HomeMy WebLinkAbout11.16.22@600 SP CCWednesday, November 16, 2022
6:00 PM
City of South San Francisco
P.O. Box 711 (City Hall, 400 Grand Avenue)
South San Francisco, CA
Municipal Services Building, Council Chambers
33 Arroyo Drive, South San Francisco, CA
Special City Council
Special Meeting Agenda
HYBRID IN-PERSON/VIRTUAL MEETING NOTICE
1
November 16, 2022Special City Council Special Meeting Agenda
HYBRID IN-PERSON/VIRTUAL MEETING NOTICE
The purpose of conducting the meeting as described in this notice is to provide the safest environment for staff
and the public while allowing for public participation.
Councilmembers Coleman, Flores and Addiego, Vice Mayor Nicolas and Mayor Nagales and essential City
staff may participate via Teleconference.
Pursuant to Ralph M. Brown Act, Government Code Section 54953, all votes shall be by roll call due to
council members participating by teleconference.
The City Council may meet by teleconference, consistent with the Brown Act as amended by AB 361 (2021).
Under the amended rules, the City will not provide a physical location for members of the public to participate
in the teleconference meeting.
American Disability Act:
The City Clerk will provide materials in appropriate alternative formats to comply with the Americans with
Disabilities Act. Please send a written request to City Clerk Rosa Govea Acosta at 400 Grand Avenue, South
San Francisco, CA 94080, or email at [email protected]. Include your name, address, phone number, a brief
description of the requested materials, and preferred alternative format service at least 24-hours before the
meeting.
Accommodations: Individuals who require special assistance of a disability -related modification or
accommodation to participate in the meeting, including Interpretation Services, should contact the Office of the
City Clerk by email at [email protected], 24-hours before the meeting.
Notification in advance of the meeting will enable the City of South San Francisco to make reasonable
arrangements to ensure accessibility to the meeting.
Page 2 City of South San Francisco Printed on 11/16/2022
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November 16, 2022Special City Council Special Meeting Agenda
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Members of the public are encouraged to submit public comments in writing in advance of the meeting via the
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https://ci-ssf-ca.granicusideas.com/meetings or by visiting the City Council meeting's agenda page. eComments
are also directly sent to the iLegislate application used by City Council and staff.
How to provide Public Comment during the City Council Meeting:
1) By Phone: (669) 900-6833. Webinar ID is 897 9538 5974. Click *9 to raise a hand to speak. Click *6 to
unmute when called.
By One tap mobile: US: +16694449171,,89795385974#
2) Online at: https://ssf-net.zoom.us/j/89795385974
a. Enter an email address and name. The name will be visible online and will be used to notify you that it is your
turn to speak.
b. When the Clerk calls for the item on which you wish to speak, click on "raise hand." Speakers will be notified
shortly before they are called to speak.
c. When called, please limit your remarks to the time limit allotted.
IN-PERSON: Please complete a Digital Speaker Card located at the entrance to the Council Chamber ’s. Be
sure to indicate the Agenda Item # you wish to address or the topic of your public comment. When your name
is called, please come to the podium, state your name and address (optional) for the Minutes. COMMENTS
ARE LIMITED TO THREE (3) MINUTES PER SPEAKER. Thank you for your cooperation.
Page 3 City of South San Francisco Printed on 11/16/2022
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November 16, 2022Special City Council Special Meeting Agenda
CALL TO ORDER
ROLL CALL
AGENDA REVIEW
PUBLIC COMMENTS -Comments are limited to items on the Special Meeting Agenda
COUNCIL COMMENTS/REQUESTS
CONSENT CALENDAR
Report regarding a resolution amending the City’s Conflict of Interest Code to update
the List of Designated Positions. (Rosa Govea Acosta, City Clerk)
1.
Resolution amending the City's Conflict of Interest Code to update the designated
positions.
1a.
Report regarding a Resolution to amend Resolution 94-2020 authorizing the City of
South San Francisco to apply to the State of California to receive and administer the
City’s entitlement of Permanent Local Housing Allocation (PLHA) funds to implement
rental assistance program for persons experiencing or at-risk of homelessness, and to
enter into all required agreements to receive the PLHA funds. (Ashley Crociani,
Community Development Assistant)
2.
Resolution amending Resolution 94-2020 authorizing the City of South San Francisco
to apply to the State of California to receive and administer the City’s entitlement of
Permanent Local Housing Allocation (PHLA) funds to implement rental assistance
program for persons experiencing or at-risk of homelessness, and to enter into all
required agreements to receive the PHLA funds.
2a.
ADMINISTRATIVE BUSINESS
Study session providing an update on the City’s pension obligations as it relates to its
current unfunded accrued liability (“UAL”) of its retirement plans and facilitating a
discussion of various strategies to address and manage the City’s pension obligations.
(Karen Chang, Director of Finance)
3.
ADJOURNMENT
Page 4 City of South San Francisco Printed on 11/16/2022
4
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:22-574 Agenda Date:11/16/2022
Version:1 Item #:1.
Report regarding a resolution amending the City’s Conflict of Interest Code to update the List of Designated
Positions.(Rosa Govea Acosta, City Clerk)
RECOMMENDATION
It is recommended that the City Council approve a resolution amending the City’s Conflict of Interest
Code to update the List of Designated Positions.
BACKGROUND/DISCUSSION
At its September 14,2022,the City Council accepted,by Motion,the 2022 Biennial Notice (Notice)pursuant
to the California Political Reform Act,as regulated by the Fair Political Practices Commission (FPPC)and
issued by the City Clerk.The Notice specified that the City’s Conflict of Interest Code was in need of
amendments.The amendments are required due to changes to the City’s organizational structure,elimination of
positions and re-named positions,addition of positions and changes in duties and responsibilities.Accordingly,
the City is obligated to revise the City’s Conflict of Interest Code 90 days from the filing of the Notice.
Conflict of Interest Code Requirements and Recent History
State law requires the City to adopt a Conflict-of-Interest Code (COI).The COI obligates a person holding a
designated position in the City to file a Statement of Economic Interest Form 700 with the City Clerk;this is
included as Attachment 1.The COI includes a list of designated positions and identifies disclosure categories,
which are the portions of the Form 700 applicable to each position.To inform the City’s determination as to
which positions to include,the FPPC requires inclusion of all agency positions that involve the making or
participation in the making of decisions that may foreseeably have a material effect on any financial interest.
In 1987,the City Council adopted its initial COI pursuant to Resolution 129-87.The COI was amended on
several occasions.In 2009,the disclosure categories were updated by Resolution 22-2009 to reflect changes to
the Form 700 schedules,included in Attachment 2.The most recent amendments to the COI were done on
October 14, 2020, and accomplished by Resolution 125-2020, included as Attachment 3.
Current Recommended Amendments
Due to recent changes in the organization,new positions have been created and others have been eliminated.
Additionally,there have been changes to titles and responsibilities for certain positions.As a result,the
recommended changes to the COI’s List of Designated Positions are set forth in Attachment 4.No changes to
the disclosure categories are recommended at this time.
CONCLUSION
It is recommended that the City Council approve the proposed resolution amending the City’s Conflict of
Interest Code to update the List of Designated Positions.
Attachments:
City of South San Francisco Printed on 11/15/2022Page 1 of 2
powered by Legistar™5
File #:22-574 Agenda Date:11/16/2022
Version:1 Item #:1.
1.Form 700
2.Disclosure Categories
3.Resolution No. 125-2020
4.Proposed revisions to the List of Designated Positions
City of South San Francisco Printed on 11/15/2022Page 2 of 2
powered by Legistar™6
2021-2022
Statement of
Economic Interests
Form 700
A Public Document
Table of Contents
Quick Start Guide .................................................... p.2
Who? Where? How? When? ....................................p.3
Types of Statements .................................................p.4
Cover Page and Schedules
Cover Page ........................................................p.5
Schedule A-1 (Investments) ...............................p.7
Schedule A-2 (Business Entities/Trusts) ............p.9
Schedule B (Real Property) ...............................p.11
Schedule C (Income) .........................................p.13
Schedule D (Gifts) ..............................................p.15
Schedule E (Travel Payments) ...........................p.17
Restrictions and Prohibitions ....................................p.19
Q & A ........................................................................p.20
California Fair Political Practices Commission
1102 Q Street, Suite 3000 • Sacramento, CA 95811
Email Advice: [email protected]
Toll-free advice line: 1 (866) ASK-FPPC • 1 (866) 275-3772
Telephone: (916) 322-5660 • Website: www.fppc.ca.gov
Helpful Resources
• Video Tutorials
• Reference Pamphlet
• Excel Version
• FAQs
• Gift and Travel Fact
Sheet for State and
Local Officials
December 2021
7
Quick Start Guide
Detailed instructions begin on page 3.
WHEN IS THE ANNUAL STATEMENT DUE?
• March 1 – Elected State Officers, Judges and Court Commissioners, State Board and Commission
members listed in Government Code Section 87200
• April 1 – Most other filers
WHERE DO I FILE?
Most people file the Form 700 with their agency. If you’re not sure where to file your Form 700, contact your
filing officer or the person who asked you to complete it.
ITEMS TO NOTE!
• The Form 700 is a public document.
• Only filers serving in active military duty may receive an extension on the filing deadline.
• You must also report interests held by your spouse or registered domestic partner.
• Your agency’s conflict of interest code will help you to complete the Form 700. You are encouraged to get
your conflict of interest code from the person who asked you to complete the Form 700.
NOTHING TO REPORT?
Mark the “No reportable interests” box on Part 4 of the Cover Page, and submit only the signed Cover Page.
Please review each schedule carefully!
Schedule
Common
Reportable Interests
Common
Non-Reportable Interests
A-1:
Investments
Stocks, including those held in an IRA
or 401K. Each stock must be listed.
Insurance policies, government bonds, diversified
mutual funds, funds similar to diversified mutual
funds.
A-2:
Business
Entitites/Trusts
Business entities, sole proprietorships,
partnerships, LLCs, corporations and
trusts. (e.g., Form 1099 filers).
Savings and checking accounts, and annuities.
B:
Real Property
Rental property in filer’s jurisdiction, or
within two miles of the boundaries of
the jurisdiction.
A residence used exclusively as a personal
residence (such as a home or vacation property).
C:
Income
Non-governmental salaries. Note that
filers are required to report only half of
their spouse’s or partner’s salary.
Governmental salary (from school district, for
example).
D:
Gifts
Gifts from businesses, vendors, or
other contractors (meals, tickets, etc.).
Gifts from family members.
E:
Travel
Payments
Travel payments from third parties (not
your employer).
Travel paid by your government agency.
Note: Like reportable interests, non-reportable interests may also create conflicts of
interest and could be grounds for disqualification from certain decisions.
QUESTIONS?
• [email protected]
• (866) 275-3772 Mon-Thurs, 9-11:30 a.m.
E-FILING ISSUES?
• If using your agency’s system, please contact technical support at your agency.
• If using FPPC’s e-filing system, write to [email protected].
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www. .ca.gov
Page - 2 8
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 3
What’s New
Gift Limit Increase
The gift limit increased to $520 for calendar years 2021 and 2022. The gift limit in 20200 was $500.
Who must file:
• Elected and appointed officials and candidates listed in
Government Code Section 87200
• Employees, appointed officials, and consultants filing pursuant
to a conflict of interest code (“code filers”). Obtain your
disclosure categories, which describe the interests you
must report, from your agency; they are not part of the
Form 700
• Candidates running for local elective offices that are
designated in a conflict of interest code (e.g., county sheriffs,
city clerks, school board trustees, and water board members)
Exception:
• Candidates for a county central committee are not
required to file the Form 700
• Employees in newly created positions of existing
agencies
For more information, see Reference Pamphlet, page 3, at www.
fppc.ca.gov.
Where to file:
87200 Filers
State offices  Your agency
Judicial offices  The clerk of your court
Retired Judges  Directly with FPPC
County offices  Your county filing official
City offices  Your city clerk
Multi-County offices  Your agency
Code Filers — State and Local Officials, Employees, and
Consultants Designated in a Conflict of Interest
Code: File with your agency, board, or commission unless
otherwise specified in your agency’s code (e.g., Legislative staff
files directly with FPPC). In most cases, the agency, board, or
commission will retain the statements.
Members of Newly Created Boards and Commissions: File
with your agency or with your agency’s code reviewing body
pursuant to Regulation 18754.
Employees in Newly Created Positions of Existing Agencies:
File with your agency or with your agency’s code reviewing body.
(See Reference Pamphlet, page 3.)
Candidates file as follow:
State offices, Judicial County elections official with
offices and whom you file your
multi-county offices  declaration of candidacy
County offices  County elections official
City offices  City Clerk
Public Employee’s
Retirement System
(CalPERS) Â CalPERS
State Teacher’s
Retirement Board
(CalSTRS) Â CalSTRS
How to file:
The Form 700 is available at www.fppc.ca.gov. Form 700
schedules are also available in Excel format. Each Statement
must have a handwritten “wet” signature or “secure electronic
signature,” meaning either (1) a signature submitted using an
approved electronic filing system or (2) if permitted by the filing
officer, a digital signature submitted via the filer’s agency email
address. (See Regulations 18104 and 18757.) Companies such as
Adobe and DocuSign offer digital signature services. All statements
are signed under the penalty of perjury and must be verified by the
filer. See Regulation 18723.1(c) for filing instructions for copies of
expanded statements.
When to file:
Annual Statements
 March 1, 2022
- Elected State Officers
- Judges and Court Commissioners
- State Board and State Commission Members listed in
Government Code Section 87200
 April 1, 2022
- Most other filers
Individuals filing under conflict of interest codes in city and county
jurisdictions should verify the annual filing date with their filing
official or filing officer.
Statements postmarked by the filing deadline are considered filed
on time.
Statements of 30 pages or less may be emailed or faxed by the
deadline as long as the originally signed paper version is sent by
first class mail to the filing official within 24 hours.
Assuming Office and Leaving Office Statements
Most filers file within 30 days of assuming or leaving office
or within 30 days of the effective date of a newly adopted or
amended conflict of interest code.
Exception:
If you assumed office between October 1,2021, and
December 31, 2021, and filed an assuming office statement,
you are not required to file an annual statement until March
1, , 2023, or April 1, 2023, whichever is applicable. The annual
statement will cover the day after you assumed office through
December 31, 2022. (See Reference Pamphlet, page 6, for
additional exceptions.
Candidate Statements
File no later than the final filing date for the declaration of
candidacy or nomination documents. A candidate statement is
not required if you filed an assuming office or annual statement
for the same jurisdiction within 60 days before filing a declaration
of candidacy or other nomination documents.
Late Statements
There is no provision for filing deadline extensions unless
the filer is serving in active military duty. (See page 19 for
information on penalties and fines.)
Amendments
Statements may be amended at any time. You are only required
to amend the schedule that needs to be revised. It is not
necessary to amend the entire filed form. Obtain amendment
schedules at www.fppc.ca.gov.
9
Types of Statements
Assuming Office Statement:
If you are a newly appointed official or are newly employed
in a position designated, or that will be designated, in
a state or local agency’s conflict of interest code, your
assuming office date is the date you were sworn in or
otherwise authorized to serve in the position. If you are a
newly elected official, your assuming office date is the date
you were sworn in.
• Report: Investments, interests in real property, and
business positions held on the date you assumed the
office or position must be reported. In addition, income
(including loans, gifts, and travel payments) received
during the 12 months prior to the date you assumed the
office or position.
For positions subject to confirmation by the State Senate
or the Commission on Judicial Appointments, your
assuming office date is the date you were appointed or
nominated to the position.
• Example: Maria Lopez was nominated by the Governor
to serve on a state agency board that is subject to state
Senate confirmation. The assuming office date is the
date Maria’s nomination is submitted to the Senate.
Maria must report investments, interests in real
property, and business positions she holds on that date,
and income (including loans, gifts, and travel payments)
received during the 12 months prior to that date.
If your office or position has been added to a newly
adopted or newly amended conflict of interest code, use
the effective date of the code or amendment, whichever is
applicable.
• Report: Investments, interests in real property, and
business positions held on the effective date of the
code or amendment must be reported. In addition,
income (including loans, gifts, and travel payments)
received during the 12 months prior to the effective date
of the code or amendment.
Annual Statement:
Generally, the period covered is January 1, 2021,
through December 31, 2021. If the period covered by
the statement is different than January 1, 2021, through
December 31, 2021, (for example, you assumed office
between October 1, 2020, and December 31, 2020 or you
are combining statements), you must specify the period
covered.
• Investments, interests in real property, business
positions held, and income (including loans, gifts, and
travel payments) received during the period covered
by the statement must be reported. Do not change the
preprinted dates on Schedules A-1, A-2, and B unless
you are required to report the acquisition or disposition
of an interest that did not occur in 2021.
• If your disclosure category changes during a reporting
period, disclose under the old category until the effective
date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period.
Leaving Office Statement:
Generally, the period covered is January 1, 2021, through
the date you stopped performing the duties of your position.
If the period covered differs from January 1, 2021, through
the date you stopped performing the duties of your position
(for example, you assumed office between October 1, 2020,
and December 31, 2020, or you are combining statements),
the period covered must be specified. The reporting period
can cover parts of two calendar years.
• Report: Investments, interests in real property, business
positions held, and income (including loans, gifts, and
travel payments) received during the period covered by
the statement. Do not change the preprinted dates on
Schedules A-1, A-2, and B unless you are required to
report the acquisition or disposition of an interest that did
not occur in 2021.
Candidate Statement:
If you are filing a statement in connection with your
candidacy for state or local office, investments, interests in
real property, and business positions held on the date of
filing your declaration of candidacy must be reported. In
addition, income (including loans, gifts, and travel payments)
received during the 12 months prior to the date of filing your
declaration of candidacy is reportable. Do not change the
preprinted dates on Schedules A-1, A-2, and B.
Candidates running for local elective offices (e.g., county
sheriffs, city clerks, school board trustees, or water district
board members) must file candidate statements, as required
by the conflict of interest code for the elected position.
The code may be obtained from the agency of the elected
position.
Amendments:
If you discover errors or omissions on any statement, file
an amendment as soon as possible. You are only required
to amend the schedule that needs to be revised; it is not
necessary to refile the entire form. Obtain amendment
schedules from the FPPC website at www.fppc.ca.gov.
Note: Once you file your statement, you may not withdraw it.
All changes must be noted on amendment schedules.
Expanded Statement:
If you hold multiple positions subject to reporting
requirements, you may be able to file an expanded
statement for each position, rather than a separate and
distinct statement for each position. The expanded statement
must cover all reportable interests for all jurisdictions and
list all positions for which it is filed. The rules and processes
governing the filing of an expanded statement are set forth in
Regulation 18723.1
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 4
10
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Leaving Office: Date Left
Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule D - Income – Gifts – schedule attached
Schedule E - Income – Gifts – Travel Payments – schedule attached
//
(Check one circle.)
The period covered is January 1, 20212021, through the date of
leaving office.
The period covered is //
Annual: The period covered is January 1, 2021,2021, through
December 31, 20212021.
The period covered is
, through
the date of leaving office.
//
2. Jurisdiction of Office (Check at least one box)
State Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction) (Statewide Jurisdiction)
Multi-County County of
City of Other
3. Type of Statement (Check at least one box)
, through
December 31, 20212021.
Assuming Office: Date assumed
Candidate: Date of Election and office sought, if different than Part 1:
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date Signed
(month, day, year)
//
Agency Name (Do not use acronyms)
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Division, Board, Department, District, if applicable Your Position
MAILING ADDRESS STREET CITY STATE ZIP CODE
DAYTIME TELEPHONE NUMBER
( )
(Business or Agency Address Recommended - Public Document)
EMAIL ADDRESS
5. Verification
Signature
(File the originally signed paper statement with your filing official.)
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
-or-
-or-
4. Schedule Summary (must complete)► Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments – schedule attached
Schedule A-2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
-or- None - No reportable interests on any schedule
FPPC Form 700 - Cover Page (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 5
Date Initial Filing Received
Filing Official Use Only
Please type or print in ink.
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
11
Instructions
Cover Page
Enter your name, mailing address, and daytime telephone
number in the spaces provided. Because the Form 700 is a
public document, you may list your business/office address
instead of your home address.
Part 1. Office, Agency, or Court
•Enter the name of the office sought or held, or the agency or
court. Consultants must enter the public agency name rather
than their private firm’s name. (Examples: State Assembly;
Board of Supervisors; Office of the Mayor; Department of
Finance; Hope County Superior Court).
•Indicate the name of your division, board, or district, if
applicable. (Examples: Division of Waste Management;
Board of Accountancy; District 45). Do not use acronyms.
•Enter your position title. (Examples: Director; Chief Counsel;
City Council Member; Staff Services Analyst).
•If you hold multiple positions (i.e., a city council member who
also is a member of a county board or commission) you may
be required to file separate and distinct statements with each
agency. To simplify your filing obligations, in some cases you
may instead complete a single expanded statement and file it
with each agency.
•The rules and processes governing the filing of an
expanded statement are set forth in Regulation 18723.1.
To file an expanded statement for multiple positions, enter
the name of each agency with which you are required to
file and your position title with each agency in the space
provided. Do not use acronyms. Attach an additional
sheet if necessary. Complete one statement disclosing
all reportable interests for all jurisdictions. Then file the
expanded statement with each agency as directed by
Regulation 18723.1(c).
If you assume or leave a position after a filing deadline, you
must complete a separate statement. For example, a city
council member who assumes a position with a county special
district after the April annual filing deadline must file a separate
assuming office statement. In subsequent years, the city
council member may expand their annual filing to include both
positions.
Example:
Brian Bourne is a city council member for the City of Lincoln
and a board member for the Camp Far West Irrigation District
– a multi-county agency that covers the Counties of Placer and
Yuba. The City is located within Placer County. Brian may
complete one expanded statement to disclose all reportable
interests for both offices and list both positions on the Cover
Page. Brian will file the expanded statement with each the City
and the District as directed by Regulation 18723.1(c).
Part 2. Jurisdiction of Office
•Check the box indicating the jurisdiction of your agency
and, if applicable, identify the jurisdiction. Judges, judicial
candidates, and court commissioners have statewide
jurisdiction. All other filers should review the Reference
Pamphlet, page 13, to determine their jurisdiction.
•If your agency is a multi-county office, list each county in
which your agency has jurisdiction.
•If your agency is not a state office, court, county office, city
office, or multi-county office (e.g., school districts, special
districts and JPAs), check the “other” box and enter the
county or city in which the agency has jurisdiction.
Example:
This filer is a member of a water district board with jurisdiction
in portions of Yuba and Sutter Counties.
Part 3. Type of Statement
Check at least one box. The period covered by a statement
is determined by the type of statement you are filing. If you
are completing a 2021 annual statement, do not change the
pre-printed dates to reflect 2022. Your annual statement is
used for reporting the previous year’s economic interests.
Economic interests for your annual filing covering January 1,
2022, through December 31, 2022, will be disclosed on your
statement filed in 2023. See Reference Pamphlet, page 4.
Combining Statements: Certain types of statements for the
same position may be combined. For example, if you leave
office after January 1, but before the deadline for filing your
annual statement, you may combine your annual and leaving
office statements. File by the earliest deadline. Consult your
filing officer or the FPPC.
Part 4. Schedule Summary
• Complete the Schedule Summary after you have reviewed
each schedule to determine if you have reportable
interests.
• Enter the total number of completed pages including the
cover page and either check the box for each schedule you
use to disclose interests; or if you have nothing to disclose
on any schedule, check the “No reportable interests” box.
Please do not attach any blank schedules.
Part 5. Verification
Complete the verification by signing the statement and
entering the date signed. Each statement must have an
original “wet” signature unless filed with a secure electronic
signature. (See page 3 above.) All statements must be signed
under penalty of perjury and be verified by the filer pursuant to
Government Code Section 81004. See Regulation 18723.1(c)
for filing instructions for copies of expanded statements.
When you sign your statement, you are stating, under
penalty of perjury, that it is true and correct. Only the filer
has authority to sign the statement. An unsigned statement
is not considered filed and you may be subject to late filing
penalties.
State Judge or Court Commissioner (Statewide Jurisdiction)
Multi-County County of
City of Other
2.Jurisdiction of Office (Check at least one box)
Agency Name (Do not use acronyms)
Division, Board, Department, District, if applicable Your Position
1. Office, Agency, or Court
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
Yuba & Sutter Counties
Board MemberN/A
N/A
Feather River Irrigation District
FPPC Form 700 - Cover Page (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 6
12
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
Name
► 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 $10,001 - $100,000 $2,000 - $10,000 $10,001 - $100,000
$100,001 - $1,000,000 Over $1,000,000 $100,001 - $1,000,000 Over $1,000,000
IF APPLICABLE, LIST DATE:IF APPLICABLE, LIST DATE:
/ /
21 / /
21 / /
21 / /
21
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
$2,000
IF APPLICABLE, LIST DATE:IF APPLICABLE, LIST DATE:
/ // // /
21 / /
21
ACQUIRED DISPOSED ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
NATURE OF INVESTMENT NATURE OF INVESTMENT
Stock Other Stock Other
(Describe)(Describe)
Partnership Income Received of $0 - $499 Partnership Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C) Income Received of $500 or More (Report on Schedule C)
FAIR MARKET VALUE
- $10,000 $10,001 - $100,000 $2,000 - $10,000 $10,001 - $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 Income Received of $0 - $499 Partnership Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C) Income Received of $500 or More (Report on Schedule C)
21 21
FAIR MARKET VALUE FAIR MARKET VALUE
$2,000 - $10,000 $10,001 - $100,000 $2,000 - $10,000 $10,001 - $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 Income Received of $0 - $499 Partnership Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C) Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:IF APPLICABLE, LIST DATE:
/ /
21 / /
21 / /
21 / /
21
ACQUIRED DISPOSED ACQUIRED DISPOSED
Comments:
FPPC Form 700 - Schedule A-1 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 7
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
13
Instructions – Schedules A-1 and A-2
Investments
“Investment” means a financial interest in any business
entity (including a consulting business or other
independent contracting business) that is located in, doing
business in, planning to do business in, or that has done
business during the previous two years in your agency’s
jurisdiction in which you, your spouse or registered
domestic partner, or your dependent children had a direct,
indirect, or beneficial interest totaling $2,000 or more at
any time during the reporting period. (See Reference
Pamphlet, page 13.)
Reportable investments include:
• Stocks, bonds, warrants, and options, including those
held in margin or brokerage accounts and managed
investment funds (See Reference Pamphlet, page 13.)
• Sole proprietorships
• Your own business or your spouse’s or registered
domestic partner’s business (See Reference Pamphlet,
page 8, for the definition of “business entity.”)
• Your spouse’s or registered domestic partner’s
investments even if they are legally separate property
• Partnerships (e.g., a law firm or family farm)
• Investments in reportable business entities held in a
retirement account (See Reference Pamphlet, page 15.)
• If you, your spouse or registered domestic partner,
and dependent children together had a 10% or
greater ownership interest in a business entity or trust
(including a living trust), you must disclose investments
held by the business entity or trust. (See Reference
Pamphlet, page 16, for more information on disclosing
trusts.)
• Business trusts
You are not required to disclose:
• Government bonds, diversified mutual funds, certain
funds similar to diversified mutual funds (such as
exchange traded funds) and investments held in certain
retirement accounts. (See Reference Pamphlet, page
13.) (Regulation 18237)
• Bank accounts, savings accounts, money market
accounts and certificates of deposits
• Insurance policies
• Annuities
• Commodities
• Shares in a credit union
• Government bonds (including municipal bonds)
• Retirement accounts invested in non-reportable interests
(e.g., insurance policies, mutual funds, or government
bonds) (See Reference Pamphlet, page 15.)
• Government defined-benefit pension plans (such as
CalPERS and CalSTRS plans)
• Certain interests held in a blind trust (See Reference
Pamphlet, page 16.)
Use Schedule A-1 to report ownership of less than 10%
(e.g., stock). Schedule C (Income) may also be required
if the investment is not a stock or corporate bond. (See
second example below.)
Use Schedule A-2 to report ownership of 10% or greater
(e.g., a sole proprietorship).
To Complete Schedule A-1:
Do not attach brokerage or financial statements.
• Disclose the name of the business entity.
• Provide a general description of the business activity
of the entity (e.g., pharmaceuticals, computers,
automobile manufacturing, or communications).
• Check the box indicating the highest fair market value
of your investment during the reporting period. If you
are filing a candidate or an assuming office statement,
indicate the fair market value on the filing date or the
date you took office, respectively. (See page 20 for
more information.)
• Identify the nature of your investment (e.g., stocks,
warrants, options, or bonds).
• An acquired or disposed of date is only required if you
initially acquired or entirely disposed of the investment
interest during the reporting period. The date of a stock
dividend reinvestment or partial disposal is not required.
Generally, these dates will not apply if you are filing a
candidate or an assuming office statement.
Examples:
Frank Byrd holds a state agency position. His conflict of
interest code requires full disclosure of investments. Frank
must disclose his stock holdings of $2,000 or more in any
company that is located in or does business in California,
as well as those stocks held by his spouse or registered
domestic partner and dependent children.
Alice Lance is a city council member. She has a 4%
interest, worth $5,000, in a limited partnership located in
the city. Alice must disclose the partnership on Schedule
A-1 and income of $500 or more received from the
partnership on Schedule C.
Reminders
• Do you know your agency’s jurisdiction?
• Did you hold investments at any time during the period
covered by this statement?
• Code filers – your disclosure categories may only
require disclosure of specific investments.
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 8 14
Name
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
Other
NATURE OF INVESTMENT
Partnership Sole Proprietorship
IF APPLICABLE, LIST DATE:
////
Name
Address (Business Address Acceptable)
Check one
Trust, go to 2 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$0 - $1,999
$2,000 - $10,000 21 21
$10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
Over $1,000,000
NATURE OF INVESTMENT
Partnership Sole Proprietorship Other
YOUR BUSINESS POSITION
►
IF APPLICABLE, LIST DATE:
////
ACQUIRED DISPOSED
IF APPLICABLE, LIST DATE:
////21 21
ACQUIRED DISPOSED
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 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
NATURE OF INTEREST
Property Ownership/Deed of Trust Stock Partnership
Leasehold Other Yrs. remaining
Check box if additional schedules reporting investments or real propertyare attached
►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)
None or Names listed below
IF APPLICABLE, LIST DATE:
NATURE OF INTEREST
Property Ownership/Deed of Trust Stock Partnership
Leasehold Other Yrs. remaining
Check box if additional schedules reporting investments or real propertyare attached
////21 21
ACQUIRED DISPOSED
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
Check one box:
FAIR MARKET VALUE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)
None or Names listed below
21
Comments:
Name
Address (Business Address Acceptable)
FAIR MARKET VALUE
$0 - $1,999
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
GENERAL DESCRIPTION OF THIS BUSINESS
Check one
Trust, go to 2 Business Entity, complete the box, then go to 2
►2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
$0 - $499 $10,001 - $100,000
$500 - $1,000 OVER $100,000
$1,001 - $10,000
►2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
$0 - $499 $10,001 - $100,000
$500 - $1,000 OVER $100,000
$1,001 - $10,000
700
YOUR BUSINESS POSITION
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
►1. BUSINESS ENTITY OR TRUST
21
►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
FPPC Form 700 - Schedule A-2 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 9
1. BUSINESS ENTITY OR TRUST
►
LEASED BY THE BUSINESS ENTITY OR TRUST
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR ►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
15
Instructions – Schedule A-2
Investments, Income, and Assets of Business Entities/Trusts
Use Schedule A-2 to report investments in a business
entity (including a consulting business or other
independent contracting business) or trust (including
a living trust) in which you, your spouse or registered
domestic partner, and your dependent children, together or
separately, had a 10% or greater interest, totaling $2,000
or more, during the reporting period and which is located
in, doing business in, planning to do business in, or which
has done business during the previous two years in your
agency’s jurisdiction. (See Reference Pamphlet, page
13.) A trust located outside your agency’s jurisdiction is
reportable if it holds assets that are located in or doing
business in the jurisdiction. Do not report a trust that
contains non-reportable interests. For example, a trust
containing only your personal residence not used in whole
or in part as a business, your savings account, and some
municipal bonds, is not reportable.
Also report on Schedule A-2 investments and real property
held by that entity or trust if your pro rata share of the
investment or real property interest was $2,000 or more
during the reporting period.
To Complete Schedule A-2:
Part 1. Disclose the name and address of the business
entity or trust. If you are reporting an interest in a business
entity, check “Business Entity” and complete the box as
follows:
• Provide a general description of the business activity of
the entity.
• Check the box indicating the highest fair market value of
your investment during the reporting period.
• If you initially acquired or entirely disposed of this
interest during the reporting period, enter the date
acquired or disposed.
• Identify the nature of your investment.
• Disclose the job title or business position you held with
the entity, if any (i.e., if you were a director, officer,
partner, trustee, employee, or held any position of
management). A business position held by your spouse
is not reportable.
Part 2. Check the box indicating your pro rata share
of the gross income received by the business entity or
trust. This amount includes your pro rata share of the
gross income from the business entity or trust, as well
as your community property interest in your spouse’s or
registered domestic partner’s share. Gross income is the
total amount of income before deducting expenses, losses,
or taxes.
Part 3. Disclose the name of each source of income that
is located in, doing business in, planning to do business in,
or that has done business during the previous two years in
your agency’s jurisdiction, as follows:
• Disclose each source of income and outstanding loan
to the business entity or trust identified in Part 1 if
your pro rata share of the gross income (including
your community property interest in your spouse’s or
registered domestic partner’s share) to the business
entity or trust from that source was $10,000 or more
during the reporting period. (See Reference Pamphlet,
page 11, for examples.) Income from governmental
sources may be reportable if not considered salary.
See Regulation 18232. Loans from commercial lending
institutions made in the lender’s regular course of
business on terms available to members of the public
without regard to your official status are not reportable.
• Disclose each individual or entity that was a source
of commission income of $10,000 or more during the
reporting period through the business entity identified in
Part 1. (See Reference Pamphlet, page 8.)
You may be required to disclose sources of income located
outside your jurisdiction. For example, you may have
a client who resides outside your jurisdiction who does
business on a regular basis with you. Such a client, if a
reportable source of $10,000 or more, must be disclosed.
Mark “None” if you do not have any reportable $10,000
sources of income to disclose. Phrases such as
“various clients” or “not disclosing sources pursuant to
attorney-client privilege” are not adequate disclosure.
(See Reference Pamphlet, page 14, for information on
procedures to request an exemption from disclosing
privileged information.) Part 4. Report any investments or interests in real
property held or leased by the entity or trust identified in
Part 1 if your pro rata share of the interest held was $2,000
or more during the reporting period. Attach additional
schedules or use FPPC’s Form 700 Excel spreadsheet if
needed.
• Check the applicable box identifying the interest held as
real property or an investment.
• If investment, provide the name and description of the
business entity.
• If real property, report the precise location (e.g., an
assessor’s parcel number or address).
• Check the box indicating the highest fair market value
of your interest in the real property or investment during
the reporting period. (Report the fair market value of the
portion of your residence claimed as a tax deduction if
you are utilizing your residence for business purposes.)
• Identify the nature of your interest.
• Enter the date acquired or disposed only if you initially
acquired or entirely disposed of your interest in the
property or investment during the reporting period.
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 10 16
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
IF APPLICABLE, LIST DATE:
////
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
////
► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS
21 21 21 21
ACQUIRED DISPOSED
► ASSESSOR’S PARCEL NUMBER OR STREET ADDRESS
CITY CITY
INTEREST RATE TERM (Months/Years)
% None
NATURE OF INTEREST
Ownership/Deed of Trust Easement
Leasehold
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more.income of $10,000 or more.
NATURE OF INTEREST
Ownership/Deed of Trust Easement
Leasehold
Yrs. remaining Other Yrs. remaining Other
Comments:
FAIR MARKET VALUE FAIR MARKET VALUE
$2,000 - $10,000 $2,000 - $10,000
$10,001 - $100,000 $10,001 - $100,000
$100,001 - $1,000,000 $100,001 - $1,000,000
Over $1,000,000 Over $1,000,000
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
$0 - $499 $500 - $1,000 $1,001 - $10,000 $0 - $499 $500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 OVER $100,000 $10,001 - $100,000 OVER $100,000
HIGHEST BALANCE DURING REPORTING PERIOD
Guarantor, if applicable
NAME OF LENDER*
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 OVER $100,000
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% None
Guarantor, if applicable
HIGHEST BALANCE DURING REPORTING PERIOD
SCHEDULE B
Interests in Real Property
(Including Rental Income)
None
OVER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
None
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
*You are not required to report loans from a commercial lending institution made in the lender’s regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender’s regular course of business must be disclosed as follows:
FPPC Form 700 - Schedule B (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 11
Name
17
Instructions – Schedule B
Interests in Real Property
Report interests in real property located in your agency’s
jurisdiction in which you, your spouse or registered domestic
partner, or your dependent children had a direct, indirect, or
beneficial interest totaling $2,000 or more any time during
the reporting period. Real property is also considered to be
“within the jurisdiction” of a local government agency if the
property or any part of it is located within two miles outside
the boundaries of the jurisdiction or within two miles of any
land owned or used by the local government agency. (See
Reference Pamphlet, page 13.)
Interests in real property include:
• An ownership interest (including a beneficial ownership
interest)
• A deed of trust, easement, or option to acquire property
• A leasehold interest (See Reference Pamphlet, page 14.)
• A mining lease
• An interest in real property held in a retirement account
(See Reference Pamphlet, page 15.)
• An interest in real property held by a business entity or
trust in which you, your spouse or registered domestic
partner, and your dependent children together had a 10%
or greater ownership interest (Report on Schedule A-2.)
• Your spouse’s or registered domestic partner’s interests in
real property that are legally held separately by him or her
You are not required to report:
• A residence, such as a home or vacation cabin, used
exclusively as a personal residence (However, a residence
in which you rent out a room or for which you claim a
business deduction may be reportable. If reportable,
report the fair market value of the portion claimed as a tax
deduction.)
• Some interests in real property held through a blind trust
(See Reference Pamphlet, page 16.)
• Please note: A non-reportable property can still
be grounds for a conflict of interest and may be
disqualifying.
To Complete Schedule B:
• Report the precise location (e.g., an assessor’s parcel
number or address) of the real property.
• Check the box indicating the fair market value of your
interest in the property (regardless of what you owe on the
property).
• Enter the date acquired or disposed only if you initially
acquired or entirely disposed of your interest in the
property during the reporting period.
• Identify the nature of your interest. If it is a leasehold,
disclose the number of years remaining on the lease.
• If you received rental income, check the box indicating the
gross amount you received.
• If you had a 10% or greater interest in real property and
received rental income, list the name of the source(s) if
your pro rata share of the gross income from any single
tenant was $10,000 or more during the reporting period. If
you received a total of $10,000 or more from two or more
tenants acting in concert (in most cases, this will apply
to married couples), disclose the name of each tenant.
Otherwise, mark “None.”
• Loans from a private lender that total $500 or more and
are secured by real property may be reportable. Loans
from commercial lending institutions made in the
lender’s regular course of business on terms available
to members of the public without regard to your official
status are not reportable.
When reporting a loan:
- Provide the name and address of the lender.
- Describe the lender ’s business activity.
- Disclose the interest rate and term of the loan. For
variable interest rate loans, disclose the conditions
of the loan (e.g., Prime + 2) or the average interest
rate paid during the reporting period. The term of
a loan is the total number of months or years given
for repayment of the loan at the time the loan was
established.
- Check the box indicating the highest balance of the
loan during the reporting period.
- Identify a guarantor, if
applicable.
If you have more than one
reportable loan on a single
piece of real property, report
the additional loan(s) on
Schedule C.
Example:
Allison Gande is a city
planning commissioner.
During the reporting period,
she received rental income of
$12,000, from a single tenant
who rented property she
owned in the city’s jurisdiction
If Allison received $6,000
each from two tenants, the
tenants’ names would not be
required because no single
tenant paid her $10,000 or
more. A married couple is
considered a single tenant.
► ASSESSOR’S PARCEL NUMBER OR street address
4600 24th Street
city
Sacramento
fair market value if applicable, list date:
$2,000 - $10,000
$10,001 - $100,000 / /
XX / /
XX
acquired disposed$100,001 - $1,000,000
over $1,000,000
nature of interest
ownership/deed of trust easement
leasehold
yrs. remaining other
if rental property, gross income received
$0 - $499 $500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 over $100,000
sources of rental income: if you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
none
Henry Wells
name of lender*
Sophia Petroillo
address (Business Address Acceptable)
2121 Blue Sky Parkway,Sacramento
business activity, if any, of lender
. Restaurant Owner
interest rate term (months/years)
8 % none 15 Years
highest balance during reporting period
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 over $100,000
guarantor, if applicable
comments: Reminders
• Income and loans already reported on Schedule B are
not also required to be reported on Schedule C.
• Real property already reported on Schedule A-2, Part 4
is not also required to be reported on Schedule B.
• Code filers – do your disclosure categories require
disclosure of real property?FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 12
name of lender*
address (Business Address Acceptable)
business activity, if any, of lender
if applicable, list date:
////
acquired disposed
XX XX
Schedule B
Interests in Real Property
(including rental income)
name
► ASSESSOR’S PARCEL NUMBER OR street address
city
interest rate term (months/years)
% none
sources of rental income: if you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
nature of interest
ownership/deed of trust easement
leasehold
yrs. remaining other
comments:
fair market value
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
over $1,000,000
if rental property, gross income received
over $100,000
$500 - $1,000 $0 - $499 $1,001 - $10,000
$10,001 - $100,000
highest balance during reporting period
guarantor, if applicable
over $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
FPPC Form 700 (2017/2018) Sch. B
FPPC Advice Email: [email protected]
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
700
FaIR PolItIcal PRactIceS commISSIon
calIFoRnIa FoRm
name of lender*
address (Business Address Acceptable)
business activity, if any, of lender
interest rate term (months/years)
% none
guarantor, if applicable
highest balance during reporting period
over $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
*You are not required to report loans from commercial lending institutions made in the lender’s regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender’s regular course of business must be disclosed as follows:
none
Sophia Petroillo
2121 Blue Sky Parkway,Sacramento
Restaurant Owner
8 15 Years
name of lender*
address (Business Address Acceptable)
business activity, if any, of lender
////
acquired disposed
if applicable, list date:
////
acquired disposed
XX XXXX XX
Schedule B
Interests in Real Property
(including rental income)
name
► ASSESSOR’S PARCEL NUMBER OR street address ► ASSESSOR’S PARCEL NUMBER OR street address
city city
sources of rental income: if you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
sources of rental income: if you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
nature of interest
ownership/deed of trust easement
leasehold
yrs. remaining other
nature of interest
ownership/deed of trust easement
leasehold
yrs. remaining other
fair market value
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
over $1,000,000
fair market value
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
over $1,000,000
if rental property, gross income received
over $100,000
$500 - $1,000 $0 - $499 $1,001 - $10,000
$10,001 - $100,000
if rental property, gross income received
over $100,000
$500 - $1,000 $0 - $499 $1,001 - $10,000
$10,001 - $100,000
FPPC Form 700 (2017/2018) Sch. B
FPPC Advice Email: [email protected]
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
700
FaIR PolItIcal PRactIceS commISSIon
calIFoRnIa FoRm
interest rate term (months/years)
% none
guarantor, if applicable
highest balance during reporting period
over $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
*You are not required to report loans from commercial lending institutions made in the lender’s regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender’s regular course of business must be disclosed as follows:
none none
if applicable, list date:
4600 24th Street
Sacramento
Henry Wells
18
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
(Real property, car, boat, etc.)(Real property, car, boat, etc.)
GROSS INCOME RECEIVED No Income - Business Position Only GROSS INCOME RECEIVED No Income - Business Position Only
Name
CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
$500 - $1,000 $1,001 - $10,000 $500 - $1,000 $1,001 - $10,000
$10,001 - $100,000 OVER $100,000 $10,001 - $100,000 OVER $100,000
►1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
►1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000
OVER $100,000
Comments:
►2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
*You are not required to report loans from a commercial lending institution, or any indebtedness created as part of
a retail installment or credit card transaction, made in the lender ’s regular course of business on terms available
to members of the public without regard to your official status. Personal loans and loans received not in a lender’s
regular course of business must be disclosed as follows:
SECURITY FOR LOAN
None Personal residence
Real Property
Guarantor
Other
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse’s or registered domestic partner’s income
(For self-employed use Schedule A-2.)
Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
Sale of
Street address
City
(Describe)
Other
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse’s or registered domestic partner’s income
(For self-employed use Schedule A-2.)
Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
Sale of
Other
Loan repayment Loan repayment
Commission or Rental Income, list each source of $10,000 or more Commission or Rental Income, list each source of $10,000 or more
(Describe)(Describe)
(Describe)(Describe)
FPPC Form 700 - Schedule C (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 13 19
Instructions – Schedule C
Income, Loans, & Business Positions
(Income Other Than Gifts and Travel Payments)
Reporting Income:
Report the source and amount of gross income of $500
or more you received during the reporting period. Gross
income is the total amount of income before deducting
expenses, losses, or taxes and includes loans other
than loans from a commercial lending institution. (See
Reference Pamphlet, page 11.) You must also report the
source of income to your spouse or registered domestic
partner if your community property share was $500 or
more during the reporting period.
The source and income must be reported only if the source
is located in, doing business in, planning to do business in,
or has done business during the previous two years in your
agency’s jurisdiction. (See Reference Pamphlet, page 13.)
Reportable sources of income may be further limited by
your disclosure category located in your agency’s conflict
of interest code.
Reporting Business Positions:
You must report your job title with each reportable
business entity even if you received no income during the
reporting period. Use the comments section to indicate
that no income was received.
Commonly reportable income and loans include:
• Salary/wages, per diem, and reimbursement for
expenses including travel payments provided by your
employer
• Community property interest (50%) in your spouse’s
or registered domestic partner’s income - report the
employer’s name and all other required information
• Income from investment interests, such as partnerships,
reported on Schedule A-1
• Commission income not required to be reported on
Schedule A-2 (See Reference Pamphlet, page 8.)
• Gross income from any sale, including the sale of a
house or car (Report your pro rata share of the total sale
price.)
• Rental income not required to be reported on Schedule B
• Prizes or awards not disclosed as gifts
• Payments received on loans you made to others
• An honorarium received prior to becoming a public official
(See Reference Pamphlet, page 10.)
• Incentive compensation (See Reference Pamphlet, page
12.)
You are not required to report:
• Salary, reimbursement for expenses or per diem,
or social security, disability, or other similar benefit
payments received by you or your spouse or registered
domestic partner from a federal, state, or local
government agency.
• Stock dividends and income from the sale of stock
unless the source can be identified.
• Income from a PERS retirement account.
(See Reference Pamphlet, page 12.)
To Complete Schedule C:
Part 1. Income Received/Business Position Disclosure
• Disclose the name and address of each source of
income or each business entity with which you held a
business position.
• Provide a general description of the business activity if
the source is a business entity.
• Check the box indicating the amount of gross income
received.
• Identify the consideration for which the income was
received.
• For income from commission sales, check the box
indicating the gross income received and list the name
of each source of commission income of $10,000 or
more. (See Reference Pamphlet, page 8.) Note: If
you receive commission income on a regular basis
or have an ownership interest of 10% or more, you
must disclose the business entity and the income
on Schedule A-2.
• Disclose the job title or business position, if any, that you
held with the business entity, even if you did not receive
income during the reporting period.
Part 2. Loans Received or Outstanding During the
Reporting Period
• Provide the name and address of the lender.
• Provide a general description of the business activity if
the lender is a business entity.
• Check the box indicating the highest balance of the loan
during the reporting period.
• Disclose the interest rate and the term of the loan.
- For variable interest rate loans, disclose the
conditions of the loan (e.g., Prime + 2) or the
average interest rate paid during the reporting
period.
- The term of the loan is the total number of months or
years given for repayment of the loan at the time the
loan was entered into.
• Identify the security, if any, for the loan.
Reminders
• Code filers – your disclosure categories may not require
disclosure of all sources of income.
• If you or your spouse or registered domestic partner are
self-employed, report the business entity on Schedule A-2.
• Do not disclose on Schedule C income, loans, or business
positions already reported on Schedules A-2 or B.FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 14 20
SCHEDULE D
Income – Gifts
Comments:
Name
CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
// $
// $
// $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
// $
// $
// $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
// $
// $
// $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
// $
// $
// $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
// $
// $
// $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
// $
// $
// $
FPPC Form 700 - Schedule D (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 15 21
Instructions – Schedule D
Income – Gifts
A gift is anything of value for which you have not provided
equal or greater consideration to the donor. A gift is
reportable if its fair market value is $50 or more. In addition,
multiple gifts totaling $50 or more received during the
reporting period from a single source must be reported.
It is the acceptance of a gift, not the ultimate use to which it is
put, that imposes your reporting obligation. Except as noted
below, you must report a gift even if you never used it or if you
gave it away to another person.
If the exact amount of a gift is unknown, you must make a
good faith estimate of the item’s fair market value. Listing
the value of a gift as “over $50” or “value unknown” is not
adequate disclosure. In addition, if you received a gift through
an intermediary, you must disclose the name, address, and
business activity of both the donor and the intermediary. You
may indicate an intermediary either in the “source” field
after the name or in the “comments” section at the bottom
of Schedule D.
Commonly reportable gifts include:
• Tickets/passes to sporting or entertainment events
• Tickets/passes to amusement parks
• Parking passes not used for official agency business
• Food, beverages, and accommodations, including those
provided in direct connection with your attendance at a
convention, conference, meeting, social event, meal, or like
gathering
• Rebates/discounts not made in the regular course of
business to members of the public without regard to official
status
• Wedding gifts (See Reference Pamphlet, page 16)
• An honorarium received prior to assuming office (You may
report an honorarium as income on Schedule C, rather
than as a gift on Schedule D, if you provided services of
equal or greater value than the payment received. See
Reference Pamphlet, page 10.)
• Transportation and lodging (See Schedule E.)
• Forgiveness of a loan received by you
Reminders
• Gifts from a single source are subject to a $520 limit in
20212021. (See Reference Pamphlet, page 10.)
• Code filers – you only need to report gifts from
reportable sources.
Gift Tracking Mobile Application
• FPPC has created a gift tracking app for mobile
devices that helps filers track gifts and provides a quick
and easy way to upload the information to the Form
700. Visit FPPC’s website to download the app.
You are not required to disclose:
• Gifts that were not used and that, within 30 days after
receipt, were returned to the donor or delivered to a
charitable organization or government agency without
being claimed by you as a charitable contribution for tax
purposes
• Gifts from your spouse or registered domestic partner,
child, parent, grandparent, grandchild, brother, sister, and
certain other family members (See Regulation 18942 for a
complete list.). The exception does not apply if the donor
was acting as an agent or intermediary for a reportable
source who was the true donor.
• Gifts of similar value exchanged between you and an
individual, other than a lobbyist registered to lobby your
state agency, on holidays, birthdays, or similar occasions
• Gifts of informational material provided to assist you in the
performance of your official duties (e.g., books, pamphlets,
reports, calendars, periodicals, or educational seminars)
• A monetary bequest or inheritance (However, inherited
investments or real property may be reportable on other
schedules.)
• Personalized plaques or trophies with an individual value of
less than $250
• Campaign contributions
• Up to two tickets, for your own use, to attend a fundraiser
for a campaign committee or candidate, or to a fundraiser
for an organization exempt from taxation under Section
501(c)(3) of the Internal Revenue Code. The ticket must
be received from the organization or committee holding the
fundraiser.
• Gifts given to members of your immediate family if the
source has an established relationship with the family
member and there is no evidence to suggest the donor had
a purpose to influence you. (See Regulation 18943.)
• Free admission, food, and nominal items (such as a pen,
pencil, mouse pad, note pad or similar item) available to
all attendees, at the event at which the official makes a
speech (as defined in Regulation 18950(b)(2)), so long as
the admission is provided by the person who organizes the
event.
• Any other payment not identified above, that would
otherwise meet the definition of gift, where the payment is
made by an individual who is not a lobbyist registered to
lobby the official’s state agency, where it is clear that the
gift was made because of an existing personal or business
relationship unrelated to the official’s position and there
is no evidence whatsoever at the time the gift is made to
suggest the donor had a purpose to influence you.
To Complete Schedule D:
• Disclose the full name (not an acronym), address, and, if a
business entity, the business activity of the source.
• Provide the date (month, day, and year) of receipt, and
disclose the fair market value and description of the gift.
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 16 22
SCHEDULE E
Income – Gifts
Travel Payments, Advances,
and Reimbursements
•Mark either the gift or income box.
•Mark the “501(c)(3)” box for a travel payment received from a nonprofit 501(c)(3) organization
or the “Speech” box if you made a speech or participated in a panel. Per Government Code
Section 89506, these payments may not be subject to the gift limit. However, they may result
in a disqualifying conflict of interest.
• For gifts of travel, provide the travel destination.
Name
Comments:
DATE(S): //- //AMT: $(If gift)
DATE(S): //- //AMT: $(If gift)
(Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
► NAME OF SOURCE (Not an Acronym)
501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
ADDRESS (Business Address Acceptable)
CITY AND STATE
(Not an Acronym)
501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
► MUST CHECK ONE:
Made a Speech/Participated in a Panel
Other - Provide Description
Gift -or- Income
► MUST CHECK ONE:
Made a Speech/Participated in a Panel
Other - Provide Description
► If Gift, Provide Travel Destination
Gift -or- Income
DATE(S): / /- / /AMT: $(If gift)
► MUST CHECK ONE:
CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
► NAME OF SOURCE ► NAME OF SOURCE
► If Gift, Provide Travel Destination
► MUST CHECK ONE:
Made a Speech/Participated in a Panel
Other - Provide Description
Gift -or- Income
► If Gift, Provide Travel Destination
FPPC Form 700 - Schedule E (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 17
Made a Speech/Participated in a Panel
Other - Provide Description
Gift -or- Income
► If Gift, Provide Travel Destination
DATE(S): //- //AMT: $(If gift)
23
Travel payments reportable on Schedule E include advances
and reimbursements for travel and related expenses,
including lodging and meals.
Gifts of travel may be subject to the gift limit. In addition,
certain travel payments are reportable gifts, but are not
subject to the gift limit. To avoid possible misinterpretation or
the perception that you have received a gift in excess of the
gift limit, you may wish to provide a specific description of
the purpose of your travel. (See the FPPC fact sheet entitled
“Limitations and Restrictions on Gifts, Honoraria, Travel,
and Loans” to read about travel payments under section
89506(a).)
You are not required to disclose:
• Travel payments received from any state, local, or federal
government agency for which you provided services equal
or greater in value than the payments received, such as
reimbursement for travel on agency business from your
government agency employer.
• A payment for travel from another local, state, or federal
government agency and related per diem expenses when
the travel is for education, training or other inter-agency
programs or purposes.
• Travel payments received from your employer in the
normal course of your employment that are included in the
income reported on Schedule C.
• A travel payment that was received from a nonprofit
entity exempt from taxation under Internal Revenue
Code Section 501(c)(3) for which you provided equal or
greater consideration, such as reimbursement for travel on
business for a 501(c)(3) organization for which you are a
board member.
Note: Certain travel payments may not be reportable
if reported via email on Form 801 by your agency.
To Complete Schedule E:
• Disclose the full name (not an acronym) and address of the
source of the travel payment.
• Identify the business activity if the source is a business
entity.
• Check the box to identify the payment as a gift or income,
report the amount, and disclose the date(s).
• Travel payments are gifts if you did not provide
services that were equal to or greater in value than the
payments received. You must disclose gifts totaling $50
or more from a single source during the period covered
by the statement.
When reporting travel payments that are gifts, you must
provide a description of the gift, the date(s) received,
and the travel destination.
• Travel payments are income if you provided services
that were equal to or greater in value than the
payments received. You must disclose income totaling
$500 or more from a single source during the period
covered by the statement. You have the burden of
proving the payments are income rather than gifts.
When reporting travel payments as income, you must
describe the services you provided in exchange for the
payment. You are not required to disclose the date(s)
for travel payments that are income.
Example:
City council member MaryClaire Chandler is the chair of a
501(c)(6) trade association, and the association pays for her
travel to attend its meetings. Because MaryClaire is deemed
to be providing equal or
greater consideration for
the travel payment by
virtue of serving on the
board, this payment may
be reported as income.
Payments for MaryClaire
to attend other events for
which she is not providing
services are likely
considered gifts. Note that
the same payment from a
501(c)(3) would NOT be reportable.
Example:
Mayor Kim travels to China on a trip organized by China
Silicon Valley Business Development, a California nonprofit,
501(c)(6) organization. The Chengdu Municipal People’s
Government pays for Mayor Kim’s airfare and travel costs,
as well as his meals and
lodging during the trip.
The trip’s agenda shows
that the trip’s purpose is
to promote job creation
and economic activity
in China and in Silicon
Valley, so the trip is
reasonably related to a
governmental purpose.
Thus, Mayor Kim must
report the gift of travel,
but the gift is exempt from the gift limit. In this case, the travel
payments are not subject to the gift limit because the source
is a foreign government and because the travel is reasonably
related to a governmental purpose. (Section 89506(a)(2).)
Note that Mayor Kim could be disqualified from participating in
or making decisions about The Chengdu Municipal People’s
Government for 12 months. Also note that if China Silicon
Valley Business Development (a 501(c)(6) organization) paid
for the travel costs rather than the governmental organization,
the payments would be subject to the gift limits. (See the
FPPC fact sheet, Limitations and Restrictions on Gifts,
Honoraria, Travel and Loans, at www.fppc.ca.gov.)
Instructions – Schedule E
Travel Payments, Advances,
and Reimbursements
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 18
SChEDuLE E
Income – Gifts
Travel Payments, Advances,
and Reimbursements
CALIFORNIA FORM 700
FAIr POLITICAL PrACTICES COMMISSION
Name
•Mark either the gift or income box.
•Mark the “501(c)(3)” box for a travel payment received from a nonprofit 501(c)(3) organization
or the “Speech” box if you made a speech or participated in a panel. These payments are not
subject to the gift limit, but may result in a disqualifying conflict of interest.
•For gifts of travel, provide the travel destination.
►NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): / /-/ /AMT: $ (If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description
►If Gift, Provide Travel Destination
►NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): / /-/ /AMT: $ (If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description
►If Gift, Provide Travel Destination
►NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): / /-/ /AMT: $ (If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description
►If Gift, Provide Travel Destination
Comments:
FPPC Form 700 (2016/2017) Sch. E
FPPC Advice Email: [email protected]
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
Chengdu Municipal People's Government
2 Caoshi St, CaoShiJie,Qingyang Qu,Chengdu Shi,
Sichuan Sheng, China,610000
09 XXXX 3,874.38080904
Travel reimbursement for
trip to China.
Sichuan Sheng,China
Clear Page Print
SChEDuLE E
Income – Gifts
Travel Payments, Advances,
and Reimbursements
CALIFORNIA FORM 700
FAIr POLITICAL PrACTICES COMMISSION
Name
•Mark either the gift or income box.
•Mark the “501(c)(3)” box for a travel payment received from a nonprofit 501(c)(3) organization
or the “Speech” box if you made a speech or participated in a panel. These payments are not
subject to the gift limit, but may result in a disqualifying conflict of interest.
•For gifts of travel, provide the travel destination.
►NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): / /-/ /AMT: $ (If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description
►If Gift, Provide Travel Destination
►NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): / /-/ /AMT: $ (If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description
►If Gift, Provide Travel Destination
►NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): / /-/ /AMT: $ (If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description
►If Gift, Provide Travel Destination
Comments:
FPPC Form 700 (2016/2017) Sch. E
FPPC Advice Email: [email protected]
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
Health Services Trade Association
1230 K Street,Suite 610
Sacramento,CA
Association of Healthcare Workers
550.00
Travel reimbursement for
board meeting.
Clear Page Print
►NAME OF SOURCE (Not an Acronym)
Health Services Trade Association
ADDRESS (Business Address Acceptable)
1230 K Street,Suite 610
CITY AND STATE
Sacramento,CA
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
Association of Healthcare Workers
DATE(S): / /-/ /AMT: $ 550.00
(If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Travel reimbursement forOther - Provide Description board meeting.
►If Gift, Provide Travel Destination
►NAME OF SOURCE (Not an Acronym)
Chengdu Municipal People's Government
ADDRESS (Business Address Acceptable)
2 Caoshi St, CaoShiJie,Qingyang Qu,Chengdu Shi,
CITY AND STATE
Sichuan Sheng, China,610000
501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE
DATE(S): 09 /04 /XX -09 /08 /XX AMT: $ 3,874.38
(If gift)
► MuST CHECK ONE:Gift -or-Income
Made a Speech/Participated in a Panel
Other - Provide Description Travel reimbursement for
trip to China.
►If Gift, Provide Travel Destination Sichuan Sheng,China
24
Restrictions and Prohibitions
The Political Reform Act (Gov. Code Sections 81000-
91014) requires most state and local government officials
and employees to publicly disclose their economic
interests including personal assets and income. The
Act’s conflict of interest provisions also disqualify a public
official from taking part in a governmental decision if it
is reasonably foreseeable that the decision will have
a material financial effect on these economic interests
as well as the official’s personal finances and those
of immediate family. (Gov. Code Sections 87100 and
87103.) The Fair Political Practices Commission (FPPC)
is the state agency responsible for issuing the attached
Statement of Economic Interests, Form 700, and for
interpreting the Act’s provisions.
Gift Prohibition
Gifts received by most state and local officials, employees,
and candidates are subject to a limit. In 2021-2022, the
gift limit increased to $520 from a single source during a
calendar year. In 2019 and 2020, the gift limit was $500
from a single source during a calendar year.
Additionally, state officials, state candidates, and certain
state employees are subject to a $10 limit per calendar
month on gifts from lobbyists and lobbying firms registered
with the Secretary of State. See Reference Pamphlet,
page 10.
State and local officials and employees should check with
their agency to determine if other restrictions apply.
Disqualification
Public officials are, under certain circumstances, required
to disqualify themselves from making, participating in, or
attempting to influence governmental decisions that will
affect their economic interests. This may include interests
they are not required to disclose. For example, a personal
residence is often not reportable, but may be grounds for
disqualification. Specific disqualification requirements
apply to 87200 filers (e.g., city councilmembers, members
of boards of supervisors, planning commissioners, etc.).
These officials must publicly identify the economic interest
that creates a conflict of interest and leave the room before
a discussion or vote takes place at a public meeting. For
more information, consult Government Code Section
87105, Regulation 18707, and the Guide to Recognizing
Conflicts of Interest page at www.fppc.ca.gov.
Honorarium Ban
Most state and local officials, employees, and candidates
are prohibited from accepting an honorarium for any
speech given, article published, or attendance at a
conference, convention, meeting, or like gathering. (See
Reference Pamphlet, page 10.)
Loan Restrictions
Certain state and local officials are subject to restrictions
on loans. (See Reference Pamphlet, page 14.)
Post-Governmental Employment
There are restrictions on representing clients or employers
before former agencies. The provisions apply to elected
state officials, most state employees, local elected officials,
county chief administrative officers, city managers,
including the chief administrator of a city, and general
managers or chief administrators of local special districts
and JPAs. The FPPC website has fact sheets explaining
the provisions.
Late Filing
The filing officer who retains originally-signed or
electronically filed statements of economic interests may
impose on an individual a fine for any statement that is filed
late. The fine is $10 per day up to a maximum of $100.
Late filing penalties may be reduced or waived under certain
circumstances.
Persons who fail to timely file their Form 700 may be
referred to the FPPC’s Enforcement Division (and, in some
cases, to the Attorney General or district attorney) for
investigation and possible prosecution. In addition to the
late filing penalties, a fine of up to $5,000 per violation may
be imposed.
For assistance concerning reporting, prohibitions, and
restrictions under the Act:
• Email questions to [email protected].
• Call the FPPC toll-free at (866) 275-3772.
Form 700 is a Public Document
Public Access Must Be Provided
Statements of Economic Interests are public
documents. The filing officer must permit any
member of the public to inspect and receive a copy
of any statement.
• Statements must be available as soon as possible
during the agency's regular business hours, but
in any event not later than the second business
day after the statement is received. Access to the
Form 700 is not subject to the Public Records Act
procedures.
• No conditions may be placed on persons seeking
access to the forms.
• No information or identification may be required
from persons seeking access.
• Reproduction fees of no more than 10 cents per
page may be charged.
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 19 25
Questions and Answers
General
Q. What is the reporting period for disclosing interests
on an assuming office statement or a candidate
statement?
A. On an assuming office statement, disclose all
reportable investments, interests in real property, and
business positions held on the date you assumed
office. In addition, you must disclose income (including
loans, gifts and travel payments) received during the 12
months prior to the date you assumed office.
On a candidate statement, disclose all reportable
investments, interests in real property, and business
positions held on the date you file your declaration of
candidacy. You must also disclose income (including
loans, gifts and travel payments) received during the
12 months prior to the date you file your declaration of
candidacy.
Q. I hold two other board positions in addition to my
position with the county. Must I file three statements of
economic interests?
A. Yes, three are required. However, you may instead
complete an expanded statement listing the county and
the two boards on the Cover Page or an attachment as
the agencies for which you will be filing. Disclose all
reportable economic interests in all three jurisdictions
on the expanded statement. File the expanded
statement for your primary position providing an original
“wet” signature unless filed with a secure electronic
signature. (See page 3 above.) File copies of the
expanded statement with the other two agencies as
required by Regulation 18723.1(c). Remember to
complete separate statements for positions that you
leave or assume during the year.
Q. I am a department head who recently began acting as
city manager. Should I file as the city manager?
A. Yes. File an assuming office statement as city
manager. Persons serving as “acting,” “interim,” or
“alternate” must file as if they hold the position because
they are or may be performing the duties of the
position.
Q. My spouse and I are currently separated and in the
process of obtaining a divorce. Must I still report my
spouse’s income, investments, and interests in real
property?
A. Yes. A public official must continue to report a spouse’s
economic interests until such time as dissolution of
marriage proceedings is final. However, if a separate
property agreement has been reached prior to that
time, your estranged spouse’s income may not have to
be reported. Contact the FPPC for more information.
Q. As a designated employee, I left one state agency to
work for another state agency. Must I file a leaving
office statement?
A. Yes. You may also need to file an assuming office
statement for the new agency.
Investment Disclosure
Q. I have an investment interest in shares of stock in a
company that does not have an office in my jurisdiction.
Must I still disclose my investment interest in this
company?
A. Probably. The definition of “doing business in the
jurisdiction” is not limited to whether the business has
an office or physical location in your jurisdiction. (See
Reference Pamphlet, page 13.)
Q. My spouse and I have a living trust. The trust holds
rental property in my jurisdiction, our primary residence,
and investments in diversified mutual funds. I have full
disclosure. How is this trust disclosed?
A. Disclose the name of the trust, the rental property and
its income on Schedule A-2. Your primary residence
and investments in diversified mutual funds registered
with the SEC are not reportable.
Q. I am required to report all investments. I have an IRA
that contains stocks through an account managed by
a brokerage firm. Must I disclose these stocks even
though they are held in an IRA and I did not decide
which stocks to purchase?
A. Yes. Disclose on Schedule A-1 or A-2 any stock worth
$2,000 or more in a business entity located in or doing
business in your jurisdiction.
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 20 26
Questions and Answers
Continued
Q. The value of my stock changed during the reporting
period. How do I report the value of the stock?
A. You are required to report the highest value that the
stock reached during the reporting period. You may
use your monthly statements to determine the highest
value. You may also use the entity’s website to
determine the highest value. You are encouraged to
keep a record of where you found the reported value.
Note that for an assuming office statement, you must
report the value of the stock on the date you assumed
office.
Q. I am the sole owner of my business, an S-Corporation.
I believe that the nature of the business is such that it
cannot be said to have any “fair market value” because
it has no assets. I operate the corporation under
an agreement with a large insurance company. My
contract does not have resale value because of its
nature as a personal services contract. Must I report
the fair market value for my business on Schedule A-2
of the Form 700?
A. Yes. Even if there are no tangible assets, intangible
assets, such as relationships with companies and
clients are commonly sold to qualified professionals.
The “fair market value” is often quantified for other
purposes, such as marital dissolutions or estate
planning. In addition, the IRS presumes that “personal
services corporations” have a fair market value. A
professional “book of business” and the associated
goodwill that generates income are not without a
determinable value. The Form 700 does not require a
precise fair market value; it is only necessary to check
a box indicating the broad range within which the value
falls.
Q. I own stock in IBM and must report this investment
on Schedule A-1. I initially purchased this stock in
the early 1990s; however, I am constantly buying
and selling shares. Must I note these dates in the
“Acquired” and “Disposed” fields?
A. No. You must only report dates in the “Acquired” or
“Disposed” fields when, during the reporting period, you
initially purchase a reportable investment worth $2,000
or more or when you dispose of the entire investment.
You are not required to track the partial trading of an
investment.
Q. On last year’s filing I reported stock in Encoe valued at
$2,000 - $10,000. Late last year the value of this stock
fell below and remains at less than $2,000. How should
this be reported on this year’s statement?
A. You are not required to report an investment if the value
was less than $2,000 during the entire reporting period.
However, because a disposed date is not required for
stocks that fall below $2,000, you may want to report
the stock and note in the “comments” section that the
value fell below $2,000. This would be for informational
purposes only; it is not a requirement.
Q. We have a Section 529 account set up to save money
for our son’s college education. Is this reportable?
A. If the Section 529 account contains reportable interests
(e.g., common stock valued at $2,000 or more), those
interests are reportable (not the actual Section 529
account). If the account contains solely mutual funds,
then nothing is reported.
Income Disclosure
Q. I reported a business entity on Schedule A-2. Clients of
my business are located in several states. Must I report
all clients from whom my pro rata share of income is
$10,000 or more on Schedule A-2, Part 3?
A. No, only the clients located in or doing business on a
regular basis in your jurisdiction must be disclosed.
Q. I believe I am not required to disclose the names of
clients from whom my pro rata share of income is
$10,000 or more on Schedule A-2 because of their right
to privacy. Is there an exception for reporting clients’
names?
A. Regulation 18740 provides a procedure for requesting
an exemption to allow a client’s name not to be
disclosed if disclosure of the name would violate a
legally recognized privilege under California or Federal
law. This regulation may be obtained from our website
at www.fppc.ca.gov. (See Reference Pamphlet, page
14.)
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 21 27
Questions and Answers
Continued
Q. I am sole owner of a private law practice that is not
reportable based on my limited disclosure category.
However, some of the sources of income to my law
practice are from reportable sources. Do I have to
disclose this income?
A. Yes, even though the law practice is not reportable,
reportable sources of income to the law practice of
$10,000 or more must be disclosed. This information
would be disclosed on Schedule C with a note in the
“comments” section indicating that the business entity
is not a reportable investment. The note would be for
informational purposes only; it is not a requirement.
Q. I am the sole owner of my business. Where do I
disclose my income - on Schedule A-2 or Schedule C?
A. Sources of income to a business in which you have an
ownership interest of 10% or greater are disclosed on
Schedule A-2. (See Reference Pamphlet, page 8.)
Q. My husband is a partner in a four-person firm where
all of his business is based on his own billings and
collections from various clients. How do I report my
community property interest in this business and the
income generated in this manner?
A. If your husband’s investment in the firm is 10% or
greater, disclose 100% of his share of the business
on Schedule A-2, Part 1 and 50% of his income on
Schedule A-2, Parts 2 and 3. For example, a client of
your husband’s must be a source of at least $20,000
during the reporting period before the client’s name is
reported.
Q. How do I disclose my spouse’s or registered domestic
partner’s salary?
A. Report the name of the employer as a source of income
on Schedule C.
Q. I am a doctor. For purposes of reporting $10,000
sources of income on Schedule A-2, Part 3, are the
patients or their insurance carriers considered sources
of income?
A. If your patients exercise sufficient control by selecting
you instead of other doctors, then your patients, rather
than their insurance carriers, are sources of income to
you. (See Reference Pamphlet, page 14.)
Q. I received a loan from my grandfather to purchase my
home. Is this loan reportable?
A. No. Loans received from family members are not
reportable.
Q. Many years ago, I loaned my parents several thousand
dollars, which they paid back this year. Do I need to
report this loan repayment on my Form 700?
A. No. Payments received on a loan made to a family
member are not reportable.
Real Property Disclosure
Q. During this reporting period we switched our principal
place of residence into a rental. I have full disclosure
and the property is located in my agency’s jurisdiction,
so it is now reportable. Because I have not reported
this property before, do I need to show an “acquired”
date?
A. No, you are not required to show an “acquired” date
because you previously owned the property. However,
you may want to note in the “comments” section that
the property was not previously reported because it was
used exclusively as your residence. This would be for
informational purposes only; it is not a requirement.
Q. I am a city manager, and I own a rental property located
in an adjacent city, but one mile from the city limit. Do I
need to report this property interest?
A. Yes. You are required to report this property because
it is located within 2 miles of the boundaries of the city
you manage.
Q. Must I report a home that I own as a personal residence
for my daughter?
A. You are not required to disclose a home used as a
personal residence for a family member unless you
receive income from it, such as rental income.
Q. I am a co-signer on a loan for a rental property owned
by a friend. Since I am listed on the deed of trust, do I
need to report my friend’s property as an interest in real
property on my Form 700?
A. No. Simply being a co-signer on a loan for property
does not create a reportable interest in that real
property.
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 22 28
Gift Disclosure
Q. If I received a reportable gift of two tickets to a concert
valued at $100 each, but gave the tickets to a friend
because I could not attend the concert, do I have any
reporting obligations?
A. Yes. Since you accepted the gift and exercised
discretion and control of the use of the tickets, you must
disclose the gift on Schedule D.
Q. Julia and Jared Benson, a married couple, want to
give a piece of artwork to a county supervisor. Is each
spouse considered a separate source for purposes of
the gift limit and disclosure?
A. Yes, each spouse may make a gift valued at the gift
limit during a calendar year. For example, during 2021
the gift limit was $520, so the Bensons may have given
the supervisor artwork valued at no more than $1,040.
The supervisor must identify Jared and Julia Benson as
the sources of the gift.
Q. I am a Form 700 filer with full disclosure. Our agency
holds a holiday raffle to raise funds for a local charity.
I bought $10 worth of raffle tickets and won a gift
basket valued at $120. The gift basket was donated by
Doug Brewer, a citizen in our city. At the same event,
I bought raffle tickets for, and won a quilt valued at
$70. The quilt was donated by a coworker. Are these
reportable gifts?
A. Because the gift basket was donated by an outside
source (not an agency employee), you have received a
reportable gift valued at $110 (the value of the basket
less the consideration paid). The source of the gift
is Doug Brewer and the agency is disclosed as the
intermediary. Because the quilt was donated by an
employee of your agency, it is not a reportable gift.
Q. My agency is responsible for disbursing grants. An
applicant (501(c)(3) organization) met with agency
employees to present its application. At this meeting,
the applicant provided food and beverages. Would
the food and beverages be considered gifts to the
employees? These employees are designated in our
agency’s conflict of interest code and the applicant is a
reportable source of income under the code.
A. Yes. If the value of the food and beverages consumed
by any one filer, plus any other gifts received from the
same source during the reporting period total $50 or
more, the food and beverages would be reported using
the fair market value and would be subject to the gift
limit.
Q. I received free admission to an educational conference
related to my official duties. Part of the conference
fees included a round of golf. Is the value of the golf
considered informational material?
A. No. The value of personal benefits, such as golf,
attendance at a concert, or sporting event, are gifts
subject to reporting and limits.
Questions and Answers
Continued
FPPC Form 700 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 23 29
DISCLOSURE CATEGORIES
A. APPROPRIATE FORMS
All persons holding offices or positions specified in Government Code Section 87200 shall file
FPPC Form 700 for purposes of complying with the financial disclosure requirements of the
Conflict of Interest Code. All other positions and offices designated in Resolution 32-2008 shall file
FPPC form 700 based on the disclosure categories listed below.
B. DISCLOSURE CATEGORIES
Category 1: All investments, sources if income, interests in real property or business positions
in which the designated employee of official is a director, officer, partner, trustee,
employee or holds any position of management. (Schedule All A-E)
Category 2: All interest in real property located in the city of South San Francisco, within two
(2) miles of the city of South San Francisco or within two (2) miles of any land
owned or used by the City of South San Francisco. (Schedule B & C)
Category 3: All investments, interests in real property or sources of income subject to the
regulatory, permit or licensing authority of the department, board or commission,
or agency. (Schedule All A-E)
Category 4: Investments in business entities and sources of income which engage in land
development, construction or the acquisition or sale of real property. (Schedule A,
C, D, E)
Categories 5 : Investments in, income from and positions held in business entities of the types
which, within the past two (2) years, have contracted with the City of South San
Francisco to provide services, supplies, materials, machinery or equipment.
(Schedule A, C, D, E)
Category 6: Investment in, income from and positions held in business entities of the type
which, within the past two (2) years, have contracted with the designated
employee's department to provide services, supplies, materials, machinery and
equipment. (Schedule A, C, D, E)
30
31
Resolution No. 125-2020
Exhibit A
DESIGNATION OF POSITIONS AND
APPLICABLE DISCLOSURE CATEGORIES
FOR THE CITY OF SOUTH SAN FRANCISCO
Designated Positions Disclosure
Category
Members of the following
Boards and Commissions
1.1 City Council
1.2 Measure W Citizens’ Oversight Committee
1.3 Design Review Board
1.4 Housing Authority
1.5 Library Board
1.6 Parking Place Commission
1.7 Planning Commission
1.8 Parks & Recreation Commission
1.9 Conference Center Authority
1.10 Cultural Arts Commission
1.11 Bicycle and Pedestrian Advisory Committee (BPAC)
1.12 Mosquito and Vector Control District – SSF Representative
1.13 Colma Creek Citizens Advisory Committee –Representatives
1.14 Housing Authority Tenant Commission
1.15 Traffic Safety Commission
2.City Manager
2.1 City Manager
2.2 Assistant City Manager
2.3 Assistant to the City Manager
2.4 Communications Director
2.5 Director of Capital Projects
2.6 Principal Engineer (Deputy Director of Capital Projects)
2.7 Management Analyst I/II
3.City Clerk
3.1 City Clerk
3.2 Assistant City Clerk
3.3 Deputy City Clerk
4.City Attorney
4.1 City Attorney
4.2 Assistant City Attorney
5.City Treasurer
5.1 City Treasurer
5.2 Deputy City Treasurer
Form 700 (87200 Filer)
1, 2, 3, 4, 5, 6
1, 2, 3, 4
1
6
3, 4, 6
Form 700 (87200 Filer)
1, 2, 4, 6
6
1, 2
1, 2, 4, 6
1, 2, 3, 4, 5, 6
1, 2, 3, 4, 5, 6
1
3, 4, 6
Form 700 (87200 Filer)
1, 2, 4, 6
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 3, 4, 5, 6
6
6
Form 700 (87200 Filer)
1, 2, 3, 4, 5, 6
Form 700 (87200 Filer)
1, 2, 3, 4, 5, 6 32
6.Economic & Community Development Department
6.1 Economic and Community Development Director
6.2 Economic and Community Development Deputy Director
6.3 City Planner
6.4 Principal Planner
6.5 Senior Planner
6.6 Associate Planner
6.7 Building Plan Reviewer
6.8 Community Development Coordinator
6.9 City Building Official
6.10 Assistant Building Official
6.11 Senior Building Inspector
6.12 Building Inspector
6.13 Planning Technician
6.14 Senior Permit Technician
6.15 Permit Technician
6.16 Economic Development Coordinator
6.17 Management Analyst I/II
7.Human Resources Department
7.1 Human Resources Director
7.2 Human Resources Manager
7.3 Human Resources Analyst I/II
8.Public Works Department
8.1 Public Works Director
8.2 Assistant Public Works Director/City Engineer
8.3 Public Works Deputy Director
8.4 Plant Superintendent
8.5 Assistant Plant Superintendent
8.6 Principal Engineer
8.7 Senior Civil Engineer
8.8 Associate Civil Engineer
8.9 Public Works Inspector
8.10 Laboratory Supervisor
8.11 Plant Maintenance Super visor
8.12 Environmental Compliance Supervisor
8.13 Senior Environmental Compliance Inspector
8.14 Environmental Compliance Inspector I/II
8.15 Program Manager
8.16 Public Works Administrator
8.17 Management Analyst I/II
8.18 Code Enforcement Officer
9.Finance Department
9.1 Finance Director
9.2 Deputy Finance Director
9.3 Financial Services Manager
9.4 Management Analyst I/II
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
1, 2, 4
6
6
6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 2, 4, 6
1, 3, 4, 5
1, 3, 4, 5
1, 3, 4, 5
1, 2, 4 33
10. Fire Department
10.1 Fire Chief
10.2 Deputy Fire Chief
10.3 Fire Battalion Chief
10.4 EMS Battalion Chief
10.5 Fire Marshal
10.6 Fire Captain
10.7 Safety Inspector I/II/III
10.8 Emergency Services Manager
10.9 Management Analyst I/II
11. Library Department
11.1 Library Director
11.2 Assistant Library Director
11.3 Literacy Program Manager
11.4 Library Program Manager
11.5 Management Analyst I/II
12. Parks and Recreation Department
12.1 Parks and Recreation Director
12.2 Parks and Recreation Deputy Director
12.3 Maintenance Supervisor
12.4 Program Manager
12.5 Business Manager
12.6 Landscape Architect
12.7 Recreation and Community Services Supervisor
13. Police Department
13.1 Police Chief
13.2 Deputy Police Chief
13.3 Police Captain
13.4 Police Lieut enant
13.5 Police Sergeant
13.6 Police Communications & Records Manager
13.7 Management Analyst I/II
14. Consultants
15. Housing Authority
15.1 Executive Director
16. Conference Center
16.1 Executive Director
6
6
6
6
1, 2, 4, 6
6
1, 2, 4
1, 2, 4, 6
1, 2, 4
6
5
6
6
6
1, 2, 4, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
2, 4, 5, 6
6
6
6
6
6
6
6
Form 700 (87200 Filer)
1, 2, 4
1
34
17.Information Technology Department
17.1 Information Technology Director
17.2 Information Technology Manager
17.3 Senior Information Systems Administrator
17.4 Information Systems Administrator
6
6
6
6
35
A.APPROPRIATE FORMS
All persons holding offices or positions specified in Government Code Section 87200 shall file
FPPC Form 700 for purposes of complying with the financial disclosure requirements of the
Conflict of Interest Code. All other positions and offices designated in Resolution 32-2008 shall file
FPPC form 700 based on the disclosure categories listed below.
B.DISCLOSURE CATEGORIES
Category 1: All investments, sources of income, interests in real property or business positions
in which the designated employee or official is a director, officer, partner, trustee,
employee or holds any position of management. (Schedules All A-E)
Category 2: All interest in real property located in the City of South San Francisco, within two
2) miles of the City of South San Francisco or within two (2) miles of any land
owned or used by the City of South San Francisco. (Schedules B & C)
Category 3: All investments, interests in real property or sources of income subject to the
regulatory, permit or licensing authority of the department, board or commission,
or agency. (Schedules All A-E)
Category 4: Investments in business entities and sources of income which engage in land
development, construction or the acquisition or sale of real property. (Schedules A,
C, D, E)
Categories 5: Investments in, income from and positions held in business entities of the types
which, within the past two (2) years, have contracted with the City of South San
Francisco to provide services, supplies, materials, machinery or equipment.
Schedules A, C, D, E)
Category 6: Investment in, income from and positions held in business entities of the type
which, within the past two (2) years, have contracted with the designated
employee's department to provide services, supplies, materials, machinery and
equipment. (Schedules A, C, D, E)
Exhibit B
DISCLOSURE CATEGORIES
36
1 Boards and Commissions Members
1.1 City Council Form 700 (87200 Filer)
1.2 Successor Agency to the Redevelopment Agency Form 700 (87200 Filer)
1.7 1.3 Planning Commission Form 700 (87200 Filer)
1.11 1.4 Bicycle and Pedestrian Advisory Committee (BPAC)1, 2, 4, 6
1.13 Colma Creek Citizen Advisory Committee -Representative 1, 2, 3, 4, 5, 6
1.9 1.5 Conference Center Authority 6
1.10 1.6 Cultural Arts Commission 1, 2
1.3 1.7 Design Review Board 1, 2, 3, 4
1.8 Equity and Public Safety Commission 1, 2, 4, 6
1.4 1.9 Housing Authority 1
1.14 1.10 Housing Authority Tenant Commission 1
1.5 1.11 Library Board 6
1.2 1.12 Measure W Citizens’ Oversight Committee 1, 2, 3, 4, 5, 6
1.12 Mosquito Vector Contro District -SSF Representative 1, 2, 3, 4, 5, 6
1.6 1.13 Parking Place Commission 3, 4, 6
1.8 1.14 Parks & Recreation Commission 1, 2, 3, 4
1.15 1.15 Traffic Safety Commission 3, 4, 6
4 2 City Attorney
4.1 2.1 City Attorney Form 700 (87200 Filer)
4.2 2.2 Assistant City Attorney 1, 2, 3, 4, 5, 6
3 City Clerk
3.1 City Clerk 1, 2, 3, 4, 5, 6
3.2 Assistant City Clerk 6
3.3 Deputy City Clerk 6
2 4 City Manager
2.1 4.1 City Manager Form 700 (87200 Filer)
2.2 4.2 Assistant City Manager 1, 2, 4, 6
2.3 4.3 Assistant to the City Manager 1, 2, 4
2.4 4.4 Communications Director 1, 2, 4
2.5 4.5 Director of Capital Projects 1, 2, 4
2.6 4.6 Prinicipal Engineer (Deputy Director of Capital Projects)1, 2, 4
2.7 4.7 Management Analyst I/II 1, 2, 4
4.8 Deputy City Manager 1, 2, 4
4.9 Diversity, Equity, and Inclusion Officer 1, 2, 4
5 City Treasurer
5.1 City Treasurer Form 700 (87200 Filer)
5.2 Deputy City Treasurer 1, 2, 3, 4, 5, 6
Designated Positions Disclosure Catergory
Resolution No. -2022
DESGINATION OF POSTIONS AND
APPLICABLE DISCLOSURE CATEGORIES
FOR THE CITY OF SOUTH SAN FRANCISCO
37
16 6 South San Francisco Conference Center
16.1 6.1 Executive Director 1
14 7 Consultants Form 700 (87200 Filer)
6 8 Economic & Community Development Department
6.1 8.1 Director of Economic & Community Development Director 1, 2, 4
6.2 8.2 Deputy Economic & Community Development Director 1, 2, 4
6.3 8.3 City Planner 1, 2, 4
6.4 8.4 Principal Planner 1, 2, 4
6.5 8.5 Senior Planner 1, 2, 4
6.6 8.6 Associate Planner 1, 2, 4
6.7 8.7 Building Plan Reviewer 1, 2, 4
6.8 8.8 Community Development Coordinator 1, 2, 4
6.9 8.9 City Building Official 1, 2, 4
6.10 8.10 Assistant Building Official 1, 2, 4
6.11 8.11 Senior Building Inspector 1, 2, 4
6.12 8.12 Building Inspector 1, 2, 4
6.13 8.13 Planning Technician 1, 2, 4
6.14 8.14 Senior Permit Technician 1, 2, 4
6.15 8.15 Permit Technician 1, 2, 4
6.16 8.16 Economic Development Coordinator 1, 2, 4
6.17 8.17 Management Analyst I/II 1, 2, 4
8.18 Housing Manager 1, 2,4
8.19 Economic Development Manager 1, 2 ,4
9 Finance Department
9.1 Director of Finance Director 1, 3, 4, 5
9.2 Deputy Finance Director 1, 3, 4, 5
9.3 Financial Services Manager 1, 3, 4, 5
9.4 Management Analyst I/II 1, 2, 4
9.5 Senior Financial Analyst 1, 2, 4
9.6 Financial Analyst I/II 1, 2, 4
9.7 Payroll Administrator 1, 2, 4
9.8 Senior Accountant 1, 2, 4
9.9 Accountant I/II 1, 2, 4
10 Fire Department
10.1 Fire Chief 6
10.2 Deputy Fire Chief 6
10.3 Fire Battalion Chief (40 hours)6
10.4 Fire Battalion Chief (56 hours)6
10.4 10.5 EMS Battalion Chief 6
10.5 10.6 Fire Marshall 1, 2, 4, 6
10.6 10.7 Fire Captain (40 hours)6
10.8 Fire Captain (56 hours)6
10.7 10.9 Safety Inspector I/II/III 1, 2, 4
10.8 10.10 Emergency Services Manager 1, 2, 4, 6
10.9 10.11 Management Analyst I/II 1, 2, 4
38
15 11 Housing Authority
15.1 11.1 Executive Director 1, 2, 4
7 12 Human Resource Department
7.1 12.1 Director of Human Resources Director 6
7.2 12.2 Human Resource Manager 6
7.3 12.3 Human Resource Analyst Senior 6
12.4 Human Resource Analyst I/II 6
17 13 Information Technology Department
17.1 13.1 Director of Information Technology Director 6
17.2 13.2 Information Technology Manager 6
17.3 13.3 Senior Information Systems Adminstrator 6
17.4 13.4 Information Systems Adminstrator 6
11 14 Library Department
11.1 14.1 Library Director 6
11.2 14.2 Assistant Library Director 5
11.3 14.3 Literacy Program Manager 6
11.4 14.4 Library Program Manager 6
11.5 14.5 Management Analyst I/II 6
12 15 Parks and Recreation Department
12.1 15.1 Parks and Recreation Director 1, 2, 4, 6
12.2 15.2 Parks and Recreation Deputy Director 2, 4, 5, 6
12.3 15.3 Maintenance Supervisor 2, 4, 5, 6
12.4 15.4 Program Manager 2, 4, 5, 6
12.5 15.5 Business Manager 2, 4, 5, 6
12.6 15.6 Landscape Architect 2, 4, 5, 6
15.7 Recreation and Community Services Manager 2, 4, 5, 6
12.7 15.8 Recreation and Community Services Supervisor 2, 4, 5, 6
15.9 Recreation and Community Services Program Coordinator 2, 4, 5, 6
13 16 Police Department
13.1 16.1 Police Chief 6
13.2 16.2 Deputy Police Chief 6
13.3 16.3 Police Captain 6
13.4 16.4 Police Lieutenant 6
13.5 16.5 Police Sergeant 6
16.6 Police Corporal 6
13.6 16.7 Police Communications & Records Manager 6
13.7 16.8 Management Analyst I/II 6
39
8 17 Public Works Department
8.1 17.1 Director of Public Works Director 1, 2, 4, 6
8.2 17.2 Assistant Public Works Assistant Director/City Engineer 1, 2, 4, 6
8.3 17.3 Public Works Deputy Director 1, 2, 4, 6
8.4 17.4 Plant Superintendent 1, 2, 4, 6
8.5 17.5 Assistant Plant Superintendent 1, 2, 4, 6
8.6 17.6 Principal Engineer 1, 2, 4, 6
8.7 17.7 Senior Civil Engineer 1, 2, 4, 6
8.8 17.8 Associate Civil Engineer 1, 2, 4, 6
8.9 17.9 Public Works Inspector 1, 2, 4, 6
8.10 17.10 Laboratory Supervisor 1, 2, 4, 6
8.11 17.11 Plant Maintenance Supervisor 1, 2, 4, 6
8.12 17.12 Environmental Compliance Supervisor 1, 2, 4, 6
8.13 17.13 Senior Environmental Compliance Inspector 1, 2, 4, 6
8.14 17.14 Environmental Compliance Inspector I/II 1, 2, 4, 6
8.15 17.15 Program Manager 1, 2, 4, 6
8.16 17.16 Public Works Administrator 1, 2, 4, 6
8.17 17.17 Management Analyst I/II 1, 2, 4, 6
8.18 17.18 Code Enforcement Officer 1, 2, 4, 6
17.19 Electrical Maintenance Supervisor 1, 2, 4, 6
17.20 Technical Services Supervisor 1, 2, 4, 6
40
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:22-969 Agenda Date:11/16/2022
Version:1 Item #:1a.
Resolution amending the City's Conflict of Interest Code to update the designated positions.
WHEREAS,pursuant to the Political Reform Act (Article III of Chapter 7 of the Government Code,
commencing with Section 81000),each government agency is required to adopt a Conflict-of-Interest Code
(Government Code Section 87300 et seq.); and
WHEREAS, pursuant to Government Code Section 87302, the Conflict-of-Interest Code shall provide
for specific enumeration of the positions within the City, other than those specified in Government Code
Section 87200, which involve the making or participation in the making of decisions which may foreseeably
have material effect on any financial interest and for each such enumerated position, the specific types of
investments, business positions, interests in real property, and sources of income which are reportable; and
WHEREAS, by Resolution No. 129-87, as amended most recently by Resolutions 28-2014, 123-2016, 181-
2018 and 125-2020, the City Council previously adopted the City's Conflict of Interest Code ("COI") and the
list of designated positions subject to the COI; and sources income which are reportable; and
WHEREAS, an update to the list of designated positions subject to the COI is necessary because of recent
additions, deletions, revisions and changed responsibilities related to City positions.
NOW, THEREFORE, BE IT RESOLVED that the City Council of the City of South San Francisco hereby
adopts the updated Conflict of Interest Code, including designation of positions and the applicable disclosure
categories for the positions, as shown in Exhibit A and Exhibit B.
City of South San Francisco Printed on 11/15/2022Page 1 of 1
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1 Boards and Commissions Members
1.1 City Council Form 700 (87200 Filer)
1.2 Successor Agency to the Redevelopment Agency Form 700 (87200 Filer)
1.3 Planning Commission Form 700 (87200 Filer)
1.4 Bicycle and Pedestrian Advisory Committee (BPAC)1, 2, 4, 6
1.5 Conference Center Authority 6
1.6 Cultural Arts Commission 1, 2
1.7 Design Review Board 1, 2, 3, 4
1.8 Equity and Public Safety Commission 1, 2, 4, 6
1.9 Housing Authority 1
1.10 Housing Authority Tenant Commission 1
1.11 Library Board 6
1.12 Measure W Citizens’ Oversight Committee 1, 2, 3, 4, 5, 6
1.13 Parking Place Commission 3, 4, 6
1.14 Parks & Recreation Commission 1, 2, 3, 4
1.15 Traffic Safety Commission 3, 4, 6
2 City Attorney
2.1 City Attorney Form 700 (87200 Filer)
2.2 Assistant City Attorney 1, 2, 3, 4, 5, 6
3 City Clerk
3.1 City Clerk 1, 2, 3, 4, 5, 6
3.2 Assistant City Clerk 6
3.3 Deputy City Clerk 6
4 City Manager
4.1 City Manager Form 700 (87200 Filer)
4.2 Assistant City Manager 1, 2, 4, 6
4.3 Assistant to the City Manager 1, 2, 4
4.4 Communications Director 1, 2, 4
4.5 Director of Capital Projects 1, 2, 4
4.6 Deputy Director of Capital Projects 1, 2, 4
4.7 Management Analyst I/II 1, 2, 4
4.8 Deputy City Manager 1, 2, 4
4.9 Diversity, Equity, and Inclusion Officer 1, 2, 4
5 City Treasurer
5.1 City Treasurer Form 700 (87200 Filer)
6 South San Francisco Conference Center
6.1 Executive Director 1
Designated Positions Disclosure Catergory
Resolution No. -2022
DESGINATION OF POSTIONS AND
APPLICABLE DISCLOSURE CATEGORIES
FOR THE CITY OF SOUTH SAN FRANCISCO
42
7 Consultants Form 700 (87200 Filer)
8 Economic & Community Development Department
8.1 Director of Economic & Community Development 1, 2, 4
8.2 Deputy Economic & Community Development Director 1, 2, 4
8.3 City Planner 1, 2, 4
8.4 Principal Planner 1, 2, 4
8.5 Senior Planner 1, 2, 4
8.6 Associate Planner 1, 2, 4
8.7 Building Plan Reviewer 1, 2, 4
8.8 Community Development Coordinator 1, 2, 4
8.9 City Building Official 1, 2, 4
8.10 Assistant Building Official 1, 2, 4
8.11 Senior Building Inspector 1, 2, 4
8.12 Building Inspector 1, 2, 4
8.13 Planning Technician 1, 2, 4
8.14 Senior Permit Technician 1, 2, 4
8.15 Permit Technician 1, 2, 4
8.16 Economic Development Coordinator 1, 2, 4
8.17 Management Analyst I/II 1, 2, 4
8.18 Housing Manager 1, 2,4
8.19 Economic Development Manager 1, 2 ,4
9 Finance Department
9.1 Director of Finance 1, 3, 4, 5
9.2 Deputy Finance Director 1, 3, 4, 5
9.3 Financial Services Manager 1, 3, 4, 5
9.4 Management Analyst I/II 1, 2, 4
9.5 Senior Financial Analyst 1, 2, 4
9.6 Financial Analyst I/II 1, 2, 4
9.7 Payroll Administrator 1, 2, 4
9.8 Senior Accountant 1, 2, 4
9.9 Accountant I/II 1, 2, 4
10 Fire Department
10.1 Fire Chief 6
10.2 Deputy Fire Chief 6
10.3 Fire Battalion Chief (40 hours)6
10.4 Fire Battalion Chief (56 hours)6
10.5 EMS Battalion Chief 6
10.6 Fire Marshall 1, 2, 4, 6
10.7 Fire Captain (40 hours)6
10.8 Fire Captain (56 hours)6
10.9 Safety Inspector I/II/III 1, 2, 4
10.1 Emergency Services Manager 1, 2, 4, 6
10.11 Management Analyst I/II 1, 2, 4
11 Housing Authority
11.1 Executive Director 1, 2, 4
43
12 Human Resource Department
12.1 Director of Human Resources 6
12.2 Human Resource Manager 6
12.3 Human Resource Analyst Senior 6
12.4 Human Resource Analyst I/II 6
13 Information Technology Department
13.1 Director of Information Technology 6
13.2 Information Technology Manager 6
13.3 Senior Information Systems Adminstrator 6
13.4 Information Systems Adminstrator 6
14 Library Department
14.1 Library Director 6
14.2 Assistant Library Director 5
14.3 Literacy Program Manager 6
14.4 Library Program Manager 6
14.5 Management Analyst I/II 6
15 Parks and Recreation Department
15.1 Parks and Recreation Director 1, 2, 4, 6
15.2 Parks and Recreation Deputy Director 2, 4, 5, 6
15.3 Maintenance Supervisor 2, 4, 5, 6
15.4 Program Manager 2, 4, 5, 6
15.5 Business Manager 2, 4, 5, 6
15.6 Landscape Architect 2, 4, 5, 6
15.7 Recreation and Community Services Manager 2, 4, 5, 6
15.8 Recreation and Community Services Supervisor 2, 4, 5, 6
15.9 Recreation and Community Services Program Coordinator 2, 4, 5, 6
16 Police Department
16.1 Police Chief 6
16.2 Deputy Police Chief 6
16.3 Police Captain 6
16.4 Police Lieutenant 6
16.5 Police Sergeant 6
16.6 Police Corporal 6
16.7 Police Communications & Records Manager 6
16.8 Management Analyst I/II 6
44
17 Public Works Department
17.1 Director of Public Works 1, 2, 4, 6
17.2 Public Works Assistant Director/City Engineer 1, 2, 4, 6
17.3 Public Works Deputy Director 1, 2, 4, 6
17.4 Plant Superintendent 1, 2, 4, 6
17.5 Assistant Plant Superintendent 1, 2, 4, 6
17.6 Principal Engineer 1, 2, 4, 6
17.7 Senior Engineer 1, 2, 4, 6
17.8 Associate Engineer 1, 2, 4, 6
17.9 Public Works Inspector 1, 2, 4, 6
17.10 Laboratory Supervisor 1, 2, 4, 6
17.11 Plant Maintenance Supervisor 1, 2, 4, 6
17.12 Environmental Compliance Supervisor 1, 2, 4, 6
17.13 Senior Environmental Compliance Inspector 1, 2, 4, 6
17.14 Environmental Compliance Inspector I/II 1, 2, 4, 6
17.15 Program Manager 1, 2, 4, 6
17.16 Public Works Administrator 1, 2, 4, 6
17.17 Management Analyst I/II 1, 2, 4, 6
17.18 Code Enforcement Officer 1, 2, 4, 6
17.19 Electrical Maintenance Supervisor 1, 2, 4, 6
17.20 Technical Services Supervisor 1, 2, 4, 6
45
DISCLOSURE CATEGORIES
A. APPROPRIATE FORMS
All persons holding offices or positions specified in Government Code Section 87200 shall file
FPPC Form 700 for purposes of complying with the financial disclosure requirements of the
Conflict of Interest Code. All other positions and offices designated in Resolution 32-2008 shall file
FPPC form 700 based on the disclosure categories listed below.
B. DISCLOSURE CATEGORIES
Category 1: All investments, sources if income, interests in real property or business positions
in which the designated employee of official is a director, officer, partner, trustee,
employee or holds any position of management. (Schedule All A-E)
Category 2: All interest in real property located in the city of South San Francisco, within two
(2) miles of the city of South San Francisco or within two (2) miles of any land
owned or used by the City of South San Francisco. (Schedule B & C)
Category 3: All investments, interests in real property or sources of income subject to the
regulatory, permit or licensing authority of the department, board or commission,
or agency. (Schedule All A-E)
Category 4: Investments in business entities and sources of income which engage in land
development, construction or the acquisition or sale of real property. (Schedule A,
C, D, E)
Categories 5 : Investments in, income from and positions held in business entities of the types
which, within the past two (2) years, have contracted with the City of South San
Francisco to provide services, supplies, materials, machinery or equipment.
(Schedule A, C, D, E)
Category 6: Investment in, income from and positions held in business entities of the type
which, within the past two (2) years, have contracted with the designated
employee's department to provide services, supplies, materials, machinery and
equipment. (Schedule A, C, D, E)
46
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:22-965 Agenda Date:11/16/2022
Version:1 Item #:2.
Report regarding a Resolution to amend Resolution 94-2020 authorizing the City of South San Francisco to
apply to the State of California to receive and administer the City’s entitlement of Permanent Local Housing
Allocation (PLHA)funds to implement rental assistance program for persons experiencing or at-risk of
homelessness,and to enter into all required agreements to receive the PLHA funds.(Ashley Crociani,
Community Development Assistant)
RECOMMENDATION
Staff recommends that City Council adopt a Resolution amending Resolution 94-2020 authorizing the
City of South San Francisco to apply to the State of California to receive and administer the City’s
entitlement of Permanent Local Housing Allocation (PLHA)funds to implement rental assistance
program for persons experiencing or at-risk of homelessness,and to enter into all required agreements to
receive the PLHA funds.
BACKGROUND/DISCUSSION
In 2017,Governor Brown signed a 15-bill housing package focused on the state’s housing shortage and high
housing costs.The Permanent Local Housing Allocation (PLHA)originates from the Building Homes and Jobs
Act (SB 2),which helps local governments implement plans to increase its affordable housing stock.The
legislation directed the California Department of Housing and Community Development (HCD)to use 70%of
the revenue collected to provide financial assistance to local governments for eligible housing-related projects
and programs to assist in addressing the unmet housing needs of their local communities.
Revenue is generated through recording fees on real estate transactions and will,therefore,vary from year to
year depending upon real estate activity statewide.HCD estimates the City will receive approximately
$1,307,888 in PLHA entitlement,over a five-year period.The City received $217,980 in PLHA funds for Year-
1 (2019);these funds were received but have not yet been spent.The City has been awarded $338,809 for Year-
2 and $372,849 for Year-3 but has not yet received either funds.Staff will return to Council in the coming
months to accept the funds from Year-2 and Year-3.
HCD issued a Notice of Funding Availability (NOFA)for PLHA in February 2020,with applications accepted
on an over-the-counter basis from April through July 2020.For South San Francisco,the application process
was not competitive because funding had already been allocated.However,the City had to submit an
application that complied with the NOFA guidelines,including a description of how South San Francisco
intended to use its PLHA funds.
Eligible activities include:
1.The predevelopment,development,acquisition,rehabilitation,and preservation of multifamily,
residential live-work,rental housing that is affordable to extremely low-,very low-,low-,or moderate-
income households, including necessary operating subsidies.
2.The predevelopment,development,acquisition,rehabilitation,and preservation of Affordable rental and
ownership housing,including Accessory Dwelling Units (ADUs),that meets the needs of a growing
workforce earning up to 120-percent of AMI,or 150-percent of AMI in high-cost areas.ADUs shall be
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File #:22-965 Agenda Date:11/16/2022
Version:1 Item #:2.
available for occupancy for a term of no less than 30 days.
3.Matching portions of funds placed into Local or Regional Housing Trust Funds.
4.Matching portions of funds available through the Low-and Moderate-Income Housing Asset Fund
pursuant to subdivision (d) of HSC Section 34176.
5.Capitalized Reserves for Services connected to the preservation and creation of new permanent
supportive housing.
6.Assisting persons who are experiencing or at risk of homelessness,including,but not limited to,
providing rapid rehousing,rental assistance,supportive/case management services that allow people to
obtain and retain housing,operating and capital costs for navigation centers and emergency shelters,and
the new construction, rehabilitation, and preservation of permanent and transitional housing.
On July 22,2020,City Council unanimously approved a resolution authorizing an application for the City’s
entitlement of PLHA funds and to enter into all required agreements to receive the PLHA funds.Staff originally
anticipated using the funds from years one and two on rental assistance (Activity 6)and the last three years on
predevelopment,development,acquisition,rehabilitation,and preservation of affordable rental and ownership
housing (Activity 2).
Since Council’s resolution authorizing the City’s PLHA application,staff has learned more about the program
and how its funds are intended to be used.Given the restrictions on the funds,staff is recommending changing
the City’s funding spending plan to just one activity -Activity 6.This must be completed by the end of
November in order for the City to submit a streamlined application for NOFA year 2022.
Staff has been working on a new rental assistance program meeting the requirements of Activity 6.Specifically,
PLHA guidelines require that the assistance pay for at least six months of future payments and only serving
households earning 30%or less of the area median income.This is a departure from the City’s existing rental
assistance program,which serves households earning 60%or less of the area median income and provides
assistance with past due rent and security deposits.Staff will bring a program framework for the new,PLHA-
funded rental assistance program to Council in the coming months.
FISCAL IMPACT
There is no impact to the General Fund from adopting this Resolution.Taking this action will allow the City to
receive its PLHA entitlement funds from the state,which is expected to total $1,307,888 over five years,2019 -
2023.
CONCLUSION
In summary,Council is being asked to adopt a Resolution amending Resolution 94-2020 authorizing submittal
of an application to the State for PLHA funds in the form prescribed by the State,authorize staff to submit an
application to the State California office of Housing and Community Development,and execute the PLHA
Standard Agreement as well as and any subsequent amendments or modifications thereto.
5231983.1
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City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:22-966 Agenda Date:11/16/2022
Version:1 Item #:2a.
Resolution amending Resolution 94-2020 authorizing the City of South San Francisco to apply to the
State of California to receive and administer the City’s entitlement of Permanent Local Housing
Allocation (PHLA)funds to implement rental assistance program for persons experiencing or at-risk of
homelessness, and to enter into all required agreements to receive the PHLA funds.
WHEREAS,the South San Francisco City Council approved Resolution 94-2020 at its Regular City Council
meeting on July 22, 2020; and
WHEREAS,the City Council,at its November 16,2022 Special Meeting amended the 5-Year Plan to allow
staff to use all 5 years of PLHA funds to assist persons who are experiencing or At-risk of homelessness by
implementing a rental assistance program; and
WHEREAS,the Department is authorized to provide up to $335 million under the SB 2 Permanent Local
Housing Allocation Program Formula Component from the Building Homes and Jobs Trust Fund for assistance
to Cities and Counties (as described in Health and Safety Code section 50470 et seq.(Chapter 364,Statutes if
2017 (SB 2)); and
WHEREAS,the State of California (the “State”),Department of Housing and Community Development
(“Department”)issued a Notice of Funding Availability (“NOFA”)dated 8/17/2022 under the Permanent Local
Housing Allocation (PLHA) Program; and
WHEREAS,the City of South San Francisco (the “City”)is an eligible Local government who has applied for
program funds to administer one or more eligible activities,or a Local or Regional Housing Trust Fund to
whom an eligible Local government delegated its PLHA formula allocation; and
WHEREAS,the Department may approve funding allocations for PLHA Program,subject to the terms and
conditions of the Guidelines,NOFA,Program requirements,the Standard Agreement,and other contracts
between the Department and PLHA grant recipients.
NOW THEREFORE BE IT RESOLVED THAT:
1.If Applicant receives a grant of PLHA funds from the Department pursuant to the above referenced
PLHA NOFA,it represents and certifies that it will use all such funds in a manner consistent and in
compliance with all applicable state and federal statutes,rules,regulations,and laws,including without
limitation all rules and laws regarding the PLHA Program,as well as any and all contracts Applicant
may have with the Department.
2.Applicant is hereby authorized and directed to receive a PLHA grant,in an amount not to exceed the
five-year estimate of the PLHA formula allocations,as stated in Appendix C of the current NOFACity of South San Francisco Printed on 11/15/2022Page 1 of 3
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File #:22-966 Agenda Date:11/16/2022
Version:1 Item #:2a.
five-year estimate of the PLHA formula allocations,as stated in Appendix C of the current NOFA
$1,307,888 in accordance with all applicable rules and laws.
3.Applicant hereby agrees to use the PLHA funds for eligible activities as approved by the Department
and in accordance with all Program requirements,Guidelines,other rules and laws,as well as in a
manner consistent and in compliance with the Standard Agreement and other contracts between the
Applicant and the Department.
4.Pursuant to Section 302(c)(4)of the Guidelines,Applicant’s PLHA Plan for the 2019-2023 Allocations
is attached to this resolution,and Applicant hereby adopts this PLHA Plan and certifies compliance with
all public notice, public comment, and public hearing requirements in accordance with the Guidelines.
5.Applicant certifies that it has or will subgrant some or all of its PLHA funds to another entity or entities.
Pursuant to Guidelines Section 302(c)(3),“entity”means a housing developer or program operator,but
does not mean an administering Local government to whom a Local government may delegate its
PLHA allocation.
6.Applicant certifies that its selection process of these subgrantees was or will be accessible to the public
and avoided or shall avoid any conflicts of interest.
7.Pursuant to Applicant’s certification in this resolution,the PLHA funds will be expended only for
eligible Activities and consistent with all program requirements.
8.Applicant shall be subject to the terms and conditions as specified in the Standard Agreement,the
PLHA Program Guidelines and any other applicable SB 2 Guidelines published by the Department.
9.Mike Futrell,City Manager,is authorized to execute the PLHA Program Application,the PLHA
Standard Agreement and any subsequent amendments or modifications thereto,as well as any other
documents which are related to the Program or the PLHA grant awarded to Applicant,as the
Department may deem appropriate.
BE IT FURTHER RESOLVED by the City Council of the City of South San Francisco that
1.Meeting minutes for the City Council meeting on November 16,2022,when public comment was
received, will be provided to the Department as soon as possible.
2.A video of the City Council meeting where public comment was received for the Five-Year Plan will be
made available at <https://ci-ssf-ca.legistar.com/Calendar.aspx> shortly after the November 16, 2022
meeting.
3.The City approves the Five-Year Plan for the City’s allocation of PLHA funds.
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File #:22-966 Agenda Date:11/16/2022
Version:1 Item #:2a.
Attachments:
A.PLHA Formula Streamlined Application
B.PLHA Five-Year Plan Amendment
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Final Filing Date: October 31, 2022
at 4:00 P.M. PST
Permanent Local Housing Allocation
(PLHA) Formula Allocation
Application Form for Previous Awardees
State of California
Governor, Gavin Newsom
Lourdes Castro Ramírez, Secretary
Business, Consumer Services and Housing Agency
Gustavo Velasquez, Director
Department of Housing and Community Development
Program Design and Implementation, PLHA Program
2020 West El Camino Avenue, Suite 150, Sacramento, CA 95833
PLHA Program Email: [email protected]
52
Unit of general purpose local government.
$16,940.45 $16,940.00
$18,642.45 $18,642.00
Address:
Has applicant received their 2021 NOFA funds?No Based on the requirements in guideline section 300(e), how much has the
applicant committed?$217,980
Contact Phone:
South San FranciscoCity:
400 Grand Avenue
Yes
Zip Code:
650-877-8502
State:
§302(a) Housing Element compliance: Applicant and Delegating Local Government's if applicable Housing Element was adopted by the Local Government’s governing body by
the application submittal date and subsequently determined to be in substantial compliance with state Housing Element Law pursuant to Government Code Section 65585.
South San Francisco
Yes
Contact Name:
City:Address:
400 Grand AvenueAddress:
Nell Selander
§300(e) Applicant does not have uncommitted PLHA funds greater than permitted by Section 300(e).Yes
§503(b) Applicant has submitted the PLHA Annual Report by July 31, 2021 (if applying before July 31, 2022), or has submitted the PLHA Annual Report due by July 31, 2022 (if
applying on or after July 31, 2022).Yes
Date
Certifications
Mike Futrell
Authorized Representative Printed Name
City Manager
Title
On behalf of the entity identified below, I certify that: The information, statements and attachments included in this application are, to the best of my knowledge and belief, true and correct and I
possess the legal authority to submit this application on behalf of the entity identified in the signature block.
Signature
File Name:Reuse Plan Program Income Reuse Plan describing how repaid loans or accrued interest will be used for
eligible activities in Section 301.
Narrative uploaded
to HCD?N/A
CA
County:
Contact Email:
City Manager
400 Grand Avenue
650-629-6613
South San Francisco
[email protected] Rep. Email:Phone:
§302(c)(5) Applicant certifies that the Plan has not reallocated more than 10 percent of funds among Activities from the approved 5-year Plan included in the PLHA program
Standard Agreement, Exhibit E.Yes
N/A§302(c)(8) If a program income reuse plan was not submitted with the 2020 application, has Applicant attached a program income reuse plan describing how repaid loans and/or
accrued interest will be reused for eligible activities specified in Section 301?
Local Government Formula Allocation Rev. 2/17/22
This streamlined application form is limited to Applicants who applied for and received an award from the
2020 and/or 2021 Formula Allocation NOFA.
Yes
CA Zip:94080 San MateoState:
§302(c)(2) Applicant certifies that submission of the application was authorized by the governing board of the Applicant.
Threshold Requirements
Title:
94080
§302(b) Applicant and Delegating Local Government have submitted the current or prior year's Annual Progress Report to the Department of Housing and Community
Development pursuant to Government Code Section 65400. Yes
Did Applicant receive an award from the 2020 and/or 2021 Formula Allocation NOFA?
Title:Director of Economic and Com
State:CA
Eligible Applicant Type: Entitlement
Local Government Recipient of PLHA Formula Allocation: South San Francisco
2021 PLHA NOFA Formula Allocation Amount:Allowable Local Admin (5%):$16,940.00$338,809
Zip Code:
Instructions: If the Local Government Recipient of the PLHA Formula Allocation delegated its PLHA formula allocation to another Local Government in its 2020 application, the Applicant (for
which information is required below) continues to be the administering Local Government, which received the award. The PLHA award will be made to the Applicant (upon meeting threshold
requirements) and the Applicant is responsible for meeting all program requirements throughout the term of the Standard Agreement.
Eligible Applicants §300
94080
Auth Rep Name:
[email protected]
§300(a) and (b) Eligible Applicants for the Entitlement and Non-Entitlement formula component described in Section §100(b)(1) and (2) are limited to the metropolitan cities and urban counties
allocated a grant for the federal fiscal year 2017 pursuant to the federal CDBG formula specified in 42 USC, Section §5306 and Non-entitlement local governments.
Applicant: City of South San Francisco
Mike Futrell
City:
2022 PLHA NOFA Formula Allocation Amount:$372,849 Allowable Local Admin (5%):$18,642.00
Which NOFA year(s) are you applying for with this application?2022 Only
PLHA Page 1 Formula Allocation ApplicationDRAFT53
PLHA Formula 5-year Plan - Amendment Rev. 5/7/21
§301(a)(2) The predevelopment, development, acquisition, rehabilitation, and preservation of affordable rental and ownership housing, including Accessory Dwelling
Units (ADUs), that meets the needs of a growing workforce earning up to 120 percent of AMI, or 150 percent of AMI in high-cost areas. ADUs shall be available for
occupancy for a term of no less than 30 days.
§301(a)(1) The predevelopment, development, acquisition, rehabilitation, and preservation of multifamily, residential live-work, rental housing that is affordable to
Extremely low-,Very low-, Low-, or Moderate-income households, including necessary operating subsidies.
§301(a)(7) Accessibility modifications in Lower-income Owner-occupied housing.
§301(a)(6) Assisting persons who are experiencing or At-risk of homelessness, including, but not limited to, providing rapid re-housing, rental assistance,
supportive/case management services that allow people to obtain and retain housing, operating and capital costs for navigation centers and emergency shelters, and
the new construction, rehabilitation, and preservation of permanent and transitional housing.
§301(a)(5) Capitalized Reserves for services connected to the preservation and creation of new permanent supportive housing.
§301(a)(4) Matching portions of funds available through the Low- and Moderate-Income Housing Asset Fund pursuant to subdivision (d) of HSC Section 34176.
Eligible Activities, §301
§301(a)(3) Matching portions of funds placed into Local or Regional Housing Trust Funds.
Included?§301(a) Eligible activities are limited to the following:
§301(a)(10) Fiscal incentives made by a county to a city within the county to incentivize approval of one or more affordable housing Projects, or matching funds invested
by a county in an affordable housing development Project in a city within the county, provided that the city has made an equal or greater investment in the Project. The
county fiscal incentives shall be in the form of a grant or low-interest loan to an affordable housing Project. Matching funds investments by both the county and the city
also shall be a grant or low-interest deferred loan to the affordable housing Project.
§301(a)(9) Homeownership opportunities, including, but not limited to, down payment assistance.
§301(a)(8) Efforts to acquire and rehabilitate foreclosed or vacant homes and apartments.
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
PLHA Page 1 Formula Allocation ApplicationDRAFT54
§301(a)(6) Assisting persons who are experiencing or At risk of homelessness, including, but not limited to, providing rapid rehousing, rental assistance, supportive/case management services that allow
people to obtain and retain housing, operating and capital costs for navigation centers and emergency shelters, and the new construction, rehabilitation, and preservation of permanent and transitional
housing.
§302(c)(4)(C) Provide a description of how the Plan is consistent with the programs set forth in the Local Government’s Housing Element.
The Plan is consistent with the City's Housing Element framework, including the below Housing Plan section: Section 5.6-
which states that the City shall assist the homeless and those at risk of being homeless by funding emergency shelters, temporary housing, transistional programs and general housing assistance and
services.
§301(a)(1) The predevelopment, development, acquisition, rehabilitation, and preservation of multifamily, residential live-work, rental housing that is affordable to extremely low-,very low-, low-, or moderate-
income households, including necessary Operating subsidies.
§302(c)(4) Plan Rev. 5/7/21
§302(c)(4)(A) Describe the manner in which allocated funds will be used for eligible activities.
The allocated funds will be used for Activity 6. Specifically, the City, through a partnership with a highly qualified nonprofit or nonprofits, will implement a rental assistance program supporting households
earning 30% or less of the AMI for a period of at least 6 months.
§302(c)(4)(B) Provide a description of the way the Local government will prioritize investments that increase the supply of housing for households with incomes at or below 60 percent of Area Median Income
(AMI).
By investing PLHA funds in rental assistance the City is seeking to expand the supply of housing that is affordable to households earning 30% or less of the AMI. This program will complement the City's
housing production efforts which include selling or leasing public lands for affordable housing and making loans to affordable housing developers. These production goals are all targeted at or below 80% AMI
and the projects utilized LIHTC financing, which targets rents averaging 55% AMI.
Activities Detail (Activities Detail (Must Make a Selection on Formula Allocation Application worksheet under Eligible Activities, §301))
§301(a)(2) The predevelopment, development, acquisition, rehabilitation, and preservation of Affordable rental and ownership housing, including Accessory Dwelling Units (ADUs), that meets the needs of a
growing workforce earning up to 120 percent of AMI, or 150 percent of AMI in high-cost areas. ADUs shall be available for occupancy for a term of no less than 30 days.
§301(a)(3) Matching portions of funds placed into Local or Regional Housing Trust Funds.
The allocated funds will be used for Activity 6. Specifically, the City, through a partnership with a highly qualified nonprofit or nonprofits, will implement a rental assistance program supporting households
earning 30% or less of the AMI for a period of at least 6 months.
Complete the table below for each proposed Activity to be funded with 2019-2023 PLHA allocations. If a single Activity will be assisting households at more than one level of Area Median Income, please list
the Activity as many times as needed to capture all of the AMI levels that will be assisted, but only show the percentage of annual funding allocated to the Activity one time (to avoid double counting).
§302(c)(4)(E)(i) Percentage of
Funds Allocated for the
Proposed Activity
100.00%100.00%100.00%100.00%100.00%
Funding Allocation Year 2019 2020 2021 2022 2023
Rental
Assistance
(term of six
months)
Rental
Assistance
(term of six
months)
Rental
Assistance
(term of six
months)
TOTAL§302(c)(4)(E)(ii) Area Median
Income Level Served 30%30%
§301(a)(4) Matching portions of funds available through the Low- and Moderate-Income Housing Asset Fund pursuant to subdivision (d) of HSC Section 34176.
§301(a)(5) Capitalized Reserves for Services connected to the preservation and creation of new permanent supportive housing.
§302(c)(4)(E)(i) Provide a detailed and complete description of how allocated funds will be used for the proposed Activity.
§302(c)(4)(E)(ii) Unmet share of
the RHNA at AMI Level
Note: complete for year 2019
& 2020 only
60 60 120
30%30%30%
Type of Activity for Persons
Experiencing or At Risk of
Homelessness
Rental
Assistance
(term of six
months)
Rental
Assistance
(term of six
months)
PLHA Page 1 302(c)(4) PlanDRAFT
55
§301(a)(7) Accessibility modifications in Lower-income Owner-occupied housing.
On November 16, 2022, South San Francisco staff will go to the City Council to receive approval to submit the PLHA application and execute the PLHA Standard Agreement. The City will then release a
Request for Proposal that will solicit a highly qualified nonprofit organization to implement the rental assistance program.
632
§302(c)(4)(E)(iv) Period of
Affordability for the Proposed
Activity (55 years required for
rental housing projects)
n/a n/a n/a
§302(c)(4)(E)(ii) Projected
Number of Households Served 148 230 254
§302(c)(4)(E)(iii) A description of major steps/actions and a proposed schedule for the implementation and completion of the Activity.
§301(a)(8) Efforts to acquire and rehabilitate foreclosed or vacant homes and apartments.
§301(a)(9) Homeownership opportunities, including, but not limited to, down payment assistance.
§301(a)(10) Fiscal incentives made by a county to a city within the county to incentivize approval of one or more affordable housing Projects, or matching funds invested by a county in an affordable housing
development Project in a city within the county, provided that the city has made an equal or greater investment in the Project. The county fiscal incentives shall be in the form of a grant or low-interest loan to
an affordable housing Project. Matching funds investments by both the county and the city also shall be a grant or low-interest deferred loan to the affordable housing Project.
PLHA Page 2 302(c)(4) PlanDRAFT
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22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
Justification:
Issue #Program
Name & Tab Section Cell#Update/Comment Urgency ADT Status Status
Date
Organization:Email:Contact Phone:
Application Development Team (ADT) Support Form Rev. 5/7/21
Please complete the "yellow" cells in the form below and email a copy to: [email protected]. and [email protected]. A member of the Application Development
Team will respond to your request within ASAP.
Full Name:Date Requested:Application
Version Date:
PLHA Page 1 Appplication SupportDRAFT
57
City of South San Francisco
Legislation Text
P.O. Box 711 (City Hall, 400
Grand Avenue)
South San Francisco, CA
File #:22-952 Agenda Date:11/16/2022
Version:1 Item #:3.
Study session providing an update on the City’s pension obligations as it relates to its current unfunded accrued
liability (“UAL”)of its retirement plans and facilitating a discussion of various strategies to address and
manage the City’s pension obligations.(Karen Chang,Director of Finance)
RECOMMENDATION
Staff is looking for City Council to provide direction regarding the identification of funding sources for pension
liabilities and to authorize staff to explore establishing a Section 115 Trust.
BACKGROUND
Background.The City has two retirement plans (Miscellaneous and Safety)and three benefit tiers for each plan
(Classic Tier 1,Classic Tier 2,and PEPRA-Public Employees’Pension Reform Act,which took effect in January
2013):
1)Miscellaneous
a.Classic Tier 1: 2.7% @ 55
b.Classic Tier 2: 2.0% @ 60
c.PEPRA: 2.0% @ 62
2)Safety
a.Classic Tier 1: 3.0% @ 50
b.Classic Tier 2: 3.0% @ 55
c.PEPRA: 2.7% @ 57
The City is a contracting member of CalPERS and,as such,the City is obligated to make certain payments to
CalPERS each year.The City’s annual pension obligations are comprised of two primary components:1)Normal
Costs and 2)Unfunded Accrued Liability (“UAL”)Payments.Normal Costs represent the pension benefits earned
by employees during the current fiscal year and are set by CalPERS as a percentage of payroll.
The UAL represents pension benefits that have already been earned with past service but not yet funded.It is a past
due payment that is equal to the shortfall between the accrued liability and the current market value of assets in the
pension fund.The creation of this liability stems back to the late 1990’s when CalPERS was super funded and
believed that investment returns would conservatively average 8.25%into the foreseeable future.As a result,State
and local governments increased pension benefits (some retroactively)and did not keep up with normal cost
payments.The Dot.com crash ensued shortly thereafter,followed by the Great Recession,and the CalPERS fund
has been underfunded ever since.
CalPERS recalculates the UAL balance every year,and a number of factors impact the accrued liability (i.e.,
changes in actuarial assumptions or methodology,actual experience deviating from assumptions,demographic
changes,wage growth,turnover,etc.).Additionally,the market value of assets can change dramatically from year to
year depending on investment performance.As of the most recent Actuarial Valuation (dated as of June 30,2021),
the City’s UAL was equal to approximately $171.4 million.However,given CalPERS’preliminary report of a -
6.1%investment loss for Fiscal Year 2021-22,it is estimated that the City’s UAL balance is currently $230.6
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million.
CalPERS allows member agencies to pay off this liability over time.Each year,CalPERS releases a report for each
member agency’s pension plans that includes a fixed dollar UAL payment schedule.The City’s UAL payment for
Fiscal Year 2023-24 is $18 million.Annual UAL payments are projected to increase until peaking at an estimated
$26 million in Fiscal Year 2030-31,after which the UAL payments are projected to decline until the UAL balance is
paid off in Fiscal Year 2043-44.When calculating the accrued liability,CalPERS assumes a 2.80%annual wage
growth;actual annual wage growth above this assumption increases the UAL payments.The chart below is a
current projection of the City’s UAL payment schedule incorporating the impact of a -6.1%investment loss in Fiscal
Year 2021-22 as well as the assumption of 6%/4%/4% wage increases based on recent labor negotiations.
For the City to pay off its UAL with the fixed dollar payment schedule illustrated in the chart above,CalPERS
would need to achieve its assumed annual investment rate of return,or Discount Rate,which is currently 6.80%,and
the actuarial assumptions would need to hold constant.However,actuarial assumptions change,and investment
returns will not be exactly 6.80%every year.That is why the UAL payment schedule changes every year;and
unlike a fixed-rate mortgage,it is not possible to know the exact repayment schedule (public agencies can only be
certain of the payments that are due in the upcoming budget year).The UAL is a dynamic liability,and the City
should anticipate that its UAL payment schedule will fluctuate as a result of everchanging variables.
Despite this uncertainty,it is important to have a sense of the overall impact of material events as they occur (i.e.,a -
6.1%investment loss)and to estimate the general trajectory of UAL payments,so that policies and plans can be
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6.1%investment loss)and to estimate the general trajectory of UAL payments,so that policies and plans can be
implemented to meet pension obligations while maintaining desired service levels.The City is currently projected
to face a challenging UAL payment schedule through Fiscal Year 2036.As illustrated in the table below,from Fiscal
Year 2024-25 through Fiscal Year 2035-36,UAL Payments above the Fiscal Year 2023-24 baseline total $64.67
million.If the City does not implement a plan to lower or smooth out these payments,the growing UAL payments
may crowd out future budgets.
Fiscal
Year UAL Payments
Increase in UAL
Above FY24
Baseline
Cumulative
Increase in UAL
Above FY24
Baseline
2024 17,970,000 -
2025 19,570,000 1,600,000 1,600,000
2026 20,750,000 2,780,000 4,380,000
2027 21,890,000 3,920,000 8,300,000
2028 22,790,000 4,820,000 13,120,000
2029 24,880,000 6,910,000 20,030,000
2030 25,420,000 7,450,000 27,480,000
2031 25,980,000 8,010,000 35,490,000
2032 25,100,000 7,130,000 42,620,000
2033 24,930,000 6,960,000 49,580,000
2034 23,630,000 5,660,000 55,240,000
2035 23,110,000 5,140,000 60,380,000
2036 22,260,000 4,290,000 64,670,000
October 2021 City Council Study Session.On October 26,2021,the Finance Department staff and UFI (the City’s
municipal advisor for pension obligation funding strategies),gave a presentation to the City Council that reviewed
the City’s pension liabilities of its retirement plans,discussed various funding strategies,including Pension
Obligation Bonds (POBs),and discussed each strategy’s impact and risk levels.Staff provided potential next steps
for the City Council to consider,including offering follow-up with the City Council on the topics of the Study
Session.Staff also recommended returning to the City Council for formal direction and authorization to undertake
judicial validation proceedings,which was the next step in making POBs available as a “tool in the toolbox”but
would not commit the City to the sale of POBs.At the conclusion of the Study Session,the City Council expressed
interest in staff following up on the topics of the Study Session and directed staff to return to the City Council at a
future date for consideration of authorizing judicial validation proceedings for the issuance of POBs.
Judicial Validation.Under the California Constitution,a city may not incur debt for any purpose that exceeds the
income and revenue for any particular year without voter approval (the “Constitutional Debt Limit”)unless such
debt qualifies for an exception under California law.There are three exceptions to the Constitutional Debt Limit,
including an exception for obligations imposed by law.Under this exception,cities are not required to obtain voter
approval to finance obligations that they
are legally required to pay.POBs payable from the general fund of a city rely on this exception.Before a city can
access the public capital markets to sell POBs in reliance of this exception,a city must approve the issuance of
POBs and undertake a judicial validation to obtain a court judgment.On March 9,2022,City Council passed
Resolution #36-2022 to undertake the judicial validation process.On July 14,2022,the City obtained a court
judgment from the Superior Court of the State of California for the County of San Mateo that the City’s pension
costs are obligations it is legally required to pay and that the issuance of POBs refinances that obligation.The tool
is now in the toolbox.
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File #:22-952 Agenda Date:11/16/2022
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Pension Obligation Bonds (POBs).Issuing POBs at a low interest rate to prepay all or a portion of the UAL (that is
amortized at the CalPERS 6.80%Discount Rate)can be a high-impact opportunity for addressing pension
obligations-allowing public agencies to “reset the table,”achieve significant budgetary savings,materially improve
the funding status of the pension plans,and stabilize UAL payments with a level repayment schedule.However,
unlike a fixed-rate bond refinancing,there is market timing risk related to the overall economics of POBs (i.e.,
making a large deposit with CalPERS that is then immediately invested at a loss).This market timing risk is
buffered when the borrowing rate for POBs is low.
Many California cities and special districts took advantage of the low interest rate environment from 2017 through
2021 and were able to issue POBs with true interest costs at or below 3.0%.Unfortunately,the market has moved
away from POBs.The annual inflation rate for the United States was 8.2%for the 12 months ended September
2022,according to U.S.Labor Department data published October 13,2022.To fight inflation in 2022,the Federal
Reserve has dramatically hiked the Federal Funds Rate,and US Treasuries (the benchmark against which POBs are
priced at a credit spread)have increased by several hundred basis points.Due to the significantly higher interest rate
environment,issuing POBs in the current market is not compelling.However,market environments change,and
since POBs can be a highly impactful tool,staff recommends continuing to monitor the POB market for financing
opportunities.
ANALYSIS
Taking no action at all to address accelerating pension costs may negatively impact the City’s future service
delivery, financial performance, and credit rating.
Additional Discretionary Payments (ADPs)to CalPERS.Although “resetting the table”by making a large
payment to CalPERS with POB proceeds is not currently a feasible strategy,the City can make smaller Additional
Discretionary Payments (ADPs)-payments above and beyond the annually required contributions (ARC)calculated
by CalPERS.These payments can be used to prepay small amounts of “principal”on the UAL,thereby saving the
6.80%associated “interest”that is charged to the City.“Slow and steady”ADPs chip away at the City’s pension
obligations;and over time,this strategy can result in significant savings.Although this strategy requires long-term
budgetary discipline and prioritization,it is less risky compared to POBs since the City would not be borrowing
funds to pay CalPERS.Additionally,making smaller ADPs to CalPERS on a regular basis (i.e.,dollar cost
averaging)mitigates the market timing risk of a large lump sum deposit with CalPERS that is invested in the market
all at once.
Pension Stabilization Reserve Fund.The City currently has $5.5 million in a Council designated Pension
Stabilization Reserve Fund.The goal of this reserve fund is to set aside additional funds to supplement pension
costs,including normal costs,offset future unexpected contribution rate increases,or use as a rainy-day fund when
revenues are impaired based on economic or other conditions.Monies in this reserve fund are subject to California
Government Code investment restrictions and the City’s Investment Policy.These investment restrictions,while
resulting in lower anticipated investment returns,carry lower risk;therefore,the monies can be invested in a manner
that doesn’t risk significant investment losses.Staff would also like to highlight that a benefit of the current higher
interest rate environment is that the City has an opportunity to take advantage of higher yields from investments
within the California Investment Code.For example,a 1-Year Treasury rate is currently 4.78%(as of 11/3/22).
Given that the Fiscal Year 2030-2031 UAL payment is projected to be $8 million more than the upcoming Fiscal
Year 2023-24 UAL payment,the Council may consider retaining the $5.5 million in its Pension Stabilization
Reserve Fund as a rainy-day fund in addition to setting up a Section 115 Trust.
Section 115 Trust.The timing of when funds are available may not line up with the timing and amounts of ADPs
that the City desires to make to CalPERS.This should not prevent the City from accumulating funds it has allocated
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that the City desires to make to CalPERS.This should not prevent the City from accumulating funds it has allocated
towards paying down its pension obligations,and the City may consider setting up a Section 115 Trust.Money
placed into the trust is irrevocable/legally restricted,meaning it cannot be withdrawn and used for another type of
expenditure of the City other than pension costs (and OPEB costs if selecting a “combination trust”).Funds in the
Section 115 Trust are not subject to California Government Code investment restrictions,and therefore have the
opportunity for greater investment returns (albeit with higher risk)than its general fund reserves.The Section 115
Trust allows the City to prefund its pension obligations over time while maintaining oversight of investment
management and control over the risk tolerance of the portfolio (i.e., conservative, moderate, aggressive).
The benefits of a Section 115 Trust include:
1.Assets in the trust will offset liabilities on the City’s balance sheet.
2.Assets held in trust will allow for greater investment flexibility and risk diversification compared to
the City’s investment portfolio.
3.The City will control the risk tolerance of the portfolio.The City should hire an investment advisor
to manage the Section 115 Trust.
4.City will have the flexibility to access trust assets any time,as long as they are used to pay employer
pension obligations (including normal costs).
5.Assets can be used to make “slow and steady” ADPs to achieve UAL savings over time.
The risk associated with a Section 115 Trust is that the investments can be in a negative position at a time when the
City may need to make a large withdrawal to offset pension costs when the City’s revenues are impaired (i.e.,during
a recession).Overtime,however,if selecting a moderate investment strategy,the trust should earn more than the
City’s general fund reserves while not incurring as much risk as CalPERS’investment strategy.And as mentioned
previously, a Section 115 Trust is a good vehicle for accumulating funds while making regular ADPs to CalPERS.
Potential Funding Sources.Having a plan to make ADPs to CalPERS on a regular basis,retaining a Pension
Stabilization Reserve Fund,and setting up a Section 115 Trust are prudent and straightforward strategies for
chipping away at the City’s UAL and for setting aside funds to offset future pension costs during recessionary
periods.The challenge is in identifying funding sources for the ADPs,Pension Stabilization Reserve Fund,and
Section 115 Trust. The City can explore, and if feasible, pursue the funding sources identified below:
A.CalPERS Prepayment Savings
Each year,CalPERS gives its member agencies two options for making its UAL payment:1)make monthly
payments to CalPERS;or 2)make a lower (approximately 3%savings)lump sum payment for the entire year by
July 31st to CalPERS.The City has been implementing the second option to take advantage of the savings offered
by CalPERS.The City could consider continuing to make the annual prepayment every July to CalPERS and
allocate the savings to make a deposit into the Pension Stabilization Reserve,or Section 115 Trust,or to make an
ADP to CalPERS. This would translate into budgeting $581,740 for Fiscal Year 2023-24.
B.Use of General Fund Operating Reserves
The City could consider reducing the General Fund operating reserves from 20%to 18%and allocating the 2%to
make a deposit into the Pension Stabilization Reserve, or Section 115 Trust, or to make an ADP to CalPERS.
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C.Use of Reserves and One-Time Monies
The City could also annually allocate a percentage of operating surplus or one-time monies to make a deposit into
the Pension Stabilization Reserve, or Section 115 Trust, or to make an ADP to CalPERS.
FISCAL IMPACT
The recommended funding strategies would help to address long-term unfunded pension liabilities.
RELATIONSHIP TO STRATEGIC PLAN
The approval would meet the City’s Strategic Plan Priority Area 3 - Financial Stability.
CONCLUSION
Staff is looking for City Council to provide direction regarding the identification of funding sources for pension
liabilities and to authorize staff to explore establishing a Section 115 Trust.
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Pension Funding DiscussionPresentation to City CouncilKaren Chang, Director of FinanceJason Wong, Deputy Finance DirectorWing-See Fox, UFINovember 16, 202264
AGENDA1OVERVIEW2UPDATE ON CITY’S PENSION LIABILITY3PENSION OBLIGATION FUNDING STRATEGIES4RECOMMENDATIONS AND NEXT STEPS265
Composition of Pension Funding (CalPERS)CITY CONTRIBUTION: ~ 29 centsBased on negotiated agreementsand actuarial valuationsUNFUNDED ACTUARIAL LIABILITY (“UAL”)Difference between current value of City’s assets at CalPERS andestimated obligations to retireesSouth San Francisco UAL as of June 30, 2022 is estimated to be $230 million (67% Funded)EMPLOYEE CONTRIBUTIONS: ~ 11 centsBased on negotiated agreementsand actuarial valuationsCalPERS INVESTMENT EARNINGS: ~ 60 centsEarnings generated by CalPERSEffective 7/1/2021, expected rate of return reduced from 7.0% to 6.8%366
Estimated UAL Payments467
How Does SSF Compare?5UAL Balance% FundedUAL Balance% FundedDaly City 82,610,000 78% 130,300,000 68%Redwood City 118,780,000 71% 173,760,000 64%San Mateo 91,170,000 72% 187,700,000 61%South San Francisco 95,890,000 66% 134,730,000 67%Miscellaneous Plan Safety PlanCalPERS Fund is estimated to be 72% Funded68
Past Actions Taken by City to Address PensionTiered Plans (Classic Tier 1, Classic Tier 2, PEPRA)Miscellaneous:Classic Tier 1: 2.7% @ 55 [hired prior to April 25, 2010]Classic Tier 2: 2.0% @ 60 [hired after April 25, 2010]PEPRA: 2.0% @ 62 [new hires on or after January 1, 2013]Safety:Classic Tier 1: 3.0% @ 50 [hired prior to April 25, 2010]Classic Tier 2: 3.0% @ 55 [hired after April 25, 2010]PEPRA: 2.7% @ 57 [new hires on or after January 1, 2013]Bargaining Unit Concessions Pension Stabilization Reserve Fund ($5.5 million)Successful Judicial Validation for Future Pension Obligation Bond Issuances (tool is now in toolbox but current market is unfavorable)669
Strategies for Addressing Pension Obligations7Make Additional Discretionary Payments (ADPs) to CalPERSPension Stabilization Reserve FundSection 115 TrustPension Obligation Bonds213470
Make Additional Discretionary Payments to CalPERS above and beyond Annually Required Contribution8Prepay small amounts of “principal” on the UAL and save the 6.80% associated “interest” costRequires long-term budgetary discipline and prioritizationBenefits of making Additional Discretionary Payments to CalPERSChip away at UAL and can result in significant savings over timeLess risky compared to POBs (no borrowing of funds and mitigates market timing risk)Improves the City’s funded status over time171
Pension Stabilization Reserve Fund9City has created a designated Pension Stabilization Reserve of $5.5M No impact on UAL unless funds are transferred to CalPERSInvested within California Investment CodeCurrent LAIF Rate (Quarter Ended 9/30/22): 1.35%3-Month Treasury Rate (as of 11/3/22): 4.25% 1-Year Treasury Rate (as of 11/3/22): 4.78%Benefits of Pension ReserveInvestment return has lower riskCity has maximum control over assetsBudget stabilizationAvailable in years with unexpected operating results or recession272
Section 115 Trust10Legally restricted fund - Can only be used for pension costs No impact on UAL unless funds are transferred to CalPERSBenefits of 115 TrustAssets in the 115 Trust will offset liabilities on the City’s balance sheetInvestment flexibility (perhaps greater investment return, but higher risk)City can choose conservative, moderate, or aggressive investmentsLong term strategy so the fund can grow over timeCity has control over assetsFlexibility to access trust assets at any time if used for pension costsAddresses unfunded pension liabilities over time when using assets to make “slow and steady” ADPs to achieve UAL savingsRisk: Investments can be in a negative position at a time when City may need to make a withdrawal to offset pension costs373
Pension Obligation Bonds (POBS)11October 2021: City Council Study Session on Pension Funding StrategiesJuly 2022: City Obtained Judicial Validation for Issuance of POBsPOBs Refinance the UALBenefits of POBsSignificant Budgetary Savings when POB Borrowing Rate is LowStabilize UAL Payments (level payments)Restore Funded StatusRisks of POBsMarket Timing RiskImpact of Returns is MagnifiedReturns in Initial Years Critical4Unfavorable Market Conditions74
Recommended Strategies12Make Additional Discretionary Payments to CalPERSIncrease Pension Stabilization Reserve Fund BalanceExplore Section 115 Trust Opportunities31275
Potential Funding Sources for Recommended Strategies13Apply the annual discount prepayment savings to CalPERS as ADPBudget allocation in FY24 = $581,740 Reduce FY 2023 General Fund operating reserve For example, 20% to 18% and dedicate the 2% to fund pension obligations (~$2M)When operating surplus or one-time monies are realized, designate a percentage to fund pension obligationsFor example, 50% up to a cap of $2 million76
Questions/Comments1477