EEC ?m sum cooe mount FINANCIAL mm - 0 ?was (1) $0 - $309 AFFAIRS (3) $5.000 9.939 STATEMENT . $10,000 .. a. 9? Mn?: Wmme-Dym?. (5) $35,000 - 999.909 Candida? and - within two woolen oi Mn 3 (0) $100,000 - $100,000 cam 0: being out, to a petition (7) $200,000 - 8999.999 - ?v SEN) REPORT TOScatlIeCityClotk g; gmxorm: 990 puma. wing. mole. aunt. cousin. nice. 0: nephew. i that an atom SIC 4.16.0? LauNamo First Mmdimbm?ymmbus "Mano Hefbold - U53 A them. idcnuIy' yoursoomordansnc' pom. Mailing Roben Combs County Seattle King 98106 05:1:me 0mm: SelectOffioe Drmmaanebwm 1mm: - No. DCaMruminghancledionf month We" . Tmbeg?ns- 1-1-20 0000 12-31-23 Linudzunplomrmromumofimo 1 NamwdenWyuOtSmotmena?on 5mm City of Seattle. 600 4th Avenue. 98124 Councilmember SP "9 Cloud Native Software Architect 7) Higuano CM. 1280? 464th Ave SE. 90045 prop?eto, 2 MD a com on mom she! Oowpahonor?owconwa?oanEam Mummsecwe) REAL ESTATE mau?th. Prope?ySo?ormm Assessed Value (Ute 1-9 Code) Property Purchased at IWFW AA vv Cmditm?s mm Payment Terms Seal"! (W WNW (Use man-i439? Origin Code) 31m. 7915901 sw, 98106 (7) mm" (5) 12832 464th Ave SE, 98045 7) Fm savings am vim-m propeny 7) 7) g; .r - fix commune on NEXT PAGE '1 I ll .1 In-? WOW. was an WM 3 mnmm-MIWN TypedAocoumorOuamotma Asuvuue IncomoAmoml (Uni-9 (021-90300) A. Na 6060) 8. n/a 94.0mdummepeciod. . CityofSeattIeEmployee (7) Mb. #31. IRA. nous. stock ?this. all 0010! Hebrew: SYStem immibbpm. EXAMPLE: you - FIdeIItyInve ems'158 mumammamw SixthAvenue;98101 (5) AIOINT 4 ?351.3(3005) 'nlunl CtodlorstandAddms Vindw mm ?w - 315.25% x196613; orage 4 3 3' ml: loomed,? $338.591m0nth. Car 5 3 $620,000 . 6 ?MamWAmom. ?admin-pan. Wigwam-d. MFAWIonq-indotm meumbmAMEmm. A m.m. MmeaWImva-w? :1:me lm.mWMA ?0-3 umbmamm WW PM 0. Monomer,? 768-1122 . El 1 hold a local elected 01500. I have read and am familiac with SMC Em?, lisa.herbold@seawe.gov 2.04.300 warding the use 01 pub?c facilities in mm. knoMedge. {791/} I . I I a va-l 6 Dan sauna: File with: Seattle City Clerk PO BOX 94728 Seattle, WA 98124-4728 Questions: (206) 684-8500 (206) 615-1248 Polly.Grow@Seattle.gov SEEC FORM SUPPLEMENT PAGE F-1 SUPPLEMENT PERSONAL FINANCIAL AFFAIRS STATEMENT (7/18) PROVIDE INFORMATION FOR YOU AND ANY IMMEDIATE FAMILY MEMBERS Last Name Herbold A OFFICE HELD, BUSINESS INTERESTS: First Middle Initial Lisa A DATE 4/14/20 Provide the following information if, during the reporting period, you or any immediate family member (1) were an officer, director, general partner, trustee, or 10 percent or more owner of a corporation, non-profit organization, union, partnership, joint venture or other entity; and/or (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 office, title and/or percent of ownership held. • Brief Description of the Business/Organization: Report the purpose, product(s), and/or the service(s) rendered. • Payments from Governmental Unit: If the governmental unit in which you hold or seek office 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 office) which paid compensation of $12,000 or more during the period to the entity. Briefly 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 LEGAL NAME: Highland Consulting POSITION OR PERCENT OF OWNERSHIP 100% TRADE OR OPERATING NAME: ADDRESS: Dependent 12832 464th SE; 98045 BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION: Software development/Consulting/Instruction PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD 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 parcel number, or legal description and county for each parcel): Check here if continued on attached sheet CONTINUE PARTS B AND C ON NEXT PAGE F-1 Supplement Page 2 Name ENTITY NO. 2 Reporting For: Self Spouse Registered Domestic Partner LEGAL NAME: Dependent POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ADDRESS: BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION: PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD 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 parcel number, or legal description and county for each parcel): Check here B if continued on attached sheet LOBBYING: List persons for whom you, or any immediate family member, lobbied or 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 Check here C Date Received Compensation (Use Code 1- 9) ( ) ( ) ( ) if continued on attached sheet FOOD TRAVEL SEMINARS Complete this section if a source other than your own governmental agency paid for or otherwise provided all or a portion of the following items to you, your spouse, registered domestic partner or dependents, or a combination thereof: 1) Food and beverages costing over $50 per occasion; 2) Travel occasions; or 3) Seminars, educational programs or other training. Donor’s Name, City and State 12/2/19 Salesforce; San Francisco, CA Check here Description of Legislation, Rules, Etc. if continued on attached sheet Brief Description Dreamforce Convention Actual Dollar Amount $ 491 Value (Use Code1-9) (1 ) ( ) ( ) F-1 Supplement Information Continued Name ENTITY NO. Reporting For: Self Spouse Registered Domestic Partner LEGAL NAME: Dependent POSITION OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ADDRESS: BRIEF DESCRIPTION OF THE BUSINESS/ORGANIZATION: PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEK/HOLD 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 parcel number, or legal description and county for each parcel): B LOBBYING: (Continued) Person to Whom Services Rendered C Date Received FOOD TRAVEL SEMINARS Description of Legislation, Rules, Etc. Compensation (Use Code 1-9) ( ) ( ) ( ) (continued) Donor’s Name, City and State Brief Description Actual Dollar Amount $ Value (Use Code 1-9) ( ) ( ) ( ) 4. Creditors/Continuing page HELOC - First Savings Bank 702 North Shore Dr., Jeffersonville, IN 47130 $368/month 6.6% 5 5 3 3 Car loan WESCU PO Box WSECU Olympia, WA 98507 $200/month 6.1% Sofi Lending Corp - P.O. Box 11733 Newark, NJ 07101-$520 4733. 4 4 Lending Club 595 Market Street, Suite 200. San Francisco, California 94105 $480/month 6.4% 4 3