Transcription

Go to Main IntroPrint StatementGo to Page 2 of 4LEGISLATOR'S FINANCIAL DISCLOSURE STATEMENT FOR CALENDAR YEAR 2019NOTE: Before completing this Disclosure Statement, please carefully read the enclosed instructions. If additional space is needed, please duplicate thisform as necessary and staple all pages together. A completed form must contain an original signature or a self-signed digital certificate on page 4; afacsimile, photocopy or stamp signature is not acceptable. Questions should be directed to Legislative Counsel at (609) 847-3901. The completed disclosureform is due May 15, 2020 and should be sent to: Joint Legislative Committee on Ethical Standards, 2nd Floor, State House Annex, Room 210, PO Box 068,Trenton, New Jersey 08625-0068.Holly T SchepisiCHECK APPROPRIATE HOUSE:Senate General AssemblyPRINT NAMEProvide the following information for yourself, your spouse and minor children (unless otherwise indicated) for calendar year 2019. Please note that aminor child is a child under the age of 18. For each entry, mark the box of the appropriate recipient. When an amount is requested, use the followingnumerical code: 1 less than 10,000; 2 10,000 - 24,999.99; 3 25,000 - 49,999.99; 4 50,000 or more.11)2)3)4)5)AmountCode23ChildAddress of EmployerSpouseName of EmployerSelfI. EARNED INCOME: List the name, address and amount for each source of earned income. (Earned income includes salaries, bonuses, royalties,commissions, profit sharing, fees, pensions and Social Security.)4Holy Name Medical Center718 Teaneck Road, Teaneck, NJ (clear)Huntington Bailey, LLP373 Kinderkamack Road, Westwood, NJ 07675 (clear)Schepisi & Associates, LLC754 Tiffany Avenue, River Vale, NJ 07675 (clear)State of NJTrenton, NJCarnelian Developers, LLC754 Tiffany Avenue, River Vale, NJ 07675 (clear) (clear) See page 1A of 4 for Additional Earned Income (delete page 1A)Tenant Name11)Bergen Concepts, LLCWaldwick, NJAmountCode2 3ChildProperty AddressSpouseA. RENTSSelfII. UNEARNED INCOME: List the name, address and amount for each source of unearned income. (Unearned income includes rents, dividends andincome from investments, trusts and estates.)4 (clear)2)(clear)3)(clear)4)(clear)AddClick button on left to add additional UNEARNED INCOME (RENTS).Page 1 of 4

ADDITIONAL EARNED INCOMEReturn to Section IWhen an amount is requested, use the following numerical code: 1 less than 10,000; 2 10,000- 24,999.99; 3 25,000- 49,999.99; 4 50,000 or more.Address of Employer16)Bergen Concepts, LLCWaldwick, NJ 7)Elevated Structures, LLCOld Tappan, NJ 8)Orange Flood Control, LLCOld Tappan, NJAmountCode234(clear) ChildName of EmployerSpouseEARNED INCOME: List the name, address and amount for each source of earned income. (Earned income includes salaries, bonuses, royalties,commissions, profit sharing, fees, pensions and Social Security.)SelfI. (clear) clear)29)(clear)30)(clear)Page 1A of 4: Additional Earned Income

Go to Main IntroBack to Page 1 of 4Print StatementGo to Page 3 of 43 4 Pittsburgh, PAParamus, NJ(clear)(clear)(clear)(clear) Click button on left to add additional UNEARNED INCOME (DIVIDENDS).C. INCOME from investments, trusts and estates (including capital gains).Name1)2)3)4)2 Valley National Bank UTMAMerrill LynchConnectOne BankTD AmeritradeAddress1River Vale, NJParamus, NJEnglewood Cliffs, NJParamus, NJAmountCode23ChildAdd1Westwood, NJSpouseTD BankPrudential LifeAllianz Life InsuranceTD ouseB. DIVIDENDSSelfWhen an amount is requested, use the following numerical code: 1 less than 10,000; 2 10,000- 24,999.99; 3 25,000- 49,999.99; 4 50,000 or more.4 (clear)(clear)(clear)(clear) See page 2B of 4 for Additional Unearned Income (INCOME from investments, trusts and estates (including capital gains)) (delete page 2B)Address11)2)3)4)AddAmountCode23SpouseName & Nature of Honorarium or FeeSelfIII. HONORARIA and FEES: List the name, address, nature and amount for each source of honorarium or fee received by you or your spouse forpersonal appearances, speeches or writings.4(clear)(clear)(clear)(clear)Click button on left to add additional HONORARIA and FEES.1)2)3)4)Campaign Expenses - EFO Schepisi for AssemblyBusiness Expenses - Elevated Structures, LLCBusiness Expenses - Schepisi & Associates, LLCBusiness Expenses - SB One BankAdd754 Tiffany Avenue, River Vale, NJ 07675Old Tappan, NJ754 Tiffany Avenue, River Vale, NJ 076751AmountCode2 4CheckSourceP N G Click button on left to add additional REIMBURSEMENTS or PREPAID EXPENSES for TRAVEL, LODGING or SUBSISTENCE.Page 2 of 43ChildAddressSpouseName & Nature of Reimbursement or Prepaid ExpenseSelfIV. REIMBURSEMENTS or PREPAID EXPENSES for TRAVEL, LODGING or SUBSISTENCE: List the name, address, nature and amount foreach source of reimbursement or prepaid expense and indicate whether source is a profit (P), nonprofit (N), or governmental (G) entity. (clear)(clear)(clear)(clear)

ADDITIONAL UNEARNED INCOME(INCOME from investments, trusts and estates (including capital gains))Return to Section II-CAddress1AmountCode23ChildNameSpouseC. INCOME from investments, trusts and estates (including capital gains).SelfWhen an amount is requested, use the following numerical code: 1 less than 10,000; 2 10,000- 24,999.99; 3 25,000- 49,999.99; 4 50,000 or more.45)Renco SR RealtyEnglewood Cliffs, NJ (clear)6)Homaro Inc.Englewood Cliffs, NJ (clear)7)Estate of Anthony SchepisiEnglewood Cliffs, NJ (clear)8)Bergen Concepts, LLCWaldwick, NJ (clear)9)Valley National BankRiver Vale, NJ Oradell, NJ 10) SB One Bank11)Prudential12) TD Bank Westwood, NJ (clear)(clear) ear)27)(clear)28)(clear)29)(clear)30)(clear)Page 2B of 4: Additional Unearned Income (INCOME from investments, trusts and estates (including capital gains))

Go back to Main IntroBack to Page 2 of 4Print StatementGo to Page 4 of 4When an amount is requested, use the following numerical code: 1 less than 10,000; 2 10,000- 24,999.99; 3 25,000- 49,999.99; 4 50,000 or more.1AmountCode23ChildAddressSpouseName & Nature of GiftSelfV. GIFTS: List the name, address, nature and amount for each source of gift to you, your spouse or minor child from a named donor connected to thelegislative ick button on left to add additional GIFTS.Address11)Valley National Bank - Primary MortgageRiver Vale, NJ2)TD Bank - Home Equity LoanWestwood, NJAmountCode23SpouseName & Nature of LiabilitySelfVI. LIABILITIES: List the name and address of each creditor for you or your spouse and the nature and amount of each liability except for liabilitieswhich are: (a) less than 15,000 and owed to a relative; (b) less than 3,000 and owed to any other person; (c) loans secured by a personal motorvehicle or household furniture or appliances; or (d) revolving charge accounts. (clear) (clear)4 3)(clear)4)(clear)AddClick button on left to add additional LIABILITIES.Address1AmountCode23SpouseName & Nature of Forgiven LiabilitySelfVII. FORGIVEN LIABILITIES: List the name and address of each former creditor for you or your spouse and the nature and amount of each forgivenliability which would have been required to be reported pursuant to VI above had it not been lick button on left to add additional FORGIVEN LIABILITIES.Page 3 of 4

Go back to Main IntroPrint StatementBack to Page 3 of 4AddressSpouseNameSelfVIII. BUSINESS ORGANIZATIONS: List the name and address of all business organizations in which you or your spouse held an interest.1)Schepisi & Associates, LLCRiver Vale, NJ 2)Carnelian Developers, LLCRiver Vale, NJ 3)Renco SR Realty, Inc.Englewood Cliffs, NJ (clear)4)Homaro, Inc.Englewood Cliffs, NJ (clear)(clear)(clear) See page 4A of 4 for Additional Business Organizations (delete page 4A)Name & Address of EntitySpousePosition HeldSelfIX. OFFICES, TRUSTEESHIPS, OR DIRECTORSHIPS: List the title of each position held by you or your spouse in any firm, corporation,association, partnership or business and the name and address of the entity in which the position was held.1)Managing MemberSchepisi & Associates, LLC, River Vale, NJ2)Managing MemberCarnelian Developers, LLC3)Trustee & PresidentNJ Chapter of Fordham Law Alumni Association (clear)4)TrusteeBergen Community College Foundation (clear)Add(clear) (clear) Click button on left to add additional OFFICES, TRUSTEESHIPS, OR DIRECTORSHIPS.Spouse1)754 Tiffany Avenue, River Vale, NJ 07675Primary Residence 2)Renco SR Realty owns certain properties in Saddle River, NJBuildable lots (clear)3)Homaro owns an interest in Tojo Realty which owns property in Hillsdale, NJRestaurant and two apartments (clear)4)I am the beneficiary of a family trust that holds interests in real property in Holmdel,Saddle River, Hillsdale and Englewood Cliffs, NJ (clear)Property AddressAddDescription of PropertyChildSelfX. REAL ESTATE: Provide the address and a brief description for all real property in New Jersey in which you, your spouse, or minor child held aninterest.(clear)Click button on left to add additional REAL ESTATE.I certify that the above information is correct and complete to the best of my knowledge. (In addition to this statement, you have a continuing obligation to reportany termination or assumption of public employment of yourself or your spouse within 30 days, which report shall be an addendum to this statement.)Assemblywoman HollySchepisiDigitally signed by Assemblywoman HollySchepisiDate: 2020.05.14 14:52:53 -04'00'Submit via EmailSignature of Member or Self-signed digital certificateDatePage 4 of 4

ADDITIONAL BUSINESS ORGANIZATIONSReturn to Section VIIIAddressSpouseNameSelfVIII. BUSINESS ORGANIZATIONS: List the name and address of all business organizations in which you or your spouse held an interest.5)Bergen Concepts, LLCWaldwick, NJ (clear)6)VidaFlo NJ, LLCHoboken, NJ ear)27)(clear)28)(clear)29)(clear)30)(clear)Page 4A of 4: Additional Business Organizations