File with: Seattle City Clerk SEEC FORM SEEC PO Box 94728 DOLLAR PERSONAL Seattle, WA 93124-4723 _1 CODE AMOUNT FINANCIAL SE?ltt Questions: (206) 584-8500 0 ELECTIBIIS (205) 515.1243 (7118) g; :2 000 -- AFFAIRS polly.grow@seattle. ov I I 9 (3) $5,000 $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 candidate or being newly appointed to a position. $200,000 $999,999 . (8) $1,000,000 -- $4,999,999 SEND REPORT TO Seattle Clty Clerk (9) $5 000 000 or more "immediate family" means: a spouse or domestic partner or a parent, parent of a spouse or domestic partner child, child of sp?use or domestic partner sibling uncle aunt cousin. niece or nephew if that person either resides with or is a dependent on the Covered Individual' 3 master-scanty federal income tax return. SMC 4.16.080 I r? Last Name First Middle initial Names of immediate family members?. 'lf thgre is no . s3 reportable information to disclose for or .1. 6" [4 ?4 7 other dependents living in your household-do nglidentify them Do identify your spouse or domest??partnei. Mailing Address (Use PO Box or Work Address) (-679 . -r '7 P. as .515 City County Zip 4 yes my: Lid .9 1549652273 Filing Status (Check only one box.) Of?ce Held or 50?th I: An elected or appointed of?cial ?ling annual report Of?ce ??93 C. 1/ C, CALL 5 1" Final report as an elected of?cial. Term expired: Position number: 5 Candidate running in an election: month At year JC .1 El Newly appointed to an elective of?ce Term begins: 37% LDab-)ends: bf :1 1 INCOME (Report interest and dividends in Item 3.) 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. options received during the reporting period that had a value of more than $2,400. include stock Name and Address of Employer or Source of Compensation Occupation or How Compensation Amount: Dependenl(D) l? i: i i (H: Was Earned (Use Cafe) id!" 7 lift? (3) Check Here if continued on attached sheet it". I. f?f 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-?l supplement.) REAL ESTATE 2 Preperty Sold or Interest Divested Assessed Name and Address of Purchaser Nature and Amount (Use Code) of Payment or Value Consideration Received l. (Use 1-9 (A Code) Property Purchased or interest Acquired Creditor's Name/Address Payment Terms Security Given Mortgage Amount - (Use Code) (eg. 20 at Original Current l? - All Other Property Entirely or Partially Owned A a ?4 50 lat: Hugoiud . 6/ (Mic I Check here it continued on attached sheet CONTINUE ON NEXT PAGE 3 List bank and savings accounts, insurance policies, stock. bonds and other ASSETS I INVESTMENTS INTEREST 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 financial institution in which you 5? A (TL Code) or an immediate family member had an account over $24,000 at any a .51? time during the report period. .8 B. Name and address of each insurance company where you or an A) .5) (U E. 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 5? E. fury?TE) ED agency, etc. in which you or an immediate family member. owned or had a ?nancial interest worth over $2.400. Include stocks. bonds, - ?1.33 7? ownership. retirement plan. IRA. notes. stock options. and other 3 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 marketvalue atthe time of reporting. Check here IE 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. Creditor's Name and Address Terms of Payment Security Given original current (eg. 6 years at 5.25%) i (i Check here if continued on attached sheet. Enter Dollar Amount 5 NET WORTH Enter your estimated net worth. ?1 51 (1 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 filing your initial report. no F-1 Supplement is required. Incumbent elected of?cials ?ling an annual financial affairs report also must answer question E. An 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 (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? i If yes. complete Supplement, Part A. B. Did you andior 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? lfyes. complete Supplement. Part A. C. Did you andfor an immediate family member own a business at any time during the reporting period? iv" If yes. complete Supplement. Part A. Did you andior 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 of?ce) at any time during the reporting period? ti? 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. andior 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? If yes to either or both questions. complete Supplement, Part C. ALL FILERS EXCEPT CANDIDATES. Check the appropriate box. Contact Telephonehold a local elected of?ce. I have read and am familiar with SMC (Email: (work)* 2.04.300 regarding the use of public facilities in campaigns. Email: 6.1.1? (H Li? I (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. . ..). puumrigtt\3wq Vj%g% Date I Signature Do not use public agency addresses or telephone numbers for contact information. Report Not Acceptable Without Filer?s Signaturr Seattle SEEC Form F-l (additional information) Candidate: LIU, GEORGE 3) Assets/investments ? nterest/Dividends A. Bank/Financial name address Type of account Asset Income description of asset Value Amount 1. Bank of America Certificate of Deposit 5 1 Box 25118 Checking 1 Tampa, FL 33622-5718 2. Salal Credit Union Certificate of Deposit 5 1 Box 75029 Seattle, WA 98175 3. Goldman Sachs/Marcus Bank Certificate of Deposit 6 1 Box 1978 Cranberg TWP, PA 1?6066 C. Company, Association, Govt Agency, etc 1. Charles Schwab Certificate of Deposit 3 1 598 Union Street Seattle, WA 98175 2. Morgan Stanley Money Market 5 1 Box 290157 Bond Fund 1 Tampa, FL 33687 3. Fidelity Brokerage Services Money Market 6 2 Box 28019 Bond Fund Albuquerque, NM 87125-8019 Stock Fund 5 1 4. TIAA Administrative Services "Traditional" Annuity 7 5 8500 Andrew Carnegie Boulevard Money Market 5 1 Charlotte, NC 28262 Stock Fund 5 1 Bond Fund 5 1 5. Great Western Retirement Services Money Market 5 2 Box 173764 Denver, CO 80217-3764 E3 I 73? i?whv u? U. ?zx (Hf/oz o? m7 .1 {19% at