•

RECEIVED
~ALlFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700 ST~TFI'v1~NTOF ECO~9MIC INTERESTS
Date Received
FEB"'2' 8" 2trll

20II:;~B~:)(;~'j~:~;: PAG~
A PUBLIC DOCUMENT
BY; it-
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)

Fletcher Nathan B
1. Office, Agency, or Court
Agency Name
CA State Assembly
Division, Board, Department, District, if applicable Your Position
District 75 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 Junsdiction)
o Multi-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ o County of _ _ _ _ _ _ _ _ _ _ _ _ _ __
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 ----.l----.l_ _
2010. -or- (Check one)
The penod covered is ----.l----.l_ _ , through December 31, o The penod covered is January 1, 2010, through the date of
2010. leaving office.

o Assuming Office: Date ----.l----.l_ _ o The penod covered is ----.l----.l_ _, 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."
o Schedule A-l - Inveslmenls - schedule attached
~ Schedule A-2 - Inveslmenls - schedule attached
.0 Schedule B • Real Properly - schedule attached
~ Total number of pages including this cover page: _...;/;,;;...._
~ Schedule C • Income, Loans, & Business Posftions - schedule attached
~ Schedule 0 • Income - Gifts - schedule attached
~ Schedule E • Income - Gifts - Travel Paymenls - schedule attached

-or·
o None· No repol/able inleresls on any schedule

I certify under penalty of perjury under the laws of the State of California that ⁾†
Date Signed 02/28/2011 Signatur
(month, day, year)

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

 SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
Name
of Business EntitieslTrusts
(Ownership Interest is 10% or Greater) Fletcher

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

Arrow Advisors, Inc

Name Name
4079 Governor Drive, #111, San Diego, CA 92122
Addr~ss (Business Address Acceptabfe) Address (Business Address Acceptable)
Check ona Check one
D Trust, go to 2 ~ Business Entity, complete the box, then go to 2 o Trust, go to 2 o Busi~ess Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Communications & Business Development
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000 - $10,000
__L-1...1Q.. E.J20 1...1Q..
o $2,000 - $10,000
0$10,001 - $100,000 D $10,001 - $100,000 --.l--.l...1Q.. --.l--.l...1Q..
0$100,001 - $1,000,000 ACQUIRED DISPOSED D $100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

D Sale Proprietorship D Partnership
~ S-Corp
Other
D Sale Proprietorship o Partnership D Other
YOUR BUSINESS POSITION Co-Owner 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 ENTITYITRUST) SHARE OF THE GROSS INCOME IQ THE ENTITYITRUST)

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

~ $500 - $1,000 DOVER $100,000 D $500 - $1,000 DOVER $100,000
D $1,001 - $10,000 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 (Attilch a SCPilr.1h> sheet 'f necessary) INCOME OF $10,000 OR MORE (Attach iI sePilf'ilte sheet" necessary)

... 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:
D INVESTMENT D REAL PROPERTY D INVESTMENT D REAL PROPERTY

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

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 D $2,000 - $10,000
D $10,001 - $100,000 --.l--.l...1Q.. --.l--.l...1Q.. D $10,001 - $100,000 --.l--.l...1Q.. --.l--.l...1Q..
D $100,001 - $1,000,000 ACQUIRED DISPOSED D $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 D Partnership D Property Ownership/Deed of Trust D Stock o Partnership

D Leasehold D Other _ _ _ _ _ _ _ __ D Leasehold -:-;----,-,-

D Olher _ _ _ _ _ _ _ _ __
Yrs. remaining Yrs. remaining
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

Comments: _______________________ FPPC Fonn 700 (201012011) Sch, A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POI..ITICAL PRACTICES COMMISSION

Name
Positions
(Other than Gifts and Travel Payments) Fletcher

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

NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME

State of California Ogilvy Public Relations

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

State Capitol, Room 2130, Sacramento, CA 95814 1414 K Street Suite 300 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Public Relations
YOUR BUSINESS POSITION YOUR BUSINESS POSITION

Assemblymember Senior Advisor

GROSS INCOME RECEIVED GROSS INCOME RECEIVED
o $500 - $1,000 o $1,001 - $10,000 o $500 - $1,000 0$1,001 - $10,000
[gJ $10,001 - $100,000 DOVER $100,000 1&1 $10,001 - $100,000 DOVER $100,000

CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
181 Salary 0 Spouse's or registered domestic partner's income o Salary jgI Spouse's or registered domestic partner's income

o loan repayment o Partnership o Loan repayment D Partnership

o Sale of _ _ _ _ _ _==_--,---,--;-:_ _ _ _ __
(Property, car, boal, etc.)
o Sale of ------,==c-::c:-c:-::-c=------
(Property. car, boat, etc.)

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

o Other - - - - - - - - = = : ; : ; - -_ _ _ _ _ _ __
(Describe)
o Other _ _ _~-----;;o;==-------
(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 ahd loans received
not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* INTEREST RATE TERM (MonthsNears)

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

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

o Real Property _ _ _ _ _ _ _ -..:===_------

Street address
HIGHEST BALANCE DURING REPORTING PERIOD

o $500 - $1,000
City
0$1.001 - $10.000
o Guarantor _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
0$10,001 - $100,000

DOVER $100,000 o Other _ _ _ _ _ _ _ --:::==_______

(Desctibe)

Comments:

FPPC Form 700 (2010/2011) Sch. C

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Name
Income - Gifts
Fletcher

... NAME OF SOURCE ... NAME OF SOURCE

John A. Perez for Assembly

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

777 South Figueroa Street, Suite 4050

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

Los Angeles, CA 90017

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

Leather Portfolio

---1---1_ $ _ _ __ ---1---1_ $ _ _ __

---1---1_ $ _ _ __ ---1---1_ >-$_ _ __

... NAME OF SOURCE ... NAME OF SOURCE

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

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

DATE (mmfdd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mmfddfyy) VALUE DESCRIPTION OF GIFT(S)

---1---1_ >-$_ _ __

$ $

... NAME OF SOURCE .... NAME OF SOURCE

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

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

DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mmfddfyy) VALUE DESCRIPTION OF GIFT(S)

---1---1_ >-$_ __ ---1---1_ $ _ _ __

---1---1_._ S-$_ __ ---1---1_ $ _ _ __

---1---1_ $_ _ __ ---1---1_ $.c..._ __

Comments: "Reimbursement for Leather Portfolio sent after 30 days.

FPPC Form 700 (2010/2011) Sch. 0

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE E
CALIFORNIA FORM 700
FAIR POI.ITICAL. PRACTICES COMMISSION

Income - Gifts Name

Travel Payments, Advances, Fletcher
and Reimbursements

• Reminder - you must mark the gift or income box.

• You are not required to report income from government agencies.
• You ~ay mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3)
organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit.

... NAME OF SOURCE ... NAME OF SOURCE

San Diego County Regional Airport Authority

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

P.O. Box 82776'

CITY AND STATE CITY AND STATE

San Diego, CA 92138-2776

BUSINESS ACTIVITY, IF ANY, OF SOURCE D 501 (c)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (C)(3)

Manage the operations of San Diego International

DATE(S): .Q:1.}.Q:1.}J.Q. . ~~J.Q. AMT: $._ _..:2;:,:7,,;,7,,;,4:..:.0,;:,,0 DATE(S):---1---1_ _ - ---1---1_ AMT: $_ _ _ _- -

(If applicable) (If applicable)

TYPE OF PAYMENT: (must check one) 181 Gift D Income TYPE OF PAYMENT: (must check one) D Gift D Income

DESCRIPTION: • Airport parking pass (limits do not apply) DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Only used for official legislative travel

... NAME OF SOURCE ... NAME OF SOURCE

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

CITY AND STATE CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (c)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (e)(3)

DATE(S): ---1---1_ . ---1---1_ AMT: $._ _ _ _ __ DATE(S): ---1---1_ - ---1---1_ AM, $,_ _ _ _ __
(If applicable) (If applicable)

TYPE OF PAYMENT: (must check one) D Gift 0 Income TYPE OF PAYMENT: (must check one) 0 Gift D Income

DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Comments: 'Only used for official legislative travel

FPPC Form 700 (2010/2011) Sch. E

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 · .
STATE CAPITOL

~zzrmhll!
l' DISTRICT OFFICE
P.O. BOX 942849 9909 MIRA MESA BLVD.. SUITE 130
SACRAMENTO, CA 94249-0075 SAN DIEGO, CA 92131
(916) 319-2075 (858) 689-6290
FAX (916) 319-2175
E-MAIL
<futlifarnia I1Irgizlafurr FAX (858) 689-6296
WEBSITE
Assemblymember.Fletcher@assembly.ca.gov http://www.assembty.ca.gov/fletcher

NATHAN FLETCHER
ASSEMBLYMEMBER, SEVENTY-FIFTH DISTRICT

FPPC Form 700

The filer, Nathan Fletcher, had made a good faith effort to identify, value and report all
gifts tickets, travel payments, beverages, meals and reimbursements related to travel in
connection with speeches, panels seminars, reception or other similar events received
during the calendar year of2010.

The filer has implemented a policy to track carefully and maintain a full and complete log
of events attended; events at which the filer was provided meals or other benefits; and
events at which the filer did not consume meals or beverages.

The filer has relied in part for this tracking system upon the persons and the entities,
associations and individuals providing gifts, tickets and the like to provide confirmation
of the event and valuation of gifts and benefits. Any omission from the gifts and travel
reimbursements listed herein is unintended and inadvertent.

Name: Nathan Fletcher Date: 02/28/2011

(d)(5)

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