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
GD (206) 61 5-1 (248 (711 8) (1) $0 -- $999 AFFAIRS
pally.grow@seattle.gov g; .- $3,333 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 1.0
candidate or being newly appointed to a position. (7) $200,000 .- $999,999 ?1?1 .
(8) $1,000,000 -- $4,999,999 C, 
SEND REPORT TO Seattle City Clerk (9) $5,000,000 more 2 


 

 

 

"immediate family" means: a spouse or domestic partner, or a parent. parent of a spouse or domestic partner, child, child of speiuse ordomestic
partner, sibling, uncle. aunt, cousin, niece or nephew, ifthat person either resides with or is a dependent on the Covered Individuals most recently filed 

 

federal income tax return. SMC 4.16.080 If." J- 

I
Last Name First Middle Initial Names of immediate family members. lftheWs nor"

t/Jlliiotm 

other dependents living in your household, docn'tit identify

reportable information to disclose for dependeohchild'r?en, or
them. Do identify your spouse or domestic partner.

 

Mailing Address (Use PO Box or Address) 

gm LAMA UMAS

 

 

City

Sui-rid? t: M3 6 ng

County Zip 4

 

Filing Status (Check only one box.)
An elected or appointed official filing annual report Of?ce title: 4, 
I 0M L1 
I.)

Final report as an elected of?cial. Term expired:

@Candidate running in an election: month 5 5 year 21 liq Term begins: (z 3? ends: I '20 1

Newly appointed to an elective office

Office Held or Sought

 

Position number:

 

 

1

Show Sell 
Spouse 
Dependent 

A.

List each employer, or other source of income (pension, social security, legal judgment, etc.) from which you or an
INCOME 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 Occupation or How Compensation Amount:
Was Earne (Use Code)
Microsoft Carr-?rim firmed-Mrs Ruin-490N180}; Frill/?5i ?uid-53 (6)




Check Here if continued on attached sheet

 

2

List street address, assessor?s parcel number, or legal description AND county for each parcel of Washington
REAL ESTATE 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.)

 

 

 

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 NameiAddress Payment Terms Security Given Mortgage Amount (Use Code)
(eg 20 at Original Current


All Other Property Entirely or Partially Owned


Check here if continued on attached sheet

 

 

 

 

 

 

 

CONTINUE ON NEXT PAGE

 

List bank and savings accounts, insurance policies, stock, bonds and other

 

3 ASSETS I INVESTMENTS 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 W9 I I ?m 5 Com?)
or an immediate family member had an account over $24,000 at any a Al!
time during the report period. ??09 U6 [0 (6) 
Sui-He, will 95 (0?1
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 lik 5 (MIL)
agency, etc, in which you or an immediate family member, owned or k]
had a ?nancial interest worth over $2,400. Include stocks. bonds, 0M ?tbl?'?p?k 
ownership. retirement plan, IRA, notes, stock options, and other 

intangible property. If you or your immediate family member had
decision making authority regarding individual assets/investments list ?nal; -- ~10] At TM

(up 
(5) 

 

 

 

 

 

 

each asset or investment, the value and any income amount. I 1- 
EXAMPLE: If you self?directed an investment account identify each I 5 7 i 
stock or other asset in that account. Stock shall be reported by I ?0
market value at the time of reporting. (1 ?4 I 
PA mu
Check here it continued on attached sheet. \ll-l ?5 
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.
Creditor?s Name and Address Terms of Payment Security Given original current
(eg. 6 years at 5.25%) 

Check here it continued on attached sheet.

 

 

5 Enter Dollar Amount
.
NET 0 TH En er your estimated net worth 3 :l 80 000

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 andior an immediate family member (1) an officer, director, general partner or trustee of any corporation, company, union,
association, joint venture or other entity or (2) a partner or ember of any limited partnership, limited liability partnership, limited liability company or similar entity including
but not limited to a professional limited liability company? an If yes, complete Supplement, Part A.

B. Did you and/or 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?Ng_ if yes, complete Supplement, Part A.
Did you andror an immediate family member own a business at anytime during the reporting period? 0 If yes, complete Supplement, Part A.

islation, rules, rates or standards for compensation or deferred compensation (other than

D. Did you and/or an immediate family member prepare, promote or oppose state 9
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 governmental 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 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 EXCEPT CANDIDATES. Check the appropriate box. Contact Telephone: 33 5,5563 9:

I hold a local elected office I have read and am familiar with SMC 
. 1'
2.04.300 regarding the use of public facilities in campaigns. Email. Camin? @elcct diso??o'u 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.
Aim
Date Signatt?rfe 

 

DIDATES: Do not use public agency addressgs or telephone numbers for contact information. Report Not Acceptable Without Filer's Signature