When an investment or an interest in real property3 is required to be reported,4 the statement
<br /> shall contain the following:
<br /> 1. A statement of the nature of the investment or interest;
<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 /> 3. The address or other precise location of the real property;
<br /> 4. A statement whether the fair market value of the investment or interest in real property equals
<br /> or exceeds $2,000, exceeds $10,000, exceeds $100,000, or exceeds $1,000,000.
<br /> (B) Personal Income Disclosure. When personal income is required to be reported,5 the statement
<br /> shall contain:
<br /> 1. The name and address of each source of income aggregating$500 or more in value, or$50 or
<br /> more in value if the income was a gift, and a general description of the business activity, if any,
<br /> of each source;
<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 $1,000 or less, greater than $1,000, greater than
<br /> $10,000, or greater than $100,000;
<br /> 3. A description of the consideration, if any, for which the income was received;
<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 /> 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 /> (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 /> 1. The name, address, and a general description of the business activity of the business entity;
<br /> 2. The name of every person from whom the business entity received payments if the filer's pro
<br /> rata share of gross receipts from such person was equal to or greater than$10,000.
<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 /> San Leandro Administrative Code Chapter 4.2,Appendix A
<br /> DRAFT for Council Agenda of 03/18/2013 Page 4
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