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RECEIVED

C~L;FORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS


Date Received
Officlill Use Only

FAIR POLITICAL PRACTICES COMMISSION

t. PUBLIC DOCUMENT MAR -'1 2011


COVER PAGE
Please type or print in ink.
BY: ¥f.
NAME OF FILER (LAST) (FIRST) (MIDDLE)

BLOCK MARTIN JEFFREY


1. Office, Agency, or Court
Agency Name
CALIFORNIA STATE ASSEMBLY
Division, Board, Department, District, if applicable Your Position
DISTRICT 78 ASSEMBL YMEMBER
.. If filing for multiple positions, list below or on an attachment.

Agency: - Position: -

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


[gj State o Judge (Statewide Jurisdiction)
o Multi·County _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ",
o County of _ _ _ _ _ _ _ _ _ _ _ _-:==----,~-
o City of _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Other _ _ _ _ _ _ _ _ _ _ _ _ _..;£':;;;';;.--=:..~
---,. ~

3. Type of Statement (Check at least one box)


[gj Annual: The period covered is January 1, 2010, through December 31, o Leaving Office: Date Left ----1----1__ -0
2010.
·or· (Check one) ~ ~:~'
,
The period covered is ----1----1_ _, through December 31, o The period covered is January 1, 2010, throughfQl.e dat~,of- .
2010. leaving office. c.n .
<::>
o Assuming Office: Date ----1----1_ _ o The period covered is ----1----1_ _, through the dat~
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: _..::~=::...._
[gj Schedule A·1 • Investments - schedule attached o Schedule C • tncome, Loans, & Business Positions - schedule attached
o Schedule A·2 • tnvestments - schedule attached [gj Schedule 0 • Income - Giffs - schedule attached
[gj Schedule B • Real Property - schedule attached [gj Schedule E • Income - Giffs - Travel Paymenfs - schedule attached
-or-
O None· No reporlable interests on any schedule

herein and in any attached schedules is true and complete. I acknowledge this is a
I certify under penalty of perjury under the laws of the State of California that

Date Signed _ _ _ _""3::.:'-:e1:,;:'2:,:0..,:1:-;1_ _ _ __ Signature ‭‭‭‽⁾⁙‭⁾‭‭‧‭‭‭‧‭‭›‭‭‷⁃‧‭‭⁾‧‭‭‽‭•‽‭‭‭₭


(month, day, year)

FPPC Toll-Free Helpline: 8661275-3772 www.fppc.ca.gov


SCHEDULE A-1 CALIFORNIA FORM 700
Investments FAIR POLITICAL PRACTICES COMMISSION

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

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


FIRST AMERICAN SCIENTIFIC CORPORATION
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

CONVERTS WASTE MATERIAL TO FERTILlZtP...


FAIR MARKET VALUE FAIR MARKET VALUE
I2Sl $2,000 - $10,000 o $10,001 - $100,000 D $2,000 - $10,000 D $10,001 - $100,000
D $100,001 - $1,000,000 Dover $1,000,000 D $100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT


I2Sl Stock 0 Othe, - - - - - , : , - - . , . - , - - - - -
(Describe)
o Stock 0 Othe, - - - - - , , - - - c - - - - - -
(Describe)
o Partnership o
o
Income Received of SO - $499
Income Received of $500 or More (Report on Schedule C)
D 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:

---1---1...JJL ---1---1...JJL ---1---1...JJL ---1---1~


ACQUIRED DISPOSED ACQUIRED DISPOSED

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

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE FAIR MARKET VALUE


o $2,000 - $10,000 D $10,001 - $100,000 0$2,000 - $10,000 o $10,001 - $100,000
D $100,001 - $1,000,000 DOver $1,000,000 D $100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT


o Stock 0 Othe, - - - - - : : : : - - , , - , - - - - - -
(Describe)
o Stock 0 Othe, - - - - - - : : : - - , , - , - - - - - -
(Describe)
D Partnership o Income Received of $0 - $499 D Partnership o Income Received of $0 - $499
o Income Received of $500 or More (Report on Schedule C) o Income Received of $500 or More (Report on Schedule C)
IF APPliCABLE, LIST DATE: IF APPLICABLE, LIST DATE:

---1---1...JJL ---1---1...JJL ---1---1...JJL ---1---1...JJL


ACQUIRED DISPOSED ACQUIRED DISPOSED

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

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

FAIR MARKET VALUE FAIR MARKET VALUE


D $2,000 - $10,000 D $10,001 - $100,000 D $2,000 - $10,000 D $10,001 - $100,000
D $100,001 - $1,000,000 DOver $1,000,000 0$100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT


o Stock 0 Othe, -----;;==:-----
(Describe)
D Stock D Other - - - - - . , , - - , - , - - - - - -
(Describe)
D Partnership 0 Income Received of $0 - $499 D Partnership 0 Income Received· of $0 - $499
o
Income Received of $500 or More (Report on Schedule C) o
Income Received of $500 or More (Report on Schedule C)

IF APPLICABLE, liST DATE: lF APPLICABLE, LIST DATE:

---1---1...JJL ---1---1...JJL ---1---1...JJL ---1---1...JJL


ACQUIRED DISPOSED ACQUIRED DISPOSED

Comments: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

FPPC Form 700 (2010/2011) 5th, A-1


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) MARTIN BLOCK

... STREET ADDRESS OR PRECISE LOCATION ~~--~ST~R~E~E~T~A~D~D~R~E~S~S~O~R~P;R~E~C~'S~E:L~O~C~A~T~'O~N:::::::::::::::::


5483 NEW MILLS ROAD
CITY CITY
SAN DIEGO, CA 92115
FAJR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
D $2,000 • $10,000 D $2,000 • $10,000
D $10,001 - $100,000 o $10,001 - $100,000
1&1 $100,001 - $1,000,000 ACQUIRED DISPOSED
o $100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST


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

D Leasehold -::-_-,-,-_ _
Yrs. remaining
D - - :Other
:c--- o Leasehold - : : - - - : - : - - -
Yrs. remaining
D ---::::-c:---
Other

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

D $0· $499 D $500· $1,000 D $1,001 • $10,000 D $0· $499 D S500· $1,000 D $1,001 • $10,000

~ $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 (MonthsNears) INTEREST RATE TERM (MonthsNears)

------'% 0 None _ _ _ _% o 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

Commen~: ___________________________________________________________________________________

FPPC Form 700 (2010/2011) Sch, B


FPPC TolI~Free Helpline: 866/275~3772 www.fppc.ca.gov
Schedule D
Income - Gifts
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION

-.. _,. __ ... __ .. - ._,." -, _. -""--- Name


<BLUE> is a required field IMARTIN BLOCK

:_~DD-RE:SS 6~;s-q~,~c_E_-:- ,','


n

-P<',
: \',', '/'-"i<'y:-;;:;r->_:·> ','.' .
"'xNAME:0F"SOURCE
i:_"--'->'i~;:?P:?:'7'_>- ',' . (Bus~(f~_SS Addre~Aicept~b,~F- ZIP"CODE BUSI~-~~~-ACTIVITY.IF ANY"OF SOURCE _;B~TE-
(n;n;n(d,d/yy),
VALUE s)
DES,CRIPTION OF GIFT(S)

AMERICAN ISRAEL PUBLIC 8895 TOWNCENTER DRIVE, SUITE 92122 POLITICAL ADVOCACY FOR ISRAEL 03/07/10 $ 55.00 DINNER AT COMMUNITY EVENT
AFFAIRS COMMITTEE 1050, SAN DIEGO CA
AMERICAN WATER 1033 B AVENUE, SUITE 200, 92118 WATER PROVIDER 06/01/10 $ 200,00 DINNER AT NON-PROFIT FUNDRAISER
CORONADOCA
ASIAN BUSINESS ASSOCIATION 5675 RUFFIN ROAD, SUITE 305, 92123 ADVOCACY ORGANIZATION FOR 11/18/10 $ 80,00 DINNER, EVENT TICKET AT COMMUNITY
OF SAN DIEGO SAN DIEGO CA LOCAL ASIAN BUSINESSES EVENT
BLACK EAGLE WINES 1818 L STREET, SUITE 713, 95811 WINERY 02125110 $ 65,00 WINE
SACRAMENTO CA
BRIDGEPOINT EDUCATION 13500 EVENING CREEK DR 92128 HIGHER EDUCATION 12112110 $ 100.00 TICKETS FOR SPORTS EVENT
NORTH, SAN DIEGO CA
BRIDGEPOINT EDUCATION 13500 EVENING CREEK DR 92128 HIGHER EDUCATION 12/30/10 $ 320.00 TICKETS, FOOD RECEPTION FOR SPORTS
NORTH, SAN DIEGO CA EVENT
CALIFORNIA DEMOCRATIC 1401 21ST STREET, SUITE 200, 95811 POLITICAL PARTY 06/16/10 $ 30.00 FOOD AND REFRESHMENTS
PARTY SACRAMENTO CA
CALIFORNIA DEMOCRATIC 1401 21ST STREET, SUITE 200, 95811 POLITICAL PARTY 08/19/10 $ 39.00 BREAKFAST
PARTY SACRAMENTO CA
CALIFORNIA DEMOCRATIC 1401 21ST STREET, SUITE 200, 95811 POLITICAL PARTY 12105110 $ 85.00 RECEPTION FOOD AND REFRESHMENT, USE
PARTY SACRAMENTO CA OF SPACE FOR SWEARING-IN RECEPTION

CALIFORNIA HEALTHCARE 1020 PROSPECT STREET, SUITE 92037 ADVOCACY FOR HEALTHCARE 02102110 $ 205.00 TICKET FOR CIVIC EVENT, DINNER
INSTITUTE 310, LA JOLLA CA
CALIFORNIA ISSUES FORUM 17171 STREET, SACRAMENTO CA 95811 ADVOCACY FOR EDUCATION ISSUES 06/21/10 $ 105.00 DINNER PROVIDED WHILE PANELIST

CALIFORNIA TRIBAL BUSINESS 1530 J STREET, SUITE 250, 95814 ADVOCACY FOR CALIFORNIA TRIBES 01/12110 $ 93.00 EVENT TICKET, FOOD, REFRESHMENTS FOR
ALLIANCE SACRAMENTO CA LEGISLATIVE RECEPTION
CHICANO FEDERATION OF SAN 3180 UNIVERSITY AVENUE, SUITE 92104 ADVOCACY FOR LOCAL LATINO 10/16/10 $ 75.00 EVENT TICKET, FOOD FOR COMMUNITY
DIEGO COUNTY 317, SAN DIEGO CA ISSUES EVENT
FOUNDATION FOR CALIFORNIA 1102 Q STREET, SUITE 3500, 95811 NON-PROFIT ADVOCACY FOR 01/11/10 $ 60.00 DINNER WITH COMMUNITY COLLEGE
COMMUNITY COLLEGES SACRAMENTO CA COMMUNITY COLLEGES LEADERS

FOUNDATION FOR CALIFORNIA 1102 Q STREET, SUITE 3500, 95811 NON-PROFIT ADVOCACY FOR 05/03/10 $ 40.00 RECEPTION FOOD, REFRESHMENTS WITH
COMMUNITY COLLEGES SACRAMENTO CA COMMUNITY COLLEGES COMMUNITY COLLEGE LEADERS

GOMPERS PREPARATORY 1005 47TH STREET, SAN DIEGO 92102 SCHOOL 04/11/10 $ 200.00 FOOD, REFRESHMENTS, EVENT TICKET FOR
ACADEMY CA CELEBRATION
HEWLETT-PACKARD COMPANY 3000 HANOVER STREET, PALO 94304 PRIVATE BUSINESS - COMPUTERS 04/09/10 $ 70.00 LUNCH FOR SAN DIEGO BUSINESS EVENT
ALTOCA
JOHN PEREZ FOR ASSEMBLY 777 SOUTH FIGUEROA ST, SUITE 90017 CANDIDATE COMMITTEE 12106/10 $ 110.00 LEATHER PORTFOLIO
4050, LOS ANGELES CA
JOHN S. L,YON MEMBER 3737 CAMINO DEL RIO S, SUITE 92108 NON-PROFIT ADVOCACY FOR LABOR 09/11/10 $ 150.00 EVENT TICKET, FOOD FOR COMMUNITY
·FOUNDATI0N 202, SAN DIEGO CA ISSUES EVENT

FPPC Form 700 (2010/201lISch. OX


FPPC Toll-Free Helpline: 866/ASK·FPPC www.fppc,ca.gov
Schedule D
Income· Gifts
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION

Name'
<BLUE> is a required field IMARTIN BLOCK

NA~)~,:q~;~:~,U:~~'E " ", ," ~Dpl~~13c~ OF: s~wiq~"',, ;', ZIP CODE,' ",'. BUSINESS {'~TJVlfy, IF ANY,.OF '~OURCE
DATE
VALUE D~~C,~IPTION (JF,i:':31FT(S)
''(Business Aodress-AcceptaMiF (mm/ddfW),
NATIONAL ASSOCIATION FOR 6125 IMPERIAL AVENUE, SAN 92114 ADVOCACY FOR AFRICAN 10/16/10 $ 100.00 EVENT TICKET, FOOD FOR COMMUNITY
THE ADVANCEMENT OF DIEGOCA AMERICAN ISSUES EVENT
COLORED PEOPLE - SAN DIEGO

SAN DIEGO REGIONAL 402 WEST BROADWAY, SUITE 92101 ORGANIZATION TO PROMOTE 04109/10 $ 30.00 LUNCH FOR SAN DIEGO BUSINESS EVENT
CHAMBER OF COMMERCE 1000, SAN DIEGO REGIONAL BUSINESS
SAN DIEGO REGIONAL 402 WEST BROADWAY, SUITE 92101 ORGANIZATION TO PROMOTE 07/30/10 $ 150.00 EVENT TICKET, FOOD FOR COMMUNITY
CHAMBER OF COMMERCE 1000, SAN DIEGO REGIONAL BUSINESS EVENT
SAN DIEGO REGIONAL 402 WEST BROADWAY, SUITE 92101 ORGANIZATION TO PROMOTE 08/24/10 $ 10.00 BREAKFAST - MEETING WITH BUSINESS
CHAMBER OF COMMERCE 1000, SAN DIEGO REGIONAL BUSINESS LEADERS
SAN DIEGO REGIONAL 402 WEST BROADWAY, SUITE 92101 ORGANIZATION TO PROMOTE 10/26/10 $ 20.00 FOOD AND REFRESHMENTS - RECEPTION
CHAMBER OF COMMERCE 1000, SAN DIEGO REGIONAL BUSINESS WITH BUSINESS LEADERS
SAN DIEGO-IMPERIAL 4305 UNIVERSITY AVE #340, SAN 92105 COMMITTEE OF LABOR 03108110 $ 50.00 DINNER AT COMMUNITY EVENT
COUNTIES LABOR COUNCIL DIEGO CA ORGANIZATIONS
UNIVERSITY OF CALIFORNIA 9500 GILMAN DRIVE, LA JOLLA CA 92037 UNIVERSITY 10/20/10 $ 17.00 LUNCH FOR MEETING WITH CHANCELLOR
SAN DIEGO
UNIVERSITY OF CALIFORNIA 9500 GILMAN DRIVE, LA JOLLA CA 92037 UNIVERSITY 11/13/10 $ 175.00 EVENT TICKET, FOOD, REFRESHMENT FOR
SAN DIEGO UNIVERSITY CELEBRATION.
URBAN LEAGUE OF SAN DIEGO 720 GATEWAY CENTER DR, SAN 92102 NON-PROFIT ADVOCACY FOR 10/13/10 $ 54.00 DINNER AT COMMUNITY EVENT
DIEGO CA COMMUNITY DEVELOPMENT
US GRANT HOTEL 326 BROADWAY, SAN DIEGO 92101 HOTEL 10/15/10 $ 100.00 TICKET, FOOD, REFRESHMENTS AT CIVIC
CELEBRATION
US GRANT HOTEL 326 BROADWAY, SAN DIEGO 92101 HOTEL 10/15/10 $ 84.00 COMMEMORATIVE SWORD

FPPC Form 700 (2010/2011) 5ch. Ox


FPPCToll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
SCHEDULE E CALIFORNIA FORM 700
FAIR POLrnCAL PRAClICES COMMISSION
Income - Gifts
Travel Payments, Advances, Name
<B_L~~~ is~~~qu(re~_field and Reimbursements MARTIN BLOCK

You are not required to report income from government agencies.

STREET, SACRAMENTO CA 95811 ISSUES LODGING WHILE


PARTICIPATING ON PANEL
DISCUSSION
EDVOICE, 1107 9TH STREET, SUITE 680, ADVOCACY FOR EDUCATION 7/22/10-7/23/10 $ 746.00 Gift AIRFARE, HOTEL, FOOD &
SACRAMENTO CA 95814 - ISSUES REFRESHMENTS FOR
EDUCATION SYMPOSIUM AND
TO PARTICIPATE ON A PANEL
KLAMATH ALLIANCE FOR RESOURCES ADVOCACY 501 (C)(3) FOR 05/13/10-05/14/10 $ 1,733.00 Gift AIRFARE, HOTEL, FOOD &
& ENVIRONMENT, PO BOX 1234, YREKA NATURAL RESOURCES AND REFRESHMENTS FOR
CA 96097 FORESTRY EDUCATIONAL TOUR OF
FACILITIES
SAN DIEGO COUNTY REGIONAL AIRPORT OPERATIONS - PUBLIC 01/01/10-12/31/10 $ 4,160.00 Gift PARKING AT AIRPORT FOR
AIRPORT AUTHORITY, 3225 NORTH AGENCY LEGISLATIVE TRAVEL TO
HARBOR DRIVE, SAN DIEGO CA 92101 SACRAMENTO

FPPC Form 700 (2010/2011) 5ch. Ex


FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov

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