Kenneth RukavinaCAL 1
700
200012001
FORm
FAIR POLITICAL
PRACTICES
COMM.
Please type or print in ink
RECE Date Received
STATEMENT OF ECONOMIC IQ%yZ@gAOSEMEAD of lint
A Public Document MAR 21 2001
NAME (LAST) (FIRST)
A KENNE'
DAYTIME TELEPHONE NUMBER
OPTIONAL: FAX I E-MAIL ADDRESS
13191 CROSSROADS PKWY N. #405 INDUSTRY CA 91746 krukavina @willdan.co
COVER PAGE
1. Name of Office Sought or Held, Agency or 4. Schedule Summary
Court (Provide precise name. Do not use acronyms.) - (Check applicable schedules 2 - No reportable interests.)
CITY OF ROSEMEAD During the reporting period, did you have any reportable
Division, Board, District, if applicable: interests to disclose on:
Position:
CONSULTANT
-0 If Expanded Statement - List agency /position:
(Attach a separate sheet it necessary Do not use acronyms.
File . originally signed statement with each Kling official.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
Schedule A -1 ❑ Yes - schedule attached
Investments (Leas man mx Ow.,ahip)
Schedule A -2 ❑ Yes - schedule attached
IOVestment5 (Grealarmen imb Ovmershlpl -
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C I� Yes - schedule attached
Income 8- Business Positions (Income Other than Loans. Gilts, and naval)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
❑ County of Schedule F ' ❑ Yes - schedule attached
M City of ROSEMEAD Income - Travel Payments
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: _J __J—
Annual
(Check one) -
(x The period covered is January 1, 2000, through
December 31, 2000.
O The period covered is through
December 31, 2000.
❑ Leaving Office Date Left: ---J ---J—
(Check one)
O The period covered is January 1, 2000, through the
date of leaving office.
0 The period covered is through the
date of leaving office.
a* ❑ No reportable interests on any schedule
Total number of pages (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.
EXECUTED ON 3 '' • . 0 1
(month, day, year
a
SIGNATURE &i6 t
(File the originally signed statement with your fikng official.)
❑ Candidate
FPPC Form 700 (20002001)
FPPC Toll -Free Helpline: 866/ASK -FPPC
Schedule C (
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
> NAME OF SOURCE
KENNETH RUKAVINA — WILLDAN
ADDRESS 13191 CROSSROADS PKWY N. #405
INDUSTRY CA 91746
BUSINESS. ACTIVITY. IF ANY, OF SOURCE
YOUR BUSINESS POSITION -
CONSULTANT
GROSS INCOME RECEIVED
❑ $500 $1.000 [ 31,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
® Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale o!
(Pmperry, car, bowl; etc.)
❑ Commission or ❑ Rental Income,, list each source of $10,000 or more
❑ Other
(Dasrabe)
> NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION -
GROSS INCOME RECEIVED
❑ $500 - $t.000 ❑ $1,001 - $to,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income ❑ Loan repayment
❑ Sale of
(Pmpedy, coq boat, etc.)
❑ Commission or ❑ Rental Income, list each spume of 510,000 or more
❑ Other
( Descibe)
Comments:
Name
KENNETH RUKAVINA
> NAME OF SOURCE '
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION - -
GROSS INCOME RECEIVED
❑ $500- $1,000. ❑ $1,001 - $10,00o
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's income - ❑ Loan repayment
❑ Sale of
(Property car. boa(, etc.)
❑ Commission or []Rental Income, list each source of 510,000 ar more
❑ Other
(Describe)
> NAME OF SOURCE
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
(Properly, ceq boel, mJ
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Desmbe)
FPPC Form 700 (2 0 0 012 0 01) Sch. C
FPPC Toll -Free Helpllne: 8661ASK -FPPC