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CALIFORNIA FORM
FAIR POLl~ICAL
700
PRACTICES COMMISSION
Use OfffdtJi Only

A PUBLIC DOCUMENT
MAR 1- 2011
"
(d)(5)
Please type or print in ink. BY:
NAME OF FILER IFiRSTI
Skinner Nancy
1. Office, Agency, or Court
Agency Name
CA State Assembly
Division. Board. Departmenl. Districl. if applicable Your Position
Member
.. If filing for multiple positions. list below or on an attachment

Agency: Position:

2. Jurisdiction of Office (Check al leasl one box)

1&1 Siale o Judge (Statewide Junsdiction)
o Multi-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Countyof _ _ _ _ _ _ _ _ _ _ _ _ __
o City of _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Other _ _ _ _ _ _ _ _ _ _ _ _ __ ~

3. Type of Statement (Check at lea.1 one box)

1&1 Annual: The penod covered is January 1. 2010. Ihrough December 31. o Leaving Office: Date Left ---1---1_ _
2010, -or- (Check one)
The penod covered is ---1---1_ _. Ihrough December 31. o The penod covered is January 1. 2010. through Ihe date of
2010. leaving office.

o Assuming Office: Date ---1----1_ _ o The penod covered is ---1---1_ _• through Ihe date
of leaving office.
o Candidate: Election Vear _ _ _ _ __ Office sought. if different than Part 1: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

4. Schedule Summary
Check applicable schedule. or "None." .. Total number of pages including this cover page: _41-_
o Schedule A-1 • Inveslmenls - schedule attached o Schedule C • Income. Loans. & Business Positions - schedule attached
o Schedule A·2 • Inveslments - schedule attached 1&1 Schedule 0 • Income - Gifts - schedule attached
o Schedule 8 • Real Property - schedule attached 1&1 Schedule E • Income - Gifts - Travel Paymenls - schedule attached
·or·
o None· No reportable interests on any schedule

I certify under penalty of perjury under the laws of the State of California that t

ru:;a"'ry:.:;:2::8.:::2:::0:.;1c.:1_ __
Date Signed _ _....:.F-=e"'bi::
(month, day. year)
 CALIFORNIA FORM 700
FAIR POLITICAL. PRACTICES COMMISSION
SCHEDULE D
Name
Income - Gifts
SKINNER, NANCY

~ NAME OF SOURCE ,.. NAME OF SOURCE

CA Tribal Business Alliance CA Building Industry Association (CBIA)

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1530 J St, Suite 400, Sacramento CA 95814 1215 K St, Suite 1200, Sacramento CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Represents Tribal business concerns. Statewide trade association.

DATE (mm/ddlyy) VALUE OESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

92.68 reception- ~~...1.Q.. >-$_ _ 7-'..9._5_5 dinner*

--1--1_ $ _ _ __ -REIMBURSED 2/11 --1--1_ ..

$ _ _ __ -REIMBURSED 2/11

--1--1_ $..$_ __ --1--1_ $;_ _ __

,.. NAME OF SOURCE ,.. NAME OF SOURCE

Pacific Life CA Center for Civic Participation/Capitol Focus

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

700 Newport Center Dr, Newport Beach CA 92660 1220 H St, Suite 102, Sacramento CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY. OF SOURCE

Insurance Encourage civic participation by youth.

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

_~.J_~.~...1.Q.. $ 170.00 tickets-sporting event- dinner

--1--1_ $,_ _ __ -REIMBURSED 2/11 --1--1_ ..

$ _ _ __

$ $

,.. NAME OF SOURCE II>- NAME OF SOURCE

Bayer HealthCare TechNet CA

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1201 K St, Suite 1030, Sacramento CA 95814 855 EI Camino Real, Suite 250, Palo Alto CA 94301
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVIlY, IF ANY. OF SOURCE

Healthcare/Pharmaceutical Promote growth of technology & innovative economy.

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

dinner* ~~...1.Q.. $;_--=-54,:,,:,=.21.:.. reception

--1--1_ $ _ _ __ -REIMBURSED 2/11 --1--1_ $,_ _ __

--1--1_ $ _ _ __ --1--1_ ...

$ _ _ __

Comments: Items marked with "-,, are reportable, but reimbursed in February 2011.

FPPC Form 700 (2010/2011) Sch. 0

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.goY
 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Name
Income - Gifts
SKINNER, NANCY

... NAME OF SOURCE ... NAME OF SOURCE

The California Endowment

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1000 N Alameda St, Los Angeles, CA 90012

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Statewide health foundation

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

dinner

---1---1_ >-$_ __

---1---1_ $, _ _ __

III- NAME OF SOURCE ... NAME OF SOURCE

California Democratic Party

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

1401 21st St, Suite 200, Sacramento CA 95811

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Political Party
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S)

reception* ---1---1_ $ _ _ __

---1---1_ ..
$ _ _ __ *REIMBURSED 2/11 ---1---1_ $ _ _ __

$ $

III- NAME OF SOURCE II>- NAME OF SOURCE

John A. Perez for Assembly

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

777 S Figueroa St, #4050, Los Angeles CA 90017

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

Campaign
DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S)

E.J~~ $
110.00 leather portfolio

---1---1_ $

---1---1_ $

Comments: Items marked with "*" are reportable, but reimbursed in February 2011.

FPPC Form 700 (2010/2011) Sch. D

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 .' .

SCHEDULE E
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMlSSION

Income - Gifts Name

Travel Payments, Advances, SKINNER, NANCY
and Reimbursements

• Reminder - you must mark the gift or income box,

• You are not required to report income from government agencies.
• You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3)
organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit.

.. NAME OF SOURCE ,.. NAME OF SOURCE

CA Foundation on Environment & Economy (CFEE) CA Foundation on Environment & Economy (CFEE)
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

Pier 35, Suite 202 Pier 35, Suite 202

CITY AND STATE CITY AND STATE

San Francisco, CA 94133 San Francisco, CA 94133

BUSINESS ACTIVITY, IF ANY, OF SOURCE ~ 501 (c)(3) BUSINESS ACTIVITY. IF ANY, OF SOURCE o 501 (C)(3)
Education Seminars Education Seminars

DATE(S): ~ 29 I..!Q. . ~ 30 I..!Q. AMT: $ _ _".;3:...4:..:1:...4:.:3,--* DATE(S): E..t~..!Q. . E..t..!Q}..!Q. AMT: 0..$_ _ .::..63::...1:..:..8::...1=-*
(If applicable) (If applicable)

TYPE OF PAYMENT: (must check one) ~ Gift 0 Income TYPE OF PAYMENT: (must check one) ~ Gift 0 Income

DESCRIPTiON: Conference & Lodging (REIMBURSED DESCRIPT[ON: Conference & Lodging (REIMBURSED
2/20/11-no gift received) 2/21/11-no gift received)

~ NAME OF SOURCE ,.. NAME OF SOURCE

CA Foundation on Environment & Economy (CFEE)

ADDRESS (Business Address Acceptabfe) ADDRESS (Business Address Acceptable)

Pier 35, Suite 202

CITY AND STATE CITY AND STATE

San Francisco, CA 94133

BUSINESS ACTIVITY, IF ANY, OF SOURCE ~ 501 (c)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE 0501 (C)(3)

Education Seminars

DATE(S): J.~_L~..J..!Q. . ..!.!.J~..!Q. AMT: $ 11,504.67* DATE(S): __.L-1_ - --.l--.l_ AMT: $ _ _ _ _ __

(If applicable) (If applicable)

TYPE OF PAYMENT: (must check one) ~ Gift D Income TYPE OF PAYMENT: (must check one) 0 Gift 0 Income

DESCR[PT[ON: Conference & Lodging (REIMBURSED DESCRIPT[ON: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

2/18/11-no gift received)

Comments: Items marked with "*" were reimbursed.

FPPC Form 700 (201012011) Sch. E

FPPC TollwFree Helpline: 866/275w3772 www.fppc.ca.gov