Professional Documents
Culture Documents
Smyth Cameron M.
1. Office, Agency, or Court
Agency Name
California State Assembly
Division, Board, Department, District. if applicable Your Position
District 38 Assemblymember
~ II filing lor multiple posilions, lisl below or on an atlachment.
Agency: Position:
The period covered is ----.1----.1_ _, Ihrough December 31, o The period covered is January 1, 2010, through the date 01
2010. leaving office.
D Assuming Office: Date ----.1----.1_ _ o The period covered is ----.1----.1_ _, through the date
of leaving office.
D Candidate: Election Year _ _ _ _ _ __ Office sought, il different than Part 1: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
4. Schedule Summary
Check applicable schedules or "None. II 6_
.. Total number of pages including this cover page: _ _
~ Schedule A·l • Investments - schedule atlached ~ Schedule C • Income, Loans, & Business Positions - schedule atlached
~ Schedule A·2 • Investmenls - schedule allached ~ Schedule D • Income - Gifts - schedule atlached
D Schedule B • Real Property - schedule atlached ~ Schedule E • Income - Gifts - Travel Payments - schedule allached
·or·
o None· No reportable interests on any schedule
Name
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%) Cameron M. Smyth
Do not attach brokerage or financial statements.
Real Estate
FAIR MARKET VALUE FAIR MARKET VALUE
o 52,000 - $10,000 (g] $10,001 - 5100,000 D $2,000 - $10,000 D $10,001 - $100,000
0$100,001 - $1,000,000 DOver $1,000,000 D $100,001 - $1,000,000 DOver 81,000,000
Banking
FAIR MARKET VALUE FAIR MARKET VALUE
~ $2,000 - $10,000 D $10,001 - 8100,000 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
Comments: _____________________________________________________________________________________
FPPC Form 700 (201012011) Sch. A-I
FPPC Toll-Free Helpline: 8661275-3772 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) Cameron M. Smyth
Cameron M. Smyth
Name Name
P.O. Box 220516, Santa Clarita, CA 91322
Address (Business Address Acceptable) Address (Business Address Acceptable)
Check one Check aile
D Trust, go to 2 IB1 Business Entity, complete the box, then go to 2 D Trust, go to 2 o Business Entity, complete the box. then go to 2
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
o $2,000 - $10,000
__L....I...1Q. __L....I...1Q.
0$2,000 - $10,000
__L .......J.1Q.. .........1.........1.1Q..
[8J $10,001 - $100,000 0$10,001 - $100,000
D $100,001 - $1,000,000 ACQUIRED DISPOSED D $100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000
~ 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 ENTITYITRUSTj SHARE OF THE GROSS INCOME IQ THE ENTITYITRUSTj
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD Jrl 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:
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
D 52,000 - $10,000 D $2,000 - 510,000
D $10,001 - 5100,000 D $10,001 - $100,000
o 5100,001 - 51,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000.000 ACQUIRED DISPOSED
Dover $1,000,000 DOver $1,000,000
2415 San Ramon Valley Blvd., San Ramon, CA 4195 Valley Fair St., #203, Simi Valley, CA
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Insurance
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Consultant Consultant
GROSS INCOME RECEIVED GROSS INCOME RECEIVED
D $500 • $1,000 181 $1,001 • $10,000 D S500 - $1.000 [gI $1,001 - $10,000
o $10,001 - $100,000 0 OVER $100,000 o $10,001 - $100,000 DOVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary 0 Spouse's or registered domestic partner's income o Salary D Spouse's or registered domestic partner's income
o Sale of _ _ _ _ _ _-;;:::-:-:::-_.,.--:-,-;-_ _ _ _ __
(Property. car, boa/, etc.)
o Sale of -------;;c=::c-==::-:=------
(Property. car; boat, etc.)
~ Commission or D Rental Income, Jist each source of $10.000 or more 181 Commission or D Rental Income, list each source of $10,000 or more
* 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:
----,% D None
ADDRESS (Business Address Acceptable)
D $500 - $1,000
City
D $1,001 - $10,000
o Guarantor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
D $10,001 - $100,000
Comments:
1530 J Street, Suite 400, Sacrarnento, CA 95814 1001 K Street, 2nd Floor, Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
~~_L.2~~ S_...::9=2=.6::...8 Food and Beverage ...2.2.J~~ S_ _9_8_.0_8 Food and Beverage
---1---1_ S_ _ __
---1---1_ S_ _ __ ---1---1_ S_ _ __
1201 K Street, Suite 1810, Sacramento, CA 95814 777 South Figueroa Street, Suite 4050, L.A., 90017
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Utilities
DATE (mmfdd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mmJddJyy) VALUE DESCRIPTION OF GIFT(S)
S $
---1---1_ $, _ _ __ ---1---1_ S_ _ __
---1---1_ $_ _ __ ---1---1_ S_ _ __
Comments: ____________________________________________________________________________________
Yreka, CA 96097
BUSINESS ACTIVITY, IF ANY, OF SOURCE ~ 501 (e)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (e)(3)
TYPE OF PAYMENT: (must check one) [8] Gift D Income TYPE OF PAYMENT: (must check one) 0 Gift 0 Income
TYPE OF PAYMENT: (must check one) [gI Gift 0 Income TYPE OF PAYMENT: (must check one) 0 Gift 0 Income
Comments: 'The speech was given at The California Independent Voter Project Business Leadership Conference