Martha Ruvalcaba - Annual RECEIVED
CITY OF ROSEMEAD
STATEMENT OF ECONOMIC INTERESTS to �-tiitlrl (:::,.E'.iJWV,3C!
CALIFORNIA FORM 700I ��PAGE
MAY 1-9 2020
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
CITY CLERK'S OFFICE
Please type or print in ink. A PUBLIC DOCUMENT BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
RUVALCABA MARTHA
•
1. Office, Agency, or Court
Agency Name (Do not use acronyms) •
CITY OF ROSEMEAD PARKS COMMISSIONER
Division, Board, Department, District, if applicable Your Position
► 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, Retired Judge, Pro Tern Judge,or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County _ — ❑County of__— — ---
❑x City of ROSEMEAD ❑Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left—J_J_--
December 31, 2019. (Check one circle.)
•or-
The period covered is ,through 0 The period covered is January.1, 2019, through the date of
December 31, 2019. -or•leaving office.
❑ Assuming Office: Date assumed Q The period covered is__J _,through
the date of leaving office.
❑ Candidate: Date of Election— — and office sought, if different than Part 1:
-
4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1
Schedules attached
❑ Schedule A-1 -Investments-schedule attached ❑Schedule C-Income, Loans, &Business Positions-schedule attached
❑ 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- EI None • No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 E VALLEY BLVD 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 foregoing is true and correct.
5//i/2-0
Date Signed Signature
(month,day year) (File the originally signed paper statement with your filing official.)
FPPC Form 700-Cover Page(2019/2020)
advice@fppc.ca.gov•866.275-3772•www.fppc.ca.gov
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