,'

CALIFbRNIAFORM
~ (, .£t<
700 STATEMENT:OFEC,ONOMIC~TERESTS Official Use Only

FA'lR PCl-LITICA'1 PRACTICES COMMISSION

~ A PUBLIC DOCUMENT : .\ ~ i:'UOVE~PAGE @ FEB 18 2011

Please type or prInt in ink. 20/1 FEB 23 ilil 9: 57 BY: 'Ii

NAME OF FILER (LAST) (FIRST) (MIDDLE)

Jeffries Kevin Dean

1. Office, Agency, or Court

Agency Name
State Assembly
Division, Board, Department. District. if applicable Your Position
66th District Assemblyman
,.. If filing for multiple positions, list below or on an attachment.

Agency: Position:

2. Jurisdiction of Office (Check at least one box)

~State o Judge (Statewide Jurisdiction)
o Multi-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Countyof _ _ _ _ _ _ _ _ _ _ _ _ _ __
o City of _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Other _ _ _ _ _ _ _ _ _ _ _ _ _ __
3. Type of Statement (Check at least one box)
~ Annual: The period covered is January 1. 2010. through December 31. o Leaving Office: Date Left ------1------1_ _
2010. -or- (Check one)
The period covered is ------1------1_ _, through December 31. o The period covered is January 1. 2010. through the date of
2010. leaving office,

o Assuming Office: Date ------1------1_ _ o The period covered is ------1------1_ _. through the date
of leaving office,

o Candidate: Election Year _ _ _ _ _ __ Office sought. if different than Part 1: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

4. Schedule Summary
Check applicable schedules or "None," ~ Total number of pages including this cover page: __1_2__

~ Schedule A·1 • Investments - schedule attached ~ Schedule C • Income. Loans. & Business Positions - schedule attached
~ Schedule A·2 • Investments - schedule attached ~ Schedule 0 • Income - Giffs - schedule attached
~ Schedule B - Reat Property - schedule attached o Schedule E • Income - Giffs - Travel Payments - schedule attached
-or-
O None· No reporiable interests on any schedule

I certify under penalty of perjury under the laws of the State of California that t

Date Signed _ _--.:.F-=ec=b"'ru==a;:-ry';:::'1:'::7':;i.2",0:..1:...:1,-_ _

(month, day, year)
Signature ⁾ ⁾⁾⁾›⁾⁾⁾⁾※‬⁾⁾⁾⁾⁾››‽‭
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca_90v
 SCHEDULE A-1 CALIFORNIA FORM 700
Investments FAIR POLITICAL PRACTICES COMMISSION

Name
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%) Jeffries, Kevin
Do not attach brokerage or financial statements.

,.. NAME OF BUSINESS ENTITY .,. NAME OF BUSINESS ENTITY

Berkshire Hathaway Coca Cola
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Investments & Insurance Soft drinks

FAIR MARKET VALUE FAIR MARKET VALUE
o $2,000 - $10,000 0$10,001 - $100,000 ~ $2,000 - $10,000 0$10,001 - $100,000
[2g $100,001 - $1,000,000 DOver $1,000,000 o $100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

~ Stock 0 Other - - - - - c c - - - c - , - - - - - - -
(Describe)
~ Stock D Other _ _ _ _--",----,-,_ _ _ __
(Describe)
D Partnership 0
o
Income Received of SO - $499
Income Received of $500 or More (Report on Schedule C)
o Partnership o Income Received of $0 - $499
o Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:

-----.l-----.l~ -----.l-----.l~ -----.l-----.l~ -----.l-----.l~

ACQUIRED DISPOSED ACQUIRED DISPOSED

,.. NAME OF BUSINESS ENTITY ,.. NAME OF BUSINESS ENTITY

Vodafone Comcast
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Telecommunications Communications
FAIR MARKET VALUE FAIR MARKET VALUE
~ $2,000 - $10,000 o $10,001 - $100,000 ~ $2,000 - $10,000 0$10,001 - $100,000
o $100,001 - $1,000,000 DOver $l,OOO,OOQ o $100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

~ Stock DOth" _ _ _ _---;::--::-:_ _ _ __ ~ Stock D Other - - - - - : : : - - : : - c : - - - - -
(Describe) (Describe)
o Partnership 0
o
Income Received of $0 - $499
Income Received of $500 or More (Reporl on Schedule C)
o Partnership 0 Income Received of $0 - $499
o
Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:

-----.l-----.l~ -----.l-----.l~ -----.l-----.l~ -----.l-----.l~

ACQUIRED DISPOSED ACQVIRED DISPOSED

.,. NAME OF BUSINESS ENTITY .,. NAME OF BUSINESS ENTITY

Edison International Commerce Bank of Temecula
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

utility provider Banking

FAIR MARKET VALUE FAIR MARKET VALUE
~ $2,000 - $10,000 0$10,001 - $100,000 ~ $2,000 - $10,000 0$10,001 - $100,000
0$100,001 - $1,000,000 DOver $1,000,000 o $100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT
Ig]Stock 0
Other _ _ _ _ _ ==-::-_____
(Describe)
NATURE OF INVESTMENT
~ Stock D Other _ _ _ _ ---;:==_____
(Describe)
o Partnership 0 Income Received of $0 - $499
o
Income Received of $500 or More (Report on Schedule C)
o Partnership 0 Income Received of SO - $499
o
Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:

-----.l-----.l~ -----.l-----.l~ -----.l-----.l~ -----.l-----.l~

ACQUIRED DISPOSED ACQUIRED DISPOSED

Commen~: ____________________________________________
FPPC Form 700 (2010/2011) Sch, A-1
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE A-2 CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
Investments, Income, and Assets
Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) Jeffries, Kevin

~ 1. BUSINESS ENTITY OR TRUST .. 1. BUSINESS ENTITY OR TRUST

Maxson Investments Dean Jeffries Investments

Name Name
17668 Grand, Lake Elsinore 17668 Grand Ave, Lake Elsinore
Address (Business Address Acceptable) Address (Business Address Acceptable)
Check one Check one
D Trust, go to 2 1&1 Business Entity, complete the box, then go to 2 o Trust, go to 2 o Business Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Investments (stocks, boons, real estate) Real estate
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
o $2,000 - $10,000 o $2,000 - $10,000
o $10,001 - $100,000 -----.l-----.l~ -----.l-----.l~ 0$10,001 - $100,000 -----.l-----.l~ -----.l-----.l~
D $100,001 - $1,000,000 ACQUIRED DISPOSED ~ $100,001 - $1,000,000 ACQUIRED DISPOSED
~ Over $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

o SoJe Proprietorship ~ Partnership 0
Other
o Sole Proprietorship ~ Partnership 0
Other
YOUR BUSINESS POSITION President! partner YOUR BUSINESS POSITION President! Partner

.. 2, IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA .. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITYrrRUST) SHARE OF THE GROSS INCOME IQ THE ENTITYfTRUST)
0$0 - $499 D $10,001 - $100,000 0$0 - $499 [g]
$10,001 - $100,000
0$500 - $1,000 ~ OVER $100,000 o $500 - $1,000 DOVER $100,000
0$1,001 - $10,000 0$1,001 - S10,000

.. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF .. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach a separate sheet (f necessary) INCOME OF $10.000 OR MORE (Attach a scpamte sheet (f necessary)

AJ's Bikes, CCS Wireless, Tax Express, (no single tenant reached $10k level)

.. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
Check one box: Check one box:
o INVESTMENT jgI REAL PROPERTY o INVESTMENT [2g REAL PROPERTY

31861 to 31915 Mission Trail, lake Elsinore 33100 Pederson St.

Name of Business Entity Q[ Name of Business Entity 2!
Street Address or Assessor's Parcel Number of Real Property Street Address or Assessor's Parcel Number of Real Property

Retail! Office shopping centers Residential rental

Description of Business Activity Q[ Description of Business Activity ill
City or Other Precise Location of Real Property City or Other Precise Location of Real Property

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000 - $10,000 D $2,000 - $10,000
0$10,001 - $100.000 -----.l-----.l~ -----.l-----.l~ D $10,001 - $100,000
D $100,001 - $1,000,000 ACQUIRED DISPOSED ~ $100,001 - $1,000,000 ACQUIRED DISPOSED
~ Over $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

o Property OwnershiplDeed of Trust o Stock ~ Partnership o Property Ownership/Deed of Trust o Stock ~ Partnership
D leasehold -;;::c::::==
Yrs. remaIning
o Olh" _ _ _ _ _ _ _ _ __
o Leasehold Yrs. remaining D Other - - - - - - - - - -
o Check box if additional schedules reporting investments or real property
are attached
D Check box if additional schedules reporting investments or real property
are attached

Comment$: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ FPPC Form 700 (2010/2011) Sch, A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) Jeffries, Kevin

... 1. BUSINESS ENTITY OR TRUST II- 1. BUSINESS ENTITY OR TRUST

Jeffries Family Investments (Jeffries Family Investments - continued)

Name Name
17668 Grand Ave, Lake Elsinore
Address (Business Address Acceptable) Address (Business Address Acceptable)
Check one Check one
D Trust, go to 2 181 Business Entity, complete the box, then go fo 2 o Trust, go to 2 D Business Entity, compfefe the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Real Estate Investments
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
o $2,000 - $10,000 0$2,000 - $10,000
D $10,001 - $100,000 ---1---1.JiL ---1---1.JiL 0$10,001 - $100,000 ---1---1.JiL ---1---1.JiL
[81 $100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

o Sole Proprietorship ~ Partnership 0
Other
o Sole Proprietorship o Partnership 0
Other
YOUR BUSINESS POSITION President I Partner YOUR BUSINESS POSITION

~ 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA ~ 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITYITRUSn SHARE OF THE GROSS INCOME IQ THE ENTITYfTRUSn

o $0 - $499 ~ $10,001 - $100,000 D $0 - $499 o $10,001 - $100,000

o $500 - $1,000 DOVER $100,000 D $500 - $1,000
0$1,001 - $10,000
DOVER $100,000
0$1,001 - $10,000

~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF ~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach a separate sheet 'f ncce~saryl INCOME OF $10,000 OR MORE (Attach a separate sheet 'f necessary)

(no single tenant reached $10k level)

~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE ~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
Check one box: Check one box:
o INVESTMENT ~ REAL PROPERTY o INVESTMENT 181 REAL PROPERTY
17687 Brightman, Lake Elsinore 33274 Baldwin St, Lake Elsinore
Name of Business Entity Q( Name of Business Entity Q[
Street Address or Assessor's Parcel Number of Real Property Street Address or Assessor's Parcel Number of Real Property

Residential rental Residential rental

Description of Business Activity Q( Description of Business Activity Q(
City or Other Precise Location of Real Property City or Other Precise Location of Real Property

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000 - $10,000 0$2,000 - $10,000
0$10,001 - $100,000 0$10,001 - $100,000
[?g $100,001 - $1,000,000 ACQUIRED DISPOSED !8] $100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

D Property OWnershiplDeed of Trust D Stock 181 Partnership D Property OwnershiplDeed of Trust o Stock ~ Partnership

D Leasehold -,,-----,--,--
Yrs. remaining
o Other _ _ _ _ _ _ _ __ D Leasehold o Other _ _ _ _ _ _ _ __
Yrs. remaining
D Check box if additional schedules reporting investments or real property
are attached
o Check box if additional schedules reporting investments or real property
are attached

Comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ FPPC Form 700 (201012011) Sch. A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 , ' SCHEDULE A-2 CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
Investments, Income, and Assets Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) Jeffries, Kevin

... 1. BUSINESS ENTITY OR TRUST ... 1. BUSINESS ENTITY OR TRUST

(Jeffries Family Investments - continued)

Name Name

Address (Business Address Acceptable) Address (Business Address Acceptable)

Check one Check one
D Trust, go to 2 o Business Entity, complete the box, then go to 2 o Trust, go to 2 D Business Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Real Estate Investments
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
D $2,000 - $10,000 o $2,OaO - $10,000
D $10,001 - $100,000 ---1---1~ ---1---1~ 0$10,001 - $100,000 ---1---1~ ---1---1~
D $100,001 - $1,000,000 ACQUIRED DISPOSED D S100,001- $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

o Sole Proprietorship o Partnership 0 Other
o Sole Proprietorship o Partnership 0 Other
YOUR BUSINESS POSITION YOUR BUSINESS POSITION

~ 2, IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA ~ 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITYITRUSn SHARE OF THE GROSS INCOME IQ THE ENTITYfTRUSn

o $0 - $499 ~ $10,001 - $100,000 0$0 - $499

o 0$10,001 - $100,000
o $500 - $1,000 DOVER $100,000 $500 - $1,000
0$1,001 - $10,000
DOVER $100,000
0$1,001 - $10,000

~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF ~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Atbch a separatl! shl!et 'f nm:l!ssary) INCOME OF $10,000 OR MORE (Atbch a separate sheet If necessary)

(no single tenant reached $10k level)

~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE ~ 4, INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
Check one box: Check one box:
o INVESTMENT 181 REAL PROPERTY o INVESTMENT ~ REAL PROPERTY

17623 Bobrick St, Lake Elsinore

Name of Business Entity Q.( Name of Business Entity Q(
Street Address or Assessor's Parcel Number of Real Property Street Address or Assessor's Parcel Number of Real Property

Residential rental
Description of Business Activity Q[ Description of Business Activity Q(
City or Other Precise Location of Real Property City or Other Precise Location of Real Property

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000 o $2,000 - $10,000
o $10,001 - $100,000 o $10,001 - $100,000
~ $100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

o Property Ownership/Deed of Trust o Stock 181 Partnership o Property Ownership/Deed of Trust o Stock o Partnership
o Leasehold -;;:::-===
Vrs. remaInIng
o O.he' _ _ _ _ _ _ _ _ __ o Leasehold o Olhe, - - - - - - - - - -
Vrs. remaInIng
o Check box if additional schedules reporting investments or real property
are attached
o Check box if additional schedules reporting investments or real property
are attached

Commen~: ______________________ FPPC Form 700 (2010/2011) Sch, A-2

FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION

Name
Interests in Real Property
(Including Rental Income) Jeffries, Kevin

... STREET ADDRESS OR PRECISE LOCATION ... STREET ADDRESS OR PRECISE LOCATION

31861 to 31915 Mission Trail 17682 Grand Ave

CITY CITY

Lake Elsinore Lake Elsinore

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000 - $10,000 o $2,000 - $10,000
D $10,001 - $100,000 D $10,001 - $100,000 ----'----'...1lL ----'----'...1lL
ACQUIRED DISPOSED ACQUIRED DISPOSED
0$100,001 - $1,000,000 ~ $100,001 - $1,000,000
~ Over $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

IZI Ownership/Deed of Trust o Easement ~ Ownership/Deed of Trust D Easement

D Leasehold -,,-----,-,--- 0 - - - :Other

----- D Leasehold - , - , - - - , - : - - - 0----::::----
Yrs. remaining Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

050 - $499 0 $500 - 51,000 051,001 - $10,000 050 - $499 181 5500 - S1,OOO 0 $1,001 - $10,000

D $10,001 - $100,000 181 OVER $100,000 D $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest. list the name of each tenant that is a single source of
income of $10,000 or more. income of $10,000 or more.

AJ Bikes, CCS Wireless, Tax Express

* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status. Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* NAME OF LENDER*

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (Months/Years) INTEREST RATE TERM (MonthslYears)

----'% D None ----'% D None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000 D $1,001 - $10,000 D $500 - $1,000 D $1,001 - $10,000
D $10,001 - $100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

D Guarantor, if applicable D Guarantor, if applicable

Comments: __________________________________________________________________________________
FPPC Form 700 (2010/20111 Sch. B
FPPC Toll~Free Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION

Name
Interests in Real Property
(Including Rental Income) Jeffries, Kevin

.... STREET ADDRESS OR PRECISE LOCATION .... STREET ADDRESS OR PRECISE LOCATION

17657 Grand Ave (& 17662 Raley St parcels) Lot 29 of Tract 19561 (Grand Ave & Serena Way)
CITY CITY
Lake Elsinore Lake Elsinore
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
D $2,000 - $10,000 D $2,000 - $10,000
181 $10,001 - $100,000 ---1---1.JiL ---1---1.JiL 181 $10,001 - $100,000
0$100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000,000 ACQUIRED DISPOSED

DOver $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

181 Ownership/Deed of Trust D Easement [gI Ownership/Deed of Trust o Easement

o Leasehold ----::---,-,---
Yrs. remaining
D - - -Other
=---- o Leasehold ----::---,-,---
Yrs. remaining
D--:: :;----
Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D $0 - $499 D $500 - $1,000 ~ $1,001 - $10,000 ~ SO - $499 D $500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000 DOVER $100,000 o $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more. income of $10,000 or more.

* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status, Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER" NAME OF LENDER*

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthsfYears) INTEREST RATE TERM (MonthsfYears)

_ _ _ _% o None ----,% 0 None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000 0 $1,001 - $10,000 0$500 - $1,000 0 $1,001 - $10,000

0$10,001 - $100,000 DOVER $100,000 o $10,001 - $100,000 DOVER $100,000

o Guarantor, if applicable o Guarantor, if applicable

Comments: 17662 Raley St is the parking lot parcels for 17657 Grand
FPPC Form 700 (2010/2011) Sch, B
FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
SCHEDULE 8 FAIR POLITICAL PRACTICES COMMISSION

Name
Interests in Real Property
(Including Rental Income) Jeffries, Kevin

to- STREET ADDRESS OR PRECISE LOCATION ... STREET ADDRESS OR PRECISE LOCATION

33100 Pederson St 17687 Brightman Ave

CITY CITY

Lake Elsinore Lake Elsinore

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000 D S2,OOO - $10,000
0$10,001 - $100,000 D $10,001 - $100,000
IZI $100,001 - $1,000,000 ACQUIRED DISPOSED [gI $100,001 w 51,000,000 ACQUIRED DISPOSED

DOver $1,000,000 DOver 51,000,000

NATURE OF INTEREST NATURE OF INTEREST

181 OwnershiplDeed of Trust o Easement jgj OwnershiplDeed of Trust D Easement

D Leasehold --::---,-,---
Yrs. remaining
D - - :Other
::;--- D Leasehold - - : : - - - , - , - - -
Yrs. remaining
D - -Other
----
IF RENTAL PROPERTY. GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D SO - $499 D $500 - $1,000 IZl $1,001 - $10,000 D $0 - $499 D $500 - $1,000 IZl $1,001 - $10,000
o $10,001 - $100,000 DOVER $100,000 . D 510,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: [f you own a 10% or greater
interest. list the name of each tenant that is a single source of interest. list the name of each tenant that is a single source of
income of $10,000 or more. income of $10,000 or more.

* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status. Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* NAME OF LENDER*

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthsfYears) INTEREST RATE TERM (MonthsJYears)

----'% D None ----.0/0 D None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000 D $1,001 - 510,000 D $500 $1,000
w D $1,001 - $10,000

D $10,001 - 5100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

D Guarantor. if applicable D Guarantor, if applicable

Comments: _________________________________________________________________________________
FPPC Form 700 (2010/2011) Sch. B
FPPC TollwFree Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
SCHEDULE 8 FAIR POLITICAL PRACTICES COMMISSION

Name
Interests in Real Property
(Including Rental Income) Jeffries, Kevin

... STREET ADDRESS OR PRECISE LOCATION ... STREET ADDRESS OR PRECISE LOCATION

33274 Baldwin St 17623 Bobrick

CITY CITY

Lake Elsinore Lake Elsinore

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000 D $2,000 - $10,000
D $10,001 - $100,000 D $10,001 - $100,000 ---.l---.l..1Q. ---.l---.l..1Q.
I8J $100,001 - $1,000,000 ACQUIRED DISPOSED [gI $100,001 - $1,000,000 ACQUIRED DISPOSED

DOver $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

I8J OwnershiplDeed of Trust D Easement [gI OwnershiplDeed of Trust D Easement

o Leasehold - : - : - - - , - , - - -
Yrs. remaining
D - - -Other
=---- D Leasehold -c-:---,-,---
Yrs. remaining
o---:::::-cc---
Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D $0 - $499 D $500 - $1,000 Ig] $1,001 - $10,000 D $0 - $499 0 $500 - $1,000 181 $1,001 - $10,000
0$10,001 - $100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more. income of $10,000 or more.

* You are not required to report loans from commercial lending institutions made in the lender's regular course
of business on terms available to members of the public without regard to your official status, Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* NAME OF LENDER*

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthsfYears) INTEREST RATE TERM (MonthsfYears)

_ _ _-C% D None _ _ _ _% DNone

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
D $500 - $1,000 D $1,001 - $10,000 D $500 - $1,000 D $1,001 - $10,000

D $10,001 - $100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

D Guarantor, if applicable D Guarantor, if applicable

Commenm: ___________________________________________________________________________________
FPPC Form 700 (2010/2011) Sch, B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.goY
 .'

, '
SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICE.S COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Jeffries, Kevin

... 1. INCOME RECEIVED ... 1. INCOME RECEIVED

NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME

Maxson Investments Jeffries Family Investments

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

17668 Grand Ave 17668 Grand Ave

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Investments Investments
YOUR BUSINESS POSITION YOUR BUSINESS POSITION

President I partner President I partner

GROSS INCOME RECEIVED GROSS INCOME RECEIVED
o $500 - $1,000 0 $1,001 - $10,000 D $500 - $1,000 D $1,001 - $10,000
0$10,001 - $100,000 ~ OVER $100,000 181 $10,001 - $100,000 DOVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary D Spouse's or registered domestic partner's income o Salary o Spouse's or registered domestic partner's income

D Loan repayment 0 Partnership D Loan repayment D Partnership

o Sale of _ _ _ _ _ _--=_--,--_-,----,---,--,-_ _ _ _ __
(Property, car, boat, etc.)
D Sale of _ _ _ _ _ _=---,_--,--,--,-,_ _ _ _ __
(Propeny. car. boat. etc.)

o Commission or 0 Rental Income, list each source of $10,000 or more D Commission or o Rental Income, list each source of $10,000 or more

[g] Othe, did NOT take salary in 2010 [g] Othe, did NOT take salary in 2010
(Describe) (QesClibe)

... 2, LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status, Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:

NAME OF LEN DEW .INTEREST RATE TERM (MonthsNears)

----'% D None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN

BUSINESS ACTIVITY, IF ANY, OF LENDER D None o Personal residence

D Real Property _ _ _ _ _ _ _-.;;;:;:;-;:;;;;;;;;;;-_ _ _ _ __

Street address
HIGHEST BALANCE DURING REPORTING PERIOD

0$500 - $1,000
City
D $1,001 - $10,000 o Guarantor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
D $10,001 - $100,000
DOVER $100,000 D Othe' _ _ _ _ _ _ _ _ ==-::-_______
(Describe)

Comments:

FPPC Form 700 (2010/2011) Sch, C

FPPC Toll-Free Helpline: 866/275-3712 www.fppc.ca.gov
 , , SCHEDULE C CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Income, Loans, & Business
Name
Positions
(Other than Gifts and Travel Payments) Jeffries, Kevin

.... 1. INCOME RECEIVED .... 1. INCOME RECEIVED

NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME

Dean Jeffries Investments

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

17668 Grand Ave

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Investments
YOUR BUSINESS POSITION YOUR BUSINESS POSITION

President I partner
GROSS INCOME RECEIVED GROSS INCOME RECEIVED

0$500 - $1,000 Igj $1,001 - $10,000 D $500 - $1,000 D $1,001 - $10,000

0$10,001 - $100,000 0 OVER $100,000 0$10,001 - $100,000 0 OVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR VVHICH INCOME WAS RECEIVED
D D Spouse's or registered domestic partner's income
Salary o Salary D Spouse's or registered domestic partner's income
o loan repayment 0 Partnership D Loan repayment o Partnership

o SaJe of _ _ _ _ _ _--=-_-,---_-,----,---,--,-_ _ _ _ __
(Property. car, boat, etc,)
o Sale of _ _ _ _ _ _ -=_-,-___-,-___= - - - - - -
(Property, car. boat, etc.)

o Commission or 0 Rental Income, list each source of $10,000 or more o Commission or D Rental Income, list each source of $10,000 or more

~ Other did NOT take salary in 2010 DOther ________________~~~---------------

(Describe) (Describe)

II- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD

* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status, Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:

NAME OF LEN DEW INTEREST RATE TERM (MonthslYears)

----'0/0 0 None
ADDRESS (Business Address Acceptable)

SECURITY FOR LOAN

BUSINESS ACTIVITY, IF ANY, OF LENDER o None D Personal residence

D Real Property _ _ _ _ _ _ _-.;;;;;:;-:;;;;;;;;;;,_------
Street address
HIGHEST BALANCE DURING REPORTING PERIOD

D $500 - $1,000 City

0$1,001 - $10,000
D Guarantor - - - - - - - - - - - - - - - - - -
0$10,001 - $100,000

DOVER $100,000
D Other ------------==-:::------------
(Describe)

Comments:

FPPC Form 700 (201012011) Sch, C

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.goY