Ermelindo Puente - Annual 2004
STATEMENT OF ECONOMIC INTE~~~~ci:~~~
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COVER PAGE (':;f Ff8 .~,\
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A Public Documen(:,1 CITY =~S ~FFfCE '~"~Ij
(MIDDl DAYTIME T~~~ONE NUMBER
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CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink
NAME (lAS1)
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MAILING ADORESS STREET
(May
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1. Office, Agency, or Court
Name of Office, Agency, or Court:
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Division, Bolrd, District, if applicable:
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L-A-UtV \ t0Ci- (f) YY1 fY) I S<:; J 0 Yl
Your Position:, _ Y11 e-rvvloed
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- If filing for multip," positions. list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
1
"t'V\..€.,/tl-vWd
,
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
rp CityOf~; I AD'i t'JA
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial Date: --1--1_
~nual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
o The period covered is --1----1_, through
December 31, 2004.
o Leaving Office Date Left: ----1----1_
(Check one)
o The period covered is January 1, 2004, through the
date of leaving office.
-or-
o The period covered is ----1----1_, through
the date of leaving office.
o 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 0 Yes - schedule attached
Investments (Less IhBn 10" OwnershIp)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greeter Ownership)
Schedule B
Real Property
DYes - schedule attached
1
Schedule C 0 Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gills and
Ttltvel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
- ~ reportable interests on any schedule
Total number of pages
completed 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.
Date Signed
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S' - C) 5
FPPC Form 700 (200412005)
FPPC Toll-Free Helpline: 866/ASK.FPPC