ATTACHMENT B
REDACTED APPLICATION
MATERIALS FOR PASADENA
RENTAL HOUSING BOARD
APPLICANTS
ALL APPLICATION MATERIALS HAVE
BEEN DISTRIBUTED TO THE
CITY COUNCIL
RECEIVED
2025 FEB 24 AMIO: 21
OTY CLERK
CITY OF PASADENA
*
188
Pasadena Rental Housing Board
PASADEN. CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
*PORATED JUNE
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Desalin: vile
Home Address: asidena, CA 91107
Mailing Address: Pasedena, CA 91107
Email Address:
Business Phone: NA Date Available to Start: Upon request Home Phone: NA Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city. 2015•171 Pasadena Meals on Wheels 2013-2017 volunteer, Bard member Basadena Little League - 2010-12
- - 2007-2009 Piesident, 2005-2015
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
see attachedsesume
ducation - Include protessional or vocational licenses or certificates Sceresumeattached
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship)
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years? Must disclose
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouso, whether by mariage or not, domesic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES K NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
su ittacked
13. How would you add value to the Pasadena Rental Housing Board? See attached
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
Su attachel
15. How would you help to achieve these objectives and goals? sue attachel
1, Desolin. Aul- . (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this 24 day of Februg _, 2024,
Signed:
Printed Name: Destinatula
OF. PASADEN CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. _ of the City of Pasadena I reside at (street), Pasadena,
CA 91107 (zip code).
Signed:
Rodin
Printed Name
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• ADMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
• If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
OF PASADEN CITY OF PASADENA
CITY
Supplement to Statement of Economic
KORATEO Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application. / acknowledge / have read the foregoing Note
Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, Desalina _ (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 2f day or Felung? _ 20 Zir
Signed:
Printed Name: Deline. fu.l.
CITY OF PASADENA
988/ Affidavit of Tenancy - MANDATORY for Tenant Board
PRORATED TUNE and Tenant Alternate Seats
(Form RHB-003)
1, Desolina (printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California 911u7(zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed th _ 202C.
Signed:
printed Namo Be sauna faile
City of Pasadena - Application for appointment to the Pasadena rental housing board Form RHB-001- Attachment
12. Describe your relative life experience, professional training, or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
Housing - I have been a mortgage banker for 20 + years, expertise working with first time home buyers and low-moderate income home buyers. I have lead sales teams educating and enabling them to be successful in these markets. I am a homeowner in the City of Pasadena and have been a rental property owner in the City of Los Angeles since 2000. I have my NMLS license however it is inactive at the present time.
Housing Justice - I have been an advocate for safe and high-quality housing for my entire mortgage banking career. I have been a board member of 2 housing non-profits, East LA Community Corporation and Los Angeles Neighborhood Housing Services. When there was a Neighborhood Housing Services office in Pasadena, I was an active partner and speaker for their home ownership workshops. I am a member of the National Association of Hispanic Real Estate Professionals (NAHREP), past Western Region co-chair and founding director for the Montebello East LA Chapter and past president.
Landlord Tenant Relationships - I have been a property owner since 2000; | currently own 4 units in the City of Los Angeles. I am in good standing with the City of Los Angeles Housing Authority for adhering to all rent stabilization ordinances (RSO). I also have a good, professional relationships with all of the tenants living in my rental properties. As an example, I have very low turnover. One of my tenants has been in their homes for 17 years, the other 22 years. I consider myself a very reasonable property owner. I keep up with the care of all my properties. My tenants know that they can always rely on me to make sure all repairs', requested work is done in a timely and workman like manner. I pride myself on being an exemplary small business property owner and contributing to attractive housing in the neighborhoods of my rental properties.
Real Estate - I am a big proponent of "respecting" all property, real estate. It is an honor and a privilege to own real estate. I am proactive on being aware of the environment surrounding all my properties by visiting my properties at least once a week, going online to view neighborhood news, and understanding the latest rental ordinances.
13. How would you add value to the Pasadena Rental Housing Board? I would know and understand The City of Pasadena Charter, Articles 18,11 and any other Article that would be vital to the position of director. My corporate managerial training has given me skills to collaborate with colleagues, communicate effectively, listen and understand what the need is to find the best solution for all parties. My experience as a "small property" owner has given me real life challenges and real-life reasonable solutions for both parties, tenant and owner. I am committed to always finding a solution to improve quality of life matters for all citizens equally.
14. What do you view are the primary objectives and goals for the Pasadena Rental Housing Board?
Ensure that all citizens of The City of Pasadena have excellent housing. This begins with knowing and understanding the current rental laws and ordnances, Article 18. From there, work and strive to understand if there are areas where the City of Pasadena can advance for the betterment of their citizens and The City of Pasadena's long-term prosperity.
15. How would you help to achieve these objectives and goals? As a new board member, I would become familiar and understand the present needs of the Rental Housing Board and the needs of Pasadena's citizens. I would then work with the board to prioritize those needs. If necessary, reach out to city's leadership to validate the board's priority list. Simultaneously, become acquainted with each board member and strive to have a professional relationship with each member.
Desolina Avila
Pasadena, CA • •
Mortgage & Community Lending Professional | CRA Strategy | Affordable Housing Partnerships | Leadership
Summary
Mortgage lending expert with 20+ years in mortgage banking driving growth through CRA strategy, affordable lending, and high-impact partnerships. Expert at launching and scaling portfolio, conventional, FHA/VA, bond, and down payment assistance programs; building reciprocal nonprofit, realtor and builder alliances; and developing sales talent. Trusted industry voice and community connector known for operational rigor, compliance alignment, and consistently exceeding goals.
Core Strengths
- CRA strategy and execution
- Affordable lending: bond & DPA programs
- FHA/VA and conventional lending
- Sales leadership, coaching, enablement
- Housing nonprofit, realtor, builder, partnerships
- Market development in LMI and multicultural segments
- Training design and delivery (in-person/virtual)
- Cross-functional collaboration with Community Relations/Compliance - Public speaking and stakeholder engagement
Professional Experience
U.S. Bank - Business Development Manager, West Retail Jan 2023-Sep 2024 - Coordinated loan officer submissions for bond and down payment programs to ensure accuracy and speed to decision.
- Advised senior regional leaders and sales teams on CRA portfolio, conventional, FHA/VA, bond, and DPA programs—guidelines, positioning, and sales execution. - Partnered with CRA leadership to review documentation aligned to exam readiness and ratings.
- Built and delivered training clarifying LMI tract vs. LMI borrower qualifications, improved sales and compliance alignment.
- Developed sourcing strategies leveraging realtors, builders, nonprofits, and trade groups to expand referral channels.
- Led educational events/webinars with realtors, GSEs, builders, NAHREP, AREAA, NAREB.
- Frequently requested internal/external presenter on CRA and affordable products.
- Maintained proactive cadence with VIP partners; completed training and reporting ahead of deadlines.
Citibank - Business Development Officer, LA & Ventura Oct 2019-Jan 2023 - Subject matter expert to sales leaders on CRA/affordable products, from guidelines to go-to-market.
- Built and managed relationships with nonprofits, housing authorities, and HFAs to expand LMI and minority homeownership.
- Engaged affordable housing developers in LMI and majority-minority tracts to increase program awareness and utilization.
- Collaborated with Community Relations to meet CRA goals across the market. - Sourced volume-generating relationships with real estate professionals and associations (NAREB, NAHREP, AREAA).
- Advised recruiting on strategic placement of multicultural mortgage professionals.
- Founding member, Citi LatinX employee network.
Wells Fargo - Regional Diverse Segments Manager LA Oct 2000-Sep 2019 - Led strategy for minority lending, first-time homebuyers, and LMI purchase lending across LA County.
- Co-created annual sales goals and built the LA County CRA plan; partnered cross- functionally on CRA activities and reporting.
- Forged long-term partnerships with realtor boards, trade orgs, nonprofits, and community stakeholders.
- Trained and mentored sales teams to maximize internal programs, driving performance and retention.
- Regular speaker/panelist at national and local industry events on diversity lending, FTHB, LMI, and multicultural segments.
- Drove initiatives with military and union program leaders to expand access and awareness.
Industry Leadership & Affiliations
- East LA Community Corporation (ELACC): Board of Directors (2002-2019) - LA Neighborhood Housing Services: Past Board Member
- NAHREP: Director, Southwest Region (2022-2023), Founding Director/Past President, Montebello SE LA Chapter (2008-2010)
- AREAA: Founding Director, Los Angeles Chapter; Advisor (2010-2019) - NAREB: Past Director, Consolidated Chapter of Los Angeles Community Involvement
- Pasadena Humane Society: Volunteer (2024-Present)
- Pasadena Meals on Wheels: Director and Driver (2016-2022) - Pasadena Little League: Director and Coach (2011-2016) Awards
- Wells Fargo President's Club (2005, 2009)
- NAHREP South Bay: Affiliate of the Year (2016)
Education
- California State University, Dominguez Hills — BA, Interdisciplinary Studies - Languages: Spanish (fluent)
- NMLS ID available upon request
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Filing Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
MIDLE25 FEB 24 AMID: 21
Maria Desolina
1. Office, Agency, or Court
CITY OF PASADENA
Agensy Name (Do not use aronyms) / asadena
Your Position
pion Bar, open, Distin replicatio ental
denc OUsins Applicant
* If filing for multiple positions, list below or on an attachment. (Do not use cronyms) Agency: - Position: _
2. Jurisdiction of Office (Check at least one box)
State Judge (Supreme, Appellate, Superior Court), Retired Judge, Multi-County Xounty of Los. thy
& City of cadena Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025. (Check one circle below.)
•Or-
The period covered is. - through • The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
-or-
Assuming Office: Date assumed • The period covered is _ through the date of leaving office.
Candidate: Date of Election one - and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
X Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached & Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P Prospective Employment Employment Filers Only) - schedule attached None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommender - Druhlin Nocument) 91107
DAYTIME TELEPHONE NUME EMAIL ADDRESS
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 02 - 24 Signature
(month, day, year) ffo the onginally signed, paper statement with your filing official.) FPPC Form 700 - Cover Page (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Types of Statements
Assuming Office Statement: Leaving Office Statement:
If you are a newly appointed official or are newly employed in Generally, the period covered is January 1, 2025, through the date you stopped performing the duties of
a position designated, or that will be designated, in a state or local agency's conflict of interest code, your assuming office your position. If the period covered differs from January date is the date you were sworn in or otherwise authorized to 1, 2025, through the date you stopped performing the duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your assuming office date is the date you were sworn in. between October 1, 2024, and December 31, 2024, or you are combining statements), the period covered must
• Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income (including loans, gifts, and travel payments) received • Report: Investments, interests in real property, business during the 12 months prior to the date you assumed the positions held, and income (including loans, gifts, and travel payments) received during the period covered by
office or position.
the statement. Do not change the preprinted dates on
For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position.
Candidate Statement:
• Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported.
Maria must report investments, interests in real property, In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B.
If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable. district board members) must file candidate statements, • Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received Amendments:
during the 12 months prior to the effective date of the code or amendment. If you discover errors or omissions on any statement, file an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes governing the filing of an expanded statement are set forth • If your disclosure category changes during a reporting period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period.
FPPC Form 700(2025/2026)
SCHEDULE A-1
CALIFORNIA FORM 700
Investments
FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%)
Investments must be itemized vila
Do not attach brokerage or financial statements.
• NAME OF BUSINESS ENTITY • NAME OF BUSINESS ENTITY
Nellstakotompan
ENERAL DESCRIPTION OF THIS BUSINES
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
NATURE OF INVESTMENT NATURE OF INVESTMENT
X Stock Other Stock Other
(Describe) (Describe)
Partnership • Income Received of $0 - $499 Partnership Income Received of S0 - $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:
2003
125 J25 125 125
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 FAIR MARKET VALUE
• $2,000 - $10,000 $10,001 - $100,000 • $2,000 - $10,000 $10,001 - $100,000 CS100,001 - $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 $O - $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:
125 125 125 125
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 FAIR MARKET VALUE
$2,000 - $10,000 • $10,001 - $100,000 • $2,000 - $10,000 $10,001 - $100,000 - 5100,001 - 51,000,000 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 SO - $49 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:
125 125 125 125
ACQUIRED DISPOSED ACQUIRED
DISPOSED
Comments:
FPPC Form 700 - Schedule A-1 (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Instructions
Cover Page
Enter your name, mailing address, and daytime telephone • If your agency is not a state office, court, county office, city number in the spaces provided. Because the Form 700 is a office, or multi-county office (e.g., school districts, special public document, you may list your business/office address districts and JPAs), check the "other" box and enter the instead of your home address. county or city in which the agency has jurisdiction.
Part 1. Office, Agency, or Court Example:
• Enter the name of the office sought or held, or the agency or This filer is a member of a water district board with jurisdiction court. Consultants must enter the public agency name rather in portions of Yuba and Sutter Counties. than their private firm's name. (Examples: State Assembly;
1. Office, Agency, or Court
Board of Supervisors; Office of the Mayor; Department of Agency Name (Do nct use acronyms) Featlice River Irrigation District
Finance; Hope County Superior Court). Division, Board, Doparent, Osinic, i appiicatio Your Postion N/A Board Member
Indicate the name of your division, board, or district, if • I fing for mulipin postions, Est below or on an attachmenk (Do nol use acronyms) applicable. (Examples: Division of Waste Management;
Apercy. NIA
Board of Accountancy; District 45). Do not use acronyms.
2. Jurisdiction of Office (Check at least one box)
• Enter your position title. (Examples: Director; Chief Counsel; • Stra ludge or Cout Commissioner (Steite Ansdiction) City Council Member; Staff Services Analyst). • Mus County Yuba & Sutter Counties • If you hold multiple positions (i.e., a city council member who also is a member of a county board or commission) you may Part 3. Type of Statement be required to file separate and distinct statements with each Check at least one box. The period covered by a statement agency. To simplify your filing obligations, in some cases you is determined by the type of statement you are filing. If you may instead complete a single expanded statement and file it are completing a 2025 annual statement, do not change the with each agency.
pre-printed dates to reflect 2026. Your annual statement is • The rules and processes governing the filing of an used for reporting the previous year's economic interests. expanded statement are set forth in Regulation 18723.1. Economic interests for your annual filing covering January 1, To file an expanded statement for multiple positions, 2026, through December 31, 2026, will be disclosed on your enter the name of each agency with which you are statement filed in 2027. See Reference Pamphlet, page 4. required to file and your position title with each agency in the space provided. Do not use acronyms. Attach an Combining Statements: Certain types of statements for the same position may be combined. For example, if you leave additional sheet if necessary. Complete one statement
office after January 1, but before the deadline for filing your disclosing all reportable interests for all jurisdictions. annual statement, you may combine your annual and leaving Then file the expanded statement with each agency as
office statements. File by the earliest deadline. Consult your directed by Regulation 18723.1 (c). filing officer or the FPPC.
If you assume or leave a position after a filing deadline, you Part 4. Schedule Summary
must complete a separate statement. For example, a city council member who assumes a position with a county special • Complete the Schedule Summary after you have reviewed district after the April annual filing deadline must file a separate each schedule to determine if you have reportable assuming office statement. In subsequent years, the city interests. council member may expand their annual filing to include both • Enter the total number of completed pages including the positions. cover page and either check the box for each schedule you Example: use to disclose interests; or if you have nothing to disclose on any schedule, check the "No reportable interests" box.
Brian Bourne is a city council member for the City of Lincoln Please do not attach any blank schedules.
and a board member for the Camp Far West Irrigation District - a multi-county agency that covers the Counties of Placer and Part 5. Verification Yuba. The City is located within Placer County. Brian may Complete the verification by signing the statement and complete one expanded statement to disclose all reportable entering the date signed. Each statement must have an interests for both offices and list both positions on the Cover original "wet" signature unless filed with a secure electronic Page. Brian will file the expanded statement with each the City signature. (See page 4 above.) All statements must be signed and the District as directed by Regulation 18723.1(c). under penalty of perjury and be verified by the filer pursuant to Part 2. Jurisdiction of Office Government Code Section 81004. See Regulation 18723.1(c) • Check the box indicating the jurisdiction of your agency for filing instructions for copies of expanded statements. and, if applicable, identify the jurisdiction. Judges, judicial When you sign your statement, you are stating, under candidates, and court commissioners have statewide penalty of perjury, that it is true and correct. Only the filer jurisdiction. All other filers should review the Reference has authority to sign the statement. An unsigned statement Pamphlet, page 14, to determine their jurisdiction. is not considered filed and you may be subject to late filing penalties.
• If your agency is a multi-county office, list each county in which your agency has jurisdiction.
FPPC Form 700(2025/2026)
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property Name
(Including Rental Income)
-
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY
1A, CA 40041 LA, CA 90041
FAIR MARKET VALUE F APPLICABLE, LIST DATE FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000 20Oc $2,000 - $10,000 2000
$10,001 - $100,000 \125 _ 125 $10,001 - $100,000 125 125 $100,001 - $1,000,000 ACQUIRED DISPOSED ACQUIRED DISPOSED $100,001 - $1,000,000
Over $1,000,000 ayer $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
-Ownership/Deed of Trust Easement Ownership/Deed of Trust Easement Leasehold Leasehold
Yrs. remaining Other Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED • $0 - $499 $500 - $1,000 $1,001 - $10,000 ] S0 - $499 • $500 - $1,000 $1,001 - $10,000 L- 510,001 - 5100,000 OVER $100,000 ] $10,001 - $100,000 • OVER $100,000 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.
None None
* 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:
NAME OF LENDER* NAME OF LENDER*
PHHM artsane artsca
ADDRESS (Business Address Aceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY OF LENDER Pittsburde RA 15250-7458
INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (Months/Years)
4.75% 4.75
None 30yis _% None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 • $500 - $1,000 - $1,001 - $10,000 $10,001 - $100,000 X OVER $100,000 $10,001 - $100,000 YOVER $100,000 Guarantor, if applicable Guarantor, if applicable
Comments:
FPPC Form 700 - Schedule B (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Instructions - Schedule A-2
Investments, Income, and Assets of Business Entities/Trusts Use Schedule A-2 to report investments in a business • Disclose each source of income and outstanding loan entity (including a consulting business or other to the business entity or trust identified in Part 1 if independent contracting business) or trust (including your pro rata share of the gross income (including a living trust) in which you, your spouse or registered your community property interest in your spouse's or domestic partner, and your dependent children, together or registered domestic partner's share) to the business separately, had a 10% or greater interest, totaling $2,000 entity or trust from that source was $10,000 or more or more, during the reporting period and which is located during the reporting period. (See Reference Pamphlet, in, doing business in, planning to do business in, or which page 12, for examples.) Income from governmental has done business during the previous two years in your sources may be reportable if not considered salary. agency's jurisdiction. (See Reference Pamphlet, page See Regulation 18232. Loans from commercial lending
14.) A trust located outside your agency's jurisdiction is institutions made in the lender's regular course of reportable if it holds assets that are located in or doing business on terms available to members of the public business in the jurisdiction. Do not report a trust that without regard to your official status are not reportable. contains non-reportable interests. For example, a trust • Disclose each individual or entity that was a source containing only your personal residence not used in whole of commission income of $10,000 or more during the or in part as a business, your savings account, and some reporting period through the business entity identified in municipal bonds, is not reportable. Part 1. (See Reference Pamphlet, page 9.) Also report on Schedule A-2 investments and real property You may be required to disclose sources of income located held by that entity or trust if your pro rata share of the outside your jurisdiction. For example, you may have investment or real property interest was $2,000 or more a client who resides outside your jurisdiction who does during the reporting period. business on a regular basis with you. Such a client, if a reportable source of $10,000 or more, must be disclosed.
To Complete Schedule A-2:
Part 1. Disclose the name and address of the business Mark "None" if you do not have any reportable $10,000 entity or trust. If you are reporting an interest in a business sources of income to disclose. Phrases such as entity, check "Business Entity" and complete the box as "various clients" or "not disclosing sources pursuant to follows: attorney-client privilege" are not adequate disclosure. (See Reference Pamphlet, page 15, for information on
• Provide a general description of the business activity of procedures to request an exemption from disclosing
the entity.
privileged information.)
• Check the box indicating the highest fair market value of your investment during the reporting period. Part 4. Report any investments or interests in real property held or leased by the entity or trust identified in • If you initially acquired or entirely disposed of this Part 1 if your pro rata share of the interest held was $2,000 interest during the reporting period, enter the date or more during the reporting period. Attach additional acquired or disposed. schedules or use FPPC's Form 700 Excel spreadsheet if • Identify the nature of your investment. needed.
• Disclose the job title or business position you held with • Check the applicable box identifying the interest held as the entity, if any (i.e., if you were a director, officer, real property or an investment. partner, trustee, employee, or held any position of
management). A business position held by your spouse • If investment, provide the name and description of the is not reportable. business entity.
• If real property, report the precise location (e.g., an Part 2. Check the box indicating your pro rata share assessor's parcel number or address). of the gross income received by the business entity or
trust. This amount includes your pro rata share of the • Check the box indicating the highest fair market value gross income from the business entity or trust, as well of your interest in the real property or investment during as your community property interest in your spouse's or the reporting period. (Report the fair market value of the registered domestic partner's share. Gross income is the portion of your residence claimed as a tax deduction if total amount of income before deducting expenses, losses, you are utilizing your residence for business purposes.) or taxes. • Identify the nature of your interest.
Part 3. Disclose the name of each source of income that • Enter the date acquired or disposed only if you initially is located in, doing business in, planning to do business in, acquired or entirely disposed of your interest in the or that has done business during the previous two years in property or investment during the reporting period. your agency's jurisdiction, as follows:
FPPC Form 700 (2025/2026)
[email protected] • 866-275-3772 • www.fonc.ca.rov
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property Name
(Including Rental Income) rila
• ASSESSOR'S PARCEL NUMBER OR STREEȚ ADDRESS * ASSESSOR'S PARCE! NUMBER OR STREET ADDRESS CITY
90041 LA, CA 90041
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
• $2,000 - $10,000 2000 $2,000 - $10,000 2000
• $10,001 - $100,000 $25 125 $10,001 - $100,000 -25 125
ACQUIRED DISPOSED ACQUIRED DISPOSED
• $100,001 - $1,000,000 $100,001 - $1,000,000
L Over $1,000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
Ownership/Deed of Trust • Easement Ownership/Deed of Trust • Easement • Leasehold Leasehold
Yrs. remaining Other Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED L $0 - $499 $500 - $1,000 • $1,001 - $10,000 • $0 - $499 • $500 - $1,000 • $1,001 - $10,000 LA S10,001 - $100,000 • OVER $100,000 •EA $10,001 - $100,000 • OVER $100,000 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.
• None • None
* 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:
NAME OF LENDER* NAME OF LENDER*
arter. CHHA ortra
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Adeptable) BUSINESS ACTIVİTY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDE sburgh , PA 15250-745% Dittsburst PA 15250-7156
INTEREST R TERM (Months/Years) INTEREST RATE TERM (Months/Years)
4.75% Dyss 4.75% 30yrs
• None • None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 L $1,001 - $10,000 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 FOVER $ 100,000 • $10,001 - $100,000 LOVER $100,000 Guarantor, if applicable Guarantor, if applicable
Comments: -
FPPC Form 700 - Schedule B (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
OF PASA0E CITY OF PASADENA
CIT
APPLICATION FOR APPOINTMENT TO THEE CEIVED
PASADENA RENTAL HOUSING BOARD
RATEDEJUN
FORM RHB-001 2020 FEB 17 PM 4: 17
The information contained on this form will be used by the City Council to fill vacancies on. thé Pasadena Rental Housing Board. Please answer all questions. You are invitéd to attach additiorial pages, a copy of your resume, or submit supplemental information which you feel may assist the City certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: David Coher
Home Address: 91103
Mailing Address: Pasadena, California 91103
Email Address:
Business Phone: Not Applicable Date Available to Start: Immediately Home Phone: Not Applicable
Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
x
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
City of Pasadena - Chair, Planning Commissioner (2015 - 2023); Chair, Board of Zoning Appeals (2015 - 2023); and, District 1 Member, 2021 Redistricing Commission Arroyo Foothills Conservancy - Vice Chair and Boardmember (2024 - Present).
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
Mediator and Arbitrator, Coher ADR (2020 - Present) - Supporting resolution of real estate and other legal disputes. | Various Roles, Southern California Edison (2007 - Present) - Current duties include leadership of clean energy procurement contract management team.
Education - Include professional or vocational licenses or certificates.
Georgetown University Law Center, Juris Doctorate
University of Southern California, Bachelors of Science, Public Policy and Management
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
I received payments as a member of the Planning Commission.
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
OF RASADENA CITY OF PASADENA
*CITY
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. 1 of the City of Pasadena I reside at (street), Pasadena,
CA 91103 (zip code).
Signed:
Printed Name: David Coher
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued.
7. Do you reside at a property owned or managed by a member of YES NO the City council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO ircumstances which might reflect adversely on the propriet f your serving as a member of the Pasadena Rental Housin Board?
9. Are you aware of the time commitment necessary to fulfill the YES X NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
Professionally, I serve as a mediator and arbitrator of real estate disputes, previously spent eight years serving as a Planning Commissioner, and have 20+ years of real estate litigation experience.
13. How would you add value to the Pasadena Rental Housing Board? By bringing both my professional dispute resolution skills and real estate legal experience to inform the Board's discussions and decisions as we work together to implement Pasadena's laws.
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
Implementing Pasadena's rent stablization laws fairly, consistently, and transparently by ensuring clear and workable compliance standards for all and transparent and neutral hearing of disputes.
15. How would you help to achieve these objectives and goals? By working with members of the community and fellow Boardmembers to approach the work with preparation, neutrality, and a strong commitment to the process. 1, David Coher . (printed name), declare under penalty of perjury under the law of the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this 17th day of February _, 2026
-
Signed:
Printed Name: David Coher
• Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
• If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
PASADENA CITY OF PASADENA
*CITY
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about forrests invise uses. Under City Charles Section 18 year dotents are artic records they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application.
I acknowledge / have read the foregoing Note Minitiats) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
_ (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 17th day of February , 2026
AiN
Signed:
Printed Name: David Coher
CITY PASADEN CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
David Coher _(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California _ (zip code)
OR
_This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed this 17th _ 20_26
day of Februsry
Signed: Да и
Printed Name: _ David Coher
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Receive CALIFORNIA FORM 700 ling Olficial Use On
COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) 2FEВ 17 PM 4: 17
Coher David Brian
1. Office, Agency, or Court CITT CLERK
CITY OF PARADENA
Agency Name (Do not use acronyms)
City of Pasadena
Division, Board, Department, District, if applicable Your Position Pasadena Rental Housing Board Applicant
• If fling for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position:
2. Jurisdiction of Office (Check at least one box)
State • Judge (Supreme, Appellate, Superior Court), Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County • County of Los Angeles
• City of Pasadena • Other
3. Type of Statement (Check at least one box)
• Annual: The period covered is January 1, 2025, through Leaving Office: Date Left J.
December 31, 2025. (Check one circle below.)
-ог-
The period covered is /_ _ through • The period covered is January 1, 2025, through the date of December 31, 2025. -or- leaving ofice.
Assuming Office: Date assumed J. • The period covered is . - through the date of leaving office.
NONE
Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page: 6 Schedules attached
Schedule A-1 - Investments - schedule attached • Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P- Prospective Employment (87200 Filers Only) - schedule attached -or- • None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) Pasadena California 91103
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
(
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. 2/17/26
FPPC Form 700 - Cover Page 2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Damn. C
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) Coher, David
• 1. BUSINESS ENTITY OR TRUST • 1. BUSINESS ENTITY OR TRUST The Armada Tree Corporation Coher ADR
Name Name
Pasadena, CA 91103 Pasadena, CA 91101
Address (Business Address Acceptable) Address (Business Address Acceptable) Check one Check one
• Trust, go to 2 | Business Entity, complete the box, then go to 2 • Trust, go to 2 • Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS Real Estate Brokerage Services Alternative Dispute Resolution Services FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
# $0 - $1,999 I SO - $1,999
$2,000 - $10,000 J- 125 J. 125 $2,000 - $10,000 1125 - - 125 $10,001 - $100,000 ACQUIRED DISPOSED $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 $100,001 - $1,000,000
Over $1,000,000 Over $1,000,000
NATURE OF INVESTMENT Corporation NATURE OF INVESTMENT
Partnership Sole Proprietorship Partnership • Sole Proprietorship Other Other
Secretary Mediator and Arbitrator
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA • 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) $0 - $499 1$10,001 - $100,000 $0 - $499 $10,001 - $100,000 $500 - $1,000 OVER $100,000 $500 - $1,000 OVER $100,000 $1,001 - $10,000 $1.001 - $10,000
• 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF • 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet If necossary.) INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) 1 one or Names listed below None or Names listed below
• 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 LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box:
INVESTMENT I REAL PROPERTY • INVESTMENT • REAL PROPERTY Name of Business Entity, if Investment, or Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or escription of Business Activity S City or Other Precise Location of Real Property ity or Other Precise Location of Real Proper FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000 $2,000 - $10,000
$10,001 - $100,000 125 125 $10,001 - $100,000 J- 125 J 125 $100,001 - $1,000,000 ACQUIRED DISPOSED $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
Property Ownership/Deed of Trust Stock Partnership • Property Ownership/Deed of Trust Stock • Partnership Leasehold Other Other
Yrs. remaining Leasehold Yrs. remaining
Check box if additional schedules reporting investments or real property Check box if additional schedules reporting investments or real property are attached are attached
Comments:
Form 70- Schedule A-2 2025/2026)
[email protected] 866-275-3772 • www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property Name
(Including Rental Income) Coher, David
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS • ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY CITY
Pasadena
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
] $2,000 - $10,000 • $2,000 - $10,000
• $10,001 - $100,000 ACCURREDE 125 _ 125 $10,001 - $100,000 1125 125 $100,001 - $1,000,000 DISPOSED 5100,001 - $1,000,000 ACQUIRED DISPOSED Over $1.000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
• Ownership/Deed of Trust ] Easement • Ownership/Deed of Trust ] Easement Partial Owner
Leasehold Leasehold
Yrs. remaining Other Yrs. remaining Other
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 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.
X None • None
Partially Owned by Spouse; No Ownership
Interest
* 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:
NAME OF LENDER* NAME OF LENDER*
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (Months/Years) _% None -% • None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD • $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 • Guarantor, if applicable • Guarantor, if applicable
Comments:
FPPC Form 700 - Schedule B (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 12
SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Coher, David
• 1. INCOME RECEIVED 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Southern California Edison Company Emergency Charitable Services ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) Rosemead, CA 91770 Pasadena, CA 91101
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Electric Utility Not for Profit
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Principal, Energy Contracts Management President
GROSS INCOME RECEIVED • No Income - Business Position Only GROSS INCOME RECEIVED No Income - Business Position Only $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
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED • Salary Spouse's or registered domestic partner's income Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of Sale of
(Real property, car, boat, etc.) (Real property, car, boat, etc.) 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 (Describo) (Describe)
Other Other -
(Describe) (Describe)
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:
NAME OF LENDER* INTEREST RATE TERM (Months/Years)
_% • None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER • None • Personal residence • Real Property - Street address
HIGHEST BALANCE DURING REPORTING PERIOD
• $500 - $1,000 City
• $1,001 - $10,000
Guarantor
• $10,001 - $100,000
• OVER $100,000 - Other
(Describe)
Comments:
FPPC Form 700 - Schedule C (2025/202
[email protected] • 866-275-3772 • www.fppc.ca.go
Page - 14
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name
(Other than Gifts and Travel Payments) Coher, David
• 1. INCOME RECEIVED • 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
The Armada Tree Corporation The Armada Tree Corporation ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) Pasadena, CA 91103 Pasadena, CA 91103
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Real Estate Brokerage Services Real Estate Brokerage Services
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Not Applicable Secretary
GROSS INCOME RECEIVED • No Income - Business Position Only GROSS INCOME RECEIVED No Income - Business Position Only • $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
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ] Salary Spouse's or registered domestic partner's income Salary • Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of Sale of
(Real property, car, boat, etc.) (Real property, car, boat, elc.) 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 (Describo) (Describe)
Other - Other -
(Describe) (Describe)
• 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:
NAME OF LENDER* INTEREST RATE TERM (Months/Years)
_% • None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER • None • Personal residence • Real Property -
HIGHEST BALANCE DURING REPORTING PERIOD Street address
• $500 - $1,000
City
$1.001 - $10,000
• Guarantor
• $10,001 - $100,000
• OVER $100,000
• Other
(Describe)
Comments:
Pace - 14
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name
(Other than Gifts and Travel Payments) Coher, David
• 1. INCOME RECEIVED > 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Coher ADR
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) Pasadena, CA 91101
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Alternative Dispute Resolution Services
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Mediator and Arbitrator
GROSS INCOME RECEIVED No Income - Business Position Only GROSS INCOME RECEIVED No Income - Business Position Only $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
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED • Salary Spouse's or registered domestic partner's income Salary • Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of Sale of _
(Real property, car, boat, etc.) (Real property, car, boat, etc.) 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)
Sole Proprietorship Income
Other Other
(Describe) (Describe)
• 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:
NAME OF LENDER* INTEREST RATE TERM (Months/Years)
_% • None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER • None • Personal residence ] Real Property
Stroot addross
HIGHEST BALANCE DURING REPORTING PERIOD
• $500 - $1,000 City
• $1,001 - $10,000
Guarantor
• $10,001 - $100,000
• OVER $100,000
Other
(Describe)
Comments:
FPPC Form 700 - Schedule C (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
RECEIVED
202: MAR - 2
AM 10:05
CITY CLERK
CITY OF PASADENA
8 *
886
Pasadena Rental Housing Board
of PASAD CITY OF PASADENA
CITY
APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Elizabeth Crespin
Home Address: Pasadena, CA 91103
Mailing Address: Same as above
Email Address:
Business Phone: Date Available to Start: April 1, 2024e Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
W Alternate Tenant Member (1 seat, reserved for tenants) Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
The Dream Center, Los Angeles. and
I hero in the
Serving focal for
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
Please see attached
Education - Include professional or vocational licenses or certificates.
Webotomy License CT- 00041950
Medical Assistant Diploma
Newborn Care Specialist Certificate
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship)
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
Tve lived in Pasadene my entire life. I Know the
area well. i've also bein a tenant my entire adult live
13. How would you add value to the Pasadena Rental Housing Board?
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
15. How would you help to achieve these objectives and goals?
1. Eliabeth (respir (printed name), declare under penalty of perjury under the law c the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this_ 73 day of February _, 202-62.
Signed: _ Elater
Printed Name: Elizaleth (respin
CITY OF PASADENA
Residency Verification - MANDATORY
ORATED JUS
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. _ 3 _ of the City of Pasadena I reside at (street), Pasadena,
CA 91|03 (zip code).
Signed: eatie (en
Printed Name: Elizabeth Crespin
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
• If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
ORATED
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application. / acknowledge I have read the foregoing Note EL (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1. Elizabeth Crespin (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
signed this_ 73 day or Felvar - 20 210.
Signed: saluten
Printed Name: Elzabetu Crespin
OR PASADEN CITY OF PASADENA
*CITY
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
1, Elabeth Lessin _(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California 91l03 (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed this 23 day or February 206.
Signed:
Printed Name: _ Elizabeth
Elizabeth Crespin
Pasadena Rental Housing Board Seat Application
03/01/2026
13. If given the opportunity, while on The Board, I will prioritize thoughtful review of cases while remaining neutral. I will work collaboratively with fellow board members to support transparent processes, uphold compliance, and make sure the PRHB works fairly for both tenants and renters.
14. I view the primary objectives of the PRHB as promoting housing stability in the entire city by ensuring fair and consistent implementation of Pasadena's rent control and tenant protection laws. PRHB is there to maintain transparency and accountability in the rental housing Market.
15. I am a good listener and I understand that everyone has a different perspective based on their own personal experience. That said, I will work to ensure all parties feel heard while keeping the focus on the laws and regulations. I believe in educating both tenants and renters so that they both clearly understand Board processes and requirements. In my opinion, this will help improve voluntary compliance and reduce conflict.
Elizabeth Crespin, CPT 1.
Pasadena, California 91103
•
QUALIFICATIONS SUMMARY
Articulate professional with solid education and experience in healthcare practices, compliance standards, and operations. Last five years spent providing full-time childcare developing expertise in schedule and time management, organization, effective communication, conflict resolution, and problem solving all within in a fast-paced, constantly changing environment.
• Relationship Development: Strong interpersonal talents with passion for cultivating lasting impressions with diverse groups of people. Skilled in listening to others, setting and meeting goals, optimizing productivity while offering empathy, reliability, and enthusiasm.
• Leadership Experience: Well-developed ability to provide training and mentorship with a fine ability to give and take constructive feedback. Collaborative team player willing to contribute ideas to find solutions to problems or circumstances. Adept at building positive rapport in all interactions. • Project Oversight: Highly organized with combination of medical, financial, and business expertise to guide project planning and implementation. Success meeting and exceeding goals and objectives set forth within team driven and self-guided roles.
• Key Strengths: Bilingual (Spanish/English) in written and spoken communication, service oriented, solid judgment, strong work ethic, trustworthy, and diligent. Knowledgeable in bookkeeping, data entry, payroll, and financial statements and records. Proficient in Microsoft Office Suite.
EDUCATIONAL BACKGROUND
Associate of Science PASADENA CITY COLLEGE, Pasadena, California Medical Assistant Degree/Phlebotomy License, 12/2009 KAPLAN COLLEGE, North Hollywood, California
PROFESSIONAL EXPERIENCE
Adventist Health, Glendale, California Medical Assistant/Back Office (Feb 5, 2024 - March 12, 2024) The Heart & Vascular Institute
Worked directly with cardiovascular physicians, I was assigned 5 doctors due to a large hospital-based clinic.
Selected Contributions:
• Became very familiar with Cern Power Chart. Everything was electronically documented through this system. Used medical terminology when inputting patients' reason for visit.
Continued...
Elizabeth Crespin
Page Two
Updated any new information in patients' chart including new PCP, pharmacy information, and new medications.
Kindly greeted each patient when calling their last name to room them. I confirmed patient's identity with full name and DOB before proceeding to walk side by side to their room. I accurately weighed, measured height, and took blood pressure of patient and immediately documented in the correct chart. Offered patient water and made each and every one of them feel comfortable and welcomed. Communicated clearly and encourage the patient to ask questions for the Doctor to answer.
• I performed 15-20 Electrocardiograms daily in a timely manner while also ordering the correct test code in the system for proper insurance payment.
* Accurately attached Zio Heart Monitors to patient's chest. * I successfully created healthcare provider accounts with Labcorp, Quest, and Primex Labs to access and print recent blood work for my Physicians to see and revise. • I made sure to check my work email, voicemail, and Teams often to reply to patients, pharmacy staff, Physicians, and coworker's questions and requests in a timely manner. • I deescalated any stressful situation due to a frustrated patient or accompanying relative. • I was of service to my assigned Doctor at all times and often asked what was needed of me. • I happily offered to translate in Spanish for all non English speaking patients.
CARE.COM, Los Angeles, California Nanny (2014 - 2024)
Supervise many children of all ages. Organize activities that enhance children's physical, emotional, and social well-being. Plan and execute daily activities including playing, preparing meals and snacks, practicing hygiene, and socialization opportunities. Assist with housekeeping and running errands. Transport children to and from school and other extracurricular activities in a safe and timely manner.
Selected Contributions:
• Prepare weekly grocery lists, grocery shopping, and laundry for families and instilled order within the home through effective and constructive communication and feedback.
Arrange regular playdates through creating and maintaining close, meaningful relationships with other nannies and parents.
LOS ANGELES HEALTH & FITNESS, Los Angeles, California
Health Ambassador (2012 - 2014)
continued...
Elizabeth Crespin
Page Three
Led membership service operations for the fitness center. Initiated new memberships, updated existing memberships and financial information, and processed membership payments.
Selected Contributions:
Exceeded membership sales goal by 50% shortly after assuming position as a Health Ambassador.
Liaised between the fitness center, vendors, and janitorial crews, providing open and clear communication both in written and verbal form.
KAISER PERMANENTE, 6045 Cadillac Ave West Los Angeles, California. 90034 Licensed Phlebotomist Lab Assistant 2(2010-2012)
• Practiced in-patient and ambulatory blood draws. Performed phlebotomy services for departments such as neonatal, oncology, emergency room, dialysis, intensive care, and isolation units. • Identified patients and observed the correct procedure for venipuncture to their unique circumstance. • Labeled all samples immediately and accurately to preserve the integrity of specimens for proper transporting and processing.
• Exercised HIPPA compliance and regulatory standards at all times. • Adhered to turnaround time (TAT) guidelines for STAT and routine tests.
Empathized with patients and their support systems, demonstrated care regarding how to best carry out interactions with the patients, families, physicians, and co-workers.
Received and handled calls, managed phlebotomy supplies - stocking, inventory, ordering, and receiving.
Immediately relayed and communicated clearly with lead or supervisor when issues above my job description arose.
George Mutafyan, MD Bariatric Surgeon, 1510 S Central Ave #200 Glendale, CA 91204 Medical Assistant Front End/Back End Externship (2010)
• Kindly greeted patients, offered them to answer any question regarding their appointment. * Answered phone calls, scheduled patient appointments. • Measured vital signs and used correct medical terminology when recoding in patients' charts. * Helped physician with patient examinations, and in-office medical procedures. • Gave patients injections directed by physician and permitted by state law. • Performed phlebotomy, and prepared samples for laboratory personnel pickup.
EDUCATED NANNIES IS EXCITED TO INTRODUCE YOU TO...
Elizabeth Crespin! EDUCATED NANNIES
TRUSTWORTHY | HARDWORKING | ATTENTIVE
Qualifications & Certifications
• Articulate professionally with solid education and experience in childcare practices.
• Over 15 years of experience as a full-time nanny
• Relationship Development: Strong interpersonal talents with passion for cultivating lasting impressions with diverse groups of people. Skilled in listening to others, setting and meeting expectations, optimizing productivity while offering empathy, reliability, and enthusiasm.
• Leadership Experience: Well-developed ability to provide guidance and mentorship to new parents as this time can be daunting for many, with a fine ability to give and take constructive feedback. Collaborative team player willing to contribute ideas to find solutions to circumstances. Adept at building positive rapport in all interactions.
Highly organized
• Bilingual (Spanish/English) in written and spoken
communication (happy to teach the language to the
babies/children
• Service oriented, solid judgment, strong work ethic,
trustworthy, diligent, and most importantly loving.
• CPR & First Aid Certified
• Reliable Vehicle and clean driving record
Trustline Certified
USA Passport ready if traveling is required
Professional Childcare Experience
VARIOUS TEMP FAMILIES LOS ANGELES, CA ARIL 2025 - PRESENT Live-Out Temp Nanny - Ages of children upon hire: various ages • Helped a new mom with potty training, this task lasted 3 weeks.
Picked up and dropped off siblings at school and returned them home safely and in a timely manner (for 4 months). • Prepared food for a 6 month old baby just starting on solids, everything was freshly bought at an organic grocer, then cut, steamed, pureed, packaged and frozen by me (for 6 months). • On T/TH afternoons, I tutored 3 siblings with their Spanish homework (for 3.5 months).
THE CHEN-ARESHIDZE FAMILY PASADENA, CA ARIL 2024 - APRIL 2025 Live-Out Nanny - Ages of children upon hire: 4 months old • Cared for a healthy infant boy of 4 months. Adhered to the strict baby schedule mom had already established for feedings, play time, and naps.
Sanitized bottles, toys, and teethers.
• Made sure to stay on top of the baby's laundry, changed crib sheets, and kept the nursery room tidy. • Helped and stimulated the baby to work on achieving the milestone for his age as he grew older.
Prepared the baby's purees and solid foods starting at 6 months of age Read lots of books and played classical music. Went on f rushing long walks when baby was fussy.
THE WATBRHOUSE FAMILY PASADENA, CA MAY 2021 - JUNE 2024 Live-Out Nanny / Tutor / Special needs: Diagnosed Autism - Ages of children upon hire: 8 months and newborn
• Cared for an adorable 8 month old boy. Stayed on top of his daily schedule which included nap, feeding and play times. • Made sure to bathe him and keep him clean so no diaper rashes would develop. • As he grew up, I easily adapted to the changes like driving him to MyGym and later on to preschool drop off and pick up. I made sure he attended all his therapy sessions on time and relayed important information back to parents about what had taken place that day in speech therapy/occupational therapy. • Created a fun and stimulating learning environment for him. Toddler learned how to speak Spanish fluently. Lots of long walks to the park and library. Visited KidSpace and Huntington Botanical Gardens for a fun outing. Reached out to other nannies to schedule play dates and took him to activities that he showed love and extreme interest in, for example splash pads.
• When little brother arrived, I started to care for him the very next day. I helped mom with bathing, changing, and feedings. I allowed her to rest after a breastfeeding session as I would take over for burping and swaddling him back to sleep. I kept all the breast pump parts clean and ready for use. I did baby and big brother's laundry as needed. I offered her water and helped make breastfeeding calorie dense snacks.
REASON FOR LEAVING: No longer met my needs for what I was looking for.
THE RIEDLER FAMILY VALLEY VILLAGE, CA JUNE 2019 - MAY 2021 Live-Out Long Term Nanny - Ages of children upon hire: 5 and 7 years old • Cared for 2 school aged children (ages 7 & 5). Picked both brother and sister from school on time. Drove them home and helped with homework while also preparing a warm meal.
• Drove them to soccer practice, swimming lessons, or any other activity based on the season. • Helped the youngest with bath time. Regulated screen time and made sure to teach them about responsibilities and priorities before jumping on an Ipad.
• Encouraged outdoor play often, I rode bikes with them to the park and around the neighborhood. Took them on hiking trails, and had entire beach day outings during summer vacations. • REASON FOR LEAVING: Family moved to San Diego.
THE HOFMEISTER-CATALDO DTLA, CA APRIL - JUNE 2019
FAMILY
Short-Term Newborn Care - Ages of children upon hire: in gestation • helped mom with basic chores before her baby girl arrived due to a high-risk pregnancy. This help included grocery trips due to inability to operate a vehicle, laundry, and nesting duties. • When the baby arrived, I would help mom get some rest by feeding the baby with pre-pumped breastmilk.
Helped mom create a sleep feeding schedule.
I bathed the baby due to new mom being very nervous about doing it herself. • Drove mom and baby to postpartum Doctor's appointments.
THE BLACKBURN FAMILY STUDIO CITY, CA NOV. 2015 - NOV. 2017 Live-Out Nanny - Ages of children upon hire: 10 and 6
• Cared for 2 school aged children (boy, 10 and girl, 6). Picked both children up from school and on time. Each one went to a different school and I had to manage my time for a punctual pickup taking into consideration traffic and other events happening in the heart of LA.
Carried snacks with me for long car rides to music lessons in DownTown Los Angeles.
Prepared easy but healthy balanced meals.
Helped with homework
Played outdoors often and lots of pretend play with the 6 year old.
I always want to learn their interests and take note of them, in this case they loved board and card games and made time for play as an incentive to finish priorities first.
Professional Educational Experience
PRIVATE TUTOR LOS ANGELES, CA 2014 - PRESENT
• Teaches Spanish lessons in ages 1 to 12.
Designs lesson plans, implements games, assessments, and creative instruction. • Communicates with parents, entertains, and inspires children.
Education, Degres & Cortifications
PASADENA CITY COLLEGE PASADENA, CA
Associate's in Science Degree
GPA: 3.8
THE CRADLE COMPANY PASADENA, CA August 2024
Newborn Care Specialist Certificate
Interests, Passions & Hobbies!
WRITING READING FAMILY TIME
HIKING BAKING VOLUNTEERING
PALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Fimp Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
(MISE MAR -2 AMO: 45
Grespin Erzabeth
1. Office, Agency, or Court CITY CLERK
* CITY OF PASADENA
Agency Name (Do not use acronyms)
City of Pasadena
Division, Board, Department, District, if applicable Your Position Pasadena Rental Hoising Applicant
• If filing for multiple positions, list below or on an attachment. (Do not use acronyms, Agency: Position:
2. Jurisdiction of Office (Check at least one box)
State
Judge (Supreme, Appellate, Superior Court), Retired Judge, ro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County County of Los Angeles
V City of Pasadena Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025. (Check one circle below.)
-Or-
The period covered is - through The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
-Or-
Assuming Office: Date assumed . The period covered is _ -, through the date of leaving office.
Candidate: Date of Election None and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P - Prospective Employment (87200 Filers Only) - schedule attached -or priore No rporate interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE
ZIP CODE
(Business or Agency Address Recommended - Public Document) Pasadena CA 91|03
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledget. information containcd 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 03/5/2026 Signature imam
Fine the onginally signed paper stalemed with your filing official.
FPPC Form 700 - Cover Page (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 6
Types of Statements
Assuming Office Statement: Leaving Office Statement:
Generally, the period covered is January 1, 2025,
If you are a newly appointed official or are newly employed in through the date you stopped performing the duties of a position designated, or that will be designated, in a state or your position. If the period covered differs from January local agency's conflict of interest code, your assuming office 1, 2025, through the date you stopped performing the
date is the date you were sworn in or otherwise authorized to duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your between October 1, 2024, and December 31, 2024, or
assuming office date is the date you were sworn in.
you are combining statements), the period covered must
• Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income • Report: Investments, interests in real property, business (including loans, gifts, and travel payments) received positions held, and income (including loans, gifts, and during the 12 months prior to the date you assumed the
travel payments) received during the period covered by
office or position.
the statement. Do not change the preprinted dates on
For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position.
Candidate Statement:
Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported.
Maria must report investments, interests in real property, In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B.
If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable district board members) must file candidate statements, Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received Amendments:
during the 12 months prior to the effective date of the If you discover errors or omissions on any statement, file code or amendment.
an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered Expanded Statement:
Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes governing the filing of an expanded statement are set forth If your disclosure category changes during a reporting
period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period
FPPC Form 700(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name
(Other than Gifts and Travel Payments) Elizabeth (respin
1. INCOME RECEIVED • 1 INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Private Household Employer
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) san
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Childcare Services Nanny
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Unilacare Provider
GROSS INCOME RECEIVED No Income - Business Position Only GROSS INCOME RECEIVED No Income - Business Position Only S500 - $1,000 $1,001 - $10,000 $500 - $1,000 S1,001 - S10,000 $10,001 - S100,000 OVER S100,000 $10,001 - $100,000 OVER S100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of Sale of
(Real property, car. boat. etc.) (Real property, car, boat, etc.) 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)
Other Other
(Describe) (Describe)
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:
NAME OF LENDER' INTEREST RATE TERM (Months/Years)
None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY. IF ANY, OF LENDER None Personal residence Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000
City
S1,001 - $10,000
Guarantor -
S10,001 - $100,000
OVER S100,000
Uther
(Describe)
Comments:
FPPC Form 700 - Schedule C (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Instructions - Schedule B
Interests in Real Property
Report interests in real property located in your agency's • If you received rental income, check the box indicating the jurisdiction in which you, your spouse or registered domestic gross amount you received. partner, or your dependent children had a direct, indirect, or • If you had a 10% or greater interest in real property and beneficial interest totaling $2,000 or more any time during received rental income, list the name of the source(s) if the reporting period. Real property is also considered to be your pro rata share of the gross income from any single "within the jurisdiction" of a local government agency if the tenant was $10,000 or more during the reporting period property or any part of it is located within two miles outside If you received a total of $10,000 or more from two or more the boundaries of the jurisdiction or within two miles of any tenants acting in concert (in most cases, this will apply to land owned or used by the local government agency. (See married couples), disclose the first and last name of each Reference Pamphlet, page 14.) tenant. Otherwise, mark "None." Interests in real property include: • Loans from a private lender that total $500 or more and • An ownership interest (including a beneficial ownership are secured by real property may be reportable. Loans interest) from commercial lending institutions made in the • A deed of trust, easement, or option to acquire property lender's regular course of business on terms available to members of the public without regard to your official • A leasehold interest (See Reference Pamphlet, page 15.) status are not reportable. • A mining lease
When reporting a loan:
• An interest in real property held in a retirement account - Provide the name and address of the lender.
(See Reference Pamphlet, page 16.)
- Describe the lender's business activity.
• An interest in real property held by a business entity or trust in which you, your spouse or registered domestic - Disclose the interest rate and term of the loan. For partner, and your dependent children together had a 10% variable interest rate loans, disclose the conditions or greater ownership interest (Report on Schedule A-2.) of the loan (e.g., Prime + 2) or the average interest rate paid during the reporting period. The term of
• Your spouse's or registered domestic partner's interests in a loan is the total number of months or years given
real property that are legally held separately by him or her for repayment of the loan at the time the loan was
You are not required to report: established.
• A residence, such as a home or vacation cabin, used - Check the box indicating the highest balance of the exclusively as a personal residence (However, a residence loan during the reporting period in which you rent out a room or for which you claim a
- Identify a guarantor, if applicable.
business deduction may be reportable. If reportable,
report the fair market value of the portion claimed as a tax If you have more than one 4800 23th Street deduction.) reportable loan on a single
Sacramento
Some interests in real property held through a blind trust piece of real property, report - soc 0st 0471 the additional loan(s) on i10.e3r - 1190.300
(See Reference Pamphlet, page 17.)
Schedule C.
• Please note: A non-reportable property can still - rappons D caras be grounds for a conflict of interest and may be Example:
disqualifying. Allison Gande is a city
1 3000.310:00
planning commissioner. OVER 10 O
To Complete Schedule B: SOURCES TEA WED
During the reporting period SE 65CH
• Report the precise location (e.g., an assessor's parcel Allison received rental income Honry Wells
number or address) of the real property. of $12,000, from a single • Check the box indicating the fair market value of your tenant who rented property Sophia Petroilto
interest in the property (regardless of what you owe on the owned in the city's jurisdiction. 2121 Blue Sky Parkway, Sacramento
property). If Allison received $6,000 BUSINESS AGNIFY IF NOX OF LENESEN each from two tenants, the Restaurant Owner
• Enter the date acquired or disposed only if you initially tenants' names would not be 15 Years
acquired or entirely disposed of your interest in the (Nuro required because no single CHES MARCE DURNS PEPONG PERIOD property during the reporting period. 1500 31.000
51.00t 51000
• Identify the nature of your interest. If it is a leasehold, tenant paid her $10,000 or * 1:000 - 3100100 more. A married couple is Then opener
disclose the number of years remaining on the lease.
considered a single tenant.
tomments
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(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
RECEIVED
202S FEB 23 AMI!: 54
• CITY OF ACADONA
000000000x
STOP PASADEN
*
1886
Pasadena Rental Housing Board
CITY OF PASADENA
CITY OP
APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Elisa M. Farmer
Pasadena 91101
Home Address:
Mailing Address: Paradena CA 91109-3612
Email Address:
Business Phone: Date Available to Start:
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
_ Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city Tourament of LOves - MEMBER
Pasudena Sister Citkes Corintter. Treasurer
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
Resume "emailed" please see Attached REsumE
Education - Include professional or vocational licenses or certificates.
B.S. Accounting - CSU. Dominguez Hill
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO X list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship)
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(a)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
13. How would you add value to the Pasadena Rental Housing Board? I am famkar with the Tenant Landlord Relationship and
have been a landlond and a Tenant in the city of los Angeks
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Setting guidelines and Rules would be the beet way
goals and to meet obgectres.
1, Elitia Farmer _ (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
2026
Signed this 23 _ day or Februany , 2025.
Signed: Eletio
Printed Name: 5/15la Farmer
OF CITY OF PASADENA
HI + CITY
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. I of the City of Pasadena :
I reside at . (street), Pasadena,
-
CA 91101 _(zip code).
Signed: _ Elistas
Printed Name: Ellala Farmer
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
• Home utlity bill or cellular phone bill
• Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• ADMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
oF PASAD CITY OF PASADENA
CITY
Supplement to Statement of Economic
RPORATED. Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application.
I acknowledge I have read the forgoing Notal Minitials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1. Elisia M. Farmer (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 1Th day of Februang ,2026.
Signed: Clara M
Printed Name: Elisia M. Farmer
CITY, OR PABADEN CITY OF PASADENA
1886* Affidavit of Tenancy - MANDATORY for Tenant Board ORATED and Tenant Alternate Seats
(Form RHB-003)
1, Elisia Farmer _(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. am either a named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. Preside at a foning add (rip code) (street),
OR
This form is not applicable to my application as 1 am not seeking a Tenant Board or Tenant Alternate Seat.
17 dayor Febnuany _ 2026.
Clive
Signed: _
Farmer
Printed Name: Elisia
RECEIVED
Elisia M. Farmer
Pasadena, CA 91101 2056 FEB 23 OMI: 54,
COT CLERN
Email:
CITY OF P/ SADENA
Work Experience
Pasadena Tournament of Roses Association 5/2023 - 12/2025 Member & Public Services Assistant
Assist in the administrative and operational aspects of the Membership services department. : Point of contact for public information regarding Rose Parade matters. • Provide information to the Association's 935 Tournament members and committees. • Serve as staff liaison to the Association's operating committees, as assigned. • Provide support for marketing, communications & membership-related events and activities.
Swenson Corporation - CPA corporation 11/2005 - 2008
Enrolled Agent, Federal #88413, August 2007
• Advise, represent, and prepare tax returns for individuals, partnerships, corporations, estates, trusts, tax-exempt organizations, and other entities with tax reporting requirements. • Prepare tax planning projections.
• Research tax law for tax preparation, collection, and representation matters. • Proficient in preparing and reviewing individual, business, fiduciary and corporate tax returns to determine correct federal tax liabilities.
• Clients include savvy investors, net AGI $500K -$12M, corporate stockholders and shareholders, and those who engage in complex business transactions.
Demetriou, Montano & Associates 08/2002 - 11/2005
CA Tax Preparer/Staff
Prepared individual, business and payroll income tax returns. • Researched tax laws.
Conducted client interviews.
• Prepared financials for collection matters.
Nordstrom 12/96 - 8/2002
• Customer Service Specialist
• Managed more than 50 temporary staff in telecommunication center.
Education
• Bachelor of Science, Business Administration, Accounting concentration California State University, Dominguez Hills, August 1990 Farmer, Elisia M.
Additional Information
• Can effectively interact with a broad range of individuals, accountants, legal and other business-related professionals.
• Able to plan, organize, and prioritize work.
• Effectively able to communicate both orally and in writing.
Volunteer Experience
Friends-in-Deed, food bank 2017 - current
I am a regular volunteer each Saturday stocking shelves and accepting donations which allows me to have meaningful interactions with the community. As a person of the community, I strive to make everyone that comes to donate aware that their donation is greatly appreciated. For those who come for help, I take extra steps to provide food and information to make their lives a little easier. This is so important for the work we do at Friends In Deed-Pasadena. I've also volunteered at the main office filing, sorting, and data input. In 2022, there was a turkey shortage. I initiated phone calls to ensure that FID would receive turkeys.
Pasadena Sister Cities Committee, member since 2019, Treasurer 2021 - 2023 As Treasurer, I keep and maintain, or cause to be kept and maintained, adequate and correct books and accounts of the Pasadena Sister Cites committee's properties and transactions. I also deposit or cause to be deposited all monies and disburse funds as required.
TOR White Suiter, since 2021, co-Chair Emergency Operations 2022; Chair Emergency Operations 2023 In this role, I coordinated with Float Fest volunteers to document and report events through the days i.e., lost phones, wallets, keys, lost child or family members; trips and falls; breach of barricades; defuse situations when required; use handset and cellphone to communicate with Vice President. Maintained a presence in the Emergency operations center; keeping a watchful eye on the monitor, and consistently walking Float Fest to talk with other White Suiters and visitors.
So Cal Women's Conference, 2022, 2021 and 2020 Community Engagement; Coordinated and prepared Swag Bags for more than 500 attendees. Attended various events to promote the SCWC throughout the year.
Women in Leadership Vital Voices, since 2020; Volunteer Assistant John J. Kennedy, District 3, Volunteer Assistant
• Campaigned 2023; Phone Banked, door to door canvasing neighborhoods, • Texted constituents and addressed mailers.
Assisted with the 2019 Holiday party,
• Turkey Giveaways 2021 and 2022, Thanksgiving and Christmas.
Mayor Terry Tornek, 2020
• Campaigned, phone banked, door to door canvasing neighborhoods, speaking with residents, and addressed mailers.
U.S. Senator Raphael Warnock 2020
Phone Bank for then Georgia Pastor/Minister Warnock.
"Get Out the Vote" Campaigns - ongoing.
• Computer assistance in various states: Texas, Virginia, and California Tree Planting, City of Pasadena 2021 and 2022
• Volunteered to replace dead or install new trees in the Sunset Oaks and the W.D. Edson Neighborhoods.
Black History Parade 2022 and 2023
• Represented the Senegal Sister Cities parade route.
• Pre and Post parade J. K. Kennedy Memorial set up.
First AME Church-Pasadena 2019 During Covid, Ordered, picked up and delivered meals three days a week to COVID volunteers, who selected restaurants and meals of their choice.
Hosted Information Table:
Alkebu-lan Cultural Center-Art Night Pasadena Sister Cities Chris Holden annual Block Party, Pasadena Sister Cities and So Cal Women's Conference Councilman Tyron Hampton, Pasadena Sister Cites and So Cal Women's Conference Altadena Home tour - Pasadena Sister Cities
Holiday Turkey Giveaway - 2021 and 2022 John J. Kennedy, District 3 Delivered frozen turkeys to Pasadena resident's homes.
• Delivered turkeys on behalf of District 3 to various organizations. • Helped to coordinate, placing volunteers in strategic positions. i.e., unloading, unpacking, and distributing positions.
• Organized, picked up lunch and snacks for the various volunteers.
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Receive ting Official Use Or
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Farmer M
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
rasadena
Division, Board, Department, District, if applicable Your Position CITY Pasadena l kental Houşing Board ApplICANT CIT 26 FEB 23 • If filing for multiple positions, list below or on an attachment. (Do hot use acronyms) CEIV
Agency: Position: AM
=
2. Jurisdiction of Office (Check at least one box) 53
State • Judge (Supreme, Appellate, Superior Court, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County Elony or Los Angeles
&City of Paşadena • Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025. (Check one circle below.)
-ОГ-
The period covered is - through • The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
-Or-
Assuming Office: Date assumed - J. J. • The period covered is - through the date of leaving office.
/ Candidate: Date of Election NONE and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
• Schedule A-1 - Investments - schedule attached | Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P- Prospective Employment (87200 Filers Only) - schedule attached -ОГ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) Pazadena CA 91101
DAYTIME TELEPHONE NUMBER EMAIL ADDRESE
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and tauhe best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public document. ulua
4019 013/2026 ben.
#PPC Form 700 - Cover Page (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Types of Statements
Assuming Office Statement: Leaving Office Statement:
If you are a newly appointed official or are newly employed in Generally, the period covered is January 1, 2025, through the date you stopped performing the duties of
a position designated, or that will be designated, in a state or local agency's conflict of interest code, your assuming office your position. If the period covered differs from January date is the date you were sworn in or otherwise authorized to 1,2025, through the date you stopped performing the duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your between October 1, 2024, and December 31, 2024, or
assuming office date is the date you were sworn in.
you are combining statements), the period covered must
• Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income (including loans, gifts, and travel payments) received • Report: Investments, interests in real property, business positions held, and income (including loans, gifts, and during the 12 months prior to the date you assumed the
office or position. travel payments) received during the period covered by the statement. Do not change the preprinted dates on
For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position. Candidate Statement:
• Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported.
Maria must report investments, interests in real property, In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B.
If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable. district board members) must file candidate statements, • Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received Amendments:
during the 12 months prior to the effective date of the code or amendment. If you discover errors or omissions on any statement, file an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes governing the filing of an expanded statement are set forth • If your disclosure category changes during a reporting period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period.
PC Form 700(2025/2026)
CALIFORNIA FORM 700
SCHEDULE B RE (FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property Name
(Including Rental Income) 2026 FEB 23 AMI: 53
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS • ASSESSOR'S PARCE NUMBER OR STREET ADDRESS
ASADENA
sadora.
CITY
Pasadera 91103
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
• $2,000 - $10,000 _ $2,000 - $10,000
• $10,001 - $100,000 125 125 $10,001 - $100,000 125 125
ACQUIRED DISPOSED ACQUIRED DISPOSED
• $100,001 - $1,000,000 $100,001 - $1,000,000
Z Over $1,000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
• Ownership/Deed of Trust Easement • Ownership/Deed of Trust L Easement Leasehold Leasehold
Yrs. remaining Other Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED • $0 - $499 _ $500 - $1,000 LE $1,001 - $10,000 L SO - $499 • $500 - $1,000 • $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 - $10,001 - $100,000 L OVER $100,000 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.
• None • None
Mothek's Residence
* 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:
NAME OF LENDER* NAME OF LENDER*
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (Months/Years) None _% • None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD • $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 ] Guarantor, if applicable Guarantor, if applicable
Comments:
FPPC Form 700 - Schedule B (2025/2026)
Instructions - Schedule A-2
Investments, Income, and Assets of Business Entities/Trusts Use Schedule A-2 to report investments in a business • Disclose each source of income and outstanding loan entity (including a consulting business or other to the business entity or trust identified in Part 1 if independent contracting business) or trust (including your pro rata share of the gross income (including a living trust) in which you, your spouse or registered your community property interest in your spouse's or domestic partner, and your dependent children, together or registered domestic partner's share) to the business separately, had a 10% or greater interest, totaling $2,000 entity or trust from that source was $10,000 or more or more, during the reporting period and which is located during the reporting period. (See Reference Pamphlet, in, doing business in, planning to do business in, or which page 12, for examples.) Income from governmental has done business during the previous two years in your sources may be reportable if not considered salary. agency's jurisdiction. (See Reference Pamphlet, page See Regulation 18232. Loans from commercial lending
14.) A trust located outside your agency's jurisdiction is institutions made in the lender's regular course of reportable if it holds assets that are located in or doing business on terms available to members of the public business in the jurisdiction. Do not report a trust that without regard to your official status are not reportable. contains non-reportable interests. For example, a trust • Disclose each individual or entity that was a source containing only your personal residence not used in whole of commission income of $10,000 or more during the or in part as a business, your savings account, and some reporting period through the business entity identified in municipal bonds, is not reportable. Part 1. (See Reference Pamphlet, page 9.) Also report on Schedule A-2 investments and real property You may be required to disclose sources of income located held by that entity or trust if your pro rata share of the outside your jurisdiction. For example, you may have investment or real property interest was $2,000 or more a client who resides outside your jurisdiction who does during the reporting period. business on a regular basis with you. Such a client, if a To Complete Schedule A-2: reportable source of $10,000 or more, must be disclosed.
Part 1. Disclose the name and address of the business Mark "None" if you do not have any reportable $10,000 entity or trust. If you are reporting an interest in a business sources of income to disclose. Phrases such as entity, check "Business Entity" and complete the box as "various clients" or "not disclosing sources pursuant to follows: attorney-client privilege" are not adequate disclosure. (See Reference Pamphlet, page 15, for information on
• Provide a general description of the business activity of procedures to request an exemption from disclosing the entity. privileged information.)
• Check the box indicating the highest fair market value of your investment during the reporting period. Part 4. Report any investments or interests in real property held or leased by the entity or trust identified in • If you initially acquired or entirely disposed of this Part 1 if your pro rata share of the interest held was $2,000 interest during the reporting period, enter the date or more during the reporting period. Attach additional acquired or disposed. schedules or use FPPC's Form 700 Excel spreadsheet if • Identify the nature of your investment. needed.
Disclose the job title or business position you held with • Check the applicable box identifying the interest held as the entity, if any (i.e., if you were a director, officer, real property or an investment. partner, trustee, employee, or held any position of
management). A business position held by your spouse If investment, provide the name and description of the is not reportable. business entity.
• If real property, report the precise location (e.g., an Part 2. Check the box indicating your pro rata share
assessor's parcel number or address).
of the gross income received by the business entity or
trust. This amount includes your pro rata share of the • Check the box indicating the highest fair market value gross income from the business entity or trust, as well of your interest in the real property or investment during as your community property interest in your spouse's or the reporting period. (Report the fair market value of the registered domestic partner's share. Gross income is the portion of your residence claimed as a tax deduction if total amount of income before deducting expenses, losses, you are utilizing your residence for business purposes.) or taxes. • Identify the nature of your interest.
Part 3. Disclose the name of each source of income that • Enter the date acquired or disposed only if you initially is located in, doing business in, planning to do business in, acquired or entirely disposed of your interest in the or that has done business during the previous two years in property or investment during the reporting period. your agency's jurisdiction, as follows:
FPPC Form 700(2025/2026)
RECEIVED
2000 FEB 24 M 9: 30
CRY CLERK
CITY OF FACADENA
*
886
Pasadena Rental Housing Board
PASADEN CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE
BART
PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: SIMON GIBBONS
Home Address: PASADENA CA 91107
Mailing Address: AS ABOVE
Email Address:
Business Phone: Date Available to Start: IMMEDIATELY
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
_ Alternate Tenant Member (1 seat, reserved for tenants) Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
CARE - CREDIT ABUSE RESISTANCE EDUCATION. PROVIDING TRANING TO CHILDREN 8 ADULTS ON CREDIT USE & AVADING CREDIT TRAPS SINCE 2024 Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
O- OWNER OF BT SHEPHERD ULC. MANAGING RENTAL PROARTY IN PARADENA • LA
FORMERLY HEAD OF CREDIT/COLLECTIONS RISK FOR BANKS INCLUDINK CAPITAL CIVE, CITICAROS, HSOC, LLOTOS, HBOS NETHORLANDS (2000-2018)
Education - Include professional or vocational licenses or certificates.
BSC PHYSICS - UNIVERSITY OF LONDON
MBA - UNIVERSITY OF BRADFORD
POST - MBA PROGRAM - KELLOGG SCHOOL OF MANAGEMENT
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential contiicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
AS THE CO-OWNER OF 12 APARTMENSS
IN PASADENA, I MAY HAVE TO RECUSE MISELE IN SOME CIRCUMSTANCES
5. Do you or your extended family' members, have a material YES X NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety SEE ATTACHED of your serving as a member of the Pasadena Rental Housing SHEET Board?
9. Are you aware of the time commitment necessary to fulfill the YES No obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES No consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
SEE ATTACHMENT
13. How would you add value to the Pasadena Rental Housing Board?
SEE ATTACHMENT
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
SEE ATTACHMENT
15. How would you help to achieve these objectives and goals?
SEE ATTACHMENT
1, SIMON GIBBONS _ (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this 24 day of FEBRUARY _, 20_26.
Signed:
Printed Name: SIMON GIBBONS
of
CITY OF PASADENA
Residency Verification - MANDATORY
PRORATED
established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. 2 of the City of Pasadena I reside at _ (street), Pasadena,
CA 91107 (zip code).
SMCA
Signed:
Printed Name: SIMON GIBBONS
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Home utility bill or cellular phone bill Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• ADMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, SIMON GIBBONS (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this day of FERRUARY _ 2026.
Signed:
Printed Name: SIMON GIBBONS
CITY OF PASADENA
Supplement to Statement of Economic
988/
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application. 1 acknowledge / have read the foregoing Note (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
OF CITY OF PASADENA
*CITY
Affidavit of Tenancy - MANDATORY for Tenant Board
JUNE and Tenant Alternate Seats
(Form RHB-003)
1, SIMON GIBBONS (printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California (zip code)
OR
Tenant Alternate Seat. This form is not applicable to my application as I am not seeking a Tenant Board or Signed this 34 day of FEBRUARY _ 2026.
Signed:
Printed Name: SIMON GIBBONS
SIMON GIBBONS
APPLICATION FOR PASADENA RENTAL HOUSING BOARD - SUPPLEMENTARY
8. Have there been, or might there be, any personal or business circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board? I was a plaintiff in the lawsuit about the legality of Measure H. Some people have expressed concern about my involvement in this. The courts ruled that some aspects of Measure H were indeed inappropriate, and the case has now been concluded by the plaintiffs.
Throughout the period since Measure H passed, I have respected and followed the law: I immediately carried out rent rollbacks at the end of 2022; I have followed all rules and regulations set by the Rental Board; and I registered my rental units on time.
There is no disconnect between faithfully upholding the oath of office to fairly and impartially work for affordable housing, and exercising my constitutional right to express concerns.
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
I have co-owned and managed 12 apartments in Pasadena since 2019. During that time I have worked hard to ensure a safe and comfortable space for our tenants, including making upgrades to infrastructure such as parking and utilities, and making sure that all maintenance and repairs are carried out quickly and effectively. I am also responsible for financial management for several Los Angeles rental properties owned by other people, and this includes working with tenants to set up payment plans, discounts, or other methods to try to keep residents in their homes. This expertise follows directly from my previous roles in credit risk management over 25 years, when I set up systems for fair repayment plans and debt forgiveness structures for major US and international banks.
A good example of working with tenants was during 2020, when I set up discounts for all tenants from the start of the pandemic in March and April to help manage their finances during the uncertain period. As the businesses' own financial situation permitted, I offered further discounts during the second half of 2020. This helped to keep many tenants from building up debt during the eviction moratorium.
I'm currently working to promote financial justice as a volunteer with CARE (Credit Abuse Resistance Education) to bring financial and credit advice to children and adults across LA County.
13. How would you add value to the Pasadena Rental Housing Board? I'd like to bring my own experience in rental property management and financial management to the Rent Board. I have been paying close attention to the Board's financial position, and I have attended the majority of meetings as a member of the public.
I will also treat the oath of office seriously. I will pay attention in meetings. I will comply with FPPC and City regulations, just as complied with complex regulatory requirements throughout my career in banking.
SIMON GIBBONS
APPLICATION FOR PASADENA RENTAL HOUSING BOARD - SUPPLEMENTARY
14. What do you view as the primary objectives and goals of the Pasadena Rental Housing Board? a) Adjudicate hearings from tenants and property owners in Pasadena in front of the Board for review to help provide effective and timely resolutions for disputes. b) Regulate rent levels in line with Measure H, and oversee the implementation of Measure H which defines the obligations and requirements of the Pasadena Rental Housing Board and property owners in the city.
c) Promote neighborhood stability and affordability in Pasadena. d) Provide oversight of the Rent Stabilization Department and its $5.6 million budget.
15. How would you help to achieve these objectives and goals? I intend to treat the Board's goals seriously, in line with the oath of office.
I want to help drive effective dispute resolution and mediation of rent petitions by using my expertise in property management and financial dispute resolution to make sure that all sides are treated fairly.
I also want to use my financial experience to drive a more rigorous budget process and help the Board meet its obligations for regular and accurate reporting.
I will contribute to the balance of the Board by offering my experience as a rental property manager and owner, as well as a former renter in the USA and other countries.
Finally, I will help to ensure that regulations are clear and effective, for instance by speeding up the processes for publishing permitted rent increases and interest payable on security deposits. scis 2/261/26
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Receive iling Official Use On
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
2086 FER 21. 3010.30
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Gibbons Simon Michael CITY CLERK
1. Office, Agency, or Court i CITOr PASADENA
Agency Name (Do not use acronyms)
City of Pasadena
Division, Board, Department, District, if applicable Your Position Pasadena Rental Housing Board At-large member
• If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: -
2. Jurisdiction of Office (Check at least one box)
State I Judge (Supreme, Appellate, Superior Court), Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County IX County of LOS ANGELES
• City of Pasadena I Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through | | Leaving Office: Date Left December 31, 2025. (Check one circle below.)
-Or-
The period covered is -, through The period covered is January 1, 2025, through the date of December 31, 2025 leaving office.
-Or-
/Assuming Office: Date assumed The period covered is through the date of leaving office.
• Candidate: Date of Election NONE and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page: 7 Schedules attached
| | Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached I Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached • Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached / Attachment 700-P - Prospective Employment (87200 Filers Only) - schedule attached -or-| ! None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) Pasadena CA 91107
DAYTIME TELEPHONE NUMBER TEMAIL ADDRESS
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.
FPPC Form 700 - Cover Page 2025/2026)
SCHEDULE A-2 CALIFORNIA FORM 700
Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION Name
of Business Entities/Trusts Simon Gibbons
(Ownership Interest is 10% or Greater)
• 1. BUSINESS ENTITY OR TRUST • 1. BUSINESS ENTITY OR TRUST BT Shepherd LLC
Name Name
CA 91107
Address (Business Address Acceptable) Address (Business Address Acceptable) Check one Check one
Trust, go to 2 i Business Entity, complete the box, then go to 2 Trust, go to 2 ILl Business Entity, complete the box, then go to 2 Rania Propery magemon HIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$0 - $1,999 $0 - $1,999
$2,000 - $10,000 125 125 $2,000 - $10,000 J. 125 J. 125 $10,001 - $100,000 ACQUIRED DISPOSED $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 $100.001 - $1,000,000
It Over $1,000,000 Over $1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
I Partnership | Sole Proprietorship Partnership | | Sole Proprietorship | 1 Other Other
Managing Partner
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
• 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA • 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 50 - $499 • S10,001 - $100,000 1$0 - $499 $10,001 - $100,000 $500 - $1,000 OVER $100,000 ] $500 - $1,000 OVER $100,000 : $1.001 - $10,000 $1,001 - $10,000
3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF • 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) INCOME OF $10,000 OR MORE (Attach a separato shoot if necossary.) None or #I Names listed below None or Names listed below Separate sheet attached
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 LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box:
| INVESTMENT • REAL PROPERTY INVESTMENT | | REAL PROPERTY Name of Business Entity, if Investment, or Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Residential Rental Property
Description of Business Activity or Description of Business Activity g City or Other Precise Location of Real Property City or Other Precise Location of Real Propert FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000 $2,000 - $10,000
: $10,001 - $100,000 1 125 125 $10,001 - $100,000 125 125 $100,001 - $1,000,000 ACQUIRED DISPOSED $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
• Property Ownership/Deed of Trust Stock | Partnership Property Ownership/Deed of Trust Stock I | Partnership - Leasehold Other Other
Yrs. remaining Leasehold Yrs, remaining
Check box if additional schedules reporting investments or real property Check box if additional schedules reporting investments or real property are attached are attached
Comments:
FPPC Form 700 - Schedule A-2 (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 10
California Form 700 Schedule A-2 and Schedule B
Name: Simon Gibbons
Attachment for Reportable Single Source of Income over $10,000 during 2025
2. 3.
6. 7
8 9
10 11.
12. CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property Name
(Including Rental Income) Simon Gibbons
* ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS • ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY CITY
Pasadena CA 91107
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
| $2,000 - $10,000 $2,000 - $10,000
| $10,001 - $100,000 125 125 $10,001 - $100,000 125 _ 125 ACQUIRED DISPOSED $100,001 - $1,000,000 ACQUIRED DISPOSED | $100,001 - $1,000,000
• Over $1,000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
• Ownership/Deed of Trust Easement ! Ownership/Deed of Trust /Easement Leasehold Leasehold.
Yrs. remaining Other Yes. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 i $500 - $1,000 i j$1,001 - $10,000 $O - $499 | 1$500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 • OVER $100,000 $10,001 - $100,000 OVER $100,000 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.
| None Г None
Separate sheet attached
* 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:
NAME OF LENDER* NAME OF LENDER*
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (Months/Years) None None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD 1 | $500 - $1,000 | I $1,001 - $10,000 17$500 - $1,000 $1,001 - $10,000 1$10,001 - $100,000 | | OVER $100,000 L_| $10,001 - $100,000 OVER $100,000 Guarantor, if applicable I Guarantor, if applicable
Comments:
FPPC Form 700 - Schedule B (2025/2026)
[email protected] www.fp.go.0
California Form 700 Schedule A-2 and Schedule B
Name: Simon Gibbons
Attachment for Reportable Single Source of Income over $10,000 during 2025
1. 2.
3. 4.
5. 6.
7. 8.
9 10.
11. 12.
SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Simon Gibbons
• 1. INCOME RECEIVED • 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
See attachment for 4 paid positions
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
GROSS INCOME RECEIVED | No Income - Business Position Only GROSS INCOME RECEIVED / No Income - Business Position Only S500 - $1,000 $1,001 - $10,000 | $500 - $1,000 $1,001 - $10,000 / $10,001 - $100,000 | OVER $100,000 L./ $10,001 - $100,000 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED • Salary Spouse's or registered domestic partner's income L Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) | | Partnership (Less than 10% ownership. For 10% or greater use | Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of I Sale of
(Real property, car, boat, etc.) (Real property, car, boat, otc.) Loan repayment | 1 Loan repayment
i Commission or Rental Income, list each source of $10,000 or more 1 Commission or Rental Income, list each source of $10,000 or more (Describe) (Describe)
| Other - | | Other -
(Describe) (Describe)
• 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:
NAME OF LENDER* INTEREST RATE TERM (Months/Years)
_% I None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER I None I Personal residence /Real Property
Streat address
HIGHEST BALANCE DURING REPORTING PERIOD
| 1$500 - $1,000 City
I | $1,001 - $10,000
I.. Guarantor
| $10,001 - $100,000
I OVER $100,000 [Other.
(Doscribe)
Comments:
FPPC Form 700 - Schedule C (2025/2026)
advice@/pcagov-866-275-3772 www./pa.ces04
Addendum to California FPPC Form 700 Schedule C
Name: Simon Gibbons
During 2025, my spouse and I provided paid management services to the following companies in Los Angeles County:
Company Company Address Business Activity Business Gross Income Position received in 2025
as Salary
Rose Berlin LLC Rental Property Property $10,000 -
, Los Angeles, Manager $100,000
CA 90029
Rose Cairo LLC Rental Property Property $10,000-
Los Angeles, Manager $100,000
CA 90029
Rose London Rental Property Property $10,000 -
LLC , Los Angeles, Manager $100,000
CA 90029
Rose Rio LLC Rental Property Property $10,000 -
Los Angeles, Manager $100,000
CA 90029
RECEIVED
2026 MAR - 4 PM 4: 04
CITY CLERK
CITY OF PASADENA
00000000
Pasadena Rental Housing Board
CITY OF PASADENA
OF. PASADEN
APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
PORATED JUNE FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City appointment shall remain valid for use towards future vacancies for a period of up to one year from Council in its evaluation of your application. Applications certified by the City Clerk as eligible for certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Dan Huynh
Applicant Name:
Pasadena CA 91103
Home Address:
Mailing Address:
Email Address:
Date Available to Start: 3/15/2024
Business Phone:
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
/ At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
/ Alternate At-large Member 1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
Pasadena Complete Streets Coalition - volunteer
lasadena Tenants Union - volunteer
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
Please see resume attached
Education - Include professional or vocational licenses or certificates, Please see resume attached
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended tamily, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO L obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
Tu; Supporting tenants and landlordsinavigat
Measure H, In a different county, family onned proper
13. How would you add value to the Pasadena Rental Housing Board? by offering my experiences as a tormer tenant uho
is of Asian American descent 4 skills ın addressina
1state polic
14. What do you view are the primary objectives and goals of the Pasadena Rentat Housing Board?
The implementation of the charter amendment, entorcem
By Working in conrert with othe board members, hearing
officers, and governing bodies. By wirrying out cuties as desent 1, Dan Huunh - (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this 02 _ day of March _ 2026.
Signed:
Printed Name: Dan Huynh
CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of I am a resident of District No. / _ of the City of Pasadena I reside at (street), Pasadena,
CA jio azip code).
Signed: Dany Cue
Printed Name: Dan Huynh
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Home utility bill or cellular phone bill Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
• If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
PASADEN CITY OF PASADENA
*CITY
Supplement to Statement of Economic
CORPORATCO JUNE Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application.
I acknowledge I have read the foregoing Note Dt (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, Dan Huynh . (printed name), declare under penalty of perjury under the law of the State of Calffornia that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 02 day of March _ 2026.
Signed:
Printed Name: _ Dan Huynh
OF PASADEN CITY OF PASADENA
CITY
Affidavit of Tenancy - MANDATORY for Tenant Board
JUNE and Tenant Alternate Seats
(Form RHB-003)
_(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed this _03 _ day of March . 20 26.
Signed: Daz a
Printed Name: Dan Huynh
Dan Huynh Pasadena, CA
Professional Experience
Consultant May 2025 - Present
The Research and Planning Group
Facilitate the development and training of cross-functional community college teams to support the integration of a new statewide initiative and improve program effectiveness Part-time Faculty August 2024 - present
Pasadena City College | Pasadena, CA
Develop accessible and culturally-relevant curricula, instructing over 120 students from diverse backgrounds and age groups on scientific inquiry and research methods in the life sciences Research and Planning Analyst March 2019 - April 2024
Pasadena City College | Pasadena, CA
Managed increasingly complex research and data projects, developing insights on district-wide priorities such as accreditation, annual planning, grant development, and student equity initiatives Research Analyst April 2017 - February 2019
SSG Research and Evaluation Division | Los Angeles, CA
Conducted program impact assessments through quantitative and qualitative data analysis leading to tangible results, including: sustained funding and growth for clients Public Administration Analyst July 2015 - March 2017
UCLA Center for Health Advancement | Los Angeles, CA
Evaluated potential health impacts of a proposed transportation project through secondary data analysis, recommending interventions to reduce harms and maximize health benefits Education
Master of Public Health | University of California Los Angeles | 2014 Bachelor of Science in Biological Sciences | University of California Irvine | 2010 1 STATEMENT OF ECONOMIC INTERESTS Date initial Filing Received CALIFORNIA FORM 700 Fatig Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) 2.0M60L67-4 PM 4:06
(FIRST)
Huynh Dan CITY CLERK
1. Office, Agency, or Court * CITY OF PASADENA
Agency Name (Do not use acronyms)
city of Pasadena
Division, Board, Department, District, if applicable Your Position asadena Kental Housinc _Board Applicant
• If filing for multiple positions, list below or on an attachment. (Do not use acronyms Agency: Position: -
2. Jurisdiction of Office (Check at least one box)
State
Judge (Supreme, Appellate, Superior Court), Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County V County of LDS Angeles
Vity of Pasadend
Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left _ J.
December 31, 2025. (Check one circle below.)
-Ог-
The period covered is - through The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
Assuming Office: Date assumed J. The period covered is - - through the date of leaving office.
/ Candidate: Date of Election NONE and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page: 3 Schedules attached
Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P - Prospective Employment (87200 Filers Only) - schedule attached -or- None - No reportable interests on any schedule
5. Verification Pasadend CA 91103
MAILING ADDRESS STREET CITY STATE
ZIP CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowedge the information containcd 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 March 2026 Signature
(month, day, year) (File the originally signed paper stalement with your filing official.
FPPC Form 700 - Cover Page (2025/2026)
[email protected] 866-275-3772 • www.fppc.ca.gov
Types of Statements
Assuming Office Statement: Leaving Office Statement:
Generally, the period covered is January 1, 2025,
If you are a newly appointed official or are newly employed in through the date you stopped performing the duties of a position designated, or that will be designated, in a state or your position. If the period covered differs from January local agency's conflict of interest code, your assuming office date is the date you were sworn in or otherwise authorized to 1, 2025, through the date you stopped performing the duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your between October 1, 2024, and December 31, 2024, or assuming office date is the date you were sworn in.
you are combining statements), the period covered must
• Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income Report: Investments, interests in real property, business (including loans, gifts, and travel payments) received positions held, and income (including loans, gifts, and during the 12 months prior to the date you assumed the
travel payments) received during the period covered by
office or position. the statement. Do not change the preprinted dates on For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position. Candidate Statement:
• Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported.
Maria must report investments, interests in real property, In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable. district board members) must file candidate statements, • Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received Amendments:
during the 12 months prior to the effective date of the If you discover errors or omissions on any statement, file code or amendment.
an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes governing the filing of an expanded statement are set forth If your disclosure category changes during a reporting
period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period
FPPC Form 700(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
RECEIVE' vestments, Income, and Assets Name
of Business Entities/Trusts
2026 MAR -4 PM 4: 050wnership Interest is 10% or Greater) Dan Huynh
1. BUSINESS ENTITY OR TRUST • 1. BUSINESS ENTITY OR TRUST Dan пиунь senpuiting Haunt t
Name Name
Posadera (A 91103
Address (Business Address Acteptable) Address (Business Address Acceptable) Check one Check one
Trust, go to 2 Business Entity, complete the box, then go to 2 Trust, go to 2 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS Education Consulting
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
SO - $1,999 $0 - $1,999
/$2,000 - 510,000 125 125
$2,000 - $10,000 J25 125
S10,001 - S100,000 ACQUIRED DISPOSED $10,001 - S100,000 ACQUIRED DISPOSED S100,001 - $1,000,000 S100,001 - $1,000,000
Over $1,000,000 Over $1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
Partnership Sole Proprietorship Partnership Sole Proprietorship Other Other
YOUR BUSINESS POSITION OWher
YOUR BUSINESS POSITION
2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA • 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SO - $499 $10,001 - $100,000 SO - S499 S10,001 - S100,000 ; OVER $100,000 S500 - $1,000 OVER $100,000
8500 - 51,000
$1,001 - $10,000 S1,001 - $10,000
3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF • 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a soparate sheet it necossary.) INCOME OF $10,000 OR MORE (Attach a separate sheet if neceasary.) None or Names listed below None Names listed below
or TY
...
CITY CL MAR -4 ECEIV
PAS PH
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 LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box:
INVESTMENT REAL PROPERTY INVESTMENT REAL PROPERTY
Name of Business Entity, if Investment, or Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2,000 - $10,000 $2,000 - $10,000
$10,001 - S100,000 125 125 $10,001 - $100,000 125 125
S100,001 - $1,000,000 ACQUIRED DISPOSED $100,001 - S1.000,000 ACQUIRED DISPOSED Over $1,000,000 Over $1,000,000
NATURE OF INTEREST NATURE OF INTEREST
Property Ownership/Deed of Trust Stock Partnership Property Ownership/Deed of Trust Stock Partnership
Leasehold Other Leasehold Other
Yrs. remaining Yrs. remaining
Check box if additional schedules reporting investments or real property Check box if additional schedules reporting investments or real property are attached are attached
Comments:
FPPC Form 700 - Schedule A-Z (2025/2026)
[email protected] • 866-275-3772 • www.fooc.ca.eov
Instructions - Schedules A-1 and A-2
Investments
"Investment" means a financial interest in any business • Retirement accounts invested in non-reportable interests entity (including a consulting business or other (e.g., insurance policies, mutual funds, or government independent contracting business) that is located in, doing bonds) (See Reference Pamphlet, page 16) business in, planning to do business in, or that has done •Government defined-benefit pension plans (such as business during the previous two years in your agency's CaPERS and CalSTRS plans) jurisdiction in which you, your spouse or registered • Certain interests held in a blind trust (See Reference domestic partner, or your dependent children had a direct, Pamphlet, page 17.) indirect, or beneficial interest totaling $2,000 or more at any time during the reporting period. (See Reference Use Schedule A-1 to report ownership of less than 10% Pamphlet, page 14.) (e.g., stock). Schedule C (Income) may also be required if the investment is not a stock or corporate bond. (See Reportable investments include: second example below.)
• Stocks, bonds, warrants, and options, including those held in margin or brokerage accounts and managed Use Schedule A-2 to report ownership of 10% or greater investment funds (See Reference Pamphlet, page 14.) (e.g., a sole proprietorship). • Sole proprietorships To Complete Schedule A-1:
• Your own business or your spouse's or registered Do not attach brokerage or financial statements. domestic partner's business (See Reference Pamphlet,
• Disclose the name of the business entity. Do not use
page 9, for the definition of "business entity.") acronyms for the name of the business entity, unless it • Your spouse's or registered domestic partner's is one that is commonly understood by the public. investments even if they are legally separate property
• Provide a general description of the business activity • Partnerships (e.g., a law firm or family farm) of the entity (e.g., pharmaceuticals, computers, • Investments in reportable business entities held in a automobile manufacturing, or communications). retirement account (See Reference Pamphlet, page 16.) . Check the box indicating the highest fair market value • If you, your spouse or registered domestic partner, of your investment during the reporting period. If you and dependent children together had a 10% or are filing a candidate or an assuming office statement, greater ownership interest in a business entity or trust indicate the fair market value on the filing date or the (including a living trust), you must disclose investments date you took office, respectively. (See page 21 for held by the business entity or trust. (See Reference more information.) Pamphlet, page 17, for more information on disclosing • Identify the nature of your investment (e.g., stocks, trusts.) warrants, options, or bonds).
• Business trusts • An acquired or disposed of date is only required if you You are not required to disclose: initially acquired or entirely disposed of the investment • Government bonds, diversified mutual funds, certain interest during the reporting period. The date of a stock funds similar to diversified mutual funds (such as dividend reinvestment or partial disposal is not required. exchange traded funds) and investments held in certain Generally, these dates will not apply if you are filing a retirement accounts. (See Reference Pamphlet, page candidate or an assuming office statement.
14.) (Regulation 18237) Examples:
• Bank accounts, savings accounts, money market Frank Byrd holds a state agency position. Frank's conflict accounts and certificates of deposits of interest code requires full disclosure of investments. • Cryptocurrency Frank must disclose stock holdings of $2,000 or more • Insurance policies in any company that is located in or does business in California, as well as those stocks held by Franks's spouse • Annuities
or registered domestic partner and dependent children.
• Commodities
Alice Lance is a city council member. Alice has a 4%
• Shares in a credit union
interest, worth $5,000, in a limited partnership located in • Government bonds (including municipal bonds) the city. Alice must disclose the partnership on Schedule A-1 and income of $500 or more received from the
Reminders
partnership on Schedule C.
• 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.
EPPC Form 700 (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name
(Other than Gifts and Travel Payments) Dan Huynh
1. INCOME RECEIVED 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Pasadence Area Community College
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) Pasadena
BUSINESS ACTIVITY, IF ANY, Or SOURCE CA 9il06 BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
-acult
GROSS INCOME RECEIVE! No Income - Business Position Only GROSS INCOME RECEIVED No Income - Business Position Only S500 - $1,000 $1,001 - $10,000 $500 - $1,000 S1,001 - $10,000 S10,001 - S100,000 OVER S100,000 $10,001 - S100,000 OVER S100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of Sale of
(Real property, car, boat. etc.) (Real property, car, boat. elc.) 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)
Other Other
(Describe) (Describe)
• 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:
NAME OF LENDER* INTEREST RATE TERM (Months/Years)
None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER None Personal residence Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - S1,000
City
S1,001 - $10,000
Guarantor
$10,001 - $100,000
OVER $100,000
Uther
(Describe)
Comments:
FPPC Form 700 - Schedule C (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Instructions - Schedule B
Interests in Real Property
Report interests in real property located in your agency's • If you received rental income, check the box indicating the jurisdiction in which you, your spouse or registered domestic gross amount you received partner, or your dependent children had a direct, indirect, or • If you had a 10% or greater interest in real property and beneficial interest totaling $2,000 or more any time during received rental income, list the name of the sources) if the reporting period. Real property is also considered to be your pro rata share of the gross income from any single "within the jurisdiction" of a local government agency if the tenant was $10,000 or more during the reporting period property or any part of it is located within two miles outside If you received a total of $10,000 or more from two or more the boundaries of the jurisdiction or within two miles of any tenants acting in concert (in most cases, this will apply to land owned or used by the local government agency. (See married couples), disclose the first and last name of each Reference Pamphlet, page 14.) tenant. Otherwise, mark "None." Interests in real property include: • Loans from a private lender that total $500 or more and • An ownership interest (including a beneficial ownership are secured by real property may be reportable. Loans interest) from commercial lending institutions made in the • A deed of trust, easement, or option to acquire property lender's regular course of business on terms available to members of the public without regard to your official • A leasehold interest (See Reference Pamphlet, page 15.) status are not reportable.
• A mining lease
When reporting a loan:
• An interest in real property held in a retirement account - Provide the name and address of the lender.
(See Reference Pamphlet, page 16.)
- Describe the lender's business activity.
• An interest in real property held by a business entity or trust in which you, your spouse or registered domestic - Disclose the interest rate and term of the loan. For partner, and your dependent children together had a 10% variable interest rate loans, disclose the conditions or greater ownership interest (Report on Schedule A-2.) of the loan (e.g., Prime + 2) or the average interest • Your spouse's or registered domestic partner's interests in rate paid during the reporting period. The term of real property that are legally held separately by him or her a loan is the total number of months or years given for repayment of the loan at the time the loan was
You are not required to report:
• A residence, such as a home or vacation cabin, used - Check the box indicating the highest balance of the exclusively as a personal residence (However, a residence loan during the reporting period. in which you rent out a room or for which you claim a
- Identify a guarantor, if applicable.
business deduction may be reportable. If reportable,
report the fair market value of the portion claimed as a tax If you have more than one 4600 24th Street
deduction.) reportable loan on a single
Sacramonte
• Some interests in real property held through a blind trust piece of real property, report CAN MARKET VALUE. (See Reference Pamphlet, page 17.) the additional loan(s) on • Please note: A non-reportable property can still Schedule C. NATURE. OF BIRACS 1 Cornin
be grounds for a conflict of interest and may be Example:
disqualifying. Allison Gande is a city REDAL BREE ORCHE PROLE REGIMEO so - sam
planning commissioner. M 51000 • 510002) I OVER SIDO
To Complete Schedule B:
During the reporting period, me of cache in a at trage source • Report the precise location (e.g., an assessor's parcel Allison received rental income None Honry Wells
number or address) of the real property.
of $12,000, from a single
• Check the box indicating the fair market value of your tenant who rented property Sophia Petroillo
interest in the property (regardless of what you owe on the owned in the city's jurisdiction. 2121 Blue Sky Parkway. Sacramento
property). If Allison received $6,000 BOSWARN ASTATIN OF LENER each from two tenants, the Restaurant Owner
• Enter the date acquired or disposed only if you initially WIENER" RATE acquired or entirely disposed of your interest in the tenants' names would not be 15 Years property during the reporting period. required because no single HIGHES BALANCE DOREES REPORTING PERIOD - 1500. 19500 [sa1. 30-m0
tenant paid her $10,000 or * 310000 - 5000000 0/ 51050n • Identify the nature of your interest. If it is a leasehold, disclose the number of years remaining on the lease more. A married couple is considered a single tenant.
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(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Papa. 13
CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE
PORATED SURE PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Brandon Lamar
Home Address: Pasadena CA 91104
Mailing Address:
Email Address:
Business Phone: Date Available to Start: ASAP
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
Pasadena NAACP, Pasadena's Organizing for Progress, Pasadena Young and Healthy Board, Neighborhood Survant Board Pasadena Rental Board
Employment - Title and duties, current and past (acceptable to attach resume as an alternative.
Harambee Ministries, Executive Director
Education - Include professional or vocational licenses or certificates.
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
Pasadena Parks and Recs
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship)
no
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or economic holdings, in relation to your responsibilities as member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
and -Le.
OF PASA CITY OF PASADENA
• CITY
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. 3 of the City of Pasadena I reside at
CA 91|04 (street), Pasadena,
. (zip code).
Signed:
Printed Name Brandon hama
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DIVV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Recorditonil or selle or phational bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued.
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended ramily, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
I have been on the board for the Rental housing board since the start. I have have worked on housing justice issues and advocacy
13. How would you add value to the Pasadena Rental Housing Board? I lay douly comedied in the real chatonger both lenals and routing providere face, fade value by helping aste the blary decuens are dormed by demany ice, leiness, and thought cafter lien By pal is la support polaed hal preted anents. respect property owners, and strengthen long-term housing stability in our city.
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
build relationship with renters and property owners to stop displacement
15. How would you help to achieve these objectives and goals? by my experience and expertise of building collaboration 1, Brandon Lamar _ (printed name), declare under penalty of perjury under the law of the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this day of march _ 2026.
Signed:
Printed Name: Brandan Lamar
of PASAD CITY OF PASADENA
Supplement to Statement of Economic
RPORATEO Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVill requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application. / acknowledge I have read the foregoing Note (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)). • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• ADMV No Fee Identification Card Eligibility Verification (DL. 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1. Brande en Lamar (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 9 _ day of march _ 20 2/e.
Signed:
Printed Name: Brandon Lamer
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Receive CALIFORNIA FORM 700 ling Official Use Onl
COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE 25 APR 21 PM L: 07 Brandon
1. Office, Agency, or Court CITY CLEAT
CITY OF PASADENA
Agency Name (Do not use acronyms)
Dasadena
Division, Board, Department, District, if applicable
Pasadener Pasademen Pena Huss ny Board Applicant
Agency: Position: -
2. Jurisdiction of Office (Check at least one box)
State L Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction)
• Multi-County county of Los Angeles
Day or Posadena • Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2024, through • Leaving Office: Date Left December 31, 2024. (Check one circle below.)
-or-
The period covered is - through • The period covered is January 1, 2024, through the date of December 31, 2024. leaving office.
-Or-
Assuming Office: Date assumed _ / • The period covered is. through the date of leaving office.
M Candidate: Date of Election none _ and office sought, if different than Part 1:_
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
• Schedule A-1 - Investments - schedule attached • Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) _ Pasadena CA 91104.
DAYTIME TELEPHONE NUMOCK
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the thformation 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 4/2125 Signature
(Hile the originally signed p your filing official.)
FPPC Form 700 - Cover Page (2024/2025)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 6
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Receive CALIFORNIA FORM 700 Filing Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) MIODLE)Y5 APR 2T PM L: 07
Brandon
1. Office, Agency, or Court CIT. GLEAK
CITY OF PASADENA
Agency Name (Do not use acronyms)
Ovalon, Board, bearmen, Distie, applicable Dasadena
Your Position
Pasadena Fent HousingBoard Applicant
* If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: -
2. Jurisdiction of Office (Check at least one box)
State • Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction)
• Multi-County County of Los Angeles
City of _ asidana • Other
3. Type of Statement (Check at least one box)
_ Annual: The period covered is January 1, 2024, through • Leaving Office: Date Left December 31, 2024. (Check one circle below.)
-or-
The period covered is - - through • The period covered is January 1, 2024, through the date of December 31, 2024. leaving office.
-ОГ-
Assuming Office: Date assumed • The period covered is - _ through the date of leaving office.
• Candidate: Date of Election nOne and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
• Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached -Or- V None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) DAYTIME TELEPHONE NUMBER - - Pesonana CA 91104
Thave used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge The tformation 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 4/2/25 Signature
(File the originally signed paper. your filing official.) FPPC Form 700 - Cover Page (2024/2025)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 6
RECEIVED
2025 FED 17 PM 3: 23
CIT / CLERK
: CITY OF PALIDENA
*
Pasadena Rental Housing Board
CITY OF PASADENA
*CITY APPLICATION FOR APPOINTMENT TO THE
ae
PASADENA RENTAL HOUSING BOARD
PORATED JUNE FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Brenda Lyon
Pasadena CA
Home Address:
Mailing Address:
Email Address:
Business Phone: Date Available to Start: ASAP
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
X Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
FellowshipChurch
Local News Pasadener
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
Resume Attached
Education - Include professional or vocational licenses or certificates.
BS. Acting - Illinois Sate Unirersity
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES the City of Pasadena? (If yes, please indicate name and relationship)
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating ir YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent. child, sibling. grandparent. aunt or uncle niece or enhaw nandchili er mein /Chaine Cantian 4013/-l
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
• 8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
Sr. manager for anonline Property Managment company.
wewer mi liason beven owinsandtenants.
13. How would you add value to the Pasadena Rental Housing Board? * dee attached
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
i see attached.
15. How would you help to achieve these objectives and goals? * sel. attached
Been alria on the information deported i care order Boy of per a cure a la complete.
Signed this _ 17 dayor etruary _ 2020.
Signed: unen Lyon
Printed Name: Brenda Lyon
PASADE CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. 2 _of the City of Pasadena I reside at (street), Pasadena,
CA 91104 (zip code).
Signed: enday on
Printed Name: Brenda Lyon
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
: Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• ADMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
OF PASADEN CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application. / acknowledge I have read the foregoing NoteBt (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, Brenda Lyon _ (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 17 day of Febreary _. 2026.
signed: Brenda Lyon
Printed Name: Brenda Lyon
OF PASADENT CITY OF PASADENA
CITY
1886 Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
1. Brenda Lyon _(printed name), declare under penalty of perjury under the law of the State of California that/the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California 91/04 (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
signed this_17 day or February 20268
signed Orenda dilen
Printed Name: Brenda Lon
Hello,
Thank you so much for taking the time to read this. My name is Brenda Lyon, and I'm very inspired to run for the At Large seat on the Rental Housing Board.
Pasadena has been on my heart since | was a little girl, as I grew up in Chicago, and my mother adored the Rose Parade. Every New Year's Day we would tune in from afar, and now I get to experience the joy of an entire week of events right in my own neighborhood. This year was especially wonderful to me, as my Mom flew in to visit and we sat at the end of the parade in the rain with my 2 year old, new cherished joy. The stories, the artistry, the community, what a treat!
Before the recent Eaton Fires, I was a Sr. Manager of the original core staff of a rapidly growing online property management company that handled full service listings, showings, property management, repairs, turnovers, relisting, and lease renewals of rental units. Each city boasted their own ever changing ordinances that we had to keep up to date on. It was a daily balance to be the peacemaker and liaison between owners and tenants.
There were many heated arguments, phone calls and emails on a daily basis that we had to deescalate. I truly understand the challenges on a large and small scale that landlords face when dealing with trying to increase rents to match the costs they face on a local and federal level for taxes, fees, utilities and upkeep. I also watch the widespread rent increases of the last decade that have doubled and tripled all across the United States that not many tenants can afford.
This past year, I became an advocate for tenant rights in Altadena and Pasadena as a plaintiff in a lawsuit against LA County and Pasadena. My rental unit was covered in soot and had smoke damage and I was faced with a landlord who refused to file a homeowners claim. I spent months reaching out to city offices and public offices, only to be told that my issue was a civil matter. I hope to be a voice of reason for common sense laws to keep renters safe, as more than half of the city of Pasadena are renters.
It is my hope that Pasadena, and the state of California, can dive deeper into hygienists, inspections, habitability laws, and public health guidelines.
It's important that everyone can enjoy the right to a habitable premise. https://laist.com/news/housing-homelessness/los-angeles-county-pasaden a-renter-tenant-landlord-lawsuit-smoke-damage-ash-fire.
I would add value to the Pasadena Rental Housing Board, as a woman, mother, and a community member who cares for my neighbors, both landlords and tenants. I am passionate about a diverse, multigenerational city that advocates for its most vulnerable. I promise to keep a fair and open mind in regards to all the voices that want to be heard, to make laws that work for everyone. I have worked in accounting, law firms, theatres, churches, and restaurants. My office management skills have made me a superb leader in research, time management, and managing money. I am very well rounded in understanding each cornerstone and root of what it takes to keep a balanced city of diverse culture.
I see the primary objectives of the Pasadena Rental Housing Board as to make sure that an annual rent stabilization increase is maintained to protect renters from too great an increase, to make sure Just Cause Evictions are followed properly, that the Fair and Equitable Housing Charter is enforced and maintaining a balance of education and support to landlords and tenants alike.
My family was supported so very well by the Rent Stabilization Department last year, when we realized that our rent increase was done improperly.
Our rep Kiana was so organized and kind!
I would make sure to be passionate about community outreach so that tenants and landlords knew the proper increases that were allowed. I would hope to mirror the patience, clear communication, and mediation that Kiana did effortlessly.
I am happy to answer any questions you have and look forward to hearing from you.
Best,
BRENDA LYNN LYON
EMPLOYMENT
Sr. Manager Feb 2022 - Feb 2025
Ziprent Property Management Los Angeles, CA
• First point of contact for all potential clients, covering all services and closing agreements. • Managing all paid lead accounts on multiple platforms. • Streamlining communication between all departments, highly tech based system. • Training new team members.
• Fielding and prioritizing emails, phone calls and text communications between owners and tenants. • Maintaining positive relationships with clients in escalated circumstances.
Office Manager/Personal Assistant March 2013 - August 2021 International Trauma Institute/Gina Ross Los Angeles, CA • Assistant to President/Founder for personal and international business. • Accounting, Quickbooks, bank reconciliations, client billing, filing, insurance claims.
Accounts receivable/payable, maintaining contracts, tax preparation. • House management, IT liaison, travel booking, filming of content.
Special Events March 2013 - March 2020
Geffen Playhouse Los Angeles, CA
• On site assistant for donors, VIPs, and celebrity performers. • Set up/break down of events, food/beverage manager, concierge for all services. • Honored to have been trusted with taking care of our most esteemed guests, and many of them spoke to my bosses about my excellent care.
Accounting/Stage Manager/Producer April 2011 - 2016
Rogue Machine Theatre Los Angeles, CA
• Core member/staff for the #1 Theatre in LA. Ovation, LAWeekly, Variety, Backstage.com, LATimes, Critics choice-award winning shows.
• Stage Manager, Producer, Assistant Director in shows year round. • Box office, ticketing, bookkeeping, all around support to the Artistic Director and Board of Directors.
Office Manager November 2008 - April 2011
Petrol Advertising Burbank, CA
• Accounting/HR/Vice President Assistant.
Front desk Reception, mail, FedEx, messengers, lobby guests.
Accounts reccivable/payable, filing, billing, errands, ordering supplies • Event planning for the office, maintaining all vendors (plumbers/hvac/pest control).
Reconciling Amex bill for all managers, Brand development, faxing, maintaining of office database.
Nanny/Personal Assistant June 2005 - November 2008
Shocket Family Los Angeles, CA
• The caring for twins (boy and girl).
• Trasnport for appointments, school pick-up, cooking, aiding with homework. • Traveling with family on business trip/vacations.
• Running errands for family, organizing schedules, and cleaning up after children.
Accountant March - May 2005
Quinn Emmanuel, Urquart, Oliver and Hedges, PC Los Angeles, CA • Opening of new client files for entire firm (six offices total).
Maintaining hours/time for hundreds of partners, law clerks, associates and paralegals.
Assisting CFO and Controller with Accounting procedures for billing • Filing, phone/email correspondence, aiding legal secretaries on all levels.
EDUCATION
B.S. in Theater/Acting August 1999 - May 2003
Illinois State University Normal, IL
President of Illinois State University Theatre Association Four-Year Tuition Waiver for Education
• College of Fine Arts Honors in Acting
SKILLS AND RELEVANT ASSETS
Exceptional people skills, excellent under pressure, superb manager, deeply creative, problem solver, organizer, peacekeeper, joyful, kind, smart, fun!
Word, Excel, very Internet savvy, impeccable researcher, strong social media knowledge.
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Fling Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
Lyon 006 ГЕВ 17 РМ 3: 22
Brenda Lynn
1. Office, Agency, or Court
Y OF PASADENA
Agency Name (Do not use acronyms)
City of pasadena
Division, Board, Department, District, if applicable Your Position Pasadena Rental Housin Board Applicant
• If filing for multiple positions, list below or on an attachment. (Do Not use acronyms) Agency: Position:
2. Jurisdiction of Office (Check at least one box)
State
Judge (Supreme, Appellate, Superior Court), Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County * County of Los Angeles
X City of lasadena Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025. (Check one circle below.)
-Ог-
The period covered is - through The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
Assuming Office: Date assumed 1. The period covered is -, through the date of leaving office.
X Candidate: Date of Election NONE
and office sought, if different than Part 1:.
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
X Schedule A-1 - Investments - schedule attached > Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P- Prospective Employment (87200 Filers Only) - schedule attached -Or- None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE
ZIP CODE
(Business or Agency Address Recommended - Public Document) Pasadena CA 91104
DAYTIME TELEPHONE NUMBER
EMAIL ADDRESS
I have used all reasonable digence in preparing this statement. I have reviewed this statement una to the besuof 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 Calfornia that the foregoing l try and correct Date Signed
month, day. year) (File the orginally signed paper statement with your filing official.) FPPC Form 700 - Cover Page (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Types of Statements
Assuming Office Statement: Leaving Office Statement:
Generally, the period covered is January 1, 2025,
If you are a newly appointed official or are newly employed in a position designated, or that will be designated, in a state or through the date you stopped performing the duties of your position. If the period covered differs from January local agency's conflict of interest code, your assuming office date is the date you were sworn in or otherwise authorized to 1, 2025, through the date you stopped performing the duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your between October 1, 2024, and December 31, 2024, or
assuming office date is the date you were sworn in.
you are combining statements), the period covered must
• Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income • Report: Investments, interests in real property, business (including loans, gifts, and travel payments) received
positions held, and income (including loans, gifts, and during the 12 months prior to the date you assumed the
travel payments) received during the period covered by
office or position.
the statement. Do not change the preprinted dates on
For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position.
Candidate Statement:
• Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported.
Maria must report investments, interests in real property. In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B.
If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable. district board members) must file candidate statements, • Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received Amendments:
during the 12 months prior to the effective date of the If you discover errors or omissions on any statement, file code or amendment.
an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes governing the filing of an expanded statement are set forth If your disclosure category changes during a reporting
period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period
FPPC Form 700(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
SCHEDULE A-1
CALIFORNIA FORM 700
Investments
FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests
Name
(Ownership Interest is Less Than 10%)
Husband Investments must be itemized. B. Lyon
Do not attach brokerage or financial statements.
• NAME OF BUSINESS ENTITY • NAME OF BUSINESS ENTITY
John Hancock
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS Insurance Retirement
FAIR MARKET VALUE FAIR MARKET VALUE
$2,000 - $10,000 X S10,001 - $100,000 S2,000 - $10,000 $10,001 - $100,000 $100 001 - $1,000.000 Over $1,000,000
S100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
401
Stock X Other - Stock
Other
(Describe) (Describe)
Partnership Income Received of SO - $499 Partnership Income Received of SO - S499 Income Received of S500 or More (Report on Schedule C) Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
125 125 125 125
ACQUIRED DISPOSED ACQUIRED
DISPOSED
• NAME OF BUSINESS ENTITY • NAME OF BUSINESS ENTITY
apital Group
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS KOIn IRA Investment
FAIR MARKET VALUE
FAIR MARKET VALUE
S2,000 - $10,000 XS10,001 - $100,000 $2,000 - $10,000
$10,001 - $100,000
S100,001 - $1,000,000 Over $1,000,000 S100,001 - $1,000,000 Over $1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
Stock Roth FRA
X Other Stock Other
(Describe) (Describe)
Partnership Income Received of so - $499 Partnership Income Received of SO - S495 Income Received of S500 or More (Report on Schedule C) income Received of $500 or More (Report on Schedule O IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
125 125 J. 125 125
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 FAIR MARKET VALUE
$2,000 - S10,000 $10,001 - $100,000 $2,000 - $10,000 $10,001 - $100,000 S100,001 - $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 SO - $499 Partnership Income Received of S0 - S499 Income Received of s500 or More (Report on Schedule C) Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
1- 125 J. 25 25 125
ACQUIRED DISPOSED ACQUIRED DISPOSED
Comments:
FPPC Form 700 - Schedule A-1 (2025/2026)
[email protected]= 866-275-3772 • www.fpc.ca.gov
Instructions
Cover Page
Enter your name, mailing address, and daytime telephone • If your agency is not a state office, court, county office, city number in the spaces provided. Because the Form 700 is a office, or multi-county office (e.g., school districts, special public document, you may list your business/office address districts and JPAs), check the "other" box and enter the instead of your home address. county or city in which the agency has jurisdiction.
Part 1. Office, Agency, or Court Example:
• Enter the name of the office sought or held, or the agency or This filer is a member of a water district board with jurisdiction court. Consultants must enter the public agency name rather in portions of Yuba and Sutter Counties. than their private firm's name. (Examples: State Assembly;
1. Office, Agency, or Court
Board of Supervisors; Office of the Mayor; Department of Agency Name O: cause seyes:
Featlier River Irrigation Disiric:
Finance; Hope County Superior Court). Kur Assron
NA Bean! Memher
• Indicate the name of your division, board, or district, if applicable. (Examples: Division of Waste Management;
Agony NA Porton
Board of Accountancy; District 45). Do not use acronyms.
2. Jurisdiction of Office (Check at least one bor)
• Enter your position title. (Examples: Director; Chief Counsel; Judge or Cout Commsseter (Sieewa sunsacte") City Council Member; Staff Services Analyst). BisCons Viaha & Sitter Counties • Cany o Care
• If you hold multiple positions (i.e., a city council member who also is a member of a county board or commission) you may Part 3. Type of Statement be required to file separate and distinct statements with each Check at least one box. The period covered by a statement agency. To simplify your filing obligations, in some cases you is determined by the type of statement you are filing. If you may instead complete a single expanded statement and file it are completing a 2025 annual statement, do not change the with each agency. pre-printed dates to reflect 2026. Your annual statement is • The rules and processes governing the filing of an used for reporting the previous year's economic interests. expanded statement are set forth in Regulation 18723.1. Economic interests for your annual filing covering January 1, To file an expanded statement for multiple positions, 2026, through December 31, 2026, will be disclosed on your enter the name of each agency with which you are statement filed in 2027. See Reference Pamphlet, page 4. required to file and your position title with each agency Combining Statements: Certain types of statements for the in the space provided. Do not use acronyms. Attach an
same position may be combined. For example, if you leave additional sheet if necessary. Complete one statement
office after January 1, but before the deadline for filing your disclosing all reportable interests for all jurisdictions. annual statement, you may combine your annual and leaving Then file the expanded statement with each agency as
office statements. File by the earliest deadline. Consult your directed by Regulation 18723.1(c). filing officer or the FPPC.
If you assume or leave a position after a filing deadline, you Part 4. Schedule Summary
must complete a separate statement. For example, a city council member who assumes a position with a county special • Complete the Schedule Summary after you have reviewed district after the April annual filing deadline must file a separate each schedule to determine if you have reportable assuming office statement. In subsequent years, the city interests. council member may expand their annual filing to include both • Enter the total number of completed pages including the positions. cover page and either check the box for each schedule you use to disclose interests; or if you have nothing to disclose Example:
on any schedule, check the "No reportable interests" box.
Brian Bourne is a city council member for the City of Lincoln Please do not attach any blank schedules.
and a board member for the Camp Far West Irrigation District - a multi-county agency that covers the Counties of Placer and Part 5. Verification Yuba. The City is located within Placer County. Brian may Complete the verification by signing the statement and complete one expanded statement to disclose all reportable entering the date signed. Each statement must have an interests for both offices and list both positions on the Cover original "wet" signature unless filed with a secure electronic Page. Brian will file the expanded statement with each the City signature. (See page 4 above.) All statements must be signed and the District as directed by Regulation 18723.1(c). under penalty of perjury and be verified by the filer pursuant to Part 2. Jurisdiction of Office Government Code Section 81004. See Regulation 18723.1(c) • Check the box indicating the jurisdiction of your agency for filing instructions for copies of expanded statements. and, if applicable, identify the jurisdiction. Judges, judicial When you sign your statement, you are stating, under candidates, and court commissioners have statewide penalty of perjury, that it is true and correct. Only the filer jurisdiction. All other filers should review the Reference has authority to sign the statement. An unsigned statement is not considered filed and you may be subject to late filing Pamphlet, page 14, to determine their jurisdiction.
penalties.
• If your agency is a multi-county office, list each county in which your agency has jurisdiction.
PC Form 700(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name
(Other than Gifts and Travel Payments) B. Lyon
• 1. INCOME RECEIVED • 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Team Logic IT Of Pasadena
ADDRESS (Business Adafess Acceptable ADDRESS (Business Address Acceptable)
BUSINCSS ACTIVITY, IT ANY, OR SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Sr. sustems manager
KOUR BUSINESS POSITION YOUR BUSINESS POSITION
Information richrologu
GROSS INCOME RECEIVED No Income - Business Pastion Only GROSS INCOME RECEIVED No Income - Business Position Only
S500 - 51,000 S1,001 - $10,000 $500 - $1,000 $1,001 - $10,000 X$10,001 - 5100,000 OVER $100,000 $10,001 - $100,000 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income Salary Spouse's or registered domestic partner's income For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) Partnership (Less than 10% ownership. For 10% or greater use Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Schedule A-2.)
Sale of Sale of
(Real property, car. boat, etc.) (Real property, car. boat. etc.) 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)
Other Other
(Doscribe) (Describe)
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:
NAME OF LENDER• INTEREST RATE TERM (Months/Years)
_% None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER None *Personal residence Real Property
HIGHEST BALANCE DURING REPORTING PERIOD Street address
S500 - $1,000
City
S1,001 - $10,000
Guarantor
$10,001 - $100,000
OVER S100,000
Uther
(Describe)
Comments:
advice rope caper 020-572 292520301
Instructions - Schedule B
Interests in Real Property
Report interests in real property located in your agency's • If you received rental income, check the box indicating the jurisdiction in which you, your spouse or registered domestic gross amount you received partner, or your dependent children had a direct, indirect, or • If you had a 10% or greater interest in real property and beneficial interest totaling $2,000 or more any time during received rental income, list the name of the source(s) if the reporting period. Real property is also considered to be your pro rata share of the gross income from any single "within the jurisdiction" of a local government agency if the tenant was $10,000 or more during the reporting period. property or any part of it is located within two miles outside If you received a total of $10,000 or more from two or more the boundaries of the jurisdiction or within two miles of any tenants acting in concert (in most cases, this will apply to land owned or used by the local government agency. (See married couples), disclose the first and last name of each Reference Pamphlet, page 14.) tenant. Otherwise, mark "None." Interests in real property include: • Loans from a private lender that total $500 or more and • An ownership interest (including a beneficial ownership are secured by real property may be reportable. Loans interest) from commercial lending institutions made in the lender's regular course of business on terms available
• A deed of trust, easement, or option to acquire property to members of the public without regard to your official • A leasehold interest (See Reference Pamphlet, page 15.) status are not reportable. • A mining lease
When reporting a loan:
• An interest in real property held in a retirement account - Provide the name and address of the lender.
(See Reference Pamphlet, page 16.)
- Describe the lender's business activity.
• An interest in real property held by a business entity or trust in which you, your spouse or registered domestic - Disclose the interest rate and term of the loan. For partner, and your dependent children together had a 10% variable interest rate loans, disclose the conditions or greater ownership interest (Report on Schedule A-2.) of the loan (e.g., Prime + 2) or the average interest rate paid during the reporting period. The term of
• Your spouse's or registered domestic partner's interests in a loan is the total number of months or years given
real property that are legally held separately by him or her for repayment of the loan at the time the loan was
You are not required to report:
• A residence, such as a home or vacation cabin, used - Check the box indicating the highest balance of the exclusively as a personal residence (However, a residence loan during the reporting period. in which you rent out a room or for which you claim a
- Identify a guarantor, if applicable.
business deduction may be reportable. If reportable,
ASSESSONS MO VIVIDE HE SOMEN
report the fair market value of the portion claimed as a tax If you have more than one 4600 24th Stroet CITY
deduction.) reportable loan on a single
Sacramonto
• Some interests in real property held through a blind trust piece of real property, report (See Reference Pamphlet, page 17.) the additional loans) on * toen, tramon Schedule C. BUSINE OF NECRET-
• Please note: A non-reportable property can still - Dress Dent r Test be grounds for a conflict of interest and may be Example:
disqualifying. Allison Gande is a city
planning commissioner. ©O/01B06.000
To Complete Schedule B:
During the reporting period,
• Report the precise location (e.g., an assessor's parcel Allison received rental income Henry Wolls
number or address) of the real property. of $12,000, from a single • Check the box indicating the fair market value of your tenant who rented property Sophia Petroillo interest in the property (regardless of what you owe on the owned in the city's jurisdiction. 2121 Blue Sky Parkway, Sacramento
property). If Allison received $6,000 BUSHERE AGENTS 7 ASS. SP LENDER each from two tenants, the Restaurant Owner
• Enter the date acquired or disposed only if you initially HERES: RATE tenants' names would not be 15 Years
acquired or entirely disposed of your interest in the Crore property during the reporting period. required because no single •THES BALANCE PURCES REMATINO PERCO tenant paid her $10,000 or ©100-500%
* son - bico our
• Identify the nature of your interest. If it is a leasehold, more. A married couple is
disclose the number of years remaining on the lease. considered a single tenant.
Commente
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(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Page - 13
RECEIVED
2026 MAR -5 AM 8: 03
CITY CLERK
- CITY OF PASADENA
*
0000 1886
NO OATED UNLE
Pasadena Rental Housing Board
CITY OF PASADENA
* CITY APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
ORATED* FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Erica Munor
Home Address:
Mailing Address:
Email Address:
Business Phone: Date Available to Start:
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
_At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city. see atriched resume
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
see attached resume
Education - Include professional or vocational licenses or certificates. çte attached resume
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew. arandchild. or cousin (Charter Section 1903(n))
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
I have been working as a housing Navigator and volunteered for homelies counts for a fau years. I've been a renter for over 10yr
13. How would you add value to the Pasadena Rental Housing Board? Myeducation and personal Ixperience with ranting and hometesines and a different perspective to housing.
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
To implement and enfore the Fusadena Fair and
Equitabie trousing Charter Amendment (Measure t)
15. How would you help to achieve these objectives and goals? by promoting tair, transparent policies and using my experienezy and skuls to hele ensure stable, accesgible hovsing tor pasadena residents, Erica Munoz _ (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this _day of March _ 2024.
Signed: _
Printed Name: Erica Monor
100050
CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. 3
of the City of Pasadena
I reside at (street), Pasadena,
CA 9LLOY _ (zip code).
Signed:
Printed Name: Erica Minor
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
• Home utility bill or cellular phone bill
• Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
OF CASAD CITY OF PASADENA
Supplement to Statement of Economic
PPORATED, Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application. 1 acknowledge / have read the foregoing Note EMinitials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1, Erica MUroz _ (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this 5 _day of Murch , 20 гl.
Signed:
Printed Name: _ Erica Munoz
PASADEN CITY OF PASADENA
*CITY
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
(printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. 1 am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California _ (zip code)
OR
_This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed this 5 _day of March _, 20 24.
Signed:
Printed Name: Erica Hivior
Erica Munoz
Pasadena, CA
EDUCATION
University of California - Irvine, Irvine, CA
Master's Program, Criminology, Law & Society (incomplete) August 2008 - January 2010
University of California - Irvine, Irvine, CA
B.S. Major: Criminology, Law & Society
August 2005 - June 2008
Minor: Chicano/Latino Studies
Pasadena City College, Pasadena CA
A.A. Major: Administration of Justice
August 2002 - June 2005
EMPLOYMENT HISTORY
February 2026 - Present Housing Navigator, Union Station Housing Services, Pasadena, CA • Conduct comprehensive intake assessments to determine client eligibility for housing programs and supportive services.
• Develop individualized housing stabilization plan focused on rapid rehousing and long-term stability.
• Assist clients in securing permanent housing through landlord engagement, rental applications, and housing search support.
• Coordinate with property managers and landlords to negotiate lease agreements and advocate for clients.
• Provide case management services including budgeting assistance, employment referrals, and connection to mental health and substance use services. • Ensure compliance with HUD, CES, and local housing authority requirements and documentation standards.
Enter and maintain accurate client data in HMIS and other case management systems. • Facilitated crisis resolution related to eviction prevention, landlord disputes, and housing retention barriers.
• Collaborate with multidisciplinary teams, social workers, and community partners to ensure holistic client support.
• Conduct follow-ups and home visits to monitor housing stability and prevent returns to homelessness.
March 2024 - Present Crisis Interventionist, Right Direction Crisis Intervention, Global • On-Call basis
• Respond to crisis calls involving individuals experiencing mental health emergencies, trauma, or • Conduct on-site risk assessments to evaluate danger to self or others and determine appropriate interventions.
• Utilize de-escalation techniques to stabilize individuals in high-stress situations. • Collaborate with law enforcement, hospitals, and social service agencies to coordinate emergency response and safe placements.
• Develop safety plans and provide short-term stabilization counseling. • Connect individuals and families to community-based mental health resources, shelters, and treatment programs.
• Maintain detailed and confidential documentation in accordance with HIPPA and agency protocols.
• Provide culturally responsive, trauma-informed care to diverse populations. • Participate in case reviews and team briefings to improve crisis response outcomes. • Support Follow-up services to reduce repeat crisis incidents and promote long-term recovery.
March 2014 - Present Legal Document Preparation Services, Erica's Legal Service, Los Angeles Area • Prepare legal documents, court filing, process service for attorneys and individual clients, specializing in Family Law
• Perform court filings, billing and scheduling functions, legal research, document management and other clerical and administrative work for attorneys on an as needed basis • Prepare and file California State and Federal Income Tax returns • Corporation and Non Profit Set Up
September 2024 - April 2025 Court Services Representative, ACE Attorney Services, Los Angeles, CA Create work orders for law firms, e-filings and e-recording documents • Prepare documents for e-filing and e-recording in timely manner • Follow up on status of filings/recordings and mandatory deadlines • Facilitate services of process and ensure compliance with court procedures • Collaborate with team to ensure smooth workflow and provide support as needed • Assist with general administrative tasks
2007 - 2010 Mental Health Counselor, South Coast Children's Society, Santa Ana, California • Provide crisis intervention services within a group home setting to at risk juveniles who have been removed from parent's custody by court order and have been diagnosed with mild to severe mental retardation along with mood disorders. First Aid and GPR certified. ProAct • Assist in therapeutic interventions and collaborate with client's assigned therapist • Participate and facilitate life skills groups for clients ages 18-24 diagnosed with mood disorders and residing in transitional housing
• Participate in treatment team meetings with resident's therapists 2006 - 2010 Program Assistant, Orange County Bar Foundation, Santa Ana, California • Conducted family intakes; assessed for drug and alcohol use for diversion program and other family/individual needs; Conducted individual intakes; assessed for risk factors for HIV prevention Program; Co-Facilitated Psycho-educational groups for at-risk Latinas and delinquency program
• Recruited participants for at risk Latina youth program • Administered Baselines and Post Test for program evaluation • Assisted in planning of speakers and events for program curriculum and created program news • Answered multiple line phone system
• Ordered & paid for office supplies
• Provided data entry of all clients serviced within all departments
VOLUNTEER
January 2024 - Present Administrative Executive Director, Brown & Black Foundation, Pasadena, CA • Completing form 1023 for non-profit tax exempt status:
• Assisted in development of proposed budget.
• Assisting in writing proposals for funding and program adoption. • Attended weekly meetings to ensure the process of obtaining nonprofit status is running effectively.
• Assisting in development of programs to serve violence impacted youth, parolees, and families in need
CERTIFICATES & SKILLS
Mental Health First Aid Certificate, National Council on Mental Health 2012 Professional Community Intervention Training Cert., Maximum Force Enterprises 2011 Personal Defense Certificate, Maximum Force Enterprises 2011 Conflict Resolution Certificate, Western Justice Foundation 2011 Advance tutoring Certificate, Pasadena City College 2004 Bilingual: Fluent Spanish-reading, writing, speaking; Microsoft Office: word, publisher, power point References
Yvette McDowell
Retired City Prosecutor
City Of Pasadena
Masood R. Khan, Esq.
Attorney at Law
Khan Law Group
Dr. Alissa Winkler
Special Education Specialist
Washoe School District
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received CALIFORNIA FORM 700 Fling Offical Use Only
COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
Munoz Erica 20299 a alita
1. Office, Agency, or Court CHIY CLERK
- CITY OF PASADENA
Agency Name (Do not use acronyms)
Pasadena
Your Position
Pasadena Rental Hasing Boardl Applicant
• If tiling for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: —
2. Jurisdiction of Office (Check at least one box)
State Judge (Supreme, Appellate, Superior Court, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County X county of Los Angeles
XCity of Rasadena Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025. (Check one circle below.)
-ОГ-
The period covered is - - through The period covered is January 1, 2025, through the date of December 31, 2025. -or leaving office.
Assuming Office: Date assumed The period covered is _ through the date of leaving office.
X Candidate: Date of Election NONE and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments - schedule attached Schedule C - Income, Loans. & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P- Prospective Employment (87200 Filers Only) - schedule attached -Or- K None - No reportable interests on any schedule
5. Verification Pasadena CA qlLol
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
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 perily under the laws of the State of California that the foregoing is true and correct.
Date Signed 3/5 24 Signature
(month. day. year) (File the originally signed paper stalement with your ning officia.) FPPC Form 700 - Cover Page (2025/2026)
-----
Types of Statements
Assuming Office Statement: Leaving Office Statement:
If you are a newly appointed official or are newly employed in Generally, the period covered is January 1, 2025, a position designated, or that will be designated, in a state or through the date you stopped performing the duties of local agency's conflict of interest code, your assuming office your position. If the period covered differs from January date is the date you were sworn in or otherwise authorized to 1, 2025, through the date you stopped performing the duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your assuming office date is the date you were sworn in. between October 1, 2024, and December 31, 2024, or you are combining statements), the period covered must
Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income • Report: Investments, interests in real property, business (including loans, gifts, and travel payments) received
positions held, and income (including loans, gifts, and during the 12 months prior to the date you assumed the
travel payments) received during the period covered by
office or position.
the statement. Do not change the preprinted dates on
For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position.
Candidate Statement:
• Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported.
Maria must report investments, interests in real property, In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable. district board members) must file candidate statements, Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received
Amendments:
during the 12 months prior to the effective date of the code or amendment. If you discover errors or omissions on any statement, file an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes governing the filing of an expanded statement are set forth • If your disclosure category changes during a reporting period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period.
FPPC Form 700(2025/20261
RECEIVED
2020 JAN 15 PM 3: 10
CITY CLERK
CITY OF PASADENA
*
Pasadena Rental Housing Board
OF PABADEN, CITY OF PASADENA
*CITY. APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
RPORATED FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Richard winfield Starratt
Home Address:
Mailing Address: Saul
Email Address:
Business Phone: Date Available to Start: : 1/1/2026
Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District 6
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
President • Rota club of Ontorio, CA
San Antario Connivnik Hospital Foundation • Uplace CA
Rose Justitute ot States local Gavennet Bad at Governors claremont, cit
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
Commer cal Brokers
Camera Brokers Retratind - Commercia RE Broken
Education - Include professional or vocational licenses or certificates.
BA Claremont M'Kenna College
CA RE LIcemse
Davengar Institube Professinal Certiftate in Local Governmit
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
7 have Seen a Commereal real EStake broke for 30
13. How would you add value to the Pasadena Rental Housing Board? pers peace no fee let at pant my bot tane my efperive ru
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
"helly deck to to cover formers to all riterested.
15. How would you help to achieve these objectives and goals? a would treat evyan wit respeet an diguy
1. Rechend Starratt _ (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this 15 day of Javay ,20 26.
Signed: _ RU Taus
Riched w Starratt
Printed Name:
OF PASADE CITY OF PASADENA
+ CITY
Residency Verification - MANDATORY
JUNE
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No._Le of the City of Pasadena I reside at (street), Pasadena,
CA 91105 5 (zip code).
sand Wotan
Printed Name: Ricind w Starratt
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01(d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
• Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
ORATED
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application.
I acknowledge I have read the foregoing Note (W (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
Relud W Starra& (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this _ 20 26.
'5h day of faray
Signed:
Printed Name: Ricked w Storatt
OF PASADEN CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
JUNE and Tenant Alternate Seats
(Form RHB-003)
I, Richad W StarvaT (printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. 1 am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: _ (street),
Pasadena, California 91105 (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed this _ 20_26.
15 to fun
Signed: KW X
Printed Name: Riched Starratt
PEPPERDINE
School of Public Policy
Davenport Institute for Public Engagement
and Civic Leadership
presents
Richard Starratt
with this
Professional Certificate in Local Government & Community: Partnering for Success for the successful completion of the program on
June 12, 2025
In witness whereof the official signature is hereto affixed Maurees A. Jabia
Pete Peterson Maureen Tobin
Dean of the School of Public Policy Executive Director, Davenport Institute Richard W. Starratt
Pasadena, California 91105
Work Experience Commercial Brokers International Broker Associate.
Responsible for securing listing agreements for the sale and leasing of multi-family, industrial, office, and retail properties. Analysis of current market conditions and valuations of acquisitions and dispositions for clients
Mac Vaugh & Co. Associate. Responsible for securing listing agreements for the sale and leasing of multi-family, industrial, office, and retail properties. Analysis of current market conditions and valuations of acquisitions and dispositions for clients.
Significant transactions included Cardinal Equities, Walt Disney Stores and Powell Electrical Systems.
Doerken Real Estate Services, Project Manager. Responsible for business development, underwriting loans and joint venture projects, loan administration, customer service and support, investment reports for a $20 Million Mezzanine Loan portfolio.
Colliers-Seeley, Vice President. Responsible for securing listing agreements for the sale of multi-family, industrial, office, and retail properties. Analysis of current market conditions and valuations of acquisitions and dispositions for clients. Developed new company wide procedures for the targeting of multi- family asset sales.
Cushman & Wakefield, Sales Associate. Responsible for
preparation of marketing material including flyers and offering memoranda for the sale of office, industrial, retail, and multi-family assets. Most significant were Town Center Business Park, a 450,000 square feet mixed use industrial park in Santa Fe Springs and Desert Crossing, a 515,000 square feet retail power center in Palm Desert.
Total Investment Real Estate Brokers, Sales Associate.
Responsible for the marketing and sale of multi-family and retail assets for various clients. Fifteen closed transactions in first two years worth a total of over $12,000,000
W. H. Latimer Trust, General Manager. Managed privately held mixed-use real estate portfolio including office, retail, commercial, agricultural, and multi- family assets. Main asset was 500-acre citrus ranch in Riverside, CA. Exported citrus to Hong Kong, Singapore, Malaysia, and Taiwan.
Education Bachelor of Arts, Claremont McKenna College, Claremont, California. International Relations Major
King's College, Taunton, Somerset, England. Passed two "A" level exams on year abroad exchange.
Phillips Academy, Andover, Massachusetts.
Military 1st Lieutenant, United States Marine Corps. Communications Officer. Stationed in Okinawa, Japan and Parris Island, South Carolina.
Affiliations Citrus Insurance Trust, Chairman. CIT was a management- controlled employee health plan for workers in the citrus industry.
The Board of Directors set investment policy and implementation, Plan Benefits, Pricing, and Eligibility.
Rose Institute for State and Local Government, Claremont McKenna College, Board of Governors. The Rose Institute produces publicly useful information through its faculty directed undergraduate research teams. The Board of Governors sets policy and directs the faculty and staff.
Rotary Club of Ontario, CA. President 1994-95
Gage Canal Company, Riverside, CA. Director. The Gage Canal Company is an over 100-year-old irrigation delivery system in Riverside, CA servicing the citrus industry.
San Antonio Community Hospital Foundation, Upland, CA
Director The Board of Directors of the Foundation is responsible for setting policy concerning investment, fund raising, staffing, and support for the San Antonio Community Hospital.
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Filing Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT
RECEIVED
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
(MIDDLEA
Starrart Richard infieldPH 3: 11
1. Office, Agency, or Court
Agency Name (Do not use acronyms) .. CITY OF PACADENA
City of Pasadena
Division, Board, Department, District, if applicable Your Position Dasadea Rustal Housy Board Appl'caut
• If filing for multiple positions, list below or on an altachment. (Do not use acronyms) Agency: Position:
2. Jurisdiction of Office (Check at least one box)
State
Judge (Supreme, Appellate, Superior Court), Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County M County of Los
Angeles
. City of Pusadend
Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025.
-Ог- (Check one circle below.)
The period covered is -, through • The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
-Or-
Assuming Office: Date assumed • The period covered is _ -, through
the date of leaving office.
ã9 Candidate: Date of Election None and office sought, if different than Part 1:_
4. Schedule Summary (required) • Total number of pages including this cover page:
2 Schedules attached
Schedule A-1 - Investments - schedule attached 'Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P- Prospective Employment (87200 Filers Only) - schedule attached None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) Pasadua cA 91105
DAYTIME TELEPHONE NUMBER
EMAIL ADDRESS
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 1/15/2026 Signature RW
(month, day, year) (File the originally signed paper statement with your filing official.) FPPC Form 700 - Cover Page (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Types of Statements
Assuming Office Statement: Leaving Office Statement:
Generally, the period covered is January 1, 2025,
If you are a newly appointed official or are newly employed in through the date you stopped performing the duties of a position designated, or that will be designated, in a state or your position. If the period covered differs from January local agency's conflict of interest code, your assuming office 1, 2025, through the date you stopped performing the date is the date you were sworn in or otherwise authorized to duties of your position (for example, you assumed office serve in the position. If you are a newly elected official, your between October 1, 2024, and December 31, 2024, or assuming office date is the date you were sworn in. you are combining statements), the period covered must • Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income • Report: Investments, interests in real property, business (including loans, gifts, and travel payments) received positions held, and income (including loans, gifts, and during the 12 months prior to the date you assumed the travel payments) received during the period covered by office or position. the statement. Do not change the preprinted dates on For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position. Candidate Statement:
Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported Maria must report investments, interests in real property, In addition, income (including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B.
If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective sheriffs, city clerks, school board trustees, or water date of the code or amendment, whichever is applicable. district board members) must file candidate statements, • Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received Amendments:
during the 12 months prior to the effective date of the If you discover errors or omissions on any statement, file code or amendment. an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded statement for each position, rather than a separate
travel payments) received during the period covered and distinct statement for each position. The expanded by the statement must be reported. Do not change the statement must cover all reportable interests for all preprinted dates on Schedules A-1, A-2, and B unless jurisdictions and list all positions on the Form 700 or on an you are required to report the acquisition or disposition of attachment for which it is filed. The rules and processes an interest that did not occur in 2025. governing the filing of an expanded statement are set forth • If your disclosure category changes during a reporting in Regulation 18723.1. 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.
FPPC Form 700(2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name
(Other than Gifts and Travel Payments) Starratt
• 1. INCOME RECEIVED 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Glendale United School District
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Coach at Kigh School
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
Lacrosse Coach
GROSS INCOME RECEIVED No Income - Business Position Only GROSS INCOME RECEIVED . No Income - Business Position Only $500 - $1,000 X $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
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) 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 Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)
Schedule A-2.)
Sale of
Sale of
(Real property, car, boat, etc.) (Real property, car, boat, etc.) 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)
Other
Other -
(Describe (Describe)
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:
NAME OF LENDER* INTEREST RATE
TERM (Months/Years)
None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER ] None • Personal residence Real Property
HIGHEST BALANCE DURING REPORTING PERIOD Street address
$500 - 51,000
City
$1,001 - $10,000
$10,001 - $100,000 Guarantor -
OVER $100,000
Other
(Describe)
Comments:
FPPC Form 700 - Schedule C (2025/2026)
[email protected] • 866-275-3772 • www.fppc.ca.gov
Instructions - Schedule B
Interests in Real Property
Report interests in real property located in your agency's • If you received rental income, check the box indicating the jurisdiction in which you, your spouse or registered domestic gross amount you received partner, or your dependent children had a direct, indirect, or • If you had a 10% or greater interest in real property and beneficial interest totaling $2,000 or more any time during received rental income, list the name of the sources) if the reporting period. Real property is also considered to be your pro rata share of the gross income from any single "within the jurisdiction" of a local government agency if the tenant was $10,000 or more during the reporting period property or any part of it is located within two miles outside If you received a total of $10,000 or more from two or more the boundaries of the jurisdiction or within two miles of any tenants acting in concert (in most cases, this will apply to land owned or used by the local government agency. (See married couples), disclose the first and last name of each Reference Pamphlet, page 14.) tenant. Otherwise, mark "None." Interests in real property include: • Loans from a private lender that total $500 or more and • An ownership interest (including a beneficial ownership are secured by real property may be reportable. Loans from commercial lending institutions made in the
interest) lender's regular course of business on terms available • A deed of trust, easement, or option to acquire property to members of the public without regard to your official • A leasehold interest (See Reference Pamphlet, page 15.) status are not reportable. • A mining lease When reporting a loan:
• An interest in real property held in a retirement account - Provide the name and address of the lender. (See Reference Pamphlet, page 16.) - Describe the lender's business activity. • An interest in real property held by a business entity or - Disclose the interest rate and term of the loan. For trust in which you, your spouse or registered domestic
partner, and your dependent children together had a 10% variable interest rate loans, disclose the conditions or greater ownership interest (Report on Schedule A-2.) of the loan (e.g., Prime + 2) or the average interest rate paid during the reporting period. The term of
• Your spouse's or registered domestic partner's interests in a loan is the total number of months or years given real property that are legally held separately by him or her for repayment of the loan at the time the loan was You are not required to report: established.
• A residence, such as a home or vacation cabin, used Check the box indicating the highest balance of the exclusively as a personal residence (However, a residence loan during the reporting period. in which you rent out a room or for which you claim a - Identify a guarantor, if applicable. business deduction may be reportable. If reportable,
report the fair market value of the portion claimed as a tax If you have more than one 460024th Street reportable loan on a single
deduction.) Sacramento
piece of real property, report IF APPLICABLE, LIST DATE • Some interests in real property held through a blind trust the additional loan(s) on
(See Reference Pamphlet, page 17.)
Schedule C.
• Please note: A non-reportable property can still Desane • Lensend Vie mana 0-
be grounds for a conflict of interest and may be Example:
Allison Gande is a city • RENTAL PROPERTY, GROSS ICONE RECEIVEO disqualifying. [10.40 C 81.001 - $10,000
planning commissioner. 18) $10.001 - $100,000 O OVER $190.300 To Complete Schedule B: During the reporting period,
• Report the precise location (e.g., an assessor's parcel Allison received rental income Honry Wolls number or address) of the real property. of $12,000, from a single NAME OF LENDER"
• Check the box indicating the fair market value of your tenant who rented property Sophia Petroillo ADORESS (Busness Addrass Accopcat)
interest in the property (regardless of what you owe on the owned in the city's jurisdiction. 2121 Blue Sky Parkway, Sacramento
If Allison received $6,000 BUSINESS ACTNITY, IF ANY, OF LENDER property).
each from two tenants, the Restaurant Owner
• Enter the date acquired or disposed only if you initially INTEREST RATE TERM (MarchaYoars) tenants' names would not be 15 Years
acquired or entirely disposed of your interest in the * • Nora required because no single NIGHEST BALANCE DURNG REPORTH PERIOD property during the reporting period. C 8500 - $1,000 • $1.001 - $10.000 tenant paid her $10,000 or EE $10,001 - 3100.000 OVER 5100,000 • Identify the nature of your interest. If it is a leasehold, more. A married couple is disclose the number of years remaining on the lease. considered a single tenant.
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
FPPC Form 700(2025/2026)
disclosure of real property? [email protected] • 866-275-3772 • www.fppc.ca.gov Pape. 13
PA S
CITY OF ENA
Pasadena Rental Housing Board
of PASA CITY OF PASADENA
APPLICATION FOR APPOINTMENT TO THE
PASADENA RENTAL HOUSING BOARD
PORTED JUNE FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications certified by the City Clerk as eligible for appointment shall remain valid for use towards future vacancies for a period of up to one year from certification. In the event of a vacancy, if the applicant has not been appointed to the Rental Housing Board and still desires to be considered for appointment, they may submit an updated application, or may advise the City Clerk's Office in writing that the information contained on the original application is still current. For example, if an application is certified on February 21, 2025 as eligible, said application will continue to be qualified subject to written confirmation by the applicant to the City Clerk's Office through February 21, 2026.
Applicant Name: Simen Ybarra
Home Address: C+21101
Mailing Address:
Email Address:
Business Phone: Date Available to Start: Februara 23~/ 2026 Home Phone: Cell Phone:
Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):
Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District 3
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Tenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving or have served, offices held and in what city.
Posaera Tenants Unian (organizer, ternt covaselor, digital administr ton since Mar: h 20/23
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
tasadena City college - Writing Tutor since September 2032 Education - Include professional or vocational licenses or certificates.
California state üntuensity- Los Angeles: B.S. Computer Information Systems, minon Acmuntag Paladena City Collere 7A Business, At Fağineeringh Terlinoleyy CompTIA At, Instible for Certificatin at Computiay Piotessiona/s - Information Systems Anolys*
1. Have you ever worked for the City of Pasadena? (If yes, please YES NO list dates/department)
2. Are you related to any employee, appointed or elected official of YES NO the City of Pasadena? (If yes, please indicate name and relationship)
3. Are you aware that financial disclosure is required annually? YES NO (e.g., sources of income, loans and gifts, investments, interests in real property)
4. Rules of law and ethics prohibit members from participating in YES NO and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
5. Do you or your extended family' members, have a material YES NO interest in rental property in the County of Los Angeles within the last three years?
6. Do you have a Material Interest in 4 or more units of Rental YES NO Property within the City of Pasadena? (If yes, please read the "Note" on the Supplement to Statement of Economic Interest Form (Form RHB-002) regarding property owners with interest in 4 or more rental units, attached to this application)
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).
7. Do you reside at a property owned or managed by a member of YES NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?
8. Have there been, or are there now, any personal or business YES NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?
9. Are you aware of the time commitment necessary to fulfill the YES NO obligations of the Pasadena Rental Housing Board?
10. Are you aware that you may serve no more than eight YES NO consecutive years as a member of the Pasadena Rental
Housing Board?
11. Can you, upon appointment, provide proof of identity and proof YES NO of eligibility to work in the United States?
12. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
As e nember of Pasilong Te late Uses, I have rulind Artels, the rat eat bad ls shich catrol or interget in th it and policy issue previously trebiture the Ben ten ie fast try our Ihave caseled tenants en thai Nyand Yapules, and I have Matchand exporteme with the Rs Kittepuns
13. How would you add value to the Pasadena Rental Housing Board? Iling a founduttin in technical dispa date anytis. antercountles to puppet the Bronto weptiott recessitilities air the 11503 delane and property I an a sub pet mutten expert on the chanter amendmar
14. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
To promite sate, serume card sustainate having within Paradena, Tomisinise the grative innu?s of necessary rep tatin, Te Partitate apspite relatin dip betuzen adords a tenant. Passed.
15. How would you help to achieve these objectives and goals? et start directin from th. Bond con to didelop sir del anita stand nit att deprentment. 1, Siman Ybarra (printed name), declare under penalty of perjury under the law o the State of California that the information reported in this Form RHB-001 is true, accurate, and complete.
Signed this 29 day of January ,2026.
527
Signed:
Printed Name: Simon Ybarra
OR PASADEN CITY OF PASADENA
Residency Verification - MANDATORY
CORATED NUTE
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment. Proof of residency may be established by either of the following:
1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
I am a resident of District No. 3 of the City of Pasadena I reside at . (street), Pasadena,
CA 71101 (zip code).
Signed:
Printed Name: Sinon Ybarna
2. If you are not a registered voter, please provide clear, readable copies of two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).
Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
• Home utility bill or cellular phone bill
• Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
• Insurance documents, including medical, dental, vision, life, home, rental or vehicle
• Medical documents
• A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state • Mortgage bill
• Employment documents
• Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
• Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
• School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. • Change of Address Confirmation by the U.S. Postal Service • Property tax bill or statement
• Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
• Deed or title to residential real property
• Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters • Proof of payment of resident tuition at a public institution of higher education in California
• An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor • Court documents that list the applicant as a resident of Pasadena • California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
• A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
• If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.
If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
PASAD CITY OF PASADENA
*CITY
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.
Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (City Charter Article XVIII) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three 3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose. When completing Form 700 to report such interests and dealings in rental property, please note that City Charter Article XVIII requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.
City Charter Article XVIII Definitions:
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).
Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)). Please acknowledge you have read the following:
Note: While the City Charter is permissive in allowing At-large members to own rental property, California's Conflict of Interest regulations for public officials contain separate standards. As a result, Board members who are property owners with interest in 4 or more rental units in the City of Pasadena might not be able to freely participate in all matters that come before the Pasadena Rental Housing Board. Interested applicants in such a position should consult with legal counsel prior to submitting an application.
I acknowledge I have read the foregoing Note SY (initials) Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).
Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).
CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
1,. Simmer Ybarra (printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.
Signed this day of Tanvary _ 20 26
Signed:
Printed Name: Simon Ybarra
ОТ РАЗАЛЕТ CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB-003)
1, Simon Ybarra (printed name), declare under penalty of perjury under the law of the State of California that the foregoing is true and correct:
1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.
2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.
3. I reside at the following address: (street),
Pasadena, California 9110/ (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
Signed this_29_dayof of Jeruary _ 2026.
Signed:
Printed Name: _ Smen Ybarra
ALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date ling fil lo Received
COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ybarra Simon Nicholas
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City ot Pusadena
Division, Board, Department, District, if applicable Your Position Pasadeni Rental Housiny Board on on an aladine one as complicant • If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: - Position:
2. Jurisdiction of Office (Check at least one box)
State •Judge (Supreme, Appellate, Superior Court), Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi-County County of Los Angeles
I City of Pasadena • Other
3. Type of Statement (Check at least one box)
• Annual: The period covered is January 1, 2025, through Leaving Office: Date Left December 31, 2025. (Check one circle below.)
-ОГ-
The period covered is - -, through The period covered is January 1, 2025, through the date of December 31, 2025. leaving office.
-Or-
Assuming Office: Date assumed • The period covered is - - through the date of leaving office.
Candidate: Date of Election None and office sought, if different than Part 1:
4. Schedule Summary (required) • Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments - schedule attached • Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached Attachment 700-P - Prospective Employment (87200 Filers Only) - schedule attached -or- Z None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document) Pusadena CA 91101
DAYTIME TELEPHONE NUMBER → T EMAIL ADDRESS
(
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 Januaru 21 2026 Signature
/(month, day, year) (File the originally signed paper statement with your fling official.) FPPC Form 700 - Cover Page (2025/2026)
[email protected] • 866-275-3772 • www.fooc.ca.eov
Types of Statements
Assuming Office Statement: Leaving Office Statement:
If you are a newly appointed official or are newly employed in Generally, the period covered is January 1, 2025, a position designated, or that will be designated, in a state or through the date you stopped performing the duties of your position. If the period covered differs from January local agency's conflict of interest code, your assuming office date is the date you were sworn in or otherwise authorized to 1, 2025, through the date you stopped performing the serve in the position. If you are a newly elected official, your duties of your position (for example, you assumed office assuming office date is the date you were sworn in. between October 1, 2024, and December 31, 2024, or you are combining statements), the period covered must
• Report: Investments, interests in real property, and be specified. The reporting period can cover parts of two business positions held on the date you assumed the calendar years. office or position must be reported. In addition, income (including loans, gifts, and travel payments) received • Report: Investments, interests in real property, business during the 12 months prior to the date you assumed the positions held, and income (including loans, gifts, and office or position. travel payments) received during the period covered by the statement. Do not change the preprinted dates on
For positions subject to confirmation by the State Senate or Schedules A-1, A-2, and B unless you are required to the Commission on Judicial Appointments, your assuming report the acquisition or disposition of an interest that office date is the date you were appointed or nominated to did not occur in 2025. the position.
Candidate Statement:
• Example: Maria Lopez was nominated by the Governor If you are filing a statement in connection with your to serve on a state agency board that is subject to state candidacy for state or local office, investments, interests Senate confirmation. The assuming office date is the in real property, and business positions held on the date date Maria's nomination is submitted to the Senate. of filing your declaration of candidacy must be reported Maria must report investments, interests in real property, In addition, income including loans, gifts, and travel and business positions Maria holds on that date, and payments) received during the 12 months prior to the date income (including loans, gifts, and travel payments) of filing your declaration of candidacy is reportable. Do not received during the 12 months prior to that date. change the preprinted dates on Schedules A-1, A-2, and B If your office or position has been added to a newly adopted Candidates running for local elective offices (e.g., county or newly amended conflict of interest code, use the effective date of the code or amendment, whichever is applicable. sheriffs, city clerks, school board trustees, or water district board members) must file candidate statements, • Report: Investments, interests in real property, and as required by the conflict of interest code for the elected business positions held on the effective date of the code position. The code may be obtained from the agency of or amendment must be reported. In addition, income the elected position. (including loans, gifts, and travel payments) received
Amendments:
during the 12 months prior to the effective date of the code or amendment. If you discover errors or omissions on any statement, file an amendment as soon as possible. You are only required Annual Statement: to amend the schedule that needs to be revised; it is not Generally, the period covered is January 1, 2025, through necessary to refile the entire form. Obtain amendment December 31, 2025. If the period covered by the statement schedules from the FPPC website at www.fppc.ca.gov. is different than January 1, 2025, through December 31, Note: Once you file your statement, you may not withdraw 2025, (for example, you assumed office between October it. All changes must be noted on amendment schedules. 1, 2024, and December 31, 2024 or you are combining
statements), you must specify the period covered. Expanded Statement:
• Investments, interests in real property, business If you hold multiple positions subject to reporting positions held, and income (including loans, gifts, and requirements, you may be able to file an expanded travel payments) received during the period covered statement for each position, rather than a separate by the statement must be reported. Do not change the and distinct statement for each position. The expanded preprinted dates on Schedules A-1, A-2, and B unless statement must cover all reportable interests for all you are required to report the acquisition or disposition of jurisdictions and list all positions on the Form 700 or on an an interest that did not occur in 2025. attachment for which it is filed. The rules and processes • If your disclosure category changes during a reporting governing the filing of an expanded statement are set forth period, disclose under the old category until the effective in Regulation 18723.1. date of the conflict of interest code amendment and
disclose under the new disclosure category through the
end of the reporting period.
EPPC Form 700(2025/20761