Schedule B, Income and Business Positions

Sat May 07, 2022 7:28 pm

SCHEDULE B STATEMENT OF ECONOMIC INTERESTS

Schedule B, Income and Business Positions (Income Other Than Gifts) Instructions

Reporting Income

Report the source and amount of gross income of $4,001 or more you received during the reporting period. Gross income is the total amount of income before deducting expenses, losses, or taxes.

The source and income must be reported only if the source is located in, doing business in, planning to do business in, or has done business during the previous two years. Reportable sources of income may be further limited by your disclosure category located in the conflict of interest code.

Reporting Business Positions

You must report your job title with each reportable business entity even if you received no income during the reporting period. Use the comments section to indicate that no income was received.

Commonly reportable income include

Salary/wages, per diem, and reimbursement for expenses including travel payments provided by your employer
Community property interest (50%) in your spouseâ€™s or registered domestic partnerâ€™s income - report the employerâ€™s name and all other required information
Income from investment interests, such as partnerships, reported on Schedule A-1
Prizes or awards not disclosed as gifts
An honorarium received prior to becoming a public official
Incentive compensation

You are not required to disclose

Salary, reimbursement for expenses or per diem, or social security, disability, or other similar benefit payments received by you or your spouse or registered domestic partner from a federal, state, or local government agency.
Rental income

To Complete Schedule B

Part 1. Income Received/Business Position Disclosure

Disclose the name and address of each source of income or each business entity with which you held a business position.
Provide a general description of the business activity if the source is a business entity.
Check the box indicating the amount of gross income received.
Identify the consideration for which the income was received.
Disclose the job title or business position, if any, that you held with the business entity, even if you did not receive income during the reporting period.

Form 700, Schedule B, Income and Business Positions (Income Other Than Gifts) Form

Mark your response with an X.

Filer's name:

Name of Source of Income:
Address:
Business Activity, if any, of Source:
Your Business Position:

Gross income received:
[-] No Income - Business Position Only
[-] $4,000 to $8,000
[-] $8,001 to $20,000
[-] Over $20,001

Consideration for which Income was received:
[-] Salary
[-] Spouse's or registered domestic partner's income
[-] Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)
[-] Other

If other checked, describe other:

Formats

Schedule B Format:

Code: Select all

[divbox=#FFFFDA][br][/br][center][b][size=115]Form 700, Schedule B, Income and Business Positions (Income Other Than Gifts) Form[/center][/b][/size]

[i]Mark your response with an X.[/i]
[br][/br]
[b]Filer's name: [/b]
[br][/br][hr][/hr]

[b]Name of Source of Income: [/b]
[b]Address: [/b]
[b]Business Activity, if any, of Source: [/b]
[b]Your Business Position: [/b]

[b]Gross income received: [/b]
[-] No Income - Business Position Only
[-] $4,000 to $8,000
[-] $8,001 to $20,000
[-] Over $20,001

[b]Consideration for which Income was received: [/b]
[-] Salary
[-] Spouse's or registered domestic partner's income
[-] Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.)
[-] Other

[b]If other checked, describe other: [/b]
[br][/br][/divbox]