File with: Seattle City Clerk SEEC FORM SEEC PO BOX 94728 DOLLAR PERSONAL Seattle, WA 98124-4728 _1 CODE AMOUNT FINANCIAL Questions: (206) 684-8500 accrualscaumsslou (205) 615-1248 (W18) 3; :2 000 -- $4533: AFFAIRS . (3) $9:999 STATEM ENT (4) $10,000 -- $24,999 Deadlines: Incumbent elected and appointed officials -- by April 15. (5) $25,000 .. $99,999 Candidates and others -- within two weeks of becoming a (5) $100,000 $199,999 J, candidate or being newly appointed to a position. (7) $200,000 -- $999,999 .5) (8) $1,000,000 -- $4,999,999 - SEND REPORT TO Seattle Clty Clerk (9) $5,000,000 or more '1 - 1..- "immediate family" means: a spouse or domestic partner, or a parent, parent of a spouse or domestic partner. child, child of-srpousegr domest?zq partner, sibling, uncle, aunt, cousin, niece or nephew, if that person either resides with or is a dependent on the Covered lndividual's rgo?st recently '?lerfT . federalincome tax return. SMC 4.16.080 r, CI- 1 '1 Last Name First Middle Initial Names of immediate family members?" 1stheragls no}: ?1 reportable information to disclose for depender?l hildr'?n, or Harp er DOD other dependents living in your household, do identify them. Do identify your spouse or domestic pa ner. Mailing Address (Use PO Box or Work Address) 300 Queen Anne Ave #239 Suzanne Grant CW County Zi5+ 4 Seattlt 9810 -4512 Filing Status (Check only one box.) Of?ce Held or Sought Off . . El An elected or appelnted officral ?ling annual report "36 Clty Counc11 Final report as an elected of?cial. Term expired: Position number: 7 Ca d'd runnin in an I t' month I 9 I a ec year Term begins: ends: I: Newly appointed to an elective of?ce 0W 1% List each employer, or other source of income (pension, social security, legal judgment, etc.) from which you or an immediate family member, received compensation, in any form, of $2,400 or more during the period. Include stock options received during the reporting period that had a value of more than $2,400. (Report interest and dividends in Item 3.) Name and Address of Employer or Source of Compensation INCOME 1 Show Self (S) Spouse (SPIDP) Dependent (D) Occupation or How Compensation AUIEJUIZ Was Earned (Use: ode) 1 (:13 313 All? 6 ?31 See Attached List HF 60? Check Here it continued on attached sheet List street address, assessor?s parcel number, or legal description AND county for each parcel of Washington real estate with value of over $12,000 in which you or an immediate family member held a personal financial interest during the reporting period. (Show partnership, company, etc. real estate on F-1 supplement.) 2 REAL ESTATE Property Sold or Interest Divested Assessed Name and Address of Purchaser Nature and Amount (Use Code) of Payment or Value Consideration Received (Use 1-9 Code) Property Purchased or Interest Acquired Creditor's NamelAddress Payment Terms Security Given Mortgage Amount - (Use Code) (eg. 20 at Original Current AllOth rtEt'I a or rope way or artla wne US Bank 3' 594 HELOC 2723 4th Ave 8 arl?iEle 5 5) PO Box 790197 Mont Seattle WA 98119 . . St MO 63179 Check here if continued on attached sheet CONTINUE ON NEXT PAGE 3 List bank and savings accounts, insurance policies, stock, bonds and other ASSETS INVESTMENTS DIVIDENDS intangible property (including but not limited to stock options) held during the reporting period. Type of Account or Description of Asset Asset Value Income Amount (Use 1-9 (Use 1?9 Code) A. Name and address of each bank or ?nancial institution in which you Code) or an immediate family member had an account over $24,000 at any See Sheet Attached time during the report period. B. Name and address of each insurance company where you or an immediate family member had a policy with a cash or loan value over $24,000 during the period. C. Name and address of each company, association, government agency, etc. in which you or an immediate family member, owned or See Attached List had a financial interest worth over $2.400. Include stocks, bonds, ownership, retirement plan, IRA, notes, stock options, and other intangible property. If you or your immediate family member had decision making authority regarding individual assetsrinvestments iist each asset or investment, the value and any income amount. EXAMPLE: If you self-directed an investment account identify each stock or other asset in that account. Stock shall be reported by market value at the time of reporting. Check here if continued on attached sheet. List each creditor you or an immediate family member owed $2,400 or more any time during the AMOUNT 4 CREDITORS period. Don't include retail charge accounts, credit cards, or mortgages or real estate reported (USE 1_9 in item 2. Creditor's Name and Address Terms of Payment Security Given original current (eg. 6 years at 5.25%) Check here if continued on attached sheet. Enter Dollar Amount 5 NET WORTH Enter your estimated net worth. 3 8M 6 All filers answer questions A thru below. If the answer is YES to any of these questions, the F-1 Supplement must also be completed as part of this report. If all answers are NO and you are a candidate or an appointee to a vacant elective office filing your initial report, no F-1 Supplement is required. Incumbent elected officials filing an annual financial affairs report also must answer question E. An F-1 Supplement is required of these officeholders unless all answers to questions A thru are NO. A. At any time during the reporting period were you and/or an immediate family member an officer, director, general partner or trustee of any corporation, company. union, association, joint venture or other entity or (2) a partner ormernber of any limited partnership, limited liability partnership. limited liability company or similar entity including but not limited to a professional limited liability company? i' s? 7 If yes, complete Supplement. Part A. B. Did you andlor an immediate family member have an ownership of 10% or more in any company, corporation. partnership, joint venture or other business at any time during the reporting period? . 95 If yes, complete Supplement, Part A. . 0. Did you and/or an immediate family member own a business at any time during the reporting period? 9-5 If yes, complete Supplement, Part A. D. Did you andlor an immediate family member prepare, promote or oppose state legislation. rules. rates or standards for compensation or deferred compensation (other than pay for a currently-held public office) at any time during the reporting period? '3 If yes. complete Supplement, Part B. E. Only for Persons Filing Annual Report. Regarding the receipt of items not provided or paid for by your governmental agency during the previous calendar year: 1) Did you, and/or an immediate family member accept a gift of food or beverages costing over $50 per occasion? or 2) Did any source other than your governmental agency provide or pay in whole or in part for you andior an immediate family member to travel or to attend a seminar or other training? If yes to either or both questions, complete Supplement, Part C. ALL FILERS EXCEPT CANDIDATES. Check the appropriate box. Contact Telephone: 2D i 35 1?5587 I hold a local elected of?ce. I have read and am familiar with SMC d11arperdistrict7@gmail.com 2.04.300 regarding the use ofpublic facilities in campaigns. ma" (work) Email: (Home) Optional CERTIFICATION: I certify under penalty of perjury that the information contained in this report is true and correct to the best of my knowledge. March 7, 2019 a Date Signature Do not use public agency addresses or telephone numbers for contact information. Report Not Acceptable Without Filer?s Signature lndivual 5 SP SP SP Name CITC Social Secu Standfast Studio Social Secur Will Inc F?l Section 1 Address Amount 1930 116th Ave NE Bellevue WA 98004 3 2723 4th Ave Seattle 98119-2336 509 Olive Way #303 Seattle WA 98101 F-1 Section 3 Name Type Fund Value Income Vanguard ROTH Total International Stock Index fund 5 2 Mid?Cap Index 6 2 IRA Intermediate Bond Index Fund 5 2 REIT Index Fund 5 2 Total Bond Market Index Fund 5 1 Total International Stock Index fund 4 1 Mid-Cap Index 6 1 Intermediate Treasury Bond Index 4 1 Target Retirement 2025 5 1 Total Bond Market Index Fund 4 1 SEP-IRA GNMA Fund 5 2 Small Cap Index Fund 6 2 Wellington Fund 6 4 International Value 5 2 Total Bond Market Index Fund 7 3 Total International Stock Index fund 5 2 Rowe Price Spectrum Growth 6 4 BP PLC SPON ADR SEP-IRA Stock 5 2 Vanguard Non Retirement Intermediate Bond Index Fund 6 2 REIT Index Fund 5 2 Total Bond Market Index 5 1 Total International Bond Index 5 2 Total Stock Market Index Fund 5 2 Long Term Bond Index Fund 5 2 Intermediate Bond Index Fund 5 2 Total Bond Market Index 5 2 Total Stock Market Index Fund 7 3 Invesco Quality Municipal Income Trust 5 2 US Treasury Bonds 5 2 Air Transport Services Group Stock 2 1 Stock 2 1 Bank of America Stock 5 2 Bristol Myers Squibb Stock 5 2 CenturyLink Stock 2 1 Section 3 Comcast Stock 2 1 Corning Stock 5 1 Kroger Stock 2 1 Microsoft Stock 5 2 Principal Financial Group Stock 4 1 Starbucks Stock 5 2 Weyerhaeuser Co Stock 5 2 HomeStreet Money Market 5 1 HomeStreet Money Market 5 1 Vanguard Money Market 5 1 Alliant Savings Money Market 5 1 Alliant Savings Money Market 3 1 HomeStreet Checking 3 1 Chase Checking 2 1 US Bank Checking 3 1 US Bank Savings 3 1 Health Equity Health Savings Money Market 2 1 Health Equity Health Savings Money Market 4 1 DISCLOSURE COMHISSION 711 CAPITOL WAY RM 206 PDC FORM Po B?x4?9?8 SUPPLEMENT PAGE OLYMPIA WA 98504-0908 (360)753-1111 PERSONAL FINANCIAL AFFAIRS STATEMENT TOLL FREE 1-877-601-2828 SUPPLEMENT EMAIL: pdc@pdc.wa.gov (1115) PROVIDE INFORMATION FOR YOURSELF, SPOUSE, REGISTERED DOMESTIC PARTNER, DEPENDENT CHILDREN AND OTHER DEPENDENTS IN YOUR HOUSEHOLD Last Name First Middle Initial DATE Harper Don 03/07/2019 OFFICE HELD: Provide the following information if, during the reporting period, you, your spouse, registered domestic partner or A BUSINESS dependents INTERESTS: (1) were an of?cer, director, general partner, trustee, or 10 percent or more owner of a corporation, non-pro?t organization, union, partnership, joint venture or other entity; andfor (2) were a partner or member of a limited partnership, limited liability partnership, limited liability company or similar entity, including but not limited to a professional limited liability company. - Legal Name: Report name used on legal documents establishing the entity. - Trade or Operating Name: Report name used for business purposes if different from the legal name. - Position or Percent of Ownership: The of?ce, title andior percent of ownership held. - Brief Description of the Business/Organization: Report the purpose, product(s), andror the service(s) rendered. - Payments from Governmental Unit: If the governmental unit in which you hold or seek of?ce made payments to the business entity concerning which you're reporting, show the purpose of each payment and the actual amount received. - Payments from Business Customers and Other Government Agencies: List each corporation, partnership, joint venture, sole proprietorship, union, association, business or other commercial entity and each government agency (other than the one you seeki?hold of?ce) which paid compensation of $12,000 or more during the period to the entity. Brie?y say what property, goods, services or other consideration was given or performed for the compensation. - Washington Real Estate: Identify real estate owned by the business entity if the qualifications referenced below are met. ENTITY No. 1 Reporting For: Self Spouse Registered Domestic Partner El Dependent El LEGAL NAME: Jim Creek Properties LLC POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: Same 1i3 ADDRESS: 2723 4"h Ave Seattle WA 98119-2336 BRIEF DESCRIPTION OF THE Real Estate PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN YOU OFFICE: Purpose of payments Amount (actual dollars) 0.00 0.00 PAYMENTS ENTITY RECEIVED FROM OTHER GOVERNMENT AGENCIES OF $12,000 OR MORE: Agency name: Purpose of payment (amount not required) 0.00 0.00 PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS OF $12,000 OR MORE Customer name: Purpose of payment (amount not required) 0.00 0.00 WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL (Complete only If ownership in the ENTITY is 10% or more and assessed value of property is over $24,000. List street address, assessor parcel number, or legal description and county for each parcel): Parcel 32073000301300 Snohomish County Parcel 32073100200700 Snohomish County Check here El it continued on attached sheet CONTINUE PARTS AND ON NEXT PAGE Page2 Supplement Name Suzanne Grant ENTITY NO. 2 Reporting For: Self Spouse >3 Registered Domestic Partner Dependent LEGAL NAME: StandFast Studio POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: 100% ADDRESS: 2723 Ave Seattle WA BRIEF DESCRIPTION OF THE BUSINESSIORGANIZATION: Voice piano instruction PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEKIHOLD OFFICE: Purpose of payments Amount (actual dollars) 0.00 0.00 PAYMENTS ENTITY RECEIVED FROM OTHER GOVERNMENT AGENCIES OF $12,000 OR MORE: Agency name: Purpose of payment (amount not required) 0.00 0.00 PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS OF $12,000 OR MORE Customer name: Purpose of payment (amou nt not required) 0.00 0.00 WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST (Complete only if ownership in the ENTITY is 10% or more and assessed value of property is over $24,000. List street address, assessor parcel number, or legal description and county for each parcel): Check here if continued on attached sheet List persons for whom you, or any immediate family member, including registered domestic partner, lobbied or LOBBYING: prepared state legislation or state rules, rates, or standards for compensation or deferred compensation. Do not list pay from government body in which you are an elected official or professional staff member. Person to Whom Services Rendered Description of Legislation, Rules, Etc. Compensation (Use Code) Check here it continued on attached sheet FOOD Complete this section if a source other than your own governmental agency paid for or otherwise provided all or a TRAVEL portion of the following items to you, your spouse, registered domestic partner or dependents, or a combination SEMINARS thereof: 1) Food and beverages costing over $50 per occasion, excluding certain receptions as defined in WAC 390- 2) Travel occasions; or 3) Seminars, educational programs or other training. Date Donor's Name, City and State Brief Description Actual Dollar Value Received Amount (Use Code) Check here if continued on attached sheet Elmira" 1.. E: valet-{31' H: "stir-112:: lint-r: 1:3; 1.. Don Harper 300 Queen Anne Ave #239 Seattle WA 98109-4512 68 m? LS- Seattle City Clerk .4 PO Box 94728 Seattle WA 98124-4728 7.- I 5 It: I h.;l . Lin-{0: I I