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Ermelindo Puente - Annual 2010 NAME OF FILER (FIRST) ~rfr1e~tnh / <:~J75JSC)-:"~. /,<~' Date R"&-eived ':. :>\ //V OffiC!;fis';, Only .' ::" \ r~\! MAR 2011 ':~\ ~\...f".'..'~\. erN ~~t"!~~ ~~:[cc .~~)\ , .. '< ljiiJ~t..~'if, ~[.! \\:~., :; '/ ~~~:);:i5'1/Y~:S~:Y CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. fi (LAST) lAel17-c 1. Office, Agency, or Court In 111 (r tf'" I J.!JI ~ Your Position C {Y /r7 t't-t I I c; /' , t~ .. If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) o State ~ounty 0Clty of 0/).. rtJ V / 3. TYP?Of Statement (Check at least one box) [kYAnnual: The period covered is January 1, 2010, through December 31, 2010. o Judge (Statewide Jurisdiction) o County of o Other .or. The period covered is ---1---1_, through December 31, 2010. o Leaving Office: Date Left ---1---1_ (Check one) o The period covered is January 1, 2010, through the date of leaving office. o Assuming Office: Date ---1---1_ o The period covered is ---1---1_, through the date of leaving office. o Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None," o Schedule A.1 . Investments - schedule attached o Schedule A.2 . Investments - schedule attached o Schedule B . Real Property - schedule attached .. Total number of pages including this cover page: ~ ~edule C . Income, Loans, & Business Positions - schedule attached o Schedule D . Income - Gifts - schedule attached o Schedule E . Income - Gifts - Travel Payments - schedule attached -or. o None. No reportable interests on any schedule 5. Verification ?~ 3 ? .~ MAILING ADDRESS STREET ( c;j~O.A~ ZIP CODE DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS 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 statement with your filing official.) FPPC Form 700 (2010/2011) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) . NAME OF SOURCE OF INCOME 5a t17-q () P-- C fa 5 r BUSINESS ACTIVITY, IF ANY, OF SOURCE ' JQ?J~ CA 1rf/6-/71/ ClJ Sa it YOUR BUSINESS posTON r<.~ j /r~L GROSS INCOME RECEIVED o $500 - $1,000 0 $1,001 - $10,000 ~0,001 - $100,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's or registered domestic partner's income o Loan repayment o Partnership o Sale of (Property, car, boat, etc.) o Commission or o Rental Income, list each source of $10,000 or more o Other (Describe) Name f5rJ11el"A ehJ~.J . NAME OF SOURCE OF INCOME c;,~'t.r&y VI I1/F/c-d Scl,fRO/ j)/S7: /,...<' rII.,/ C it t'/eJ M YOUR BUSINESS POSITION S -c. c- r -(/' 1--e.Y' -}' GROSS INCOME RECEIVED 0$500 - $1,000 0 $1,001 - $10,000 []6$10,001 - $100,000 0 OVER $100,000 (~ I r-c ) / CONSIDERATI()t-J ~R WHICH INCOME WAS RECEIVED ~ary IVSpouse's or registered domestic partner's income o Loan repayment 0 Partnership o Sale of (Property. car, boat, etc.) o Commission or o Rental Income, list each source of $10,000 or more o Other (Describe) ~ 2. LOANS RECEIVED OR OUTSTANOING DURING THE REPORTING PERIOD * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD 0$500 - $1,000 0$1,001 - $10,000 o $10,001 - $100.000 DOVER $100,000 Comments: INTEREST RATE TERM (MonthsrYears) % 0 None SECURITY FOR LOAN o None 0 Personal residence o Real Property Street address City o Guarantor o Other (Describe) FPPC Form 700 (2010/2011) Sch. C FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov