Michelle RamirezSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
A Public Document
MAR n 3 rd }
C,t
NAME (LAST)
(FIRST)
(MIDDLE) BfAYTIME TELEPHONE NUMB
Michelle
Ramirez
Gayle
( 626 ) 589 -21
MAILING ADDRESS STREET
CITY
STATE
ZIP CODE
OPTIONAL: E -MAIL ADDRESS
(Business Address Acceptable)
Fp(gtYllre 2 @a }Y afvDSemead,
8838 E. Valley Boulevard
Rosemead
CA
91770
0 P5
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
Division, Board, District, if applicable:
Your Position:
► If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at feast one box)
❑ State
❑ County of
® City of Rosemead
❑ Multi- County
❑ Other
Type of Statement (Check at least one box)
❑ Assuming Office/Initial Date:
0 Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
0 The period covered is through
December 31, 2009.
❑ Leaving Office Date Left: ---] --J
(Check one)
O The period covered is January 1, 2009, through the
date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
► Total number of pages 2
including this cover page:
P. Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than 70% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or Greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gins
and Travel Payments)
Schedule D ❑x Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
F No reportable interests on any schedule
5. Verification
I have used all reasonable diligence in preparing this
statement. I have reviewed this statement and to the best
of my knowledge the information contained herein and in any
attached schedules is true and complete.
I certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed 03/03/2010
(m day, year)
Signature �rtlL�ft -t-c.� l� �w7� &V ILA,
(File the originally signer) statement with your ffag official.)
FPPC Form 700 (200912010)
FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov
SCHEDULE D
Income - Gifts
Name
Michelle G. Ramirez
► NAME OF SOURCE
Levine Management Group, Inc.
ADDRESS (Business Address Acceptable)
822 S. Robertson Blvd., Suite 200, LA, CA 90035
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Management Company - Senior Apartments
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
12 / ___ j 09 $ 53.00 All-Occasion Gift Baske
__J __J $
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE
__J __J $
__J __J $
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddlyy) VALUE
t
$
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddlyy) VALUE
$
$
DESCRIPTION OF GIFT(S)
Comments: All-Occasion Gift Basket was placed in the City Hall kitchen for all employees to enjoy.
FPPC Form 700 (200912010) Sch. D
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.rppc.ca.gov