Victor RuizSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
A Public Document
JUN 01 2009
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHbliE NUMETEkt -L
2 �2 � JUA�J (� . �
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX t E -MAIL ADDRESS
(May use business address)
1 q - 1 d S O I_tJt`f : ca l'(LA (1 o f 07`70
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
CITY OF ROSEMEAD
Division, Board, District, if applicable:
Your Position:
PLANNING COMMISSIONE
► 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 )east one box)
❑ State
❑ County of
5tcity of CITY OF ROSEMEAD
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box))
❑ Assuming Office /Initial Date: -2J—Li$7
❑ Annual: The period covered is January 1, 2008,
through December 31, 2008.
.or-
0 The period covered is __J__J_ , through
December 31, 2008.
❑ Leaving Office Date Left: ___1 ___J_
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
0 The period covered is _
the date of leaving office.
❑ Candidate Election Year: -
through
4. Schedule Summary
► Total number of pages
including this cover page:
► 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 10% 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 ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
Y 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 U y �/ " CQoo 9
7 (month, ay, year)
a �; .
10
Signature
(File t rigi Ily signed ith your filing official.)
FPPG Form 700 (2008/2009)
FPPC Toll -Free Helpline: 866/ASK -FPPC www.fppc.ca.gov