Victor RuizDate Received
STATEMENT OF ECONOMIC INTERWHCkJVRYU,aon,"
A Public Docwnent CITY OF ROSEMEAD
MAR 2 5 2002
Please type or print in ink COVER .PAGE
NAME (LAST)- (FIRST) (MIDDLE) - ' - M E E HONE NUMBER
-L, ( C — (626 ) 4.48 -3SS
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
(May be business address) I Q -
o t_ � - C7 ` rr 1 -7
,
1. Full Name of Office Sought or Held,
Agency or Court:
Division, Board, District, if applicable:
Position.
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Check one box)
❑ State
❑ County of
❑Cityof.�s�m �a
❑ Multi- County
❑ Other
13. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J__J—
❑ Annual: The period covered is January 1, 2001,
through December 31, 2001.
-or-
0 The period covered is _l_� —, through
December 31. 2001.
❑ Leaving Office Date Left:
(Check one)
Q The period covered is January 1, 2001, through
the date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
— During the reporting period, did you have any reportable
interests to disclose on: -
Schedule A -1 ❑ Yes— schedule attached
Investments (Less than io% ownership) -
Schedule A -2 ❑ Yes - schedule attached
Investments (Grearer. than 10% Ownership)
Schedule B ❑ Yes - schedule attached
Real Property ..
Schedule C ❑ Yes - schedule attached
Income & Business Positions (Income Orher Nan Loans, Gifts, and Travel)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached..
Income - Travel Payments
-or-
No reportable interests on any schedule
Total number of completed including this
cover page:
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. `1 Or Date Signed o
nth, da , ear)
D
Signature
(Fl Me or - y signetl aleme wish your filing official.)
FPPC Form 700 (200112002)
FPPC Toll -Free Helpline: 866 /ASK -FPPC