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011400056 NFII-0056
<br />SCHEDULE C
<br />Income, Loanis, & �Businieiss,
<br />Positions
<br />(Othieir than Gifts and Travel Payrrients)
<br />INAMIE OF SOURCE OF INCOME
<br />7`1w,t Kennedy Commission
<br />ADDRESS (flusk*ss Acbress A ccepiabk?)
<br />Irvine, CA 92614
<br />BUSINESS ACTIVITY, IF ANY„ OF SOURCE
<br />YOUR BUSINESS POSITION
<br />Policy Analyst
<br />GROSS INCOME RECEIVED No Incom BuSinm PoWtIon Oinly
<br />V wo $1,000 $1,0011 $10,0o
<br />Ex] $10,001, sim,000 OVER $100,000
<br />CONSIDERATION FOR WHICH IIN,COME WAS, RECEIVED
<br />ff] Salary E] Spoine's or regiskered domestic partner's, inome
<br />(For a0f employed i6use ScluxlWe A 2,)
<br />Partnership (Loss than 10% ownership. For 10qreateir use
<br />SchedWe A 2)
<br />E-1 Sale of
<br />(ReWparpody, cw, brot, o6c)
<br />wart repay�i,ie n t
<br />COMMISSIon, or E] Rental In Co Me, AV eo(ch riowtv of S 8 a 000 or frwxrp
<br />(Dascribu)
<br />Other...........................................................................................................................
<br />jarncrrbe)
<br />OW
<br />Ramos. Isuri S
<br />NAMIE OF SOURCE OF INCOME
<br />L,atino Health Aaa,,esss
<br />ADDRESS (&xrsmoas Addr*ss Accq)IaMo
<br />Sarnia Ana, CA 92701
<br />BUSINESS At IF AINY, OF SOURCE
<br />YOUR BUSINESS POSITION
<br />Training and Development Associate
<br />GROSS INCOME RECIEWED F] No IInoorre Business Posftn Only
<br />F1 0 1,0,00 [X] 1,0,01 $10,00,0
<br />[-] 10,0011 $1100,000 [ ] OVER $100,000
<br />CONSIDERATION IFOR WHICH INCOME WAS RECEIVED
<br />UX salary E] Spoulse's or irngiskerss9 dornesbc paidneir's in me
<br />(I'm seff errployed use ScheduIa A 2.)
<br />[:]P,aaner.lhlp)Less thanlO%own erslhip. For l(D%orgrealoruso
<br />SchedWe A 2.)
<br />Sale at
<br />(RaW prrVady, cm, hwa, eft:)
<br />rapayuient
<br />Comirnlssnon or n ReMall InCorre, hi each scvroo of $10,000 or more
<br />(DosrAtwp)
<br />F-] Other ...........................................................................................................................
<br />(Dosofit*)
<br />You are not required to report lloans fromi a cornry-ileircial 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 biLlSiness on terrns available to
<br />mernbeirs of: the pubilic without regard to your Official status. Personal loans and loans received not in a lender's
<br />regular course of business miust be disclosed as follows:
<br />N,AMIE OF LENDEW INTERESTRATE "TERM (Motiths/Years,)
<br />ADDRESS (Busmss Address A cceptabfe�
<br />BUSINESS ACTIVITY, iF ANY, OF LEINDIER
<br />HIGHEST BALANCE DURING REPORTING PERIOD
<br />El $10,aul $100,000
<br />DOVER $100,000
<br />None
<br />SECURITY FOR LOAN
<br />[] Nor* personal residence
<br />El IReAl Property
<br />Guarar,sir
<br />Ism
<br />cily
<br />0)0-fitwo)
<br />�ffff 01111048=1ma-11M I
<br />MAN= , 111, A
<br />
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