State [] Judge or Court Commissioner (Statewide Jurisdi~ion) [] Multi-County [] County of San Bernardino [] City of [] Other 3, Type of Statement [] Annual: The period covered is January 1, 2014, through [] Leaving Office: Date Left ! December 31, 2014. (Check one) - or- The period covered is , through O The period covered is January 1, 2014 through the date of December 31, 2014, leaving office. [] Assuming Office: Date assumed 0 The period covered is through the date of leaving office. [] Candidate: Elec:tion Year and office sought, if different than Part 1 : Schedule Summary Check applicable schedules or "None. Total number of pages including this cover page: 9 [] Schedule A-1 - Investments - schedule attached [] Schedule C - Income, Loans, & Business Posldons - schedule attached [] Schedule A-2 - Investments - schedule attached [] Schedule D - Income - Gifts - schedule attached [] Schedule B - Real Property- schedule attached [] Schedule E - Income - Gifts - Travel Payments - schedule attached - or- [] None - No reportable interests on any schedule ~ statement. contained herein and in any attached schedules is true and cOral I certif!/under penalty of perjury under the laws of the State of ( {month, day, yearj FPPC Form 700 12014/2015) FPPC Advice Email: [email protected]) FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov Attachment to Cover Page James Chacon Ramos Ag~: Position: All Board Governed Special Districts Board Member In Home Support Services Public Authority Board Member Inland Counties Emergency Medical Agency Board Member Inland Empire Public Facilities Corporation Board Member Omnitrans Board of Directors Board Member Successor Agency to Cnty of SBR Redevelopment Board Member San Bernardino Associated Governments Board Member San Bernardino County Financing Authority Board Member San Bernardino Flood Control District Board Member San Bernardino Industrial Dev. Authority ~oard Member Solid Waste Advisory Task Force Board Member San Bernardino Econ. and Comm. Dev. Corp. Board Member Big Bear Valley Recreation and Park District Board Member Bloomington Recreation and Park District Board Member San Bernardino Cnty Fire Protection District Board Member Board Governed County Service Areas Board Member Agua Mansa Industrial Growth Association Alternate Behavorial Health Commission Delegate Cal-Id Remote Access Network Board Delegate Consolidated Fire Agencies of the East Valley Delegate Crafton Hills Open Space Conservancy Delegate FPPC Form 700 (2014/2015) Cover P~ge FPPC Advice Ernai]: advice@fl)pc.ca.gov) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov Attachment to Cover Page Chacon Ramos Position: Inland Valley Development Agency Delegate Interagency Council on Homelessness Delegate Local Agency Formation Commission Delegate Mojave Desert Air Quality Management District Delegate Mojave Desert & Mountain Recycling Authority Alternate Morongo Basin Transit Authority Delegate Mountain Area Regional Transit Authority Delegate San Bernardino Int’l Airport Authority Delegate San Bernardino Muni Water District Advisory Delegate Santa Ana River Pkwy Policy Advisory Group Delegate Big Bear Area Regional Wastewater Agency Delegate California State Association of Counties Member National Association of Counties Delegate Housing Authority Member Indian Gaming Local Benefit Committee Delegate Upper Santa Aria River Land Mgmt Task Force Delegate Urban Counties Caucus Member Victor Valley Wastewater Reclam. Authority Delegate FPPC Form 700 {2014/2015} Cover Page FPPC Advice Emaih [email protected]) FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov Schedule A- 1 Investments Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) James Chaoon Ramos Do not attach brokerage or financial statements. NAME OF BUSINESS ENTITY NAME OF BUSINESS ENTITY General Electric GENERALDESCRIPTIONOFTHISBUSINESS GENERAL DESCRIPTION OF THIS BUSINESS Manufacturing FAIR MARKET VALUE FAIR MARKET VALUE [] $2,000- $10,000 [] $10,001 - $10%000 [] $~,ooo-$IO,OOO [] $Io,ooI. $ioo,oo0 [] $1 oo,ool - $1.ooo,ooo [] over $1,ooo,ooo [] $100,001 - $1,000,000 [] Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT [] Stock [] Other [] Stock [] Other [Describe} (Describe) [] Partnership O Income Received of $0 .$499 [] Partnership O Income Received of $0 -$499 O Income Received of $500 or More fReport on Schedule 0 Income Received of $500 or More (Report on Schedu/e C~ IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: I ! l / / I / / ACQUIRED DISPOSED ACQUIRED DISPOSED NAME OF BUSINESS ENTITY NAME OF BUSINESS ENTITY Pf±zer, TnC. GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS Pharmaceuticals FAIR MARKET VALUE FAIR MARKET VALUE [] $2,000- $10,000 [] $10,001- $100,000 [] $2.000 - $10.000 [] $I0,001 - $100,000 [] $100,001 - $1,000,000 [] Over $1,000,000 [] $100,001- $1,000,000 [] Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT [] Stock [] Other [] Stock [] Other (Describe) (Describe) [] Partnership O income Received of $0 -$499 [] Partnership C) Income Received of $0 -$499 O income Received of $500 or More {Report on ~.hedu/e C) 0 income Received of $500 or More /Report on Schedule C} IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: / / / / ! I I I ACQUIRED DISPOSED ACQUIRED DISPOSED NAME OF BUSINESS ENTITY NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE FAIR MARKET VALUE [] $2,000 - $10,000 [] $I0,001 - $100,000 [] $2,000 - $10,0OO [] $10,001 ~ $100,000 [] $100,001 - $1,000,000 [] over $1,000,000 [] $t00,001 - $1,000o000 [] Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT [] Stock [] Other [] Stock [] Other IDescribe) (Describe) [] Partnership O Income Received of $0 -$499 [] Partnership O Income Re.ceived of $0 .$499 O Income Received of $500 or More (Report on Schedule O Income Received of $500 or More {Report on Schedu/e C/ IF APPUCABLE, LIST DATE: IF APPLICABLE, LIST DATE; I I I I / / I I ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700 |2014/2015| Sch. A-1 FPPC Advice Email: [email protected]) FPPC Toll-Free Helpline: 866/275--3772 www.fppc.ca.gov Schedule A-2 Investments, Income, and Assets of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) James Chacon Ramos Diversity Investments, Inc, Check one box: [] INVESTMENT [] REAL PROPERTY PO BOX 10728, San Bernardino, CA 92423 Address (Business Addfe,~s Acceptable). Check one Name o| Business Entity, If Investment, or [] Trust, 9o to 2 [] Business Entity, complete the box, then go to 2 Assessor’s Parcel Number or Street Address o| Real Property GENER~,L DESCRIPTION OF THIS BUSINESS ~C~ee~,atespzcos restaurants dba Yum Yum’s & Dss=iption of Business Activity or FAIR MARKET VALUE IF APPLICABLE, LIST DATE; C~¥ or Other Precise Locatlo~ of Real Property [] $0 - Sl,999 [] $2,000- $10,000 / / / FAIR MARKET VALUE IF APPLICABLE, LIST DATE: [] $10,001-$100,000 ACQUIRED DISPOSED [] $2,000 - $10,000 [] $100,00t - $1,000,000 [] $1o,o01 - $1o0,o0o / / / [] over $1,ooo,o0o [] $100,001 - $1,000,000 ACQUIREI:~ DISPOSED NATURE OF INVESTMENT [] Over $t,000,oo0 [] Partnership [] Sole Proprietorehlp [] Corporation Other NATURE OF INTEREST YOUR BUSINESS POSITION CEO/President [] Property Ownership/Deed of Trust [] Stock [] Partnership [] Leasehold Yrs. remaining [] $o.$499 [] $t0,001 - $100,000 [] Other [] $5oo- $1,ooo [] Over $100,000 [] $1,oot- $1o,ooo Check one box: [] None or [] Names listed below [] INVESTMEN+ [] REAL PROPERTY Name of Business Entity, If Investment, or Assessor’s Pared Numbs? or Street Address of Real Property Check one box: INVESTMENT [] [] REAL PROPERTY Deacriptlon of Business Activity or City or Other Precise Location of Reel Property Name of Business Entity, ff Investment, or FAIR MARKET VALUE IF APPLICABLE, LIST DATE: Assessor’s Parcel Number o~ Street Address of Real Property [] $2,o0o. $1 o,ooo [] $10,001 -$100,000 / / / , ,/,, [] $100,0~1 - $1,000,000 ACQUIRED DISPOSED’ [] Over $1,000,000 Description of Business Activity or City ot Other PrecMe Location of Reel Property NATURE OF INTEREST [] Property OwnershiplDsed of Trust [] Stock [] Partnership FAIR MARKET VALUE IF APPLICABLE. LIST DATE: [] $2,000- $10,000 [] Leasehold Yrs. remaining [] $10,001- $100,000 / f I / ACQUIRED DISPOSED [] $100,001 - $1,000.000 [] Other [] Over $1,000,000 NATURE OF INTEREST [] Property Ownership/Deed of Trust [] Stock [] Partnership Comments: [] Leasehold Yrs. remaining [] Other FPPC Form 700 (201412015| Sch. A-2 FPPC Advice Email: [email protected]} FPPC Toll-Free Halpllne: 8661275-3772 www.fppc.ca.gov Schedule B Interests in Real Property Name (Including Rental Income) James Chacon Ramos ASSESSOR’SPARCELNUMB~ ORSTREET ADDRESS ASSESSOR’SPARCELNUMBERORSTRE~ ADDRESS .ZLPNe 0318213050000, 0318213060000, APNS I191381010000, 1191381020000 0318213100000 (I) 1191381030000 (2) CITY CIT7 San Bernardino County San Bernardino County FAIR MARKET VALUE IF APPLICABLE, UST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: [] $2,ooo- $1o,ooo [] $2,000-$10,000 [] $10,001-$100,000 ( [] $10,OOl -$100,OO0 ! 1 / / ACQUIRED DISPOSED ACQUIRED DISPOSED [] $100,001 .$1,000,000
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