Samaras, Apostolos - 2018-2019 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS Data Initial Fill can
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COVER PAGE �,�dJ �F rq
Please type a anal m mk. A PUBLIC DOCUMENT .ejC; ?A I
NAMECFncea µnSTJ Inesn eaewel
Samaras Apostolos
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Senior, Board, Dependent Dieft if applicable You Position
Planning Division, Planning and Building Safely Department Principal Planner
e If fling for multiple positions, list below or on an attachment. (Do not use eoronyms)
Agency: City of EI Segundo pcemon;
2. Jurisdiction of Office (cheek at leant one box)
❑ State
❑ Multi -County
0 CRY B El Segundo
3. Type of Statement (check of least one bee)
❑ Judge or Court Commissioner (Sttatewitle Junatldi
❑ County of
LjOHM —
0 Annual: The period covered a January 1, 2018, through ❑ Leaving Office: Data Left JJ
or-
December 31, 2018. (Check are circle.)
The period covered t JJJ dlrrgh O The period covered is January 1, 2018. through the dale of
December 31, 2018, -oo leaving office.
❑ Assuming Office: Date assumed — JJ O The period covered is J—/ , through
the data of leaving ofice.
❑ Candidate: Date of Election and office sought, a different than Pan 1:
4, Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
(]Schedule A-l- mreslrnsiih- schedule attached 1]Schedule C- lncare,Loess, S Business Ponders- schedule attached
Nic Schedule A-2-Inveshnenls- schedule attached ❑Schedule D- kmorre- Gilt - schedule ansched
❑ Schedule a - Real Properly - schedule attached ❑ Schedule E - Income- bias - Travel Payments - schedule attached
-or- ❑ None - No reportable Interests on any schedule
I he%used all reasonable diligence in preparing this statement, I have reviewed this statement and to tfe best of my knowledge the inf rnnsion
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I carry under penalty of perjury under the laws of the State of California that the forego a Is true and counsel.
Date Sigrid March, 19, 2019 Signaluro�
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SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%)
Investments must he itemized.
n......r vua.-n AmLurvne ne ananrfnl abbmanm
NAME OF BUSINESS ENTITY
TESLA, INC
GENERAL DESCRIPTION OF THIS BUSINESS
AUTOMOBILE AND SOLAR ENERGY
FAR MARKET VALUE
QX S2,000-1110,000 ❑t10,oD1-S100p00
❑ a100.Dol - E1.00D,000 ❑ Oror 31.000.000
NATURE OF INVESTMENT
Q stc ❑O r
o $meal
Partner ship O Income Received of $a - $499
O Inwme Received of86G0 or
Mat (Report on SNeEub c)
IF APPLICABLE UST DATE:
�//-2ff—j--u_ --j---j-u_
ACQUIRED DISPOSED
OF BUSINESS ENTRY
GENERAL DESCRIPTION OF THIS
FAIR MARKET VALUE
❑ $2.000 - $10,000 ❑ $10,001 - $100,Dco
❑ l icacol - $1,00,000 ❑ Over $1 W0.000
NATURE OF INVESTMENT
❑ Block ❑ Other
l
PednemM1ip O Incmw Reconnect ofEe9e
O Irc2ne Receive] Of$5 - $499
45c0 Of Moe IAelwrt on Scneeu:e cl
IF APPLICABLE, LIST DATE:
--J--J18_ _/--J18_
ACQUIRED DISPOSED
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
F-112.000-$10,Goo ❑$lD,001-$100.000
❑$100.001-E1poD,WE Over 41,000,000
NATURE OF INVESTMENT
5otlt ❑ mar
l
PaOwMIncome
1499
1p O Inme Rem
oved cf 90 id99
O Immlre Recelvetl Of $500 or Mare (ltpvd on 3MeaNe L)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ S2,000- 51 D,BDo ❑ ito,oM-sim.ow
❑ $100,001- $1.000. 0 El Over 41,000,00E
NATURE OF INVESTMENT
El secov [_] Offer
❑ Partnership O Income Re ateof 4E - 499 $f
O Income Reahrod or of i500 or Mae (nepwl an 9eeesab CJ
IF APPLICABLE, LIST DATE:
J--JSB_ _1--Js9_
ACQUIRED DISPOSED
BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
AIR MARKET VALUE
❑42,000-$10.000 ❑310,001-4100,000
❑ EIDo,w' - $1,000.000 ❑ oner $1,000,000
NATURE OF INVESTMENT
Sod Other
ry w[)
Partnership O Income Received of Eo - Ee99
O Income Received OI E500 or More (Report an SMeeub C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑s2,o0a-510.0Eo ❑slo,00l-s100,Doo
❑ $100.001-STWO.Goo ❑ Cror $1,000,000
NATURE OF INVESTMENT
Slack ❑ Offer
Partnership O Income Received-$499
of " or
O Imnn Retained of "DO w Maro (Rryat on SGroEWe CJ
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
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SCHEDULE A-2 •' •'
Investments, Income, and Assets
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater)
Gina Lee, MD, Inc.
Nam
News
Address suanma Address Acreptabbe)
Address suaimsa AEdresa Awmf ask)
Check one
Cheek we
❑ Rust, 0l0 2 O Business ErNry, commplele Me box. Xren go M 2
❑ Tmai, go to 2 ❑ Business sees.. ompbta ge bps, then go N 2
GENERAL DESCRIPTION OF THIS BUSINESS
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
FAIR MARKET VALUE IF APPLIOABtE, DST DATE
❑ s0 - s1,998
�u1000 - $10,000 JJ1g JJ1$
$10.001 - $100,000 ACQUIRED DISPOSED
❑ $0 - $1,999
❑ sz000 - sm,0oo JJAIL JJ1�
0 $10,001- $100,000 ACQUIRED DISPOSED
3100,001-11,000,000
❑ $100,001- $1.ODo,000
❑ Owrsi,000,000
❑ Over 11,000,000
NATURE OF INVESTMENT
0 Partnership 0 Sole Pmpnewship 0SCorp 0m.
NATURE OF INVESTMENT
❑ Pamerahip We Pronamorchip ❑ olhr
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
a
s
,gN/A
❑$0-$099 9Ina 001- sic 0000
❑ $500 - s1A00 IJ OVER $100.000
❑ $tact - $io,ouo
❑$0-$099 ❑$10.001• SID0,000
❑ $500 - $1000 ❑ OVER 1100.a00
❑ $teat - Emcee
'
0 Non i News listed bet
�A1V� uF�i Lr
❑ None or Names listed belwe
Check we boK:
check one box:
0 INVESTMENT ❑ REAL PROPERTY
❑ INVESTMENT 0 REAL PROPERTY
�F��g$l1yy��
Ae9e oYs Parcel NumfixEori Simel Aadrow of Real PropMy
End iiNN
AuswY uPaneel N mberdw Swine Mcrae of Real Properly
Oacnption of Business Ara,* z
Description M Business Acwfty a
City or Oiler Pretlea Ural of Reel Pmmq
My a Other Pretlae Lassion of Real PmpeM
FAIR MARKET VALUE IF APPLICABLE, LIST DATE
FAIR MARKET VALUE IF APPLICABLE, UST DATE:
❑ $2.000 - $10,000
JJSB- JJ_19_
❑ $2,000 - 110.000
❑$10,00,-$1W000 JJ-M JJ1B-
B$10,001-$100,000
$100,W1-S1,000,00D ACQUIRED DISPOSED
0$100.001-$1,M0.000 ACQUIRED DISPOSED
❑ Ever $1.000,000
❑ Owr $1.0Dg0Do
NATURE OF INTEREST
0 Property OwenshipaDeed W Rust Stc ❑ PeMenhip
NATURE OF INTEREST
❑ Property O.mxWp'Wed of Truel ❑ SWb, ❑ Par mshiP
0 LaSmd Ym r ShN 0 Oster
❑ Le ual M mmmYnv ❑ Enron-
0 Check bm IT addMonel schedules repdsome iwemmente or real MIRedy
ere mralad
0 Chak box i a idNiwtl schetlules meaning imuhneMa or real pmpaty
are assured
FPPCFoms7WB0L 019)
MA: Adviser Email: tlNp"Iec'mew
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