| 011400056 NFII-0056
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<br />       								SCHEDULE C      		CALIFORNIA F ORM   7UU
<br />  							Income,  Loanis, & �Businiess, 	FAAR POLITICAL PWTICIES COMAUSSION
<br />   									Positions  			IName
<br />   							(Othier than Gifts and Travel Payrnents)  	Ramos,  Isuri Sadaculy...............................
<br />   	0-� 1. INCOME RECIEnfED     						01� 11�INCOME RECEIVED
<br />       	INAMIE OF SOURCE OF INCOME       					NAME OF SOURCE OF INCOME
<br />       	7`1w,t Kennedy Commiesdon						Latino Heal,th Aac�ess
<br />       	ADDRESS (flusirms Acbress A cce&bk?)       				ADDRESS(&xrsinoas Addr*ss Accq)IaMo
<br />       	Irvine,  CA   92614       						Santa Ana,  CA  92701
<br />       	BUSINESS ACTIVITY, IIP ANY„01F SOURCE     				BUSINESS ACTIVITY,IF ANY, OF SOURCE
<br />       	..........................................................................................................................................................................................................................................................................................................................................  	.........................................................................................................................................................................................................................................................................................................................................
<br />       	YOUR BUSINESS POSITION   						YOUR BUSINESS POSITION
<br />       	Policy Ailalyst   							Training and Development Associate
<br />      	GROSS INCOME RECEIVED	No Incorne  Business PoWtIon Only  	GROSS IINCOME RECIEWED      F] No Inoonne  I Posdion Only
<br />  		wo  $1,000   		$1,0011  $10,0�Oo   			F1   00  $1,000      		1,0,01  $10,00,0
<br />      	Ex] $10,001,  $100,000     	OVER $100,000    			El sio,0011  sliuo,000    	n OVER $100,000
<br />      	CONSIDERATION FOR WHIcH IIN,COME WAS, RECIEWED			CONSIDERATION FOR WHICH INCOME WAS RECEIVED
<br />      	ff] Salary    E] Spoine's or regirskered doniestic partner's,inome		UX Saary    E]Spoulse's or iregp stered dornesbc pairtneirs iInwrns,
<br />				(For serf ernployed use SeNrMule A 2,)   					(Frw seff en,ployed use Schedule A 2.)
<br />  		Partnership(Loss than 10%ownership. For 10%0(greateir Use  		E]Partnership(Less than 10%ownership. For lO%orgrealoruse
<br />  		SchedWe A 2) 								ScftedWe A 2.)
<br />      	EJ sale of       								Sale at
<br />  					(ReWparpody,cw,brot,o6c)       						(RaW prrvady,cm,hcwd,eft)
<br />  		I oast ropayn,ient       							I oan rapayn,ient
<br />  		commisslon,or      Rental Income, AV each,riowtv of Sra000 or franp     	]Coma rnissonor  n RenIlall InCom,e, hi each scvroo of$10,000 or more
<br /> 						(Dav'ribe)      								(DosrAtwp)
<br />  		Other.......................................................................................................................................................................................................................     	Other......................................................................................................................................................................................................................
<br /> 						jarncrrbe)      								(Dosofit*)
<br /> 		2.ILOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
<br />  		You are not required to report lloans fromi a comrrileircial lending Institution, or any indebtedness created as part of
<br />  		a retail installment or credit card transaction, niade in the lender's regular course of bUSiness on terrns available to
<br />  		mernbeirs of:the public without regard to your official status. Personal loans and lo�ans received not in a lender's
<br />  		regular course o�f business ITI be disclosed as follows:
<br />       	NAME OF LENDEW   							II"RATE    		"TERM(Months/Years)
<br />   														None
<br />       	ADDRESS(Business Address Acceptable)
<br />     											SECURITY FOR LOAN
<br />       	BUSINESS ACTIVITY, IF ANY,OF LENDIER      				[] Nor*		Personal residenoe
<br />     											El Real Property
<br />       	HIIGHEST BALANCE DURING REPORTING PERIOD
<br />       	El $1,00,  $10,000      							Guarantor.................................................................................................................................................................................
<br />       	�El $10,001  $100,000
<br />       	�F] OVER $100,000    							El otler
<br />       	Comments'.
<br />															FPPC Form 700 Schedulle C (202012021)
<br />													advI1ce@fpp,c.ca.gov#8616-275-3772,www.fppp�c:.ca.gov
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