JP . 4m ?mg/M . File with: Seattle City Clerk SEEC FORM SEEC . i PO BOX 94723 DOLLAR PERSONAL Seattle, WA 931244723 _1 code AMOUNT FlileN CIAL. Questions: 206 684-8500 - a (205) 615-1 (243 (7l18) (1) 5? $999 AFFALBS pollyigrow?iseattlegov :3 $333 gig: (4) $10,000 - $24,999 . 93d . Deadlines: Incumbent elected and appointed of?cials by April 15. (5) $25,000 $99,999 Candidates and others -- within two weeks of becoming a (5) $100,000 $199,999 candidate or being newly appointed to a position. (7) $200,000 $999,999 1f . (3) $1,000,000 $4,999,999 .J 4 SEND REPORT TO Seattle City Clerk (9) $5,000,000 or more .- if: to "immediate family" means: a spouse or domestic partner, or a parent, parent of a spouse or domestic partner, child, child of spous?JBr domestic partner, sibling, uncle, aunt, cousin, niece or nephew, if that person either resides with or is a dependent on the Covered Individuals most recently ?led federal income tax return. SMC 4.16.080 Last Name ??/chw First Middle initial Mailing Address (Use PO City g?e?s ox or Work Address) 3326? 22M ?ve 3? County ir/lt Zip+4 75? My Names of immediate family members. lfthere is no reportable information to disclose for dependent children, or other dependents living in your household, do not identify them. Do identify your spouse or domestic partner. 503mm [Wt/56?. git/0W, 6/3 [j Newly appointed to an Filing Status (Check only one box.) El An elected or appointed of?cial ?ling annual report Final report as an elected of?cial. Term expired: Candidate running in an election: month xii-91E elective of?ce year 2&3 Of?ce Held or Sought Of?cetitle: Cir-Y Cowl/16M 20432744381? 1 Position number: Term be 'ns: 9' 2020 ends: e/zeas 1 INCOME 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. AL 6? ??7y?x 5/45/91,. 55?4/i7l/?; 737/2? Mam/rue . .2757 a Mae/7w W) 5 644%; 4 From/73X flea?? 5W i3}: Sap/f Check Harem if continued on attached sheet 5 Mitt/5! dig/27 CHM WT (Report interest and dividends in Item 3.) E'S?ig?i?n Name and Address of Employer or Source of Compensation Occupation or How Compensation Amount: Dependent in) Was Earned (Use Code) fro 157-6277 a? (15/66 marker (17? List street address, assessor?s parcel number, or legal description AND county for each parcel of Washington LLJ 2 REA-71L ESCEJE real estate with value of over $12,000 in which you or an immediate family member held a personal ?nancial 13:? 55? interest duri_ng the reporting period. (Show partnership, company, etc. real estate on F4 supplement.) Property Soldni interes?veet?? Assessed Name and Address of Purchaser Nature and Amount (Use Code) of Payment or :3 Value Consideration Received I?en (Use?l-Q is. Code) L. 7:3 a: Property Purchased oF'mterest Acquired Creditor's NamelAddress Payment Terms Given Mortgage Amount - (Use Code) (eg. 20 at Original Current . write All? i All Other Property Entirely or Partially Owned . Lema?g 93 Sl $33.61.. la; lo; 322; 22?ujm ?i Check here if continued on attached sheet i: :15. -J Ll.- i ?13 CONTINUE ON NEXT PAGE i' List bank and savings accounts, insurance policies, stock, bonds and other 3 ASSETS i INVESTMENTS DWIDENDS 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 com?) or an immediate family member had an account over $24,000 at any 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. 0. Name and address of each company, association, government agency, etc. in which you or an immediate family member, owned or . . had a ?nancial interest worth over $2,400. Include stocks, bonds, 6'69 ownership, retirement plan, notes, stock options, and other intangible property. if you or your immediate family member had decision making authority regarding individual assetslinvestments list 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. - i Check here I 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 CODE) in item 2. . 5 Creditor?s Name and Address Terms of Payment Security Given Dfiginai current 5(64?27719 .77?ng (eg. Syears at 5.25%) Ham! m7] . 6) (5-. /51 as?? 5. Mme raw/name Check here El if continued on attached sheet. 5 I 2 5H 75 Enter Dollar Amount 5 NET WORTH Enter your estimated net worth. is" 4 5 6 All ?lers 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 of?ce ?ling your initial report, no Supplement is required. incumbent elected of?cials ?ling an annual ?nancial affairs report also must answer question E. An F-1 Supplement is required of these of?ceholders unless all answers to questions Athru are NO. A. At any time during the reporting period were you andtor an immediate family member (1) an of?cer, director, general partner or trustee of any corporation, company, union, association, joint venture or other entity or (2) a partner or member of any limited partnership. limited liability partnership, limited liability company or similar entity including but not limited to a professional limited liability company? if yes, complete Supplement, Part A. 8. 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? if yes, complete Supplement, Part A. Did you andlor an immediate family member own a business at any time during the reporting period? If yes, complete Supplement. Part A. D. Did you andlor an immediate family member prepare, promote or oppose state le islation, 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? 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 gove mental agency during the previous calendar year. 1) Did you, andfor 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 andlor an immediate family member to travel or to attend a seminar or other training? AM If yes to either or both questions, complete Supplement, Part C. ALL FILERS EXCEPT CANDIDATES. Check the appropriate box. Contact Telephone: 6? 707 Ci I hold a local elected of?ce. have read and am familiar with SMC 2.04.300 regarding the use of public facilities in campaigns. Email. (work) Email:_ ?Bq?m??m .onai CERTIFICATION: I certify under penalty of perjury that the information contained in this report is true and correct to the best of my knowledge. Z/H/zo/a MM Date Signature Do not use public agency addresses or telephone numbers for contact information. Report Not Acceptable Without Filer?s Signature F-1 Continuation form Section 3, paragraph C: Assets/Investments - Interest/Dividends P.O. Box 94669 Seattle, WA 98124 Compensation Plan and Trust Name/Address of Company Account type Asset Income Value Amount Commonwealth Financial Network Roth IRA 0 29 Sawyer Road Waltham, MA 02453 Asset Trust Company GPS Focused multi-Asset 3 0 P.O. Box 40018 Income VA 24506 TIAA Roth IRA "7 0 PD. Box 1281 Charlotte, NC 28201 City of Seattle Retirement 7 0 PD. Box 94669 Seattle, WA 98124 City of Seattle Voluntary Deferred 5?