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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 <br />