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<br />2. The name of the business entity in which each investment is held, and a general description of
<br />the business activity in which the business entity is engaged;
<br />
<br />3. The address or other precise location ofthe real property;
<br />
<br />4. A statement whether the fair market value of the investment or interest in real property equals
<br />or exceeds two thousand dollars ($2,000), exceeds ten thousand dollars ($10,000), exceeds one
<br />hundred thousand dollars ($100,000), or exceeds one million dollars ($1,000,000).
<br />
<br />(B) Personal Income Disclosure. When personal income is required to be reported,5 the statement
<br />shall contain:
<br />
<br />1. The name and address of each source of income aggregating five hundred dollars ($500) or
<br />more in value, or fifty dollars ($50) or more in value if the income was a gift, and a general
<br />description of the business activity, if any, of each source;
<br />
<br />2. A statement whether the aggregate value of income from each source, or in the case of a loan,
<br />the highest amount owed to each source, was one thousand dollars ($1,000) or less, greater than
<br />one thousand dollars ($1,000), greater than ten thousand dollars ($10,000), or greater than one
<br />hundred thousand dollars ($100,000);
<br />
<br />3. A description ofthe consideration, if any, for which the income was received;
<br />
<br />4. In the case of a gift, the name, address and business activity of the donor and any intermediary
<br />through which the gift was made; a description of the gift; the amount or value of the gift; and
<br />the date on which the gift was received;
<br />
<br />5. In the case of a loan, the annual interest rate and the security, if any, given for the loan and the
<br />term of the loan.
<br />
<br />(C) Business Entity Income Disclosure. When income of a business entity, including income of a
<br />sole proprietorship, is required to be reported,6 the statement shall contain:
<br />
<br />1. The name, address, and a general description ofthe business activity ofthe business entity;
<br />
<br />2. The name of every person from whom the business entity received payments ifthe filer's pro
<br />rata share of gross receipts from such person was equal to or greater than ten thousand dollars
<br />($10,000).
<br />
<br />(D) Business Position Disclosure. When business positions are required to be reported, a
<br />designated employee shall list the name and address of each business entity in which he or she is
<br />a director, officer, partner, trustee, employee, or in which he or she holds any position of
<br />management, a description of the business activity in which the business entity is engaged, and
<br />the designated employee's position with the business entity.
<br />
<br />(E) Acquisition or Disposal During Reporting Period. In the case of an annual or leaving office
<br />statement, if an investment or an interest in real property was partially or wholly acquired or
<br />disposed of during the period covered by the statement, the statement shall contain the date of
<br />
<br />San Leandro Administrative Code
<br />12/04/2006
<br />
<br />Chapter 4.2, Appendix A
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