Susan Rodriguez - Annual 2013Apr 17 14 01:47p Rodriguez
4088481775 p.1
STATEMENT OF ECONOMIC INTERESTS Date R}an:ea
FAIR POLITICAL A PUBLIC PRACTICES DOCUMENT APR-` 2�1
COVER PAGE f„ 'CLERKS rj o L
Please type or pnnt in ink
NAME CF FILER C ) (LA$7 � �(FIRST)
MIDDLE)
u-�- �- 71'-x,
1. Office, Agency, or Cou
A ncy Name (Do not use acronyms)�/,,f
R i n Boa�rtt, Distric ri a pP(1� �
Your *,t,
► If (11!19 fo multiple positions, list bebw or on an atachment.
(Do not use acronyms)
Agency'
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisc- Ilion;
❑ Multi- County
❑ County of
city of
❑ other
I Type of Statement (check at least one box)
Annual: The period covered is January 1, 2013, through
❑ Leaving Office: Date Left 1
December 31, 2013.
-or-
_
(Check of e)
The period covered is
through O The period covered is January 1, 2012, throuch the date of
December 31. 2013.
leaving office. "
❑ Assuming Office: Cale assumee _
O The period covered !s _-J--j_. through
the dale of leaving office.
❑ Candidate: Election year and office
sought, if different Ivan Part 1:
4, Schedule Summary
Check applicable schedules or "None."
► Total number of pages including this cover page: =
❑ Schedule A -1 - Investmen!s - schedule altached
I- Schedule C - Ircome, Loans, & Business Positions
❑ Schedule A -2 - Investmems - schedule attached
- schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule 8 - Real Property - schedule attached
❑ Schedule E - Income Gifts Travel
- - Payments - schedule attached
-Of-
❑ None - No reportatle interests on any schedule
S. Verification
MALING ADDRESS STREET CIT{
Business or Agency Add25, Reconmen0ed - Public Documenti SAE ZIP CDDE
Af 6S t--- a,,-�� wt— S'c� �
IiAfT AA -TELEPHONE
°C IF uan Dcec n
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GGf..9Zr -ark t.. f�-F, . r oyy�
I have used all reasonable difigerce in preparing this statement. I have reviewed this statement and to the best of m krowl
herein and in any attached schedules is true and complete. I acknowledge this is a public docurrent. y edge the informatbn contained
1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date Signed f 3 h AlF i Signature
*Vh, day year) rJe .he or, "o rau
{ - Tat r .5 your filing cMdal.J
FPPC Form 700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline:866 /275 -3772 www.fppc.ca.gov
RECEIVE: NO.2535 04/17/2014/THU 02:25PM
Apr 17 14 01:47p Rodriguez 4088481775 p.2
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF (NCCME
C - c Clara V411e_, M4A[4 a V
ADDRESS (8usrness Address Acceptable/ v
Tsr S-sA,� , f,
BU (NESS ACTIVITY, IF ANY, OF SOURCE
+Z7-'C
YOUR BUSINESS POSITION
R
P
GROSS INCOME RECEIVE
❑ S500 - S1.000 51.001 - S10.000
510,001 - S100,000 ❑ OVER $100.000
CONSIDERATION FOR W'HCH INCOME WAS RECEIVED
Salary ❑ Spouse's o. registered domesLc partners income
repayment Loan rc a
❑ P Y ❑Partnership
❑ Sale of
(P.ear proper(y cac bca;. er.)
11 Commission or ❑ Rental Income, Lsreach soirce cr570.007 or.mcm
❑ other
(LessLeJ '
NAME OF SOURCE OF INCOME
ADDRESS (business Address Acceptable)
-7-5 �J; e sr-Y, Q- v a,+-;c.o le, cA
B SINESSACTIVIT.. IF ANY, OF SOURCE
' n
YOUR SUSINESS _POSITION
GROS INCOME
Cl 55C0 - s1,000 S1,001 - s10,000
10,001 - 5100,000 ❑ CVEP- S100,000
CONSIDERATION FOR WHICH INCOME WAS RECEVED
Salary C3 Spouse's or registered domestic partner's income
❑ loan repayment ❑ Partnershin
sale of
(Rear prapeny. car. b3ar, evj
D Commission or ❑ Rental (rcone, List each Soule 0r SI0000 0r more
Other
(Deswbe)
` 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 pubiic without regard to your officia' status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAIAE OF LENDER*
ADDRESS rusiness Ad,-ress Accepaabi,)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DUPING REPORTING PERIOD
❑ $50C - $1,000
❑ $1,001 - 510,000
510,001 - $100,000
❑ OVER 5100,000
Comments•
FNTEREST RATE TERM (Monthslyears)
❑ .None
SECURITY FOR LOAN
E.None 11 Personal residence
Real Property
Slree! address
❑ Guarantor
Other
C;y
(0escrbe)
FPPC Form 700 (2013/2014) Sch. C
FPPC Advice Email: advice @fppc- ca -gov
FPPC Toll -Free Helpline: 866127S -3772 www.fppc.ca.gov
RECEIVE: NO.2535 04/17/2014/THU 02:25PM
Apr 17 14 01:47p Rodriguez
SCHEDULE C
Income, Loans, 8t: Business
Positions
(Other than Gifts and Travel Payments)
NAMM OF SOURCE OF INCOME
' jr7 crC i
ADDRESS (8trsness Address Acceptable)
BUST Es A�CTjI%ATTY.IIF ANY. OF SOURCE
Y UR BUSINESS P 1TION
YI
GROSS f COME RECEN6d
❑ S500 - °1.000 ❑ S1,001 - 510,000
10.001 - S100,Cao ❑ OVER S100.00a
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary Spouse's or registered domestic partner's income
Loan repayment ❑ Partnership
❑ safe of
(Rea(PoPeoy tar, boar. etc.)
❑ Commission or ❑ Rental Income, is: eac, scsrce cr 510.000 or more
❑ Other
(Desmba)
4088481775
p.3
NAME OF SOURCE OF INCOf t_
ADDRESS (2uiness Address Acceotable)
BUSINESS ACTIVITY. IF ANY_ OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
s5C0 - S1,000 ❑ S1,00- - S10,000
510.001 - 5100,000 ❑ OVER $100.000
CONSIDEP.ATIO,N FOR WHICH INCOME WAS RECEIVED
❑ SalarY Q Spouse's or registered domestic partner's income
❑ Loan nepayrnent ❑ Panrership
❑ Sale of
Put Property car boar, ere)
❑ Commission o; ❑ Rental Income, ist eaa source of sic.. coo or more
Other
(Ces✓fbe)
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 Musiness Address Acceptab.re)
BUSI:NESS.ACTIVITY. IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ S500 - $1.000
❑ S1,001 - S10,000
510,001 - S100,000
OVER 5100.000
Comments:
INTEREST RATE TERM (Months Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor _
❑ Other
@tree' adaress
City
(Descrle)
FPPC Form 700 (201312014) Sch. C
FPPC Advice Email: advice @fppeca.gov
FPPC Toll- FreeHelpline :866 /275 -3772 www.fppc.ca.gov
RECEIVE: NO.2535 04/17/2014/THU 02:25PM