Martha Ruvalcaba - Annual (Parks Commissioner) RECEIVED
STATEMENT OF ECONOMIC INTERESTS CI 'Or. OSEMEA�
CALIFORNIA FORM700
FAIR POLITICAL.PRACTICES COMMISSION COVER PAGE MAR z 5 2021
A PUBLIC DOCUMENT
Please type or print in ink. CITY CLERKS OFFICE
BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ruvalcaba Martha
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Parks 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, Retired Judge, Pro Tern Judge,or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County ❑County of
®❑City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
j Annual: The period covered is January 1, 2020,through ❑ Leaving Office: Date Left
December 31, 2020. (Check one circle.)
-or-
The period covered is ,through 0 The period covered is January 1, 2020, through the date of
December 31, 2020. leaving office.
-Or-
li] Assuming Office: Date assumed 0 The period covered is_J_J , through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule_Summa _ MUM ecom_•lete_ _ o ai s its-_ o_..a•es'(c. tlr's co e__•. •e ___—__.. __
Sc ed es - .cies
ehedule-A lnweslmentsssehedule=attaehed U. leo . _. - L'*' .. .•.• ;..: •• _P• iti.•_m.CP-d
�Scl�duJeA2sJnuestcnents-cchad IIe_ait rah d ❑ Schedule D-Income— Gifts—schedule attached
❑ Schedule B-Real Property—schedule attached ❑ Schedule E-Income—Gifts— Travel Payments—schedule attached
1 -or- 0 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 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 foregoing is true and correct.
Date Signed 3/23/2021 Signature
(month,day,year) (File the originally signed paper statement with your riling official.)
FPPC Form 700-Cover Page(2020/2021)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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