-CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS

FAIR POLITICAL PRAeTICES COMMISSION

COVER PAGE

Please type or print in ink.

A! ~Public
i t": ~
Document
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NAME (LAST) (FIRST) (MIDDLE)

Kieffer George David (310 )312-4146

MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May use business address)

11355 W. Olympic Blvd., Los Angeles, California 90064 gkieffer@manatt.co

1. Office, Agency, or Court 4. Schedule Summary

Name of Office, Agency, or Court: ~ Total number of pages
Board of Regents, University including this cover page: 6
of Caljfornja
Division, Board, District if applicable: ~ Check applicable schedules or "No reportable
interests."
state
I have disclosed interests on one or more of the
Your Position:
attached schedules:
Regent
Schedule A-1 lKl Yes - schedule attached
~ If filing for multiple positions, list additional agency(ies)/ Investments (Less (han 70% Owners/lip)
position(s): (Attach a separate sheet if necessary.)
Schedule A-2 ~ Yes - schedule attached
Agency: _ Investments (70% or greater Ownership)

Schedule B IKl Yes - schedule attached

Position: _ Real Property

Schedule C 0 Yes - schedule attached

Income, Loans, & Business Positions (Income Other (han Gifts
2. Jurisdiction of Office (Check at least one box) and Travel Paymel1ls)

IKl State
Schedule D 0 Yes - schedule attached
o County of -,-- _ Income - Gifts
o City of _
Schedule E 0 Yes - schedule attached
o Multi-County _ Income - Gifts - Travel Payments

o Other _ -or-

3. Type of Statement (Check at least one box)

o No reportable interests on any schedule

~ Assuming Office/Initial
5. Verification
o Annual: The period covered is January 1, 2008,
I have used all reasonable diligence in preparing this
through December 31, 2008.
statement I have reviewed this statement and to the best
-or- of my knowledge the information contained herein and in any
O The period covered is ~---..-l __ , through attached schedules is true and complete.
December 31, 2008.
I certify under penalty of perjury under the laws of the State
o Leaving Office Date Left: ~--1 __ of California that the foregoing is true and correct.
(Check one)
o The period covered is January 1, 2008, through the
date of leaving office. Date Signed 5/ 14 /09
-or-
o The period covered is ~~ , through
the date of leaving office. Signature {J':?o(r.' ..:"'V~~ ~ 1~V, t/ 'l "'-Your filing official.)

o Candidate Election Year:

FPPC Form 700 (2008/2009)
FPPC Toil-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
 SCHEDULE A-1 CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION
700
Investments
Name
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
George David Kieffer
Do not attach brokerage or financial statements.

~ NAME OF BUSINESS ENTITY

~ NAME OF BUSINESS ENTITY

Promerica Bank Cbarles Schwab

GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Investments/JP Kieffer IRA

Banking business
FAIR MARKET VALUE
FAIR MARKET VALUE
o o S10,001 - $100,000 o $2,000 - $10,000 :KJ $10,001 - $100,000

i19
52,000
5100,001
- 510.000
- 51,000,000 Dover $1,000,000
o $100,001 - $1,000,000 Dover $1,000,000

NATURE OF INVESTMENT
NATURE OF INVESTMENT
o Stock
o Stock

~ Other Mutual Fund

o Other ---------:;:---::-::-:-------
(Describe)
(Describe)

IF APPLICABLE, LIST DATE

IF APPLICABLE. LIST DATE

~------1~ ------1-----1~
~~~ ~~~ ACQUIRED DISPOSED
ACQUIRED DISPOSED

~ NAME OF BUSINESS ENTITY

~ NAME OF BUSINESS ENTITY

Vanguard Charles Schwab

GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Retirement Acct-Employee savings Investments/GD Kieffer IRA

FAIR MARKET VALUE

o
FAIR MARKET VALUE
o o 52,000 - $10,000 :Kl $10,001- $100,000

@
$2,000 - S10,000
$100,001 - $1,000,000
510,001
DOver
- $100,000
$1,000,000
o $100,001 - $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT
NATURE OF INVESTMENT
o Stock
o Stock

~ Other Mutual Fund _

~ Other Mutual Funds-stocks/bonds 'Xl (Describe)
(Describe)

IF APPLICABLE, LIST DATE:

IF APPLICABLE, LIST DATE:

~~~ ~~~
~~~ ~~~ ACQUIRED DISPOSED
ACQUIRED DISPOSED

~ NAME OF BUSINESS ENTITY

~ NAME OF BUSINESS ENTITY

Gabelli Fund GENERAL DESCRIPTION OF BUSINESS ACTIVITY

GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Investments FAIR MARKET VALUE

FAIR MARKET VALUE
o Q. $2,000 - $10,000 o $10,001 - 5100,000
G: $2,000 - S10,000 510,001 - $100,000
05100,001 DOver $1,000,000
o $100,001 - $1,000,000 DOver $1,000,000
- $1,000,000

NATURE OF INVESTMENT

o
NATURE OF INVESTMENT
Stock
o Stock

rn Other Mutual Fund o Other (Describe)

(Describe)

IF APPLICABLE, LIST DATE:

IF APPLICABLE, LIST DATE:

~~~ ,~~~

~~~ ~~~ ACQUIRED DISPOSED

ACQUIRED DISPOSED

Comments: -------------------------------------------------------------------------------------
FPPC Form 700 (2008/2009) Sch, A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
 SCHEDULE A-2 CALIFORNIA FORM
FAIR POLITICAL PRACTICES
700
COMMISSION
Investments, Income, and Assets Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) George David Kieffer

~ 1. BUSINESS ENTITY OR TRUST ~ 1. BUSINESS ENTITY OR TRUST

George David Kieffer, A The Kieffer Corporation

Name ProtesslonaI corporatlon Name

11355 W. Olympic Blvd., Los Angele 601 S. Saltair Ave., Los Angeles, Ca.
Address California 90064 Address 90049
Check one Check one
o
Trust, go 10 2 ~ Business Entity, complete the box, then go to 2 oTrust, go 10 2 ~ Business Entity, complere rhe box, rhen go 10 2

i --
GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Law Practice (1) Consulting / (2) Music Servic~s

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0 $2,000 - $10,000 o $2,000 - $10,000

1
0$10,001 - $100,000 ~ ----.I-.illL ----.1----.1 08 IXI $10,001 - $100,000 ~----.I~ ----.1----.1 ~
DISPOSED
Ki $100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000,000 ACQUIRED
o Over $1,000,000 DOver $1,000,000
I NATURE OF INVESTMENT
NATURE OF INVESTMENT

I o Sole Proprietorship 0 Partnership 0 ----------

. d' Other
IX] Sole Proprietorship 0 0 ---------
Partnership
• Other

l YOUR BUSINESS
___.u_.~ ...
POSITION
,
P
__ r_e~S_l=-'
_e-=-n_t-=-
·__ · -
_ YOUR BUSINESS POSITION Presldent

0$10,001 - $100,000 0$0 - $499 rn $10,001 - S100,000

0$0
o
- $499
o $500 - $1,000 o OVER $100,000

0$1,001
$500 - $1,000
- $10,000
~ OVER $100,000
o $1,001 - $10,000

~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF ~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (attach a separatesheel if necessary) INCOME OF $10,000 OR MORE (attach a separale sheel if necessalY)

Law practice with Manatt, Phelps & Spouse consulting business

Phillips, LLP with L.A. Parks Foundation;
Music Services
~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE ~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD ~ THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST

Check one box: Check one box:

gJ INVESTMENT o REAL PROPERTY {] INVESTMENT o REAL PROPERTY

See 4ttachment to Schedule A-2

Name of Business Entity Q[ Name of Business Entity Q[
Street Address or Assessor's Parcel Number of Real Property Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity Q[ Description of Business Activity Q[

City or Other Precise Location of Real Property City or",Other Precise Location of Real Property

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:

o $2,000 - $10,000 o
o
$2,000 - $10,000
o $10,001 - $100,000 ~------1 08 ----.I~~ $1D,001 -$100,000 ~----.I ~ ----.1----.1 ~
o $100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001
o
- $1,000,000 ACQUIRED DISPOSED

o Over $1,000,000 Over $1,000,000

NATURE OF INTEREST
NATURE OF INTEREST
o Property Ownership/Deed of Trust o Stock o Partnership o Property OwnerShip/Deed of Trust o Stock o Partnership

o Leasehold Yrs. remaining

o Other ----------- o Leasehold
Yrs. remaining
O,Other _

~ Check box if additional schedules reporting investments or real property o Check box if additional schedules reporting investments or real property
are attached are attached

Comments: FPPC Form 700 (2008/2009) Sch, A-2

FPPC TOil-Free Helpline: 866/ASK-FPPC www.tppc.ca.gov
 George David Kieffer
Attachment to Schedule A-2
Page 1 of 1

George David Kieffer, A Professional Corporation

(
4. Investments Held By The Business Entity

DFJ Frontier Fund II, LP

Fair Market Value: ~ 10,001-100,000
Nature of Interest: ~ Stock

Black Diamond Ventures XI, LLC

Fair Market Value: ~ 2,000-10,000
Nature of Interest: ~ Stock

Black Diamond Ventures XI, LLC C-1 Preferred

Fair Market Value: ~ 2,000-10,000
Nature ofInterest: ~ Stock

Black Diamond Ventures XIV, LLC

Fair Market Value: ~ 2,000-10,000
Nature of Interest: ~ Stock

Black Diamond Ventures XIV, LLC Series 3 Preferred

Fair Market Value: ~ 2,000-10,000
Nature ofInterest: ~ Stock

Black Diamond Ventures XIV, LLC Series 3A Preferred 10/8/08

Fair Market Value: ~ 2,000-10,000
Nature ofInterest: ~ Stock

Black Diamond Ventures XIV, LLC Series 3A Preferred 2/27/09

Fair Market Value: ~ 2,000-10,000
Nature of Interest: ~ Stock

Mogreet
Fair Market Value: ~ 10,001-100,000
Nature ofInterest: ~ Stock

New Atlantic Entrepreneur Fund III, LP

Fair Market Value: ~ 2,000-10,000
Nature of Interest: ~ Stock

41392899.1
 CALIFORNIA FORM
FAIR POLITICAL PRACTICES
700
COMMISSION
SCHEDULE B
Name
Interests in Real Property
(Including Rental Income) George David Kieffer

~ STREET ADDRESS OR PRECISE LOCATION ~ STREET ADDRESS OR PRECISE LOCATION

601 South Saltair Avenue Lot #6 of Alaska State Land Survey

CITY CITY No. 79-151
Los Angeles, California 90049 Gustavus, Alaska
FAIR MARKET VALUE IF APPLICABLE, LIST DATE FAIR MARKET VALUE IF APPLICABLE, LIST DATE
D 82,000 - 510,000 o 82,000 - 810,000
0$10,001 - 5100,000 ~~~ ~----.J~ Ga 810,001 - $100,000 ---.f~~ ~----.J 08
ACQUIRED DISPOSED
D $100,001 - 51,000,000 ACQUIRED DISPOSED D 8100,001 - $1,000,000
IXJ Over S1,000,000 DOver S1,000,000

NATURE OF INTEREST NATURE OF INTEREST

IX] OwnershiplDeed of Trust D Easement ~ Ownership/Deed of Trust D Easement

D Leasehold ------- D----- D Leasehold -------

Yrs. remaining
D------
Other
Yrs. remaining Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

D 80 - 8499 D 5500 - 81,000 D S1,001 - $10,000 D $0 - $499 D $500 - S1,000 D 81,001 - '$10,000

D 810,001 - 8100,000 DOVER $100,000 D $10,001 - 8100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more, income of $10,000 or more,

* You are not required to report 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, Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* NAME OF LENDER*

ADDRESS ADDRESS

BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER

INTEREST RATE TERM (MonthslYears) INTEREST RATE TERM (MonthslYears)

____ % D None
-----% D None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD

D S500 - S1,000 D S1,001 - $10,000 D S500 - $1,000 0 $1,001 - $10,000

D S10,001 - S100,000 0 OVER 8100,000 D 810,001 - 8100,000 DOVER $100,000

D Guarantor, if applicable D Guarantor, if applicable

Comments: ___
FPPC Form 700 (2008/2009) Sch. B
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov
 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE B
Name
Interests in Real Property
(Including Rental Income) George David Kieffer

~ STREET ADDRESS OR PRECISE LOCATION ~ STREET ADDRESS OR PRECISE LOCATION

Hess Corporation
One A1Jen Center
CITY 500 Dallas Street CITY

Houston, Texas 77002

FAIR MARKET VALUE IF APPLICABLE, LIST DATE FAIR MARKET VALUE IF APPLICABLE, LIST DATE
o $2,000 - S10,OOO o $2,000 - 510,000
Kl $10,001 - $100,000 ----.i----.iJ21L ----.i----.iJ21L o $10,001 - $100,000 __,_J----.i 08 ----.i----.iJ21L
0$100,001 - $1,000,000
ACQUIRED DISPOSED
o $100,001 - $1,000,000
ACQUIRED DISPOSED

DOver $1,000,000 DOver $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

o OwnershiplDeed of Trust o Easement o Ownership/Deed of Trusl o Easement

o Leasehold Qg Oil/Gas/ o Leasehold ' 0 ---------

Yrs. remaining Other Yrs. remaining Other
Mineral Leases
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED

o so - $499 0 $500 - $1,000 0 $1,001 - $10,000 o $0 - $499 0 $500 - $1,000 0 $1,001 - $10,000

0$10,001 - S100,000 0 OVER $100,000 o S10,001 - $100,000 0 OVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more, income of $10,000 or more,

* You are not required to report 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, Personal loans
and loans received not in a lender's regular course of business must be disclosed as follows:

NAME OF LENDER* NAME OF LENDER'

ADDRESS ADDRESS

BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER

INTEREST RATE TERM (MonthslYears) IN::FEREST RATE TERM (MonthslYears)

-----% 0 None -----% 0 None

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD

0$500 - $1,000 051,001 - S10,000 o S500 - $1,000 0 $1,001 - 510,000

o $10,001 - $100,000 0 OVER S100,000 o $10,001 - $100,000 0 OVER $100,000

o Guarantor, if applica!'le o Guarantor, if applicable

Comments: _
FPPC Form 700 (2008/2009) Sch, B
FPPC Toll-Free Helpline: 866/ASK-FPPC ww\il-fppc,ca,gov