101700189-NFH-0189

STATEMENT OF ECONOMIC INTERESTS  lntiallng Received

CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700 COVER PAGE
Filing 
  

E-Filed
A Public Document 03/30/2022
09:37:20

Filing ID:
        203187983

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

Perez, John A.

'
 (  (  
Agency Name !D
not use acronyms#
University of California
Division, B
% (% ( %    )
 &


Regents Regent

*   
  

%  


    !D
not use acronyms#

+ ' &


'

% &  
  (Check at least one box)
Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
X State
(Statewide Jurisdiction)
Multi-County County of

City of Other

" #  $ (Check at least one box)

X The period covered is January 1, 2021 through 
  Date Left / /
December 31, 2021. (Check one circle)
-or-
The period covered is / / , through The period covered is January 1, 2021 through the date of
December 31, 2021. leaving office.

$
  Date assumed / / The period covered is / / , through the date

 
 

Date of Election and o  

%    & '

)   $$ ($ $) „ # $.        4

   

  ,' , Investments – schedule attached    , Income, Loans, & Business Positions – schedule attached
X   ,% , Investments – schedule attached X   ! ,  
 – schedule attached
  - , Real Property – schedule attached   1 ,  
  – schedule attached
,,
2 , No reportable interests on any schedule
/ 0 
.+456 +((78"" "97889 :9) "9+98 ;& :$(8
(Business or Agency Address Recommended - Public Document)
Secretary and Chief of Staff to the Regents
Office 1111 Franklin St. 12th Fl Oakland CA 94607
(+)9.8 9848&<$58 5=.>87 8-.+IL +DDRESS

( 510 ) 987-9220 regentsoffice@ucop.edu

    
             
 
  
  



          
   
     

                     

!  03/30/2022  John A. Perez

(month, day, year)  
   paper  
 


FPPC Form 700 - Cover Page (2021/2022)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
101700189-NFH-0189

SCHEDULE A-2 CALIFORNIA FORM

FAIR POLITICAL PRACTICES COMMISSION
700
+5 +
 Name
of Business Entities/Trusts
"<5  ;  O“  N% Perez, John A.

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

Double Nickel Advisors, LLC

Name Name
777 S. Figueroa St., Ste. 4050
Los Angeles, CA 90017
Address (Business Address Acceptable) Address (Business Address Acceptable)
Check one Check one
Trust, go to 2 X Business Entity, complete the box, then go to 2 Trust, go to 2 Business Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS

Consulting
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:

/ 21 / 21 / 21 / 21
$0 - $1,999 $0 - $1,999
$2,000 - $10,000 / / $2,000 - $10,000 / /
X $10,001 - $100,000 ACQUIRED DISPOSED $10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000 $100,001 - $1,000,000
Over $1,000,000 Over $1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
Partnership Sole Proprietorship X LLC Partnership Sole Proprietorship
Other Other

YOUR BUSINESS POSITION Principal 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 ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)

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

$500 - $1,000 X OVER $100,000 $500 - $1,000 OVER $100,000
$1,001 - $10,000 $1,001 - $10,000

„3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF „3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
+.!&,' &" 4 &; ,&;' (Attach a separate sheet if necessary.) +.!&,' &" 4 &; ,&;' (Attach a separate sheet if necessary.)
None or X Names listed below None or Names listed below
AT&T California

CASE - CAl. Assoc. of Attorneys, Admin. Law Judges

Ellison Wilson Advocacy-SANDAG, California Tow
Truckers Assoc., UNAC/UHCP

„4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR „4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box: Check one box:
INVESTMENT REAL PROPERTY INVESTMENT REAL PROPERTY

Name of Business Entity, if Investment, or Name of Business Entity, if Investment, or

Assessor’s Parcel Number or Street Address of Real Property Assessor’s Parcel Number or Street Address of Real Property

Description of Business Activity or Description of Business Activity or

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:
$2,000 - $10,000 $2,000 - $10,000
$10,001 - $100,000 / / 21 / / 21 $10,001 - $100,000 / / 21 / / 21
$100,001 - $1,000,000 ACQUIRED DISPOSED $100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000 Over $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

: <5 ~[ 
K Stock Partnership : <5 ~[ 
K Stock Partnership

Leasehold Other Leasehold Other

+     +    
Check box if additional schedules reporting investments or real property Check box if additional schedules reporting investments or real property
are attached are attached

Comments:
FPPC Form 700 - Schedule A-2 (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
101700189-NFH-0189

Additional Single Sources of Income of $10,000 or more for Double Nickel Advisors, LLC

The Gordian Group

Blade Inc.
Triton Management Services
Dunleer Strategies
Future is Now Schools
Vision to Learn
Los Angeles Chargers
Redwood Public Affairs
HCA Healthcare
101700189-NFH-0189

CALIFORNIA FORM 700

FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Name
Income – Gifts
Perez, John A.

„ NAME OF SOURCE (Not an Acronym) „ NAME OF SOURCE (Not an Acronym)

Jessica Lall Peter Guber

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
626 Wilshire Blvd., Ste. 850 4751 Wilshire Blvd., 3rd. Fl.
Los Angeles, CA 90017 Los Angeles, CA 90010
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

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

L.A. Football Club

06 / 30 / 21 $ 68.33 Meal 08 / 04 / 21 $ 500.00 Tickets

/ / $ / / $

/ / $ / / $

„ NAME OF SOURCE (Not an Acronym) „ NAME OF SOURCE (Not an Acronym)

Medina for Assembly 2020 Toni Atkins for Senate 2020

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
1787 Tribute Rd., Ste. K 374 N. Coast Hwy. 101, Ste. 2
Sacramento, CA 95815 Encinitas, CA 92024
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

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

12 / 17 / 21 $ 281.86 Lodging 05 / 04 / 21 $ 50.02 Meal

12 / 17 / 21 $ 238.14 Holiday Event 07 / 07 / 21 $ 117.13 Flowers

/ / $ 09 / 28 / 21 $ 192.20 Cigars

„ NAME OF SOURCE (Not an Acronym) „ NAME OF SOURCE (Not an Acronym)

Rendon for Assembly 2022

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
555 E. Ocean Blvd., Ste. 420
Long Beach, CA 90802
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

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

09 / 28 / 21 $ 109.50 Cigars / / $

12 / 24 / 21 $ 108.15 Tamales / / $

05 / 29 / 21 $ 23.41 Meal / / $

Comments:

FPPC Form 700 Schedule D (2021/2022)

advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov