Kenneth RukavinaRECEtl3
CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTEREST CITY OF Rq"T"YAD
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE APR 0 3 2006
Please type or print in ink A Public Document CITY CLERK'S OFFICE
NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NUMBER
RUKAVINA
KENNETH
Schedule B
( 562 ) 908 -6200
MAILING ADDRESS STREET
CITY
STATE ZIP CODE
OPTIONAL FAX I E -MAIL ADDRESS
(May use business address)
6 Business Positions (Income Other than Gins
and Travel Payments)
13191 CROSSROADS PKWY N #405
INDUSTRY
CA 91746
krukavina @willdan.com
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
CITY OF ROSEMEAD
Division, Board, District, if applicable:
Your Position:
CONSULTANT- CITY ENGINEER
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
❑X City of ROSEMEAD
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:__J__J
❑X Annual: The period covered is January 1, 2005,
through December 31, 2005.
-or-
0 The period covered is — I through
December 31. 2005.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2005, through
the date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ C
4. Schedule Summary
Total number of pages
Including this cover page: 2
+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 fe% 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,
6 Business Positions (Income Other than Gins
and Travel Payments)
Schedule D
❑ Yes - schedule attached
Income - Gifts
Schedule E
❑ Yes - schedule attached
Income - Travel Payments
-or-
❑ 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 MARCH 17, 2006
month, day, year)
Signature A�W A 4� '.
(Fde me origirilby signed statement wilh your Wing official.)
FPPC Form 700 (200612006)
FPPC Toll -Free Helaine: 866 1ASK -FPPC
SCHEDULE C .
Income, Loans & Business
Positions Name
(Other than Gifts and Travel Payments) KENNETH RUKAVINA
NAME OF SOURCE OF INCOME
KENNETH RUKAVINA - WILLDAN
NAME OF SOURCE OF INCOME
ADDRESS
ADDRESS
13191 CROSSROADS PKWY N. #405 INDUSTRY
BUSINESS ACTIVITY, IF ANY, OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
CONSULTANT- CITY ENGINEER
❑ $500 - $1,000
GROSS INCOME RECEIVED
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑X $10,001 - $100,000 ❑ OVER $100,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Q Salary ❑ Spouse's income ❑ Loan repayment
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
❑ Sale of
(Property; car, boar, e1c.) -
(Property, car; boat, etc)
❑ Commission or [ Income, Ilsteachsourceol$10,000ormum
❑ Commission or ❑ Rental Income, Bsleaoh source of110,000 ormore
❑ Other
❑ Other
(Describe)
(Describe)
LOAN RECEIVED
You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER INTEREST RATE TERM (Months/Years)
k ❑ None
ADDRESS
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER
❑ None
❑ Personal residence
❑ Real Property
HIGHEST BALANCE DURING REPORTING PERIOD
tree add..
❑ $500 - $1,000
city
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ Guarantor
❑ OVER $100,000
❑ Other
(Describe)
Comments:
FPPC Form 700 (200512006) Sch. C
FPPC Toll -Free Helpline: 866 1ASK -FPPC
STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink
COVER PAGE
A Public Document
CITY i E't L 1 ;LA!D
Ivl A l� o ;70.F
CITY CLERK'S
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
Rozell, Kenneth D. 310 450 -9582
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address)
2800 28th Street, Suite 315 Santa Monica CA 90405
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
City of Rosemead
Division, Board, District, if applicable:
Your Position:
Assistant City Attorney
• 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 least one box)
❑ State
❑ County of
® City of Rosemead
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:_ /___J
❑x Annual: The period covered is January 1, 2005,
through December 31, 2005.
-or-
0 The period covered is ___J ___J, through
December 31, 2005.
❑ Leaving Office Date Left: I I
(Check one)
• The period covered is January 1, 2005, through
the date of leaving office.
-or-
• The period covered is ___J ___J, through
the date of leaving office.
❑ Candidate
4. Schedule Summary
— Total number of pages
including this cover page: 3
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 OWnershlp)
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, 8 Business Positions (Income OTher than Gins
and Travel Paymends)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
❑ 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 March 7, 2006
(month, day,, year)
Signature /( D°
(File the originally signed stalemenl your {ling official.)
FPPC Form 700 (200512006)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities /Trusts
(Ownership Interest is 10% or Greater)
Wallin, Kress, Reisman & Kranitz, LLP
Name
2800 28th Street, Suite 315, Santa Monica, CA 90405
Address
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
® $10,001 - $100.000 _JJ 05
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ® Partnership
YOUR BUSINESS POSITION
0
Oher
❑ $0 - $490 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑K OVER $100.000
❑ $1,001 - $10.000
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity gt
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity of
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
__/_J 05 _j___J 05
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Y.. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Name
Kenneth D. Rozell
k one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKETVALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,o0o
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
YOUR BUSINESS POSITION
Other
❑ $0-$499 ❑ $10,001- $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1.001 - $10.000
Check one box:
— ]INVESTMENT ❑ REAL PROPERTY
of Business Entity g
Address or Assessor's Parcel Number of Real Property
Description of Business Activity Of
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE. LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
___J 1,
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs, remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2005/2006) Sch. A -2
FPPC Toll -Free Helpline: 866/ASK-FPPC
SCHEDULE C .
Income, Loans & Business
Positions Name
(Other than Gifts and Travel Payments) Kenneth D. Rozell
NAME OF SOURCE OF INCOME
Wallin, Kress, Reisman & Kranitz, LLP
ADDRESS
2800 28th Street, Suite 315, Santa Monica 90405
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Law firm
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑X OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boas, elc.)
❑ Commission or ❑ Rental Income, asfeachsomceas
NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source or$10,000 ormore
(Describe )
❑ Other I I
❑ Other
sc
(Deribe )
RECEIVED 2. LOAN
You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status.
Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER
INTEREST RATE TERM (Months/Years)
% ❑ None
ADDRESS
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER
❑ None ❑ Personal residence
n ce_i o.,...o.«,
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
❑ Guarantor
❑ Other
FPPC Form 700 (2005/2006) Sch. C
FPPC Toll -Free Helpline: 666 /ASK -FPPC