To: Santa Clara City Council Date: June 21, 2022
From: Craig Larsen
RECEIVED
Topic: Public Presentations - re: Item 22-780 of June 7, 2022 JUN 2 1 2022 Dear Mayor Gillmor and Councilmembers, City Clerk's Office Transparency and accountability are often key commitments made in campaign% slic office. They are important to ensure to the public we have elected officials whose actions are that of honesty, integrity, and fairness, to name a few values. In addition to those, the public expects elected officials to disclose conflicts of interest, update their public calendars promptly, and make timely financial disclosures, among other required provisions. Corrections, when needed, should be made promptly.
Failure to do so erodes the public's trust. When transparency and accountability are found lacking in a city council, it tarnishes not only the council's reputation but also degrades the image of the city as a whole.
At the June 7 meeting, a petition, Item 22-780, was presented by Mr. Brian Doyle. That petition was in regards to a sitting councilmember, Mr. Park, and Mr. Park's reportedly inconsistent statements submitted in public filings as required for public office campaigns. Mr. Doyle's petition was heard, debated and denied, not so much on the merits of the petition itself, but due to Mr. Doyle's ongoing litigation with the City. It was recommended that the petition be re-submitted once legal issues between Mr. Doyle and the City had been resolved - whenever that might be.
I was very dismayed. What kind of City Council do we have here? Do we have a City Council who are transparent and accountable? Is this vote to deny the petition, not based on the petition's merits, a symptom of a larger problem? Does this Council violate the public trust and play favorites in their dealings with other entities as well?
Mr. Park has had plenty of time to resolve the issues raised by Mr. Doyle and yet, these issues persist.
The public does not need half-hearted, condescending apologies wrapped in arrogance talked down to the public as one might to a child. The public demands transparency and accountability.
So what can be done? Tonight, I am submitting to the City Clerk's office my own petition to have the same matter as presented by Mr. Doyle placed on a future Council meeting agenda. My petition is remarkably similar to that of Mr. Doyle's. I have no legal entanglements with the City, so there is no need to wait until any legal proceedings are resolved. Should Mr. Park wish to demonstrate his commitment to transparency and accountability to the public in this forum, I will withdraw my petition.
Thank you for your attention to this important matter.
Sincerely,
Craig
Craig Larsen
2714 Barkley Ave.
(408) 244-0156
City of
Santa Clara
Tho Conter of What's Possible
CITY COUNCIL WRITTEN PETITION
Please provide the information requested below. When complete, please submit to the City Clerk's Office, 1500 Warburton Avenue, Santa Clara, CA 95050. June 21, 2022 Date:
1, _ Craig Larsen am hereby requesting to be placed on the Santa Clara City Council Agenda for the following purpose:
An explanation by Councilmember Kevin Park on the apparent inconsistent statements in official filings regarding his employment and sources of income. The details of the inconsistent statements and copies of public records demonstrating the inconsistencies are attached.
I understand that it is important that I attend the meeting in the event there are any questions the Council wishes to ask me.
Signed:
aro
NAME:
ADDRESS: Council District 2
Street
City Zip Code
TELEPHONE:* (408) 886-1246
Optional
DATE: JUNE 21,2022
*NOTE: This is a public document. If your telephone number is unlisted or if you do not want it to be public, please provide an alternate number where you can be reached.
S: City Clerk|FORMS AND INFORMATION FOR STAFF USEWritten Petition Form - 2016.doc •
WRITTEN PETITION REGARDING KEVIN PARK
There are some serious inconsistencies in official filings by Councilmember Kevin Park that indicate at best an unacceptable level of deceit and at worst perjury.
On August 4, 2020 Kevin Park filed a Statement of Economic Interest (Form 700) in conjunction with his candidacy on which he deciared that he had no reportable interests of any kind. (Attachment 1) He signed his name under the statement: "I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct."
The following is a screenshot of the signature portion of Mr. Park's August 4, 2020 Statement:
-or- None - No reportable interests on any schedule
5. Verification
CITY "STATE ZIP CODE
MAILING ADDRESS STREET
(Business or Agancy Address Recommended - Publi: Document) 1 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 altached 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 August 2020 Signature
mench day year (Fle uto orginary signed paper stelemen with your fang official i The instructions for Form 700 contain the following requirement:
Candidate Statement:
If you are filing a statement in connection with your
candidacy for state or local office, investments, interests in real property, and business positions held on the date of filing your declaration of candidacy must be reported. in addition, income (including loans, gifts, and travel payments) received during the 12 months prior to the date offling your declaration of candidacy is reportable. Do not change the preprinted dates on Schedules A-1, A-2, and B.
On August 6, 2020, Mr. Park signed and filed an Official Filing Form entitled Ballot Designation Worksheet (Attachment 2) in which he stated his justification for his ballot designation as "Manager" to be his job title for his employer "TCS" and that he held the job from February 2017 through "present" (i.e. August 6, 2020).
The following is a screenshot of the relevant portion of Mr.Park's Worksheet:
Justification for use of 3°PVO. Jab Titte
SAVEN Does Fos 2017 - presont
Current of most tecent job title: Manger
Employer Name or Business: TCS
Person who can verify this information:
Nama Geargisa Lopez Phone Numberl
Before signing below, answer/initial the following questions. Does your proposed ballot designation:
Initial
1) Use at ly a portion of the lidle of your current clected office? Initlal. K. 2) Nos judicial candidates: Use only the word "incumbent" for an elective office to which you wore appointed? Initial 2 3; Use note than three fold words for your principal prolessions, vocations, of occupations? Dros tio Initial 4) Suggest on eraluation of you, such as cutstaking. leading, expert, situcus, or eninent? Yes ESto Initia! 5) Refer to a status (Veteran, Activist. Founder, Scholar), rather than a profession, vocal on, of occupations? Initial Des lito
Atthreviate the word retired? Yes ENo Initial
Place the word retired" after the words it mod fios? Examplo Accountant, retired Initial Use an word or profix (except rotted) such as forner" or ex: lo celes to a former profession, vocation, or occupidion? Initia B)
Use the word 'retired" alcog with a carent profession, vocation, or occupation? Example: Retired Firetghter/Teacher Initia 9) [Yes ENo
10% Use the paro of a poltical party of pollical body? Yes i No Initial 11) Retes to aracial, religioas, or elhnic group? DYes El No Initial_E 12) Refer to any activity probi tited by lawi?
If the answer to any of these questions is "yes," your proposed ballot designation is likely to be rejected. 8 1 6 1 2Ø20
Month Day Year
Candidate's Signature Date Signed:
For yout referenco, attached are Elections Code sections 13107, 13107.3, and 13107.5, and Calfornia Code of Regulations (CCR), tile 2, section 20711. Yeu also may wish to constit CCR, (te 2, sections, 20712:20719 (foxed at www son.ca.gov).
Rev 09:2019
The August 6, 2020 filing clearly states that Mr. Park was employed by "CS" from February 2017 through at least the date of filing. Yet Mr. Park never declared any income from TCS on his August 6 Statement of Financial Interest as he was required to do.
On December 22, 2020 Mr. Park filed his "Assuming Office" Statement of Financial Interest (Form 700). (Attachment 3) He again declared that he had no reportable interests of any kind. He signed his name under that statement: "I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct." The following is a screenshot of the signature portion of Mr. Park's December 22, 2020 Statement:
-or- IZ None - No reportable interests on any schedule
5. Verification
CITY "STATE UP CODE
MAILING ACRESS STREET
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 Califomia that! 22, 2020 Signa
Date Signed econ
(roanih, day, year)
The instructions for Form 700 contain the following requirement:
Assuming Office Statement:
If you are a newly appointed official or are newly employed in a position designated, or that will be designated, in a state or local agency's conflict of interest code, your assuming office date is the date you were sworn in or
otherwise authorized to serve in the position. If you are a newly elected official, your assuming office date is the date you were sworn in.
• Report: Investments, interests in real property, and
business positions held on the date you assumed the
office or position must be reported. In addition, income (including loans, gifts, and travel payments) received
during the 12 months prior to the date you assumed the
office or position.
Mr. Park was sworn in as a Santa Clara City Councilmember on December 8, 2020.
Thus, he was required to report his income from the prior 12 month period beginning December 7, 2020, including any incorne received from TCS. Instead, he stated under penalty of perjury that he had no reportable financial interests.
In Mr. Park's latest Form 700 filed on April 1, 2022 (Attachment 4) he states under penalty of perjury that he received over $100,000 in income from Tata America for the period of January 1, 2021 through December 31, 2021:
• 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptobie)
Edison, ...0603?
BUSINESS ACTIVITY. IF ANY. OF SOURCE
lectrica: Consultancy and sooineering
YOUR HUSINESS POSITION
Sender Manger
GROSS INCOME RECEIVED • No income - Basicoss Postion Only 1] $500 - 51,000 [11.00t - 510,000
1] $10,001 - $100.000 (X) OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
[X) Salary i Socuse's of registered domestie partner's income For seif-employed use Schedule A-2.)
1] Parmorship (loss than 10% ownershp For 10% or greater use Schodule A-2)
• Sale of
• Loan repayment
A Coromission or / Rental lecome. it wot ide often a nore Other
Doserbo
The foregoing public records raise the following questions:
• Councilmember Park was required to have declared his sources of income from the twelve month periods beginning in August 5, 2019 and December 7, 2019, yet he states under penalty of perjury on two separate occasions that he has none.
• At the same time, he states in his Official Filing Form entitled Ballot Designation Worksheet that he worked at TCS from February 2017 at least through August 6, 2020. TCS stands for Tata Consulting Services.
• Then in his April 1, 2022 Form 700 he states that he earned more than $100,000 from Tata America during calendar year 2021.
Did Mr. Park really stop earning any income from TCS after August 5, 2019 and then start earning income from Tata America sometime in 2021? If so, how could he afford to live in Santa Clara?
• Did Mr. Park falsely state on his Official Filing Form that he was still employed as a Manager by TCS on August 4, 2020?
• Or did Mr. Park really have income in the period from August 2019 through December 2020, and he committed perjury when he filed his two Form 700's in 2020?
I hereby request the City Council to place an item on a future agenda to allow Mr. Park to answer these questions. Please do not vote to cover up Mr. Park's apparent dishonesty about his sources of income.
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Receiver -iting Officlal Use Ont
CALIFORNIA FORM 700 COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION RECEMED
FAIR POLNICAL A PUBLIC DOCUMENT CIT OF SANTA CLARA
HACTICES COMMISSION AFr CAN CITY CLERK
Please type or print in ink.
NAME OF FILER (LAST) 2 AUG 3 KePt 4:35
Park
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Santa Clara
Division, Board, Depariment, District, if applicable Your Position District 4 Member, City Council
• 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)
•Judge, Retired Judge, Pro Tem Judge, or Court Commissioner • State
(Statewide Jurisdiction)
L Mulli-County • County of
Cily of Santa Clara •Other
3: Type of Statement (Check at least one box)
• Annual: The period covered is January 1, 2019, through • Leaving Office: Date Left December 31, 2019. (Check one circle.)
-Or- O The period covered is January 1, 2019, through the date of The period covered is - through
December 31, 2019. leaving office.
-Or-
O The period covered is ., through
Assuming Office: Date assumed the dale of leaving office. 3 November 2020 and office sought, if different than Part 1: - Candidate: Date of Eleciion
4. Schedule Summary (must complete) • Total number of pages including this cover page:
Schedules attached
• Schedule A-1 - Investments - schedule altached • Schedule C - Income, Loans, & Business Positions - schedule altached • Scheduie A-2 - Invesiments - schedule atlacted • Schedule D - Income - Gils - schedule attached • Schedule B. Real Property - schedule attached •] Schedule E - Income - Gifs - Travel Payments - schedule alíached -Or-D None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS CITY STATE ZiP CODE
STREET
(Business or Agency Address Recommended - Public Documeni) 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 penaity of perjury under the laws of the State of Caifornia that the foregoing ta true and ereece.
Date Signed 4 August 2020 Signature
(month, day. year) (File its oniginaly signed paper stalement with your fing offcial.)
ATTACHMENT I
Officlal Filing Form
BALLOT DESIGNATION WORKSHEET
(Elections Code 95 13107, 13107.3, 13107.5; California Code of Regulations § 20711) This entire form must be completed, or it will not be accepted and you will not be entitled to a ballot designation. DO NOT LEAVE ANY RESPONSE SPACES BLANK. If information requested is not applicable, please write "NIA" in the space provided, otherwise the information MUST be provided. UPON FILING, THIS WORKSHEET WILL BE A PUBLIC RECORD.
Kevin Nara Park Gender (optional, for translation use only: Select from Drop Down A Candidate Name:
Office: City of Santa Clara, Member, City Council, Dist 'Emal: SANTACLARA KEVIN @ gmail.com Home Address: SANTA CLARA, CA 95851
Candidate
Information
Mailing Address: Same
Business Address: SaMe
Phone Number(s) N/A
Business. Home/Mobile ax:
Attorney Name (or other person authorized to act on your behalf: N/A Attomney
Information N/ A
Address:
Phone Number(s) N/A N/t
Mobile: Fax:
Business:
You may select as your ballot designation one of the following designations:
Your current principal profession(s), vocation(s), or occupations) [maximum total of three words, separated by a slash (?').
The full title of the public office you currently occupy and to which you were elected. "Appointed (full title of public oflice)" if you currently serve by appointment in an elective public office and are seeking clection to the same office or to some other oflice.
(d) "Incumbent" if you were elected (or, if you are a Superior Court Judge, you are a candidate for the same office that you hok) to your current public office and seek election to the same office.
(o) "Appointed Incumbent" if you were appointed to your current elective public office and seek election to the same office.
Proposed Ballol Designation(s): Scientist / Engineer/ Manager Proposed
Ballot 3
Alternate Ballol Designation(s) 1: Engineer / Manager
Designation(s)
Alternate Ballot Designation(s) 2:
In the spaces provided on the next page(s):
(a) Describe why you believe you are entitled to use the proposed ballot designation. (b) If your proposed ballot designation contains one or more slashes (r) separating words in your ballot designation for separate principal profession(s). vocation(s), or occupation(s) (collectively known as "PVOs"), complete a justification section for each separate PVO. (c) Attach any documents or exhibits that you believe support your proposed ballot designation. (di) If using the title of an elective oflice, allach a copy of your certificate of election or appointment. (e) Any supporting documents will not be relumed to you. Do not submit originals.
It is your responsibility to justify your proposed ballot designation and to provide all requested details.
If your proposed ballot designation includes the word "volunteer," indicate the tille of your volunteer position and the name of the enlily for which you volunteer along with a brief description of the lype of volunteer work you do and the approximate amount of time involved. You may only use the ballot designation "community volunteer" if you volunteer for a 501(c)(3) charitable, educational, or religious organization, a goveramental agency or an educational institution.
You may not use "community volunteer" togelher with another designation.
Rev 09/2019
ATTACHIMENT 2 - Pegal
Officlal Filing Form
California Secretary of State
BALLOT DESIGNATION WORKSHEET
If your proposed ballol designation contains one or more slashes (7) separating multiple principal professions), vocations), or occupations) (collectively known as "PVOs"), complete a justification section for each separate PVO.
Justication true d 14 pvo Degree and work done
Bachelor of Saence StarV/End Dates: time 1989 - June 1993 Current or most recent job title:
Employer Name or Business: Caltach
Person who can verify this information:
Nate Levis c/o Cattech Phonia Numbers:
Name:
Justification
for use of tuatication or us d am pa Degree and work done Proposed
Ballot
Designation(s)
If you are
proposing Current or most recent job title: MS in Mechanical Enginering sumera June 1943- Jume 1945 alternate ballot
designations, Employer Mame or Business: Stanford
please provide
Person who can verify this information:
justification for
use of those on Name Stanford Alumn Associatino Number (sl Email:
Justification for use of 3 PVO: Job Title
StartEd Does: eh Feb - present
Current or most recent job title: Manager
Employer Name or Business:
Person who can verify this information:
Email:
Mama Georgina Lopez. Phone Number(s)
Before signing below, answer/initial the following questions. Does your proposed ballot designation:
DYes L No Initial
1) Use only a portich of the litle of your current elected offico? DYes ENo Initial_H Non judicial candidates: Use only the word "incumbent" for an elective office to which you were appointed? Initial E •Yes a No
Use more than three fotal words for your principal professions, vocations, or occupations? Initial Suggest an evaluation of you, such as outstanding, leading, expert, virtuous, or eminent? Initial E Refer to a status (Veteran, Aclivist; Founder, Scholar), rather than a profession, vocation, or occupatics? Initial LIYes I No
Abbreviate the word retired? Initial
Placo the word "relired" after the words if mod fies? Example: Accountant, retired •Yes ENo Initial Use an word or prefix (except retired) such as "former' or "ex." to refer to a former profession, vocation, or occupation? Initial_ 8)
Use the word "retired" aleng with a current profession, vocation, or occupation? Example: Retired Firelighter/Teacher Initial 9)
101 Use the name of a political parly or political body? DYes No Initial 11) Refer to a racial, religions, or clhnic group? [Yes ENo Initial 12) Refer to any aclivity probitited by law?
If the answer to any of these questions is "yes," your proposed ballot designation is likely to be rejected. 6 2Ø20
Day Year
Date Signed: Month
Candidate's Signature
For your reference, altached are Elections Code sections 13107, 13107.3, and 13107.5, and California Code of Regulations (CCR), title 2, section 20711. You also may wish to consult CCR, title 2, sections, 20712-20719 (foand at www.sos.ca.gov).
Rey 09/2019
ATTACHMEM 2 - Pagel
California Secretary of State Official Filing Form
BALLOT DESIGNATION WORKSHEET
COMPLETE THIS PAGE ONLY IF one or more Alternate Ballot Designation(s) are provided. If this pago is not applicable, please initial:
Justification for use of 1" PVO
Start/End Dates:
Current of most recent job title:
Employer Name or Business:
Person who can verify this information:
Phone Numbers): Email:
Name:
Justification for use of 2d PVO:
Justification for Start/End Dates:
Alternate Ballot Current or most recent job tille:
Designation(s) 1 Employer Name or Business:
Person who can verify this information:
Phone Numbers): Email
Name:
Justification for use of 3d PVO:
Start/End Dates:
Current or most recent job title:
Employer Name or Business:
Person who can verify this information:
Phone Number(S): Email:
Name:
Justification for use of 1" PVO:
Start/End Dates:
Current or most recent job title:
Employer Name or Business:
Person who can verify this information:
Phone Number(s): Email:
Name:
Justification for use of 2d PVO:
Justification for StartEnd Dates:
Current or most recent job title:
Alternate Ballot
Designation(s) 2 Employer Name or Business:
Person who can verify this information:
Phone Number(s): Email:
Name:
Justification for use of 3d PVO:
StarUEnd Dates:
Current or most recent job title:
Employer Name or Business:
Person who can verify this information:
Phone Number(s): Email:
Name:
Rev 09/2019
ATTACHMENT 2 - Page 3
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received CALIFORNIA FORM 700
COVER PAGE 'A CLARA
FAIR POLITICAL PRACTICES COMMISSION :CT:
A PUBLIC DOCUMENT
Please typo or print in ink. 2020 DEC 22 PM 3:59
NAME OF FILER (LAST) (FIRST) (MIDDLE)
PArk Kevin
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Santa Clara
Division, Board, Depariment, Districi, if applicable Your Position 2021 NOV - 8 PRACTICES City Council District 4 Councilmember
FAIR POLTICAL RECENED
• If fling for multiple positions, list below or on an attachment. (Do not use acronyms) PM Stadium Authority Board Member
Position: -
Any See Attached
2. Jurisdiction of Office (Check at least one box)
• State •Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction)
• Multi-County • Conly of
Z Cily of Santa Clara • Other
3. Type of Statement (Check at least one box)
• Annúal: The period covered is January 1, 2019, through • Leaving Office: Date Left December 31, 2019. (Check one circle.)
•Or- O The period covered is January 1, 2019, through the date of The period covered is. _ through
December 31, 2019. leaving office.
12 / 08 / 2020 O The period covered is - _ through
Assuming Office: Date assumed the date of leaving office.
Candidate: Date of Election and office sought, if different than Part 1:
Schedule Summary (must complete) • Total number of pages including this cover page: 1 Schedules attached
• Schedule A-1 - Investments - schedule altached • Schedule G - Income, Loans, & Business Positions - schedule altached • Schedule A-2 - Investments - schedule attached • Schedule D - Income - Gifts - schedule allached • Schedule B - Real Property - schedule attached • Schedule E - Income - Gifs - Travel Payments - schedule attached -or- [E] None - No reportable interests on any schedule
5. Verification
CITY STATE ZiP CODE
MAILING ADDRESS STREET
(Business me Ananay Addrese Resommanded. Dubia Documenil 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 camplete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of Califomla th Date Signed December 22, 2020 Signa
(month, day, year)
ATTACHMEVI 3
091600143-NFH-0143 Date Initial Filing Received
STATEMENT OF ECONOMIC INTERESTS Filing Official Use Only CALIFORNIA FORM 700 COVER PAGE
E-Filed
FAIR POLITICAL PRACTICES COMMISSION 04/01/2022
A Public Document 14:06:51
Filing ID:
203335237
Please type or print in ink.
(MIDDLE)
(FIRST)
NAME OF FILER (LAST)
Park, Kevin
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
city of Santa Clara
Your Position
Division, Board, Department, District, if applicable
Oversight Board for Successor Agency to the City of Santa Board Member
Clara Redevelopment Agency
• If filing for multiple positions, list below or on an attachment. (Do not use acronyms) *SEE ATTACHED FOR ADDITIONAL POSITIONS Position: -
Agency: -
2. Jurisdiction of Office (Check at least one box) Judge, Retired Judge, Pro Tem Judge, or Court Commissioner • State (Statewide Jurisdiction)
7 County of_.
L Multi-County
Santa Clara 7 Other
[x] City of
3. Type of Statement (Check at least one box)
Leaving Office: Date Left
[x] Annual:The period covered is January 1, 2021 through (Check one circle) December 31, 2021.
-or- O The period covered is January 1, 2021 through the date of The period covered is -, through leaving office.
December 31, 2021. through the date
O The period covered is
L Assuming Office: Date assumed of leaving office.
Candidate:Date of Election. and office sought, if different than Part 1:.
4. Schedule Summary (must complete) • Total number of pages including this cover page: - Schedules attached
• Schedule A-1 - Investments - schedule attached X] Schedule C - Income, Loans, & Business Positions - schedule attached Schedule A-2 - Investments - schedule altached X Schedule D - Income - Gifts - schedule altached • Schedule B - Real Property - schedule attached [X) Schedule E - Income - Gifts - Travel Payments - schedule attached -Or-
• None - No reportable interests on any schedule
5. Verification ZIP CODE
CITY STATE
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document) CA 95050
Santa Clara
E-MAIL ADDRESS
DAYTIME TELEPHONE NUMBER
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 Callfornla that the foregoing is true and correct.
Date Signed 04/01/2022 Signature Kevin Park (File the originally signed paper statement with your fling officlal.) (month, day, year)
EPPC Form 700 - Cover Page (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
ATTACHMENT Y - Page l
091600143-NFH-0143
STATEMENT OF ECONOMIC INTERESTS CALIFORNIA FORM 700
COVER PAGE FAIR POLITICAL PRACTICES COMMISSION
Expanded Statement Attachment Name
Kevin Park
City of santa clara Overeio Agency to the Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 Boardmember Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 city of Santa Clara nanoement Au thorie rojec
Houn ing Authozity Boardnembor Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 City of Santa Clara
Stadium Authority Annual 1/1/2021 - 12/31/2021 091600143-NPH-0143 City of Santa Clara Boardmember
Industrial Development Boardmember Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 City of Santa Clara
Authoxity
Boardmember Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 City of Santa Clara Sporte and Open Space
Authority
City of santa clare Mayor and city counest Counci member Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 City of Santa clara Joint Financing Authority Director Annual 1/1/2021 - 12/31/2021 091600143-NFH-0143 Annual 1/1/2021 - 12/31/2021 091600143-NPH-0143
City of Santa Clara Public Facilities Financing Director Authority
PPC Form 700 - Cover Page Expanded (2021/202:
[email protected] • 866-275-3772 • www.fppc.ca.go
ATTACHMENT 4 - Page 2
091600143-NFH-0143
SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Park, Kevin
--INGOME-RECEIVED- I-INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
start-up company (via trinet) Bluebird Montessori Child Care Centex ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) San Jose, CA 95117
Dublin, CA 94568
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Software Engineering Child Care
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Engineering Manager Teacher
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 [X] $1,001 - $10,000 [* $10,001 - $100,000 • OVER $100,000 C $10,001 - $100,000 • OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED X Salary • Spouse's or registered domestic partner's income ] Salary [X] Spouse's or registered domestic partner's incomo (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, elc.) (Rool proporty, car, boat, efa.) • Loan repayment Loan repayment
• Commission or • Rental Income, fist each source of $10,000 or more / Commission or Rental income, list onch source of $10,000 or more (Describo) (Describo)
• Other - • Other
(Doscribo) (Doscribo)
I 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/Yeara)
• None
ADDRESS (Business Addross Accoptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER • None • Personal residence • Real Property - Stral 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 (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
ATTACHMENT 4 - Paae 3
091600143-NFH-0143
SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Park, Kevin
L1-INGOME-REGEIVED- INCOME RECEIVED,
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Tata America
ADDRESS (Business Address Accepfable) ADDRESS (Business Address Acceptable) Edison, NJ 08837
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE technical Consultandy and Engineering
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Senior Manager
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 IX OVER $100,000 • $10,001 - $100,000 • OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED • Spouse's or registered domestic partner's Income • Salary Spouse's or registered domestic partner's income X Salary (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
(Roal property, car, boal, etc.) (Real property, car, boat, etc.) • Loan repayment Loan repayment
• Commission or Rental Income, Ist each source of $10,000 or more • Commission or • Rental Income, list each source of 510,000 or mora (Doscribo) (Dascribo)
• Other • Other
(Doscribe)
(Dascribe)
2 COANS 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/Yeara)
-% L None
ADDRESS (Business Addross Acceptablo)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER • None • Personal residonce • Real Property Stret address
HIGHEST BALANCE DURING REPORTING PERIOD
• $500 - $1,000 city
• $1,001 - $10,000
• Guarantor ..
• $10,001 - $100,000
• OVER $100,000 • Other.
(Describa)
Comments:
FPPC Form 700 Schedule C (2021/2022)
[email protected] - 866-275-3772 • www.fppc.ca.gov
ATTACHMENT 4- PagO Y
091600143-NFH-0143
SCHEDULE E CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income - Gifts Name
Travel Payments, Advances,
and Reimbursements Park, Kevin
• Mark either the gift or income box.
• Mark the 501(c)(3) box for a travel payment received from a nonprofit 501(c)(3) organization or the "Speech" box If you made a speech or participated in a panel. Per Government Code Section 89506, these payments may not be subject to the gift limit. However, they may result in a disqualifying conflict of interest.
• For gifts of travei, provide the travei destination.
• NAME OF SOURCE (Not an Acronym) • NAME OF SOURCE (Not an Acronym) Overseas Korean Foundation
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
CITY AND STATE CITY AND STATE
Seoul, Na Na
• 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE [ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE Educate and inform Koreans abroad and connect them
to Korean communities
DATE(S): 08 / 18/21 - _08/19/21. AMT: $. nte190.00 DATE(S):-_/. AMT: $ (II git) (It gitt)
* MUST CHECK ONE: [x] Gift -Or- 1 income • MUST CHECK ONE: • Gift -OF- • Income Made a Speech/Participated in a Panel • Made a Speach/Participated in a Panel Other - Provide Description • Other - Provide Description * If Gift, Provide Travel Destination Jeju, South Korea • If Gift, Provide Travel Destination * NAME OF SOURCE (Not an Acronym) • NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
CITY AND STATE CITY AND STATE
• 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE • 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): - AMT: $. DATE(S): _ _ AMT: $.
(11 gin)
• MUST CHECK ONE: L Gift -Or- • Income • MUST CHECK ONE: • Gift -Or- • Income • Made a Speech/Participated in a Panel Made a Speach/Perticipated in a Panel • Other-Provide Description - • Olher - Provide Description • If Gift, Provide Travel Destination • If Gift, Provide Travel Destination Comments: Reimbursed for travel to the Overseas Korean Foundation forum where I gave a pregentation and participated in a diacussion panel.
FPPC Form 700 Schedule E (2021/2022)
[email protected] • 866-275-3772 • www.fppc.ca.gov
ATTACHMEUT 4 - Page 6