Ken RukavinaDate Received
CALIF � �'' '- fi s' C ^� � Official Use Only
1999/2 . - STATEMENT OF ECONO EREST�.'
FAIR POLITICAL PRACTICES COMM. A Public D�c�ur�ient '`" -I ` "'
P lease type or p in fA AR 6 2000
NAME (LAST) (FIRST) DAYTIME TELEPHONE NUMBER
RUKAVINA KEN CITY ''S OFFICE ( 562 )908 -6228
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May be business address)
13191 CROSSROADS PKWY., NORTH STE. 405 INDUSTRY CA 91746 -3497 (562) 695 -2120
COVER PAGE
1. Office, Agency, or Court
Provide precise name. Do not use acronyms.
CITY OF ROSEMEAD
Division, Board, District, if applicable:
Position:
CONSULTANT
w Expanded Statement - List agency /position:
(Attach a separate sheet if necessary. Do not use acronyms.)
Agency:
Position Title:
2. Office Jurisdiction (Check one)
❑ State
❑ County of
City of ROSEMEAD
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J __J
[I Annual
(Check one)
The period covered is January 1, 1999, through
December 31. 1999.
O The period covered is
December 31, 1999.
through
❑ Leaving Office Date Left: __J __J—
(Check one)
O The period covered is January 1, 1999, through
the date of leaving office.
O The period covered is ___J___J 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 10% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (Grearerthen 10% Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions (income other than Loans, Gift, and Tmvep
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income — Travel Payments
m/ ❑ No reportable interests
Total number of pages (including this cover page): 1
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 ANI'KOiy it >006
(month, day, year)
SIGNATURE
(File the originally signed statement with your filing officer.)
FPPC Form 700 (199912000)
For Technical Assistance: 9161322 -5660