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Attachment 2 - Economic Interests Disclosure Forms .pdf

Chula Vista City Council
April 4, 2024

Document
Attachment 2 - Economic Interests Disclosure Forms .pdf
Meeting
April 4, 2024
Body
Chula Vista City Council
Original file
19.2 MB
Text extracted from the city's file for reading and search. Open the original on pub-chulavista.escribemeetings.com. That file is the official record.

District 4 City Councilmember Vacancy
Economic Interests Disclosure Forms

Applicants are listed in alphabetical order by last name

Applicant Name
Brady, Christine
Estolano, Sharmane
Moore, Megan
Morineau, Rachel
Ruiz, Guadalupe
Segura, Jr., Nicholas
Volland John
Zavala-Soto, Daniel

Brady, Christine
Name: ______________________________________
Email:
1 | P a g e 0 2 / 2 0 2 4

ECONOMIC INTERESTS DISCLOSURE

In order to determine potential conflicts of interest, please disclose all economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS

Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two ye ars, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME

☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

INCOME

Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done busine ss in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS

POSITION

GROSS ANNUAL INCOME OR LOAN
AMOUNT

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
Attach additional pages as needed.

Name: ______________________________________

2 | P a g e – E c o n o m i c I n t e r e s t s D i s c l o s u r e 0 2 / 2 0 2 4

GIFTS

Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE

Attach additional pages as needed.

REAL PROPERTY

Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE

PROPERTY IS

LOCATED

FAIR MARKET VALUE GROSS ANNUAL INCOME
(IF RENTAL)

☐ $2,000-$10,000 ☐$10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $2,000-$10,000 ☐$10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $2,000-$10,000 ☐$10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct.

Signature ______ Date ________________________

Estolano, Sharmane
Name: ______________________________________
Email: _
1 | P a g e 0 2 / 2 0 2 4

ECONOMIC INTERESTS DISCLOSURE

In order to determine potential conflicts of interest, please disclose all economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS

Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two ye ars, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME

☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

INCOME

Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done busine ss in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS

POSITION

GROSS ANNUAL INCOME OR LOAN
AMOUNT

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000

☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
Attach additional pages as needed.

Sharmane Estolano
N/A
Selling Residential Real
Estate
Licensed Realtor®
Notarizing Documents Licensed Notary Public
xx
xx
Authentisign ID: B66D6ED4-ADEA-4A73-9FFA-9A910C50DA5AAuthentisign ID: B66D6ED4-ADEA-4A73-9FFA-9A910C50DA5A

Name: ______________________________________

2 | P a g e – E c o n o m i c I n t e r e s t s D i s c l o s u r e 0 2 / 2 0 2 4

GIFTS

Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE

Attach additional pages as needed.

REAL PROPERTY

Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE

PROPERTY IS

LOCATED

FAIR MARKET VALUE GROSS ANNUAL INCOME
(IF RENTAL)

☐ $2,000-$10,000 ☐$10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $2,000-$10,000 ☐$10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000

☐ $2,000-$10,000 ☐$10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐$500-$1,000
☐ $1,001-$10,000 ☐$10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct.

Signatu _________________ Date ________________________ Sharmane Estolano
N/A
Chula Vista, CA
91911 xx xx
Authentisign ID: B66D6ED4-ADEA-4A73-9FFA-9A910C50DA5A
Authentisign ID: B66D6ED4-ADEA-4A73-9FFA-9A910C50DA5A

Moore, Megan
Name: ______________________________________
Email:
1 | P a g e 02/202 4

ECONOMIC INTERESTS DISCLOSURE
In order to determine potential conflicts of interest, please disclose all economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS
Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two ye ars, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

INCOME
Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done busine ss in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS

POSITION

GROSS ANNUAL INCOME OR LOAN
AMOUNT
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
Attach additional pages as needed.

Megan Moore
■
■
■

Name: ______________________________________
2 | P a g e – E c o n o m i c I n t e r e s t s D i s c l o s u r e 02/2024 GIFTS
Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE
Attach additional pages as needed.

REAL PROPERTY
Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE

PROPERTY IS

LOCATED

FAIR MARKET VALUE GROSS ANNUAL INCOME
(IF RENTAL)
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct.

Signature _______________________ Date ________________________ Mar 27, 2024
Megan Moore

Economic Interests Disclosure form -
Rev022024 (web)
Final Audit Report 2024-03-27
Created: 2024-03-27
By: Karina Lafarga ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAAaf24qTKi5eI-p5i9mtalgy0YxmyBA_Ks "Economic Interests Disclosure form - Rev022024 (web)" History Web Form created by Karina Lafarga ([email protected]) 2024-03-15 - 8:58:01 PM GMT
Web Form filled in by Megan Moore ([email protected]) 2024-03-27 - 3:30:53 PM GMT
Email verification link emailed to Megan Moore ([email protected]) 2024-03-27 - 3:30:55 PM GMT
Email viewed by Megan Moore ([email protected])
2024-03-27 - 3:31:07 PM GMT
E-signature verified by Megan Moore ([email protected]) 2024-03-27 - 3:31:08 PM GMT
Agreement completed.
2024-03-27 - 3:31:08 PM GMT

Morineau, Rachel
Name: ______________________________________
Email: ______
1 | P a g e 02/202 4

ECONOMIC INTERESTS DISCLOSURE
In order to determine potential conflicts of interest, please disclose all economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS
Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two ye ars, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

INCOME
Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done busine ss in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS

POSITION

GROSS ANNUAL INCOME OR LOAN
AMOUNT
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
Attach additional pages as needed.

Rachel Morineau

Name: ______________________________________
2 | P a g e – E c o n o m i c I n t e r e s t s D i s c l o s u r e 02/2024 GIFTS
Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE
Attach additional pages as needed.

REAL PROPERTY
Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE

PROPERTY IS

LOCATED

FAIR MARKET VALUE GROSS ANNUAL INCOME
(IF RENTAL)
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct.

Signature ______________________ Date ________________________ Mar 26, 2024
Rachel Morineau

Economic Interests Disclosure form -
Rev022024 (web)
Final Audit Report 2024-03-26
Created: 2024-03-26
By: Karina Lafarga ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAA2gBJcmiU2z_enmEaujTe6u3PzvNZy_dO "Economic Interests Disclosure form - Rev022024 (web)" History Web Form created by Karina Lafarga ([email protected]) 2024-03-15 - 8:58:01 PM GMT
Web Form filled in by Rachel Morineau ([email protected]) 2024-03-26 - 7:14:18 AM GMT
Email verification link emailed to Rachel Morineau ([email protected]) 2024-03-26 - 7:14:20 AM GMT
Email viewed by Rachel Morineau ([email protected])
2024-03-26 - 7:15:01 AM GMT
E-signature verified by Rachel Morineau ([email protected]) 2024-03-26 - 7:15:02 AM GMT
Agreement completed.
2024-03-26 - 7:15:02 AM GMT

Ruiz, Guadalupe

Segura, Jr., Nicholas
Name: ______________________________________
Email: ____
1 | P a g e 02/202 4

ECONOMIC INTERESTS DISCLOSURE
In order to determine potential conflicts of interest, please disclose all economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS
Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two ye ars, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

INCOME
Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done busine ss in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS

POSITION

GROSS ANNUAL INCOME OR LOAN
AMOUNT
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
Attach additional pages as needed.

Nicholas J Segura Jr

Name: ______________________________________
2 | P a g e – E c o n o m i c I n t e r e s t s D i s c l o s u r e 02/2024 GIFTS
Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE
Attach additional pages as needed.

REAL PROPERTY
Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE

PROPERTY IS

LOCATED

FAIR MARKET VALUE GROSS ANNUAL INCOME
(IF RENTAL)
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct.

Signature ________________________________ Date ________________________ 024 11:45 GMT)
Mar 24, 2024
Nicholas J Segura Jr
■

Economic Interests Disclosure form -
Rev022024 (web)
Final Audit Report 2024-03-24
Created: 2024-03-24
By: Karina Lafarga ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAAxYmAIul31yjvqKXUxFp1Row7cb9qMS-f "Economic Interests Disclosure form - Rev022024 (web)" History Web Form created by Karina Lafarga ([email protected]) 2024-03-15 - 8:58:01 PM GMT
Web Form filled in by Nicholas J Segura Jr ([email protected]) 2024-03-24 - 11:45:06 AM GMT
Email verification link emailed to Nicholas J Segura Jr ([email protected]) 2024-03-24 - 11:45:08 AM GMT
Email viewed by Nicholas J Segura Jr ([email protected])
2024-03-24 - 11:45:34 AM GMT
E-signature verified by Nicholas J Segura Jr ([email protected]) 2024-03-24 - 11:45:34 AM GMT
Agreement completed.
2024-03-24 - 11:45:34 AM GMT

Volland, John
Name: Yi Voll hwo
Email:
it 5 ERA
ECONOMIC INTERESTS DISCLOSUREY!S*A CHY CLERK
| | a. | qn HAR 22 AF 5
In order to determine potential conflicts of interest, please disclose alf economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS
Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME
Ci $0-1,999 [1$2,000-$10,000 C] $0-499 _1$500-$1,000
A/ f ™ $10,001-$100,000 [1$100,001-$1,000,000 C1 $1,001-$10,000 £1$10,001-$100,000 [ Over $1,000,000 C] Over $100,000
CL! $0-1,999 (1$2,000-$10,000 CL] $0-499 -1$500-$1,000
— $16,001-$100,000 [1$100,001-$1,000,000 C1 $1,001-$10,000 £$10,001-$100,000 Over $1,000,000 [ Over $100,000
C2 $0-1,999 [1$2,000-$10,000 C] $0-499 [1$500-$1,000
[ $10,001-$100,000 (1$100,001-$1,000,000 [] $1,001-$10,000 (1$10,001-$100,000 [| Over $1,000,000 L] Over $100,000 |
Attach additional pages as needed.

INCOME
Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS GROSS ANNUAL INCOME OR LOAN

POSITION AMOUNT
AVE a
(} $500-$1,000 “1 $1,001-$10,000
[1 $10,001-$100,000 [) Over $100,000
C) $500-$1,000 C] $1,001-$10,000
C) $10,001-$100,000 C] Over $100,000
|
C
O
$500-$1,000 ] $1,001-$10,000
$10,001-$100,000 €] Over $100,000
$500-$1,000 [] $1,001-$10,000
[7 $10,001-$100,000 [] Over $100,000
Attach additional pages as needed.
1|Page O2- 2024

Name: Foun Vol/Avo
GIFTS
Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE
MA
Attach additional pages as needed.

REAL PROPERTY
Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE FAIR MARKET VALUE GROSS ANNUAL INCOME

PROPERTY IS (IF RENTAL)

LOCATED
(o Us GUA TAY [I $2,000-$10,000 [1$10,001-$100,000 | 2 $0-499 [1$500-$1,000 AV (% $100,001-$1,000,000 [1 Over $1,000,000 | C4 $1,001-$10,000 {%$10,001-$100,000 CHULAVISTA FIT C] Over $100,000
i724 Tamu, | C $2,000-$10,000 [$10,001-$100,000 | 1 $0-499 (7 $500-$1,000 AV chalk VIST | A $100,001-$1,000,000 1 Over $1,000,000 | 1 $1,001-$10,000 (%$10,001-$100,000 CH FIG . C Over $100,000
(1 $2,000-$10,000 [1$10,001-$100,000 | 4 $0-499 £7 $500-$1,000 [J $100,001-$1,000,000 [ Over $1,000,000 | C) $1,001-$10,000 ($10,001-$100,000 C] Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct. £
|
Signature Date 3- £2 - ZY
2|Pag¥ re 02 2024

Zavala-Soto, Daniel
Name: ______________________________________
Email: __
1 | P a g e 02/202 4

ECONOMIC INTERESTS DISCLOSURE
In order to determine potential conflicts of interest, please disclose all economic interests that you have had within the boundaries of the City of Chula Vista under the following categories (if you have nothing to disclose, indicate with “N/A”). Attach additional pages as needed.

INVESTMENTS
Disclose any financial interests with a value greater than $2,000 that you, your spouse, registered domestic partner, or dependent children had with any business located, doing business, planning to do business, or that has done business in the past two ye ars, in the City of Chula Vista (include stocks, bonds, sole proprietorships, partnerships, trusts).

BUSINESS NAME ESTIMATED VALUE GROSS ANNUAL INCOME
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $0-1,999 ☐ $2,000-$10,000
☐ $10,001-$100,000 ☐ $100,001-$1,000,000
☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

INCOME
Disclose the source and amount of gross income or loan of $500 or more that was received by you, your spouse, or your registered domestic partner during the past year from any source located, doing business, planning to do business, or that has done busine ss in the past two years, in the City of Chula Vista. (You are not required to report loans from commercial lending institutes, child support or alimony payments, or salaries, reimbursements for expenses, social security, disability, or other similar benefit payments from a federal, state, or local government agency.)

SOURCE OF INCOME YOUR BUSINESS

POSITION

GROSS ANNUAL INCOME OR LOAN
AMOUNT
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
☐ $500-$1,000 ☐ $1,001-$10,000
☐ $10,001-$100,000 ☐ Over $100,000
Attach additional pages as needed.

Daniel Zavala-Soto

Name: ______________________________________
2 | P a g e t s D i s c l o s u r e 02/2024
GIFTS
Disclose the source, description, and value of gift(s) valued at $50 or more from a single source during the past year from any source located, doing business, planning to do business, or that has done business in the past two years, in the City of Chula Vista. A gift is anything of value for which you have not provided equal or greater consideration to the donor. (You are not required to disclose gifts from family members, inheritances, or campaign contributions.)

NAME OF SOURCE DESCRIPTION OF GIFT VALUE
Attach additional pages as needed.

REAL PROPERTY
Disclose interests that you, your spouse, registered domestic partner, or your dependent children had of $2,000 or more during the past year in real property located in the City of Chula Vista or within two miles of the boundaries of the City of Chula Vista. (You are not required to disclose property used exclusively as a personal residence.)

CITY WHERE

PROPERTY IS

LOCATED

FAIR MARKET VALUE GROSS ANNUAL INCOME
(IF RENTAL)
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
☐ $2,000-$10,000 ☐ $10,001-$100,000
☐ $100,001-$1,000,000 ☐ Over $1,000,000
☐ $0-499 ☐ $500-$1,000
☐ $1,001-$10,000 ☐ $10,001-$100,000
☐ Over $100,000
Attach additional pages as needed.

I hereby certify under penalty of perjury under the laws of the State of California that the information I have provided in this application is true and correct.

Signatur _______________ Date ________________________ Mar 26, 2024
Daniel Zavala-Soto
N/A
N/A
N/A
N/A

Economic Interests Disclosure form -
Rev022024 (web)
Final Audit Report 2024-03-27
Created: 2024-03-27
By: Karina Lafarga ([email protected])
Status: Signed
Transaction ID: CBJCHBCAABAA6CNXu80a9sj4_dz28ap7C4tegbXrVwMM "Economic Interests Disclosure form - Rev022024 (web)" History Web Form created by Karina Lafarga ([email protected]) 2024-03-15 - 8:58:01 PM GMT
Web Form filled in by Daniel Zavala-Soto ([email protected]) 2024-03-27 - 2:22:14 AM GMT
Email verification link emailed to Daniel Zavala-Soto ([email protected]) 2024-03-27 - 2:22:16 AM GMT
Email viewed by Daniel Zavala-Soto ([email protected]) 2024-03-27 - 2:22:35 AM GMT
E-signature verified by Daniel Zavala-Soto ([email protected]) 2024-03-27 - 2:22:35 AM GMT
Agreement completed.
2024-03-27 - 2:22:35 AM GMT

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