Date Received
~fUSeOn!y
Governor
II>- If filing for multiple positions, list below or on an attachment.
Agency: Position:
D Assuming Office: Date --1----1_ _ o The penod covered is ----1---1_ through the date
of leaving office.
4. Schedule Summary
Check applicable schedules or /INane. 1/ II>- Total number of pages including this cover page: _..;6,--_
~ Schedule A-I - Investments - schedule attached [gI Schedule C • Income, Loans, & Business Positions - schedule attached
~ Schedule A·2 • Investments - schedule attached ~ Schedule 0 • Income - Gifts - schedule attached
~ Schedule B • Real Property - schedule attached o Schedule E • Income - Gifts - Travel Payments - schedule attached
-or-
O None· No reportable interests on any schedule
⁴⁴⁾†
I certify under penalty of perjury under the laws of the State of California tha
_.1[~?J)!4t~q~"
Gap, Inc.
Health Fusion, Inc. Medical Office Software $100.001 - $1.000.000 Stock
Jack in the Box Restaurant Company $100.001 - $1.000.000 Stock of Spouse
Madison Park Holdings, Inc Developer & Manager of Real Estate $100.001 - $1.000.000 LLC Member
Round Two Investment Partners Investment in a variety of interests $10,001 - $100,000 Partnership/Income
Received of $500 or more
(Report on Sch. C)
PRORAiA
-_
. ..
LISTSINGL.E INVESTMENT· REAL PROPERTY·
L.ISTDATE
NATURE OF
ACQUIRED
ENTITY OR TRUST
(Business Address Acceptable)
DESCRIPTION OF
BUSINESS
FAIR MARKET
VALUE"
OR .,
A
INVESTMENT
(If "other,"
YOUR
BUSINESS
SHARE OF
GROSS
SOURCES OF
INCOME OF
BUSINESS
ENTITY/NAME, AND
USTPRECISE
lOCATION OF
FAIR MARKET
VAL.Ue"
ACQUIRED
OR .,
A
INTEREST
(If "other,"
DISPOSED 0 POSITION DISPOSED 0
(If Trust, go to 2) ACTIVITY describe)" INCOME TO $10,000 OR MORE BUSINESS ACT1VI~ REAL PROPERTY describe)"
(mmlddl2010j ~.,~,~.~~. ,....... (mmfddf2010)
_~~']~Usl!!"
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
'" Select/rom drop down Jist dislclosed as follows:
Positions Name
(Other than Gifts and Travel Payments) Edmund G. Brown Jr.
-~:mil_filE4IWlWJl
* Select/rom drop down list.
Interest
Spear St. 51e.
230, San Francisco,
CA
Investments in a
Name
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