b OF THE CITY CLERK OF THE CITY FORM 700 STATEMENT OF ECONOMIC OF C, itial Filing Recei, ec INTERESTS MARffi2 ge2018 A PUBLIC DOCUMENT COVER PAGE City Clerk, CALIFORNIA FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. NAME OF FILER ( LAST) FIRST) Deputy City C M LE) Ulloa Eunice Mae 1. Office, Agency, or Court Agency Name ( Do not use acronyms) City of Chino Division, Board, Department, District, if applicable Your Position Mayor If filing for multiple positions, list below or on an attachment. ( Do not use acronyms) Agency: ISee attachment) Position: See attachment) 2. Jurisdiction of Office ( Check at least one box) State Judge or Court Commissioner( Statewide Jurisdiction) Multi- County San Bernardino/ Riverside/ Los Angeles ID County of i Other * Ontario, Rancho Cucamonga, Fontana X City of Chino, Chino Hills, Montclair, Pomona, Upland,* 3. Type of Statement ( Check at least one box) Annual: The period covered is January 1, 2017, through Leaving Office: Date Left. J 1 Assuming December 31, 2017. Check one) Office: Date assumed 0 The period covered is through Candidate: Date of Election and office sought, if different than Part 1: the date of leaving office. 4. Schedule Summary ( must complete) Total number of pages including this cover page: 6 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 or- The period covered is_j- 1. through 0 The period covered is January 1, 2017,through the date of December 31, 2017. leaving office. or- or- O None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE Business or Agency Address Recommended- Public Document) 13220 Central Avenue Chino CA 91710 DAYTIME TELEPHONE NUMBER E- MAIL ADDRESS 909 ) 334-3205 eulloa@cityofchino. org 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. March 28, 2018 Date Signed Signature ' i6 j, LV\ I month, day, year) File the originally signed statement with your filing official.) FPPC Form 700( 2017/ 2018) FPPC Toll- Free Helpline: 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%) f 4i_f;, cc.-- t` 41 Do not attach brokerage or financial statements. Bank of America Calatlantic Group, Inc. Banking Home Building 2,000-$ 10, 000 0 $ 2, 000-$ 10, 000 0$ 10, 001 -$ 100,000 100, 001 -$ 1, 000, 000 Over$ 1, 000, 000 100, 001 -$ 1, 000, 000 Over$ 1, 000, 000 Q IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: J_ J 17 _/ J 17 17 _ j_/ 17 Chino Commercial Bank Crocs, Inc. Bank Footwear Q $ 2, 000-$ 10,000 0$ 2,000-$ 10, 000 0$ 100,001 -$ 1, 000, 000 Over$ 1, 000, 000 100,001 -$ 1, 000, 000 Over$ 1, 000, 000 Q I_/ 17 17 j_j 17 _/ / 17 CVB Finl Corp Corn CVS Health Corp Corn Banking Retail 0$ 2, 000-$ 10, 000 2, 000-$ 10, 000 0$ 100,001 -$ 1, 000, 000 Over$ 1, 000, 000 100, 001 -$ 1, 000,000 Over$ 1, 000, 000 Q Q IF APPLICABLE. LIST DATE: IF APPLICABLE, LIST DATE: J I 17 _/_/ 17 17 _j_/ 17 FPPC Form 700( 2017/ 2018) Sch. A- 1 FPPC Toll- Free Helpline: 866/ 275-3772 www.fppc. ca. gov
SCHEDULE A-'I CALIFORNIA FORM 700 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name Ownership Interest is Less Than 10%) Eunice Mae UIIoa Do not attach brokerage or financial statements. Disney General Dynamics Corp Corn Entertainment Defense 0 $ 2, 000-$ 10, 000 10,001 -$ 100, 000 0$ 2, 000-$ 10, 000 0 $ 10,001 -$ 100, 000 100, 001 -$ 1, 000, 000 Over$ 1, 000, 000 100, 001 -$ 1, 000,000 Over$ 1, 000,000 Q X 0 Income Received of$ 500 or More( Report on Schedule C) 0 Income Received of$ 500 or More( Report on Schedule C) 17 17 17 General Electric Hewlett Packard Enterprise Co Corn Manufacturing Manufacturing 0 $ 2, 000-$ 10, 000 0$ 2, 000-$ 10, 000 0 $ 100, 001 -$ 1, 000, 000 Over$ 1, 000, 000 100, 001 -$ 1, 000,000 Over$ 1, 000, 000 0 17 J / 17 17 Pfizer Inc Corn Verizon Communications Corn Pharmacuticals Communications Q $ 2, 000-$ 10, 000 0 $ 0 $ 2, 000-$ 10, 000 100, 001 -$ 1, 000, 000 Over$ 1, 000, 000 100,001 -$ 1, 000,000 Over$ 1, 000,000 Q Q 17 17 j_ 17 17 FPPC Form 700( 2017/ 2018) Sch. A- 1 ov FPPC Toll- Free Helpline: 866/ 275-3772 www. fppc.ca. gov
sn SCHEDULE A- 1 CALIFORNIA FORM 700 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name Ownership Interest is Less Than 10%) Eunice Mae UIIoa Do not attach brokerage or financial statements. Western Digital Corp Corn Manufacturing Q $ 2, 000-$ 10,000 0$ El$ 2, 000-$ 10, 000 0 $ 10, 001 -$ 100, OsO 0 $ 100, 001 -$ 1, 000, 000 0 Over$ 1, 000, 000 0 $ 100, 001 -$ 1, 000,000 0 Over$ 1, 000, 001 Q Stock 0 Other El Stock 0 Other 0 Partnership 0 Income Received of$ 0-$ 499 0 Partnership 0 Income Received. $ 0-$ 499 0 Income Received of$ 500 or More( Report on Schedule C) 0 Income Receive. of$ 500 or More( Report on Schedule C) 11 17 _j_j 17 17 _ 1_ 1 17 AME OF BUSINESS ENTITY NAME OF BUSIN. S ENTITY GENER'AI,. DESCRIPTION OF THIS BUSINESS GENERAL SCRIPTION OF THIS BUSINESS N FAIR MARKET VALU F MARKET VALUE 0 $ 2, 000-$ 10, 000 \-, 0$ 10,001 -$ 100, 000 2, 000-$ 10, 000 0$ 0 $ 100, 001 -$ 1, 000, 000 NLN Over$ 1, 000, 000 0$ 100, 001 -$ 1, 000, 000 0 Over$ 1, 000, 000 N 0 Stock 0 Other 0 Stock 0 Other fi scribe) Partnership 0 Income Received of$ 0-$ X99 0 Partnership 0 Income Received of$ 0-$ 499 0 Income Received of$ 500 or re( Report on Schedule C) 0 Income Received of$ 500 or More( Report on Schedule C) J / 17 J / 17 N J- 1 17 /_/ 17 Ii- GENERAL DESCRIPTION OF THIS BUS,UVESS N 7 F. FAIR MARKEtALUE 0 $ 2, 000-$ 10, 000 0 $ 2, 000-$ 10, 000 0$ O $ 100, 001 -$ 1, 000, 0000/ 0 Over$ 1, 000, 000 0 $ 100, 001 -$ 1, 000, 000 0 Over$ 1, 000, 000 NATURE OF INVrrrE--- STMENT O Stock Fl/ Other 0 Stock 0 Other J El Partnershiti 0 Income Received of$ 0-$ 499 Partnership 0 Income Received of$ 0-$ 499 17 _ 1_ 1 17 1-1 17 17 FPPC Form 700( 2017/ 2018) Sch. A- 1 FPPC Advice Email: advice@fppc.ca. gov FPPC Toll- Free Helpline: 866/ 275-3772 www. fppc. ca. gov
CALIFORNIA FORM 700 SCHEDULE D Income Gifts FAIR POLITICAL PRACTICES COMMISSION Name Eunice Mae Ulloa NAME OF SOURCE ( Not an Acronym) P. NAME OF SOURCE ( Not an Acronym) Chino Auto Repair& Collision Center ADDRESS ( Business Address Acceptable) ADDRESS( Business Address Acceptable) 4760 Chino Ave, Ste B; Chino, CA 91710 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Auto Repair DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT(S) DATE( mm/ dd/ yy) VALUE DESC PTION OF GIFT( S) 12 / 20 / 17$ 100. 00 Christmas gift basket J J $ l_ I $ I I P. ME OF SOURCE( Not an Acronym) NAME OF SOURC ( Not an Acronym) ADDRESS usiness Address Acceptable) ADDRESS Business Address Acceptable) BUSINESS ACTIVITY, ANY, OF SOURCE BUS' IINESS ACTIVITY, IF ANY, OF SOURCE DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT(S) DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT( S) L/ J l J/:$ EE $ f F J / OP- NAME OF SOURCE ( Not an Acronym) NAME OF SOURCE ( Not an Acronym) ADDRESS ( Business Address Acceptable)/ ADDRESS ( Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF/ SOURCE BUSIN-. S ACTIVITY, IF ANY, OF SOURCE DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT(S) DATE( mm/ dd/ yy) VALUE DESCRIPTION OF GIFT( S) 1 _ J $ L / $ J_J $ J $ J _J $ I J $ FPPC Form 700( 2017/ 2018) Sch. D FPPC Toll- Free Helpline: 866/ 275-3772 www. fppc. ca. gov
City of Chino Mayor Eunice M. Ulloa is a Board Member or Alternate for the following entities: Chino Basin Desalter Authority Inland Empire Utilities Agency Omnitrans ONT- IAC ( Ontario International Airport- Inter Agency Collaborative) Mediation Board San Bernardino County Transportation Authority San Bernardino Associated Governments Successor Agency to the Former Chino Redevelopment Agency Water Facilities Authority West Valley Mosquito Vector Control District Chino Basin Watermaster