- Special Assistant to the State Librarian
- Department of Education
- May 2, 2016 View Original Form (PDF)
Summary
| 1. | Source of Income | Total Income: $200,000 - $300,000 |
| 2. | Ownership or beneficial interests in business | Total Value: $4,000 - $40,000 |
| 4. | Creditors | Total Debts: $360,000 - $675,000 |
| 5. | Officerships, directorships, trusteeships | Businesses: 5 |
| 6. | Interests in real property held, excluding personal residence(s) | Total Value: More than 1,000,000 |
| 8. | Interests in real property transferred, excluding personal residence(s) | Properties: 1 |
| 9. | Interests in Personal Residence (Maui County Only) | Amount Owed: N/A |
| 11. | Creditor interests in insolvent businesses | Total Value: N/A |
| 12. | Gifts | Total Value: N/A |
Disclosures
1. Source of Income
| Source | Services Rendered | Amount |
|---|---|---|
| State of Hawaii | Wages as Special Assistant | $100,000 - $150,000 |
| JAN T. FUJITA, M.D., INC. (SPOUSE) | Physician | $100,000 - $150,000 |
| $200,000 - $300,000 | ||
2. Ownership or Beneficial Interests in Business
| Business Name | Nature of Business | Nature of Interest | Amount |
|---|---|---|---|
| LOKAHI CONSULTANTS, INC. | Accounting, Tax preparation | Shareholder, Officer | $1,000 - $10,000 |
| JAN T. FUJITA, MD, INC. (SPOUSE) | Physician | President | $1,000 - $10,000 |
| PAPALIMA VENTURES, INC | Real Estate | Treasurer, Shareholder | $1,000 - $10,000 |
| JJF LLP (SPOUSE) | Rentals | Partner | $1,000 - $10,000 |
| $4,000 - $40,000 | |||
3. Transfer of Ownership or Beneficial Interest in Business
| Business Name | Nature of Business | Nature of Interest | Amount |
|---|---|---|---|
| None | |||
4. Creditors
| Business Name | Original Amount Owed | Amount Outstanding |
|---|---|---|
| FIRST HAWAIIAN BANK (JOINT) | $250,000 - $500,000 | $250,000 - $500,000 |
| FIRST HAWAIIAN BANK (JOINT) | $100,000 - $150,000 | $100,000 - $150,000 |
| FIRST HAWAIIAN BANK (JOINT) | $10,000 - $25,000 | $10,000 - $25,000 |
5. Officerships, Directorships, Trusteeships
| Business Name | Title Held | Term of Office | Annual Compensation |
|---|---|---|---|
| LOKAHI CONSULTANTS, INC. | SECR/TREASURER | 10 | Less than $1,000 |
| DARA, INC | TREASURER | 5 | Less than $1,000 |
| Jan T. Fujita, MD, Inc. | TREASURER | 3 | Less than $1,000 |
| Real Estate, Inc. | Treasurer | 24 | Less than $1,000 |
| JAN T. FUJITA, MD, INC. (SPOUSE) | President | 20 | $50,000 - $100,000 |
| $50,000 - $104,000 | |||
6. Interests in Real Property Held, Excluding Personal Residence(s)
| Street Address | Tax Map Key Number | Value |
|---|---|---|
| 3407 Pinao Street 3407 Pinao Street Honolulu, Hawaii 96822 United States | 290670380000 | $500,000 - $750,000 |
| s 801 South Street 801 South Street Unit# 4107, Hawaii Honolulu (JOINT) | 1210470030544 | $250,000 - $500,000 |
| 4969 Poola Street 4969 Poola Street Hawaii Honolulu (SPOUSE) | 1350450040000 | $750,000 - $1,000,000 |
| 829 Sand Primrose 829 Sand Primrose Nevada Las Vegas | 13735716044 | $250,000 - $500,000 |
| More than 1,000,000 | ||
7. Interests in Real Property Acquired, Excluding Personal Residence(s)
| Street Address | Tax Map Key Number | Value |
|---|---|---|
| None | ||
8. Interests in Real Property Transferred, Excluding Personal Residence(s)
| Street Address | Tax Map Key Number | Value |
|---|---|---|
| s 1778 Ala Moana Blvd. 1778 Ala Moana Blvd. Apt. 1508, Hawaii Honolulu | 1260120100068 | $150,000 - $250,000 |
9. Interests in Personal Residence (Maui County Only)
| Mortgage Holder | Address | Amount Owed |
|---|---|---|
| None | ||
10. Clients Personally Represented Before State Agencies
| Name of Client | Name of State Agency |
|---|---|
| None | |
11. Creditor Interests in Insolvent Businesses
| Name of Business | Nature of Business | Nature of Interest | Value |
|---|---|---|---|
| None | |||
12. Gifts
| Recipient | Nature of Source | Description | Date Received | Value |
|---|---|---|---|---|
| None | ||||