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CALIFORNIA FORM

L AU§Oe..l'O"""'"d
STATEMENT OF ECONOMIC INTERESTg:HARTER SCHuO[SDI VIS ION
COVER PAGE
ZOI ~ MAR 27 PH 3: 53

700

FAIR POLITICAL PRACTICES COMMISSION

A PUBLIC DOCUMENT
Please typ e or print in ink.
NAME OF f iLER

Refugio

Rodriguez

1,

(MIDDLE)

(fiRST)

(LAST)

Office, Agency, or Court
Agency Name (Do flot use acronyms)
Partnerships to Uplift Communities (PUC Schools)

Division, Board, Department, District, if applicable

Your Position

PUC Schools - Lakeview Terrace, Va lley

Board Tre asurer

,.. If filing for multiple positions, list below or on an attachment. (Do /Jot use acronyms)
Agency: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

2. Jurisdiction of Office

Position: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

(Check at least one box)

o State
o MuHi-Counly _ _ _ _ __ _ __ _ _ _ _ _ __

o Judge or Court Commissioner (Slalewide Jurisdiction)

O Cily 01 _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

IZI Other

3_ Type of Statement

IZI

OCounly 01 _ _ _ _ _ _ _ _ __ _ _ _ __

(Check at least one box)

o

Annual: The period covered is January 1, 2013, through
December 31 , 2013.

·or-

Candidate: Election year _ __ _ __

Leaving Office: Dale Left ---1---1_ _ __
(Check one)

o The period covered is January 1, 2013, through the date 01

The period covered is ---1---1'_ _ _ _ " Ihrough
December 31 , 2013.

leaving office.

o

o Assuming Office: Date assumed ---1---1_ _ __
o

Portion of LA C ounty (LAUSO)

The period covered is ---1----.1_ _ _ _ , through
the date of leaving office.

and office sought, il different than Part 1: _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

4. Schedule Summary

~ Total number of pages including this cover page: _1_ _ _

Check applicablo schedulos or "None."

o Schedule A-1 - Investments - schedule attached
o Schedule A-2 - InveSlments - schedule attached
o Schedule B - Real Property - schedule attached
!ZI

D

o
o

Schedule C • Income, Loans, & Business Positions - schedule attached
Sched ule 0 - Income - Giffs - schedule attached
Schedule E - Income - Giffs - Travel Payments - schedule attached

·or·
None· No repoltable interests on any schedule

5, Verification
MAILING ADDRESS
STREET
(BUSiness or Agency Address Recommended - PuMe Dowment)

CITY

1405 N San Fernando Bvld . Suite 303

Burbank

STATE

CA

DAYTIME TELEPHONE NUMBER

E-MAil ADDRESS (OPTIONAL)

( 818 ) 559-7699

r.rodriguez@pucschools ,org

ZIP CODE

91504

I have used all reasooable 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 Ca lifornia that the foregoing is true and correct.
Date Signed

00 . \ S

-- ':J () \ I.j
(month, day. year)

Signature .+i---'--"'"-"'-D.-"''''''I,-''''-L-'-'''''r'=.-- -- - - - fi#n'1 offICial.)

FPPC Form 700 (2013/2014)
FPPC Advice Email : advicc@fpp c.ca.gov
FPPC TolI·Free Helplin e: 866/275·3772 www.fppc.ca.gov