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(;ALlF()r~NII\ rORM 700 :;,F·STATEMENT OF ECONOMIC INTERESTS

.'\ ::c : U I I r !" .. t


J

~ ~ "'. , r fI • \ ~ • '.l -' • -::r I" ~ '. net' 'j C~ J'Il',', ',~>, f(.(t()VER PAGE

PI.~ typ" or print in Ink


04 JUl 22 p" It: l.2public Document
(lAST) (FIRSn (IotiDOLE)

Wachter Paul 0,
MAILlIIIG ADDRESS 8'TREeT cm
STAll!! ZIP CODE
(May be buUleSl 14dt.,,)

3110 Main Street Suite 300 Santa Monica CA 90405

1. Office, Agency or Court 4. Schedule Summary


(Cheek Wl/ellbl. ~Clhedu/es or -No ~orlMIl.
Name of OfIk:e, Agency or Court
.... During the reporting period, did you have any r
Intel'elOh; to dIacloae on:
DNlsion, Board, Disttlct. if appNcable:

Board of Regents of the University of California


Schedule A-1 ~ Ves - schedule attached

tnlf4llmwla a.en_1m1; a-/1NpJ

Your Position:

ReQent
S~edule A-2 181 Yes - schedule attached

lIt\lesb'llclnhllf~ ar ~ 0I00fIeIW,*,

- If filing for multiple positions, list additional ageney(ies)l


pOliition(s): (Attach a separate sheet if necessary.) Schedule B DYes - schedule attached
ReslPro~

Ag~y:--------------------------- Schedule C ~ Yes - schedule attached

In~ & BuGiness Positions /fn<vmG Ohr _ L.oeM, GIQ. d T.-I/

Position: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Schedule 0 DYes - sel'ledule attached

InOQme - Loans

2. Jurisdiction of Office (Chile" at ....t one boX, Schedule E 0 Yes - schedule attached

o State Income - Gilts

o County of _ _ _ _ _ _ _ _ _ _ _ _ __ Schedule F 0 Yes - schedule attached

o City 01 _ _ _ _ _ _ _ _ _ _ _ _ __ Income - Travel p.ym~ts

.gr­
o Multi-County - - - - - - - - - - - - - - ­
_ 0 NO reportable interests on any SChedule
I8l Other Board of Regents of U.C.

Total number of JIiIU"


completed Induding thia cover page: ____
t-
3. T~ of Statement (Check at least one box)
of'A&6uming Office/Initial Oale: --.J----1_ _
o Annual: The period covered is January 1, 2003,
5. Verification
through December 31. 2003.

I have used all rellsonable diligence in prepsri g this


-or· statement. I have reviewed this statement and to the beSt of
o The period covered i$ --1---'._ _, through my knowledge the information contained hereil'l a in any
December 31, 2003. attached scheduleli Is true and complete .
o Leaving Office Date Left: - - - - ' - - '_ _
I certify under~ of perjury under the Ia_ of
of California that the foregotng t. true and corne
StaCIe
(Check one)

o The period covered is January 1, 2003, through


the date of leaving office.
-or­
o The ~riod covered is ---1---1_-. through
the dale of leaving office.

I;' Candidate

20'd ~1128£9L0L8 01 8880 228 916 WWOJ Jti~d 10d ~Iti~ ~~ 9v:02 £002 18 N~C
\

SCHEDULE A-1

Investments

Stocks, Bonds, and Other Interests

(OWnership Interest Is Lelll Than 10%)

00 flOt attach broIferage or fill8lJCial statements.

~ eNTITY DU"'.... ";~'" ENTITY


St8i'bucks Corporation ~/<,jI..""I,UIl:= Fund
GENERAL DESCFlIPTION OF BUSINESS ACTIVITY GENERAL D!SCRIPl'ION 0 .. 8USlNESS ACTIVITY

Coffee Retailer Invests In traded stocks


FAIR MA~ VAL~ F....R MARKET IlAl.UE
D '2.000 - 110,000 o $10,001 • SI00.000 012,000 - 110.000 0510.001 . 5100.000
o 1100,001 • $1,000,000 Ila av. 51,000.000 Qg 5100.001 - SI.000.000 DOver 51,000,000

NATURE OF INVESTMI9ff N"'T~E OF II'NESTMENT

~ Stock o SIQcI!

o Olflel' _ _ _ _ _ --::==-______ ~ Other limited partnership


(Dascnbo)

If" APPI"ICABLE, LIST DATE: IF APPLICABLE, LIST DATE:


/
-----.l-----.l-R.!..
DISPOSED

> NAME OF BUSINESS ~TITV » NAME OF 8USlNI!SS ENTITY


Acacia Partners, L,P, Tar Heel II Investors
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENeRAL DESCRIP'I'ION 01' BUSINESS ACTlVI"TY

Invests In publicly traded equities Owns stock in The Platform, Inc


FAIR MARKET VALUE FAIR MARKET VALUE
o S2,000 • SIO.OOO o SI0.001 - $100,000 o 52,000 ' 510000 1&1 S10,001 - $100.000 .

0$100,001 - ",000,000 ~ 01MI $1,000,000 0$100.001 - $1,000,000 o Oller $1.000,000

NATURE OF INVE$noIIENT NATURE OF INVESTMENT


o Stock o Stock

181 OIlIer limited partnership jglOI/Ier-=--_----''--_----;;~:o;:_::_-----+-


(De&tlibe)

IF APPLICABLE, LIST DATE: IF .l.PPLICABLE. LIST DATE:

----1~~ ---1---1~
ACQUIRED DI6POSEO

;. N"'~. 01'" BUSINESS ENTITY » NAME OF BUSINESS ENTITY


Partners CHW Partners
·GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAl DESCRIPTION OF BUSINESS AcnVITY

Invests in publidy traded equities Owns commercial real estate


FAIR MARKETV"lUE F"tA IotARI(ET VALUe
o 12.000 • $10.000 o '10,001 • $100.000 181 52,000 • $10.000 D 510.001 - S100.OOO

~ $100.001 - ",000.000 Dow' $1.000.000 0$100,001 - $1,000,000 DOve, $1,000,000

NATURE OF INvESTMeNT NATURE OF II'NESTMENT


o SIC!ck o StOCk

181 OIher limited partnership 181 Oller _lim_it_e_d..:..._ _-:1i::==-____ --+_


(o;;c;;tJD)
IF "PPLICABlE. LIST DATE: IF .l.PPLICABlE. lIST DATE:

---'---'...llL
ACOUIfU!D

C~m.nu: --------------------~-----------------------~----------_r-----
FPPC form 700 l2003r.ZOO<'~ SG". A·1
FPPC Toll",.. Helpline: ntllI-\2IK..JFPI"C

80'd ~1128S9L0L8 01 8880 228 916 WWO) )~~d 10d ~I~~ ~~ L~:02 S002 18 N~r
SCHEDULE A-1 CA :"'IFORNIi\ !"OR11I1 '700
,t.. f"l ~;-, I"'" ,_ "'f\Q,:11(F , '.' ,~. '-- .
Investments
Stocks, Bonds, and /Other Interests
~:Jj
(OWnership Interest is Less Than 10%) I I
1
N~~NIi$$ .NTITY
) Do not .ltllch bro~ or financial slalemenl$.

)0
Pin . t Investors / )0 IoiAMI! 01' IlUSlNES5 ENTITY
Oxygen Media, LLC
G~RAL~CRIPTION OF BUS~ESS ACTIVITY GENERAL OI!$CRIPTION OF 8USIN~$S ACTIVITY

Owns stock in Cell Guide, Ltd. Television and Internet pro~tramming


FAIR MARKET VALuE FAIR MARJ<ET VALva
o 12,000 • S10,OOD rgj $10.001 • 1100,000 o S2.000 • SlD,OOO o SI0,ODl - Sl00,OOO

01100,001 - 11,000,000 o O"ICf 11,000.000 ~ 1100,001 - '1 ,000,000 o Over 11,000,000

NATURE OF INIle$Tl\lleNT NATURE Of INvt;S'TMENT


0 $Ioc~ 0 Stock

Ii(! Other general eartnership 181 Other LLC interest


(OII~1 (t)NCI1IMI)

IF APPl.ICABL~, LIST DATE: If APPLICASU:, LIST DAlE:

~--1~ ----1----1..R:L. / ----1---1...9L. ---1---1-U..


ACQUIRED DtSPOno
L· ACQUIRW OISPOS~O //
)0 NAME {W BU$lNess IiNTIlY
"Venice Venture Investors t/ )0 NAME OF BUSIN!SS ENTITY
MSA Real Estate Investors {

/
GENERAL DESCItIPTIOIII OF iUSINESS ACTNITY GENeRAL OESCRIPTION 01' 8U$INI!SS ACTIVITY

Owns L.P. interest in Redpolnt Tech. Ptnrs. Owns LP Interest in Whitehall Global 2001, L
FAIR MARKET VALUE FAIR "'ARKET V,6,LUE
o $2,000. S10,OOO ~ $10,001 - $100,000 o '2,000 - S10.000 0110,001 - $100,000

05100.001 - S1.oo0.0oo 00- 51 .000.000 jg $100,001 - 11,000,000 o Ovar $1,000,000

NATURE OF INVESTMENT NATURE OF IfllIlESTM~NT


0 S10ck 0 Sloek

181 Other general partnership 181 Of\« General Partnership interest


(0NcI1M1 CO--)

IF APPLICABLE, UST DATE: IF APPLICABLE. UST DA~:

---1----1.JrL ---1--.l.JrL ---1---1..J1.. ----1---1.J}L


ACQUIF!.EO orSPOSfD "COUIREO DI5.\0SEO

NI!iUE.Q~~ES5 ~NT1TY

1~

)0 NAME OF BUSINESS E!NTITY )0


O/men~~lnc. Tar Heel :~t'$
GENERAl OESCf'JPT10N OF flUSINI:SS ACTIVlTY GENERAL DE~N OF ~¥INESS AClMTY

Mutual fund management company Owns stock in the Platform, Inc.

FA~ MAI'KIlTV-'LUE FAIR MARKeT VALUE


o 52,000 - 110.000 o $10.001 • S10o,000 o 82.000 - "0.000 ~ $10,001 . $'00,000
o '100.001 - '1.000,000 ~ Over '1 ,000.000 o Sloo.001 - $1,000,000 DOve, S1.000,000

NATURE OF INIIE$TMeNT NATU,.! 0 ... INVI!$TM£NT


~ StoCk 0 StOCk

81 01/1.. General Partnership interest


0 081er
(0etaIDe1 (OMa'a.1

IF APPLICABLE, LIST DATE: II' APPUCA81..£. LIST DATE:

---1----1.JlL ---1---11L ----1---1~ ---1----1...ll...


ACQUIREO CtIiPQ~C ACQUlIU!O DISPOSED

Comments:
"ppe Fonn 700 (200312004) Sc;1l . "·1
f'PPC Toll-Free Helpln.: HIlA U<.fIPPC

t>0'd ~1128S9L0L8 01 8880 228 916 WWO) J~~d IOd ~I~~ ~~ L~:02 S002 18 N~r
SCHEDULE A-2 CALIi:ORNIA rORM 700
Investments, Income, and Assets rAP!">1 ,r,',\~~~,\ t_c .... c ' I:;;'~ r

of Business EntitieslTrusts
(Ownership Interest is 10% or Greater)

".. ElJ~IfJ[_-.[~-i""r I L'" :. • SL' :l1"l~';)0 t:.-J ,,( (J~ ·h.l1.... •

Main Street Advisors, Inc Main Street Angel Investors


Name N«tIo
3110 Main Street, Suit. 300, Santa Monlce, CA. 90405 3110 Main Street, Suite 300. Santa Monica, CA 9 P405
Addtwa Addlatl
ChtK:1r 011. CIIKII_
o TI\jSI./lIJ 10 Z Iil au..... ~nIity. tOlll"'" IfIe /IoJ(. /hen
..
(10 to 2 o Tru.1. flO 10 2 o I"'inesa &Idly, compJ.'. ,lit OIJ.. t ~nvoloZ
" -
GENeRAL I)£SCRIPTION 01' !IUSII"~" ACTIVITY
GeN6RAl DESCItIPTION 01' BUSINESS ACTlVIlY
Registere<l IrwHtment Advisor

fAIR MARKET VALUE IF APPLICAIILI!, U&T DATe:


FAIR MARKeT vALUe IF APPlICAll~ , LIST CAlE

0$2,000 - $10,000
~ 12,000 • $10,000

--.l---1~
--.l--.l~
~Jol-
0$10,001 • S100,000 ---1--1.92. $tO,OOI • SI00,OOO ---1

05100,00' - $1 ,000,000
ACOUIRED DlSPOSEo o "00,001 - " ,000,000 ACQUIRED 01

~ 0 .., $I ,000,000
o 0,.., ",000,000
NATURE OF INVESTMENT NATURE OF INVESTNeNT
OSOIeP~~O o PilrIJ1eI'ihItI 181 S-Cof!!oratlon
ON

o Sole P'l!pIIelOrtlIip 181 Par1MlIhip 0 otIW

VOIJR BUSIN£SS POSITION Chief Ex.cutiv. Officer


YOU.- IIUSINI!S.$ POSITION cenetal oartner

....

. : lJt
~"fIArH::cr
t~ rji:, -'"1== , ~ J'.::'
TljLrl~'''''';SIN~Cf'~
", ( f,lt "",
, ~ (.1

f(llrit t:'-ITI"
W'j ~ l , '~
rR~_TI
'( J h p.~ I f{ A J f .. ['F ...I Tf'f .... I-l~t.~~"-;;)I~(U:'·'--RE,:th'£O(·,,~~l ........ ~ ,O'-~
~'i\to<t A il i... \I ..... ~)~ I '''i (l"t-- f(\ 't-4f f~.i.-r ~~\'2n
""C-<fI,TH

1&110.14. o $10.001 • ,,00,000


ooD so· 14"
0$10,001 • $100,000
$SIIO - $',000 ~ OVER 1100,000 o 'SOO · ",000 DOVER SlOO,OOO
$1 ,001 • $10,00(1 o S.. OOI - $10,000

" l II.-:.T ....... ~ ... :.·:~O.cEfI""- '""t-_I.{ ·~tL_·,j .. ",;'~ ' l l \ ' f d­
» ~ ll-;- -H~ ,~:..~;= o~ EA ' ~H f;I(" _~r:. ~( r ~ t,,'" :: '::""--'v!::(E ­
\.:P","f ()~ :1C \'~~ c,:;. ',K);€.. 1\ ... .oJ'.):.... l)1
'" ',' ,:: I ~ J" i_~ I,'

See attached sheet.

P I r,\/I:::.:::~.;f~~T:::-'J\rJ[I, .. i.:r[·-;"'/"",P"I-f=I. ~s,q-'~r.,r ..... t..:'~/"'t"£


....... ~I~~ ~ r-r" 11 y nK TRU .... T

CIt"Ir_bolt:
~ II'NES'tMCrtT o RiAL PROf'£RTY
Saeen Partners
Ni_ Of lliUiGIOu EnUIY lit
SII'Mt ~CI"M or .......sof. Pate;el Number 01 Re.a """eoty

Owns LLC Interest In AP Entertainment Venture


OucrlP'len ef BueineH kIIldiY II(

City or Ottwr Pnll:I•• LocatIOn of Reel 'ropetly

FAIR MARKET IIALUE IF APPLICA8u; , 1,1$1 DAll!: FAIR MARKET VALU! II' APP\.I(;A8U!, WST
012,000 . $10,000 13 12,000• SlO,OOO
$10,001 - $100,000 o 510,00\ - S100,000
03

B $100 .001 - $1 ,000 ,000


Cher S 1,000.000

NATURE OF INTeItEST
0$100,001 • $1 .000,000
00- $1 000,000
0

NATUft! OF INTEREST
o Property ~eed 01 Truat o &Iock PfOp!II1y OwntlIhIp/Oeed of Trull

o 0INt _ _ _ _ _ _ __ o 0Ihtf - - - - - - + - - ­
ril Chec:k box II Mdklonal .c.......... 'apooUo.g InYaWneI\ll Of ,..- ~oty o Chid box If adeilion.. ,d>tdulaa ~ ''''''SI~b 0< rOllI
ant aIIK/IaCI
__________________________________________ ___
.,.-*
FPPC Form 700 (2003I:2OO4j Sch, &·2
Co~: ~

FPPC ToU.,,.. Helpline: ....1I4!IK.IFPF'(;

S0°d ~1128S9L0L8 01 8880 2 2 8 916 WWOJ J~~d IOd ~I~~ ~~ L~ : 02 S002 18 N~r
3. Main §.treet Advisors) Inc. - Sources of Income> S10,000
Arnold Scllwarzenegger
Oak Productions, Inc.
Iovine Family Revocable Trust
Toni Allen Goutal
Richard Santulli
Werner Living Trust
Thomas Werner Living Trust
Jill Troy Werner Living Trust
Beny Alagem
Schwarzenegger Blind Trust
Shriver Blind Trust

4. Main Street Advisors. Inc. - Investments


Investment - Oasis Holdings, LLC
Description· Owns interest in hotel property
Fair Market Value· $loo,ooo-SI,OOO)Ooo
Nature of Investmcnt • Other· LLC Interes/

Investment - Tar Heel I Investors


Description - Owns stock in The Platform, Inc.
Fair Market Value - $) 0,000-$100,000
Nature of Investment - stock

90'd ~1128£9L0L8 01 8880 228 916 WWOJ J~~d 10d ~l~~ ~~ 8~:02 £002 18 N~r
SCHEDULE A-2 CAL IFORNIA FORfJl JOO
Investment., Income, and Assets ,: .. ,f.' "',"1, T, 1-'" .:..' ~, ~ ... " • !: _ I • '.

of Business Entltles/Trust&
(Ownership Interest is 10% or Greater)

~ . (;{/, ,,~ss f:::"\ '~ c.r. -F= I :,'" ~ 1 !31f'SINE'::S '=N~I-Y 0R H,'L:..T

Investment Fund IV Invest()($

N_
~ame

3110 Main Street, Ste. 300, Sante Monica. CA 90405 /'


Add,." ~s

ChecJI DtIe if'~~_

oTlUII. QO /I) 2 iii Bumeu el\tiIy. cotntJ/fH ",. Il0l', I/IetI lID lo/, o TIVai. flO to 2 o Bu. In._ Entity. eOlllJ1/eW /he boJt, r '''~102

GENERAl DeSCRIPTION Of BUSINESS ACTIVITY ~ QE"~~ DESCRIPTION OF evSINESS ACTIvITY


Owns L.P. Interest in Apolo Investment Fund IV, L.P.
"AIR MARKET VAlue I.F APPLICABLE, UST DATE: FAIR MARKeT VA~UE IF APPLICABLE, UST DATE
o $2.000 • "0,000 o $2,000 • "0.000
0$10,001 - $100,000 -1---1~ --1--'~ o S10.001 - SI00,OOO --'--'.!rL. --' W·~

~ 1100.001 • $1,000,000
o OVO( $1,000.000
ACQVt"!D DlSPOSW 0"00,001 $1.000 .000
o OYII'll .ooo,ooo
0
ACQUIR5D 01 SED
ro
NATU"I!! 01 JmII!SNENT NA'l'URE OF INIlliSTMENT
o Sol. ProptlalDflhlp ~ PaMtIthlp 0 QIIer
o Sgiu ProprietolBhlp o Par1n_hlp 0 0IIa
yOUft 8U!tNfSS POSITION General Partner YOUR BUSINESS r>o$lTlON
.. ,

. : rf~JTIf'"
;"t-1J\~l(jf"ihcI1!(C:·J'·,1\
Tllr (,J=.':,~~. . ,.., .. urH:: I:.iE' E [0 ~1'\j'~L

(,~'f-',)'Hrf-~\-"""r--":;T
J- E )' _' ... h' I'?L_' F.t.. 'To. . ' ~ ['~ I l r '(' "II:" -:;~ ..... ~.;
c,~~~!: ( I r THE Gno!:",
~~r :J\7E:,..'t = . [= '.c ,r,=:
NCO~.jr Trt"r'[ ["-4-:" .... ( "k\,~""
'I)~P'· ."'" ~ "A fl.

o SO· 14" iii $10.001 • Sl00.000 o $Do 141111 o ,'D,OOI • $100,000


o l5C10 $1.000 o OV5R "00,0(1) o OveR,'00.000
0$1 ,001

... _
0

0
$10,000

~"T'lrN")'I1=!)I=~t.~~~t::"f.(T,\8LErN{";t('S'l :-'.EI_r
B
). ~
$500 • $' ,()j)1)
$',001 - ,'0.000

L'ST T , "J('~I~r:::
OF C.4rf~ SE . . . ,..:,F-'T\8:...t:;:. r~(jli;. '}nJ~(E ,;
i'.I....U,"lt Uf .. 1(1 (I )~) "IF, :., lh:f- 1 It\COr'E l"l~ :'00:)(1 Cl1 ':I-~( " .

Apollo Investment Fund IV.• L.P.

... ,"'-.II _ .... ": .1~f..iT~ t..~~:: ,t>.jrfR; ,T: ........... ~,_ I"'r'"'\ ":::(-1' I', _' ., "' .... f. ~ l ·,<.tIJ'·"~ _'..:·"'" ... ~~~ 1~~~t"'hO- T- , .... nrt. . ~(lf I=':;T. Ht: ... O I 'f T"l

PuS I\,E.~ .. t:", 11'( J;\ ~h ..,'" t;...I") ~~ C::-:~ Cr.lTIT( I1R 'TR ... .) I

o ~~ PROPERTY o RIW. PROPERTY


ApOllo Inv8$tment Fund IV,l.P.

N_ Of BU~ Etliiiy II! INIIM 01 BuSw- Entity 11£

$,,", AdeI"N or 10.....01'. P.rceI Numb.r of ROIl Propor1y SItM' AcldNU Of ~. PIIlCIl Nullllltt or R... Prapeny

Private equityJleveraged buyoot fund

OaaaiPlion Of BUilInM. AclhI!tY 11£ Io.tcription of Bullfte8$ AdMIy III

Ci~ or other Prac:laa loellllOn of RNI PIOpe/ty City or Other PntdIe I.Oelotion 01 ~e" Pmpart)'

,.",1\ MAJltl(eT VA~IJI! IF APPIICA8LE. LIST DAre FAIA MAAKET VALUE r-= APPUCAItUi, UST DATI :
o S20000 • '10,000 0$2,000 • "MOO

0,,0,001 • "00.000 --'__l.!!. --1--'~ o 110.001 $100 ,000 ---1--1M.. - - ' ~.L 03

~ps~
o
0

ACQUIRED DISPOSeD ACOURED


~ 1100.001 $1 ,000,000 0 S100,OO1 $1,000,000 0

o Ov., " ,000,000 00-",000,000


NATUR£ OF INTEReST NATURE OF INTEREST
o Property or Ownortft~ o Srock Tru~1 o Pntpeny OwllOfllliOltlaed of TIMI o SIOClI
o L_"hold -_....,..._ o Oth•• _ _ _ _ _ _ _ __ o ~aa ..hold 0 OIlIer _ _ _ _ _ _ _+-__
r-"""4I y~. y". nmainJftQ
o a_
e~ Dol< If .cIdlUonal Ichlldulsi rapvr11ng In'<'etltne"" or roll propany
atlachlld
o CheCI( 110M it 3ClClIIIonal IChadules ~r.o in"..,.,.
IN IIItedted

Of rul "",lit)'

Comments- FPPC Form 700 (2003l2CHM Sc:h. A-2


FPPC 'roll-fr" Helpline: 1I11~ SK-FPPC

L0'd ~((28£9L0L8 01 8880 228 9(6 WWOJ J~~d ,Od ~I~~ ~~ 8~:02 £002 18 N~r
** 80'39~d l~lOl **
7
'.

SCHEDULE C CALIFORNIA
'J .... "'O LI T" AI..
rORM
I; .... c...J, ­
?OO
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments) L I

~ NAMe 01' SOURCE ~ NAME OF SOVRca


Main Street Advisors, Ina
ADDRESS ADDRESS
3110 Main Street, Ste 300. Santa Monica, CA 90405
BuSINeSs ACTIVITY. IF ANY. OF 9OUft~ BUSINESS ACTlVlTY. I': ANY. OF SOURCE
Registered Investment Advisors
YOUR BUSINESS POSITION YO\JR aU$lNlii:SS POSmoN
Chief Executive Officer
G"OSS INCOME RECElveo GROSS INCOME RECJ:IViO
o ~ -11 .000 o Sl ,ool • "0.000 o SSoo . 11,000 o $1 .001 •• '0,000
o 110.001 - "00,000 ~ OveR 1100,000 0110.001 . $100,000 DoveR 1100,000
CONSIOERATION FOR 'MilCH INCOME WAS RECEIVQO COt-ISIOe"AT10N I'OR WHICH INCOME WAS RECEIVED
~5.lt.ry o Spauy', mGOrnt o la~n ,.,.y_t o 5.llary o $pouJe', Incom. OLo.... ~PllY"'tN
o Sal. of ("'-'I( Clf, IIoet eI<.1
o S.te 01
P'1'ajIMy. .... _ , ot~.1

o CammIHton or o Rltf'tIII I"OOfIIC. 1m Hell _ 01 110.000 tJ; In,,", o COmminkHI Of o Ranbll lfteOOl'le, hI/. .'ChIOU""" 01'1/ 0cl0 01" moro

o Ol\er
{llHtItMI
DOlh ..,
(tINaI&aJ

~ NAME OF SOURCE ~ NAMIi ~ iOURCE


American Skiing Company
AD~!;S$ ADDRESS

BUSINESS ACTIVITY. II' Alty, 01' SOUftce BUSINESS ACTIVITY, IF A"IY, OF SOURCE
Ski Resort QEerator
YOUR BUSINeSS POSITION VOUJI eUSINESS POSITION
Director
GROSS INCOME RECEIVED GROSS INCOMI!i RIiCEIVED
0$500 - 11 ,000 o $1,001 - $10,000
o ~~- ",000 011 ,1101 - '10,000
~ S10 ,OOl - 1100.000 o O~R S1oo,ooo
o S10.001 - $100,0lI0 Dove" $100,000
eONS~A"'''ION 1'0" WHICH INCOMt! WA$ R!CI!IIJaD CONSIDERATION FOR WHICH INCOMI! WAS RECEIVED
DsalOry o Iit!OU50'. incom. o Lalli! r.,...ymont OSairt DS_M'$i~ .... o Loan r ,ayman,
o Bal. Df
IPrOItMI'. ear; &iAi ale",
o Sale of ~ _ _. Mel

o Comllll••lon ()f' OR_I lneoma, ••! ,oc/I lIlUtCO 01 r "I. OlIO or mMl o Camml..IOII or o Rani. Inoom8. ,., ....,h .oouao 01 ''0 ~OI"mo ..

i8I O\hor Director FH$


(OIIIICAHI
o Olner
iDo.c:tIIIe)

Comments:

FPPC Form 700 (200S1200 ) Soh. e


FPpe ToIl-F". Helplln.: IUIA ~I<-FPPC

80'd ~1128£9L0L8 01 8880 228 916 WWOJ J~~d IOd ~l~~ ~~ 8~:02 £002 18 N~r

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