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Statement Of Economic Interest For Principal Investigators 700-U - California
| Statement Of Economic Interest For Principal Investigators Form. This is a California form and can be used in Fair Political Practices Commission Statewide . |
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Instructions for Completing Form 700-U Who Files Form 700-U? This form must be filed by all persons employed by UC or CSU who have principal responsibility for a research project if the project is to be funded or supported, in whole or in part, by a contract or grant (or other funds earmarked by the donor for a specific research project or for a specific researcher) from a nongovernmental entity. Reporting requirements are outlined in Regulation 18755. This regulation provides that research funding by certain nonprofit entities will not trigger disclosure. This regulation is available on the FPPC website. CALIFORNIA FORM 700-U registered domestic partner's gross income totaling $500 or more. Gross income is the total amount of income before deducting expenses, losses, or taxes. (See Gov. Code Section 82030.) What is a Loan? Loans received or outstanding are reportable if they total $500 or more from a single lender. Your community property interest in loans received by your spouse or registered domestic partner also must be reported. Loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status are not reportable. (See Gov. Code Section 82030(a).) What is the Reporting Period? For "initial" statements, before the final acceptance of the contract, grant, or gift, the filer must report investments in and business positions with the sponsor as of the date that the award is made, and income and gifts received from the sponsor within the 12 months prior to the date that the award is made. For "interim" statements, the filer must submit a statement within 30 days after the contract, grant, or gift is renewed that discloses reportable investments, income and business positions that the filer held or received during the period between the date the initial statement was filed and the date the project contract, grant, or gift was renewed. What is a Gift? A gift is anything of value for which you have not provided equal or greater consideration to the donor. A gift is reportable if its fair market value is $50 or more. In addition, multiple gifts totaling $50 or more received from a reportable source must be reported. It is the acceptance of a gift, not the ultimate use to which it is put, that imposes your reporting obligation. Therefore you must report a gift even if you never used it or if you gave it away to another person. If the exact amount of a gift is not known, you must make a good faith estimate of the item's fair market value. Listing the value of a gift as "over $50" or "value unknown" is not adequate disclosure. What is an Investment? "Investment" means any financial interest in a business entity in which you, your spouse or registered domestic partner, or your dependent children have a direct, indirect, or beneficial interest totaling $2,000 or more. Reportable investments include stocks, bonds, warrants, and options, including those held in margin or brokerage accounts. (See Gov. Code Section 82034 and Regulation 18237.) Commonly reportable gifts include: · Tickets/passes to sporting or entertainment events · Tickets/passes to amusement parks · Parking passes · Food, beverages, and accommodations, including that What is Income? "Income" means a payment received, including but not limited to any salary, wage, advance, dividend, interest, rent, proceeds from any sale, gift, including any gift of food or beverage, loan forgiveness or payment of indebtedness received by the filer, reimbursement for expenses, per diem, or contribution to an insurance or pension program paid by any person other than an employer, and any community property interest in income of a spouse or registered domestic partner. Income also includes an outstanding loan. Income of an individual also includes a pro rata share of any income of any business entity or trust in which the individual, spouse, or registered domestic partner owns directly, indirectly, or beneficially, a 10% interest or greater. Income includes your gross income and your community property interest in your spouse's or · · · · · those provided in direct connection with your attendance at a convention, conference, meeting, social event, meal, or like gathering Rebates/discounts not made in the regular course of business to members of the public without regard to official status Wedding gifts An honorarium received prior to filing an "initial" statement. You may report an honorarium as income rather than as a gift if you provided services of equal or greater value than the payment received. Transportation and lodging Forgiveness of a loan received by you (See Gov. Code Section 82028.) FPPC Form 700-U (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com CALIFORNIA FORM 700-U STATEMENT OF ECONOMIC INTERESTS PRINCIPAL INVESTIGATORS A Public Document (FIRST) MAIL CODE (MIDDLE) Date Received Campus Use Only FAIR POLITICAL PRACTICES COMMISSION FOR Campus: ID No: TELEPHONE NUMBER Please type or print in ink. NAME (LAST) ( ACADEMIC UNIT OR DEPARTMENT TITLE OF RESEARCH PROJECT ) E-MAIL ADDRESS 1. Information Regarding Funding Entity (Use a separate Form 700-U for each funding entity.) Name of Entity: Address of Entity: Principal Business of Entity: 3. Filer Information - Cont. D. Have you received loans from the entity in Part 1 for which the balance exceeded $500 during the reporting period? No Yes highest balance: $500 - $1,000 $10,001 - $100,000 $1,001 - $10,000 Exceeded $100,000 % If you checked "yes," was the loan: Secured Unsecured Interest rate: Amount of Funding: $ Estimated Actual (Check at least one box) Was the loan entirely repaid within the last 12 months? No Yes E. Have you received gifts from the entity listed in Part 1 within the last 12 months valued at $50 or more? No Yes describe below. Description: / / / / Value: $ Date Received: / / 2. Type of Statement Initial (for new funding) Date of initial funding: Interim (for renewed funding) Funding was renewed on: 3. Filer Information F. Has the entity in Part 1 paid for your travel during the reporting period? No Yes describe below. Type of Payment: (check one) Amt: $ Description: date(s): Gift / / Income / / A. Are you a director, officer, partner, trustee, consultant, employee, or do you hold a position of management in the entity listed in Part 1? No Yes Title: B. Do
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