Ermelindo Puente - Annual 2015• CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMIS�
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST)
1. Office, Agency, or Court
Da itial Filing Received
STATEMENT OF ECONOMIC INTERESTS a ONicialUseOMy
r,
FEB 24 2016
COVER PAGE N
(FIRST)
Agency Name (Do not use acronyms) t
C `� 6 F G; 11014 C rMMI'6slyfi -er
Divisip�, Board, Dep ment, District, if applicable Your Position
t'�(Y1��- ��� rPa7�►o h w1 ; SS �` o Y7
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
City of G lr �— �� Y ❑ Other
3. Type Statement (check at least one box)
Annual: The period covered is January 1, 2015, through
December 31, 2015.
.or-
The period covered is I through
December 31, 2015.
❑ Assuming Office: Date assumed I I
❑ Candidate: Election year
❑ Leaving Office: Date Left I I
(Check one)
O The period covered is January 1, 2015, through the date of
•or-
leaving office.
O The period covered is I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A -1 - Investments — schedule attached
❑ Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or-
None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
Gl, ro C'# C757 0 a, a
DAYTIME TELEPHONE NUMBER I ADDRESS
(40R) E34) -- yo3 (a
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
)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov