Ermelindo Puente - Assuming Office 2013STATEMENT OF ECONOMIC INTERESTS FE 2013
COVER PAGE "''i'CIERKSe°
Please type or print in ink.
NAME OF FILER �/✓1 (LAST) i`f� (FIRST) \ (MIDDLE)
1 1.
1. Office, Agency, or Court
► If filing for multiple positions, list below or on an attachment.
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑l Multi-County El County of
dCity of `z)', � Other
❑
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left
December 31, 2012. (Check one)
-or- The period covered is through O The period covered is January 1, 2012, through the date of
December 31, 2012. leaving office.
B Assuming Office: Date assumed t�2 J_1 1 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A -1 - Investments — schedule attached aSchedule 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-
❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
I E -MAIL AWSS (OPTIONAL)
It►+7- 4 4 sVIMFIN
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
)
FPPC Form 700 (2012/2013)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM f 1
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Y►'7t Q�
NAME OF SOURCE OF INCOME
S _G %1q�� Ca
)
BUSINESS ACTIVITY, IF ANY, OF SOURCV
Soh ✓ms —
YOUR BUSINESS POSITION
G � t I z Ir /'t /
GROSS INCOME RECEIVED
V00 - $1,000 El $1,001 - $10,000
$10,001 - $100,000 n OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary E] Spouse's or registered domestic partner's income
Loan repayment ❑ Partnership
Sale of
(Real property, car, boat, etc.)
F1 Commission or F1 Rental Income, list each source of $10,000 or more
Other °L � k� -EN 1" :JA
(Describe)
NAME OF SOURCE OF INCOME
11215 �-
BUSINESS ACTIVITY, IF ANY, OF SOURCE
k -- /4/ /- %I'C/ �
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
[E l $$00 - $1,000 � $1,001 - $10,000
$10,001 - $100,000 [:] OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
E] Salary F� Spouse's or registered domestic partner's income
Loan repayment ❑ Partnership
Sale of
(Real property car, boat, etc.)
Commission or [-] Rental Income, list each source of $10,000 or more
Other Ae--k1k Qt.l&lld -ylk
(Describe)
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
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000
OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
❑ None
SECURITY FOR LOAN
None [:] Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
city
(Describe)
FPPC Form 700 (2012/2013) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov