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Susan Rodriguez - Annual 2010 COVER PAGE I """I 11':l '......:' \ : \,;.{\, \,' ...\ ,;::;;;0S:],:' =:--;'?~"~" /~\) Dat~eceived ,o'~ i ,.1 V" OfllitUse Only '-':"'" ~\ .~r w(~, \ ~~~ ~\\~it'iS;' \ (,~~~:ll \:-i"\ '\l r,. ,'i!iJ ", "",.." CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT STATEMENT OF ECONOMIC INTERESTS Please type or print in ink NAME OF FILER (LAST) (<,oJn' ue V 1. Office, Agency, or Court j (FIRST) ~~ \ ',,~DDLE) EJ ~'"""p '- ~ Li. ,'4".i!'DO'fYI; ~,',,::-'-' /// ~cL-- Your Position ~ Agency: Position: 2. Jurisdiction of Office (Check at least one box) DState D Multi-County '~City of 3. T~e of Statement (Check at least one bOf41( ~ ~~..n n~~," ,i\' T T~ period covered is January 1, 2~hroU9h December 31, 2~,lf\ v -or- "Tile period covered is __L_---1_, through December 31, 2010. D Judge (Statewide Jurisdiction) D County of D Other D Leaving Office: Date Left ---.J---.J_ (Check one) o The period covered is January 1, 2010, through the date of leaving office. D Candidate: Election Year o The period covered is ---.J---.J_, through the date of leaving office. Office sought, if different than Part 1: D Assuming Office: Date ---.J---.J_ 4. Schedule Summary Check applicable schedules or "None." D Schedule A-1 - Investments - schedule attached D Schedule A-2 - Investments - schedule attached D Schedule B . Real Property - schedule attached ;c ~ Total number of pages including this cover page: .0/Schedule C - Income, Loans, & Business Positions - schedule attached D Schedule 0 - Income - Gifts - schedule attached D Schedule E - Income - Gifts - Travel Payments - schedule attached -or- D None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (BUSin~r~ncrtfFJjRecor:zt-vfo:t ~iEPHN~ 177~ 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 D"'S~'" ~ll:..r~~ S~"tu" ~_.. [)r CITY G7 ( c)J;E I'"~~~ ZIP CODE O;S-D ?-D ~~~ t h your filing official) FPPC Form 700 (2010/2011) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name; t~\1lv~ b1 ik~~ 1--/ GROSS INCOME RECEIVED D $500 - $1,000 D $1,001 - $10,000 ;;a1'10,001 - $100,000 DOVER $100,000 ~.~ . . ~~ERATION FOR WHICH INCOME WAS RECEIVED jd'Salary D Spouse's or registered domestic partner's income D Loan repayment D Partnership CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary D Spouse's or registered domestic partner's income D Loan repayment D Partnership D Sale of (Property, car, boat, etc) D Sale of (Property, car, boat, etc) D Commission or D Rental Income, list each source of $10,000 or more D Commission or D Rental Income, list each source of $10,000 or more D Other (Describe) ~ther . . . . - . . . . - . -.- - -. I * 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' &eM I~ % D None TERM (MonthslYears) ADDrS4-siness {;:z'4:s Acceptabl J B~'IF~ HIGHEST BALANCE DURING REPORTING PERIOD D $500 - $1,000 D $1,001 - $10,000 D $10,001 - $100,000 ~VER $100,000 SECURITY FOR LOAN D None ~onal residence 5ft.i!.- ~ ~ S- ~V1"VvfLI)~, GJrI ~ r ~-~ City D Real Property D Guarantor D Other (Describe) Comments: FPPC Form 700 (2010/2011) Sch. C FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov