File with: Seattle City Clerk SEEC FORM SEEC PO Box 94723 DOLLAR PERSONAL Seattle, WA 93124-4723 _1 CODE AMOUNT FINANCIAL 3 Questions; (206) 684-8500 6? (206) 515.1243 (7H 8) (1) $0 -- $999 AFFAIRS polly.grow@seattle.gov g; $3,333 STATE NT (4) $10,000 $24,999 Deadlines: incumbent elected and appointed of?cials by April 15. (5) $25,090 $99,999 Candidates and others within two weeks of becoming a (6) $100,000 $199,999 35 candidate or being newly appointed to a position. (7) $200,090 $999399 2: (8) $1,000,000 $4,999,999 I.) 3; SEND REPORT TO Seattle City Clerk (9) $5,000,000 or more 5 - "immediate family" means: a spouse or domestic partner, or a parent, parent of a spouse or domestic partner. child, childijf spid?se fridemestic partner. sibling. uncle, aunt, cousin, niece or nephew, if that person either resides with or is a dependent on the Covered IndividLrian's mag; recant Iled federal income tax return. SMC 4.16.080 :3 ?4 Last Name First Middle initial Names of immediate family members. -lfthere-is no other dependents living in your house d, do not identify reportable information to disclose for ancient children, or them. Do identify your spouse or domestic partner. Mailing Address (Use PO Box or Work Address) 0 7 -, L: macaw/o gr.? it {xx 62,33 Lori-L 3%er RATE: City County Zip 4 list?VL?: Grill? Filing Status (Check only one box.) Of?ce Held or Sought An elected or appointed of?cial ?ling annual report . Of?ce title: (1 CC ?3.1/11 ,1 cm 93R El Final report as an elected of?cial. Term expired: Candidate running in an election: month I El Newly appointed to an elective of?ce Position number. x+ year gi-l3523 1 Show Sell (5) Spouse (SPIDP) Dependent (D) 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 $2,400yor 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 AmountWas Earned Use Code cynicincl how-met. of: F: Maw, ?ve-Am ?r 1' i ($10341) . i A \?oW gouge; Ava-wt, Au": gonads??- sag-latent s. Lu; 3?56 LUA ((95160, {in-Largo Ewe-ll T60 Check Here Ci if continued on attached sheet 2 List street address, assessor-'5 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 ?nancial interest during the reporting period. (Show partnership, company, etc. real estate on F-?l 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 3 Code) 3? Property Purchased or Interest Acquired Creditors Name/Address Payment Terms Security Given Mortgage Amount - (Use Code) (eg. 20 at Original Current (A All Other Property Entirely or Partially Owned . . lel ?ne-we Blvd; M?Li?i If . it ?3 "Wi- (7) (7) A .. . inc. mus-Macs Pun are 1h 11;, DA LtEtug . Check here l3 if continued on attached sheet 1356711, CONTINUE ON NEXT PAGE 3 - List bank and savings accounts, insurance policies, stock, bonds and other ASSETS I 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 L9 (Use 1-9 Code) A. Name and address of each bank or financial institution in which you ,1 "rt" ,5 ,9 . 5A v: Code) or an immediate family member had an account over $24,000 at any 1- . Hf" 5 time during the report periodb) 0.1 Art {'14 LA, 5: 451-; 9'37, 7355'?th (5 "eff/y Sirlwa ?93 . .41 2' ill-2c :41" 6 five C43 J?wName and?address of each Insurance 0 pany where you or an? i .ri/ujr- 3-31 a, 3, immediate family member had a policy with a cash or loan value over h. -. f- . a" $24,000 during the periodName and address of each company, assocration, government V, Li) Elf-l 4: I Dir. - agency, etc. In which you or an immediate family member, owned or - had a ?nancial interest worth over $2,400. include stocks, bonds, 4? - ownership, retirement plan. IRA, notes. stock options, and other \1 H. . .- ., intangible property. If you or your immediate family member had - 3' decision making authority regarding individual assetslinvestments list My: Fa. D) each asset or investment. the value and any income amount. 7 (7) EXAMPLE: If you self-directed an investment account identify each in: '43 5 77'? 'v stock or other asset in that account. Stock shall be reported by 1-. V'j 5 marketvalue at thetime of reportings? "we, V'fr. .5) - (T) ?a 4 Lia?L Tel-?c. u) Jame,- ?(to (do. 1 PutDb?s'? ,3 ?39? 1,1 1' Check here 1?ifcrint'ilnue'cth ?amed sheet.th> . 3.30.1;11 Do); t? .0 Z) 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. a years at 5.25%) Koo-wee, ?no?si?ir-?le-L Ix: 11?641 ,2 Check here if continued on attached sheet. 5 Enter Dollar Amount INCCU DB 3 NET WORTH Enter your estimated net worth. . 6 All ?lers answer questions A thru below. If the answer is YES to any of these questions, the F-?i 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 F-1 Supplement is required. Incumbent elected of?cials ?ling an annual financial affairs report also must answer question E. An F-1 Supplement is required of these of?ceholders unless all answers to questions A thru are NO. A. At any time during the reporting period were you andfor 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 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 company? ?tr-La If yes, complete Supplement, Part A. 8. Did you andfor 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? Vt If yes, complete Supplement, Part A. I Did you and/or an immediate family member own a business at any time during the reporting period? l? lfyes, complete Supplement, Part A. no Did you andior an Immediate family member prepare, promote or oppose state legislation, mles, rates or standards for compensation or deferred compensation (other than pay for a currently-held public of?ce) at anytime during the reporting period? b. i 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 andior an immediate family member to travel or to attend a seminar or other training? 3\ lfyes to either or both questions, complete Supplement, Part C. ALL FILERS EXCEPT CANDIDATES. Check the appropriate box. Contact Telephone: LIL i 7 El I hold a local elected of?ce. have read and am familiar with SMC rte-T i; ., 31;?er can 2.04.300 regarding the use of public facilities in campaigns. ma" (wor 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. II [2.5 i 231% 4/4 Date Signature Do not use public agency addresses or telephone numbers for contact information. Report Not Acceptable Without Filer's Signature FIIE with: Seattle City Clerk 5 EEC FORM 3 3:323:331244723 SUPPLEMENT PAGE PERSONAL FINANCIAL AFFAIRS STATEMENT sums arms 8. ELECTIIJIIS DIIHMISSIIJII I205) 515" 24a SUPPLEMENT 3] PROVIDE INFORMATION FOR YOU AND ANY IMMEDIATE FAMILY MEMBERS Last Name A First Middle Initial DATE ALEX OFFICE HELD: Provide the following information if, during the reporting period, you or any immediate family member A BUSINESS (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 and/or percent of ownership held. - Brief Description of the Busineslerganization: Report the purpose. product(s). andlor 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 seek/hold of?ce) which paid compensation of $12,000 or more during the period to the entity. Brie?y say what property. goods. services or other consideration was given or performed for the compensation. - Washington Real Estate: Identify real estate owned by the business entity if the quali?cations referenced below are met. ENTITY NO. 1 Reporting For: Spouse Registered Domestic Partner I: Dependent LEGAL NAME: Iv]? I *5 {Vic-{r 0.. F) LLC. POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ink 5'12; ADDRESS: Rilvxlittg Ii: 353$ ?31 5133 ATTLC, BRIEF DESCRIPTION OF THE I 065w CT. m; swung 1' :va EEC Us: w'62-24913th Fags W338 SET I-?v LLSC Ci mini-LOCO k-J?k. Tb DC L?s-450cm m? Cue/uh :55? wig 0.30 PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU OFFICE: Purpose of payments Amount (actual dollars) NI A PAYMENTS ENTITY RECEIVED FROM OTHER GOVERNMENT AGENCIES OF $12.000 OR MORE: Agency name: Purpose of payment (a?unt not requiredPAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS OF $12.000 OR MORE . J: Customer name: Purpose of payr?iferlt (a?puntjnohequired) :3 3-1" ~40 3: . ,5 WASHINGTON REAL ESTATE IN WHICH ENTITY HELD A DIRECT FINANCIAL INTEREST (Complete only if ownership in the 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): NI Check here CI if continued on attached sheet CONTINUE PARTS AND ON NEXT PAGE Page 2 Supplement Name A. . A - . . {(19.13.9le 94 2H . LJ. r; ENTITY no. 2 Reporting For: Self Spouse El Registered Domestic Partner I: Dependent LEGAL NAME: POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ADDRESS: BRIEF DESCRIPTION OF THE BUSINESSIORGANIZATION: PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEKIHOLD OFFICE: Purpose of payments Amount (actual dollars) PAYMENTS ENTITY RECEIVED FROM OTHER GOVERNMENT AGENCIES OF $12,000 OR MORE: Agency name: Purpose of payment (amount not required) PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS OF $12,000 OR MORE Customer name: Purpose of payment (amount not required) 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 parceI number, or legal description and county for each parcel): Check here it continued on attached sheet List persons for whom you, or any immediate family member, lobbied or prepared state legislation or state rules, LOBBYING: rates, or standards for compensation or deferred compensation. Do not list pay from government body in which you are an elected of?cial or professional staff member. Person to Whom Services Rendered Description of Legislation, Rules, Etc. Compensation (Use Code 1- 9) I I I I Check here El 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; 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 CodeI?Q) I I I Check here CI if continued on attached sheet File with: Seattle City Clerk PO BOX 94723 SEEC FORM 5 Seattle,WA98124?4728 SUPPLEMENT PAGE seam: amass. PERSONAL FINANCIAL AFFAIRS STATEMENT cnutussruu I 2? SUPPLEMENT Polly.Grow@Seattle.gov (711 3) PROVIDE INFORMATION FOR YOU AND ANY IMMEDIATE FAMILY MEMBERS Last Name First Middle Initial DATE I ALEX Ill 235 .2063 OFFICE HELD, Provide the following information if. during the reporting period. you or any immediate family member A BUSINESS . (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; andlor (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 andlor percent of ownership held. - Brief Description of the BusinessI'Organization: Report the purpose. product(s). andl'orthe 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 seekihold 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 quali?cations referenced below are met. ENTITY NO. 1 Reporting For: Self Spousetg: Registered Domestic Partner Dependent El "i . . . . LEGAL NAME: c. I, c'i'L LIX L.f_ LL- lg LA 9 POSITION OR PERCENT OF OWNERSHIP t3; 7111wa 6: Is Ito isle me ragga TRADE OR OPERATING NAME: LUZ. IR: A LAP Gil?Aw '0 ?1 ADDRESS: a: St? cur/x ~13qu BRIEF DESCRIPTION OF THE ?11145 (IS ?31'y?tlrw I3t"\lD \T/Sl't: PILL. . FILM I, PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT lN WHICH YOU SEEKIHOLD OFFICE: Purpose of payments Amount (actual dollars) A PAYMENTS ENTITY RECEIVED FROM OTHER GOVERNMENT AGENCIES OF $12,000 OR MORE: Agency name: Purpose of payment (amount not required) NH PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS OF $12,000 OR MORE Customer name: Purpose of payment (amount not required) 1 CO lile-SL? "Ht: 3 DLICBS-ELI ?y F) ?fX?Tt?\rl\ulp cod. \moi MA .. c-n CALL. 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 5524.000. List street address. assessor parcel number. or legal description and county for each parcel): Check here Cl it continued on attached sheet CONTINUE PARTS AND ON NEXT PAGE Page 2 Supplement Name . 3-.- a . X. I 'u A 1'7- P: *v I: 314' .N CELLS ENTITY NO. 2 Reporting For: Self Spouse Registered Domestic Partner Dependent LEGAL NAME: POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ADDRESS: BRIEF DESCRIPTION OF THE BUSINESSIORGANIZATION: PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU OFFICE: Purpose of payments Amount (actual dollars) PAYMENTS ENTITY RECEIVED FROM OTHER GOVERNMENT AGENCIES OF $12,000 OR MORE: Agency name: Purpose of payment (amount not required) PAYMENTS ENTITY RECEIVED FROM BUSINESS CUSTOMERS OF $12,000 OR MORE Customer name: Purpose of payment (amount not required) 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 $24000. 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, lobbied or prepared state legislation or state rules, LOBBYING: 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 1- 9) Check here if continued on attached sheet FOOD Complete this section if a source other than your own governmental agency paid for or othenNise 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; 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 CodeI?Q) i Check here it continued on attached sheet