Roderick Ornelas CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date mit LII i f-g Scott.ed
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE o IT ..s.-:P.ft S(;FFICF
Please type or print in ink. 3Y . -.-
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ornelas Roderick
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Traffic Commission Commissioner
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑State ❑Judge or Court Commissioner(Statewide Jurisdiction)
E multi-county i]County of
X City of City of Rosemead i]Other
3. Type of Statement (Check at least one box)
Q Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left_I_1
December 31. 2017. (Check one)
-or-
Dec period covered is —J , through Q The period covered is January 1. 2017, trough the date of
December 31. 2017. leaving office.
•or•
❑ Assuming Office: Date assumed—J--J 0 The period covered is—IJ through
the date of leaving office.
O Candidate: Date of Election and office sought, if different than Part 1.
4. Schedule Summary (must complete) I. Total number of pages including this cover page:_ ..
Schedules attached
❑ Schedule A-I -Investments-schedule attached i]Schedule C-income. Loans, 8 Business Positions-schedule attached
C Schedule A-2-Investments-schedule attached ❑Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑Schedule E-Income-Gifts- Travel Payments-schedule attached
•or-
ID None• No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or AgencyAddress Recommended-Pubic Document)
8838 Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2100
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregtUpp is tru a correct.
Date Signe ? 5lgnaturez(2(
(month day year) (Fee Me oaamMY swed 9Mevent Mn your fins MSS)
FPPC Form 700(2017/2018)
FPPC Advice Email:advice@appc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov