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 sum: (206) 615-1248 (7/18) (3 :2 000 $4533: AFFAIRS Polly.grOW@seattle.gov $5,000 59'999 STATEM ENT (4) $10,000 -- $24,999 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 (8) $1,000,000 -- $4,999,999 SEND REPORT TO Seattle City 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 spouse or domestlc partner SIblIng, uncle, aunt, cousm, niece or nephew, if that person either resides with or is a dependent on the Covered Individual's most recently filed federal income tax return. SMC 4.16.080 Last Name First Middle Initial Names of immediate family members. If there is no reportable information to disclose for de dent children, or Holmes Peter . other dependents living in your household?yo not identify them. Do identify your spouse or domesggpartner Mailing Address (Use PO Box or Work Address) Ann Holmes (SP) (I) :8 701 5th Ave, Ste 2050 +4 an or? City County Zip 4 . Seattle KIng 98104 7097 1.4L- Filing Status (Check only one box.) Of?ce Held 0" Sought 7; g? . An elected or appointed of?cial ?ling annual report Of?ce title: City Attorney 5 El Final report as an elected of?cial. Term expired: n/a Position number: El Candidate running in an election: month year . Term begins: 01/01/2018 ends: 12/31/2021 l:l Newly appornted to an elective of?ce INCOME 1 Met 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. (Report interest and dividends in Item 3.) Include stock Name and Address of Employer or Source of Compensation Occupation or How Compensation Was Earned Amount: (Use Code) Dependent (D) 3 Cityo of Seattle) City Attorney 6) F955 ?be V2) . . I SP Washington? State Bar Association Chlef Operations Of?cer 5) sew/e WAVE ?fS/a/ 2.539 Check Here if continued on attached sheet 2 REAL ESTATE 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-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 Creditors Name/Address Payment Terms Security Given Mortgage Amount - (Use Code) King County Parcel #9412400146 Estate of Lester Keith 20 Gimme" current (7) Keil 1yr@5% Deedof (7) (7) 1211 E. De We 5? I same Mays/?57 Trust All Other Property Entirely or Partially Owned King County Parcel #9412400135 7) Bank' 1 5 Deed of 7) 7) 4801 Frederica St. 0 Check here if continued on attached sheet Owensboro KY 42301 2 95 A) CONTINUE ON NEXT PAGE reporting period. List bank and savings accounts, insurance policies, stock, bonds and other 3 ASSETS I INVESTMENTS INTEREST, DWIDENDS intangible property (including but not limited to stock options) held during the A. Name and address of each bank or ?nancial institution in which you US Bank, NA, Checking or an immediate family member had an account over $24,000 at any 858 3- 20d St- time during the report period. Renton, WA 98057 B. Name and address of each insurance company where you or an Northwestern Mutual immediate family member had a policy with a cash or loan value over 720 E- Vl?sconsm Ave $24,000 during the period. Milwaukee, WI 53202 C. Name and address of each company, association, government agency, etc. in which you or an immediate family member, owned or NorthweStem Mutual had a ?nancial interest worth over $2,400. Include stocks, bonds, 720 E- \leconSIn Ave ownership, retirement plan, IRA, notes, stock options, and other Milwaukee,lNl 53202 intangible property. If you or your immediate family member had decision making authority regarding individual assets/investments 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. Check here El if continued on attached sheet. Type of Account or Description of Asset Asset Value (Use 1-9 Code) (4) (5) (7) (l income Amount (Use 1?9 Code) 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 if continued on attached sheet. Enter Dollar Amount 5 NET WORTH Enter your estimated net worth. 2,000,000 Supplement is required. of?ceholders unless all answers to questions A thru are NO. but not limited to a professional limited liability company? If yes, complete Supplement, Part A. the reporting period? If yes, complete Supplement, Part A. pay for a currently-held public of?ce) at any time during the reporting period? If yes, complete Supplement, Part B. complete Supplement, Part C. 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 F-1 incumbent elected of?cials ?ling an annual financial affairs report also must answer question E. An F-1 Supplement is required of these A. At any time during the reporting period were you and/or an immediate family member (1) an of?cer, director, general partner or tmstee 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 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 Did you andlor an immediate family member own a business at any time during the reporting period? If yes, complete Supplement, Part A. Did you andlor an immediate family member prepare, promote or oppose state legislation, rules, rates or standards for compensation or deferred compensation (other than 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, andlor 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 and/or an immediate family member to travel or to attend a seminar or other training? I If yes to either or both questions, ALL FILERS EXCEPT CANDIDATES. Check the appropriate box. Contact Telephone: i206 El I hold a local elected of?ce. I have read and am familiar with SMC 684-8288 (work)* 2.04.300 regarding the use of public facilities in campaigns. Email: (Home) Optional knowledge. 04/14/2020 CERTIFICATION: I certify under penalty of perjury that the information co ained in this report is true and correct to the best of my Date Signature Do not use public agency addresses or telephone numbers for contact information. Report Not Acceptable Without Filer?s Signature File with: Seattle City Clerk PO BOX 94728 SEEC FORM 5 F31 SUPPLEMENT PAGE Questions: (206) 6848500 PERSONAL FINANCIAL AFFAIRS STATEMENT cannissran (206) 6154248 SUPPLEMENT Polly.6row@3eattle.gov (7,13) PROVIDE FOR YOU AND ANY IMMEDIATE FAMILY MEMBERS Last Name First Middle initial DATE Holmes Peter S. 04/14/2020 OFFICE HELD: Provide the foilowing information if, during the reporting period, you or any immediate famiiy member A BUSINESS (1) were an of?cer, director, general partner, trustee, or 10 percent or more owner of a corporation, non-pro?t INTERESTS: organization, union, partnership, ioint venture or other entity; andlor (2) were a partner or member of a iimited 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 estabiishing 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 Business/Organization: Report the purpose, product(s), andlor the sen/ice(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 seeklhold 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 reat estate owned by the business entity if the quali?cations referenced betow are met. ENTITY no.1 Reporting For: Self Spouse Registered Domestic Partner [3 Dependent LEGAL NAME: OR PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ADDRESS: BRIEF DESCRIPTION OF THE PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT IN WHICH YOU SEEKIHOLD OFFECE: 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 Iegat description and county for each parcel): Check here if continued on attached sheet CONTINUE PARTS AND ON NEXT PAGE Page 2 Supplement Name Holmes. Peter S. ENTITY NO. 2 Reporting For: Seif Spouse Registered Domestic Partner Dependent [3 LEGAL NAME: POSITION 0R PERCENT OF OWNERSHIP TRADE OR OPERATING NAME: ADDRESS: BRIEF DESCRIPTION OF THE PAYMENTS ENTITY RECEIVED FROM GOVERNMENTAL UNIT iN WHICH YOU SEEKIHOLD OFFICE: Purpose of payments Amount (actual doliars) 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 iegai description and county for each parcei): 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, 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 Senrices 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 governmentai agency paid for or otherwise provided 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 Actuai Dollar Value Received Amount (Use Code?i -9) 0119/2019 Everytown for Gun Safety Regionai ?rearm surrender initiative, 11/2018 $973 76 (1 New York NY Check here if continued on attached sheet