Rafael FajardoSTATEMENT OF ECONOMIC INTERESTS Date Received
Olficlal Use Only
COVER PAGE
Please type or print in ink A Public Document
NAME (LAST) (FIRST) (MIDDLE) , :DAYTIME TELEPHONE NUMBER
T�A AVLAO CC� (— ( 6 24 ) G1'L -59,41
MAILING ADDRESS 'STREET CITY STATE ZIP CODE OPTIONAL: FAX/ E-MAIL ADDRESS
(May use business address)
P. 0, 13 .0u ev w'FS � 0ja Aq c 91166
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
6 l 71 0� �S oMCC A
Divisiokioard, District, if applicable:
ASreuc�e i.AA,A--CL_
Your Position:
Ja�sou�a�z 4,p�,nGe2
r If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
n(
Agency: l "bkt c- SQfACG$
Position:
2. Jurisdiction of Office (cheek at feast one box)
❑ State
E) County of
City of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
Assuming Office /Initial Date: 9 j0 b
❑ Annual: The period covered is January 1, 2006,
through December 31, 2006.
-or-
0 The period covered is __J_ through
December 31, 2006.
❑ Leaving Office Date Left: __J __J
(Check one)
0 The period covered is January 1, 2006, through
the date of leaving office.
-or-
0 The periud covered is I through
the date of leaving office.
❑ Candidate
4. Schedule Summary
Total number of pages
Including this cover page: _
r 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 (to% or greater Ownership)
Schedule B
❑ Yes - schedule attached
Real Property
Schedule C
❑ Yes - schedule attached
Income, Loans,
8 Business Positions (income Other than Gigs
and Travel Payments)
Schedule D
❑ Yes - schedule attached
Income - Gifts
'
Schedule E
❑ Yes - schedule attached
Income - Travel Payments
-or-
�kNo 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.
0 122 II
Date Signed
(month, day. year)
Signat
/(File the originally signed statement wllh your fling official.)
FPPC Form 700 (200612007)
FPPC Toll -Free Helpline: 066 /ASK -FPPC
MAYOR:
JOHN TRAN
MAYOR PRO TEM:
JOHN NUNEZ
COUNCILMEMBERS:
MARGARETCLARK
POLLY LOW
GARY A. TAYLOR
August 28, 2008
Dear Elaine,
- ,, �oscs ead
8838 E. VALLEY BOULEVARD • P.O. BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
Enclosed, is an original 700, if there are any questions, please feel free to contact the
office of the City Clerk at (626)569 -2171. Thank You.
Sincerely,
Ericka Hernandez
Assistant to the City Clerk
Please type or print in ink
Date Received
STATEMENT OF ECONOMIC INTERESTS pra al viapnM
COVER PAGE °,IS ,; ,
A Public Document 29H SEP -2 PH 2� 51
NAME (LAST) ,(FIRST) (MIDDLE) +5AYTIME TELEPHONE NUMBER
A7 L ( G 2t ) G - x 2 —yl4 1
MAILING ADDRESS 6TREET dITY STATE ZJP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address)
P. O. t3% eso cu�sr c�� nQ CA `� 116 6
1 . Office, Agency, or Court
Name of Office, Agency or Court:
C l 71 D Pbst t-ica
DivisiokJoard, District, if applicable:
N&eacie�e. .ueC�
Your Position:
p.asouta�c 4,�,nGc2
r If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: Fubkt c- S4f,ACC$
Position: K�&OUokG S LNt (V-C4Z
2. Jurisdiction of Office (Check at /east one box)
❑ State
E] County of
City of R� W'v
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
`
,�Assuming Office /Initial Date: �J� b
❑ Annual: The period covered is January 1, 2006,
through December 31, 2006.
-or-
0 The period covered is through
December 31, 2006.
❑ Leaving Office Date Left: I
(Check one)
O The period covered is January 1, 2006, through
the date of leaving office.
-or-
0 The pelfod covered is through
the date of leaving office.
❑ Candidate
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 io% ownership)
Schedule A -2
❑ Yes -
schedule attached
Investments (to% or greater ownership)
Schedule B
❑ Yes -
schedule attached
Real Property
Schedule C
❑ Yes -
schedule attached
Income, Loans,
& Business Positions (income other than Gifts
and Travel Payments)
Schedule D
❑ Yes -
schedule attached
Income — Gifts
Schedule E
❑ Yes -
schedule attached
I - Travel Payments
-or-
C WNo 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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed D7 12 2 / 6
(ntonlh. day, year)
Signat /�
(File the originally signetl slalemenl with your fling o(fGaIJ
FPPC Form 700 (20 0 612 0 0 7)
FPPC Toll -Free Helpline: 0661ASK -FPPC