RECED.

FED
CALIFORNIA FORM
'fAIR PO~ITICAL PRACTICES COMMISSION
700 STATEMENT OF ECONOMIC INTERESTS
Date Received
Offfcia/ Use Only

MAR -1 2011
A PUBLIC DOCUMENT COVER PAGE
By: __f_L-_ __
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)

Torres Norma Judith

1. Office, Agency, or Court
Agency Name
California State Assembly
Division, Board, Department, District if applicable Your Position
District 61 Assemblymember
~ If filing for multiple positions, list below or on an attachment.

Agency: Position:

2. Jurisdiction of Office (Check at least one box)

~ State o Judge (Statewide Jurisdiction)
o Multi-County _ _ _ _ _ _ _ _ _ _ _ _ _ __ o County 01 _ _ _ _ _ _ _ _ _ _ _ _ __
o Cily 01 _ _ _ _ _ _ _ _ _ _ _ _ _ __ o Other
3. Type of Statement (Check at least one box)
~ Annual: The period covered is January 1, 2010, through December 31, o Leaving Office: Date Left -----'-----'_ _
2010. ·or·
(Check one)
The period covered is -----'-----'_ _, through December 31, o The period covered is January 1, 2010, through thllClate of. :"
leaving office. ~ ~I '" -
2010. :;::i 1 '-'

o Assuming Office: Date -----'-----'_ _ of leaving office.

r'
o The period covered is -----'-----'_ _, through the date:' .
-
1_'-

c) .::. -

o Candidate: Election Year _ _ _ _ __ Office sought, if different than Part 1: _ _ _ _ _ _ _ _ _ _-.-_ _ _.;;-"
..._-=~
-0
,_. '"-
"

4. Schedule Summary U1
Check applicable schedules or "None. JJ .... Total number of pages including this cover page: _...;,__
7

o Schedule A·l • Investments - schedule attached o Schedule C • Income, Loans, & Business Positions - schedule attached
~ Schedule A·2 • Investments - schedule attached ~ Schedule 0 • Income - Gifts - schedule attached
~ Schedule B • Real Property - schedule attached ~ Schedule E • Income - Gifts - Travel Payments - schedule attached

-or·
o None· No reportable interests on any schedule

I certify under penalty of p'erjury under the laws of the State of California that t

Date Signed 3 (/ 20 I r f
(month, day, year)
Signature ‫‮‮⁌‮‮‬‱⁖⁾‧⁴
⁾⁾⁾⁾‫‮‮‬‭⁤‧‽‽‽‭›‽›‭‭‭‭
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 SCHEDULE A-2 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Investments, Income, and Assets
Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)

~ 1. BUSINESS ENTITY OR TRUST ,.. 1. BUSINESS ENTITY OR TRUST

LT Flooring Company
Name Name
1320 Hillcrest Drive, Pomona, CA 91768
Address (BUSiness Address Acceptable) Address (Business Address Acceptable) -
Check one Check one
oTrust, go to 2 1&1 Business Entity, complete the box, then go to 2 o Trust, go to 2 D Business Entity, complete the box, then go to 2

GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY

Flooring
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
I8J $2,000 - $10,000 D $2,000 - $10,000
0$10,001 - $100,000 __L_---.l~ ---.l---.l~ 0$10,001 - $100,000 ---.l---.l~ ---.l---.l~
0$100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 • $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 DOver $1,000,000

NATURE OF INVESTMENT NATURE OF INVESTMENT

!81 Sole Proprietorship o Partnership 0 Other
o Sole Proprietorship o Partnership 0 Other
YOUR BUSINESS POSITION Spousal Interest YOUR BUSINESS POSITION

.. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA .. 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITYITRUST) SHARE OF THE GROSS INCOME IQ THE ENTITYITRUST)

[g]
$0 - $499 o $10,001 - $100,000 o $0 - $499 o $10,001 - $100,000
0$500 - $1,000 DOVER $100,000 o $500 - $1,000 DOVER $100,000
0$1,001 - $10,000 0$1,001 - $10,000

.. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF .. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Atb~h <I sep~"'te sheet" neceS$ary) INCOME OF $10,000 OR MORE (Atbch a separate sheet.' note$""ry)

.. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE .. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD ID: THE
BUSINESS ENTITY OR TRUST BUSINESS ENTITY OR TRUST
Check one box: Check one box:
o INVESTMENT o REAL PROPERTY o INVESTMENT o REAL PROPERTY
Name of Business Entity Q[ Name of Business Entity Q[
Street Address or Assessor's Parcel Number of Real Property Street Address or Assessor's Parcel Number of Real Property

Description of Business Activity Q[ Description of Business Activity Q[

City or Other Precise location of Real Property City or Other Precise location of Real Property

FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
D $2,000 - $10,000 o $2,000 - $10,000
0$10,001 • $100,000 ---.l---.l~ ---.l---.l~ D $10,001 - $100,000 ---.l---.l~ ---.l---.l~
0$100,001 - $1,000,000 ACQUIRED DISPOSED 0$100,001 - $1,000,000 ACQUIRED DISPOSED
DOver $1,000,000 Dover $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

D Property OwnershipfDeed of Trust o Stock o Partnership o Property OwnershipfDeed of Trust o Stock o Partnership

o leasehold =:-=== o Olher _ _ _ _ _ _ _ _ __

o leasehold .,-;-_-;-:-
o Olher _ _ _ _ _ _ _ _ __
Yrs. remaining Yrs. remaining

o Check box if additional schedules reporting investments or real property

are attached
o Check box if additional schedules reporting investments or real property
are attached

Comments: _______________________ FPPC Form 700 (2010/2011) Sch, A-2

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAl. PRACTICES COMMISSION

Name
Interests in Real Property
(Including Rental Income) T(]I(VE>s
~ STREET ADDRESS OR PRECISE LOCATION ~ STREET ADDRESS OR PRECISE LOCATION

501 Brookside Lane

CITY CITY

Pomona, CA 91767
FAIR MARKET VALUE
o $2,000 - $10,000
1&1 $10,001 - $100,000
o $100,001 - $1,000,000
IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000 - $10,000
__L---'i!L ----'----'i!L o $10,001 - $100,000 ----'----'i!L ----'----'i!L
ACQUIRED DISPOSED
o $100,001 - $1,000,000 ACQUIRED DISPOSED

DOver $1,000,000 Dover $1,000,000

NATURE OF INTEREST NATURE OF INTEREST

1&1 OwnershiplDeed of Trust o Easement o Ownership/Deed of Trust D Easement

0 Leasehold 0 0 Leasehold 0
Yrs. remaining Other Yrs. remaIning Other

IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0 - $499 D $500 - $1,000 0 $1,001 - $10,000 o $0 - $499 0 $500 - $1,000 0 $1,001 - $10,000

o $10,001 - $100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of $10,000 or more. income of $10,000 or more.

Chysawndra Van Etten

* You are not required to report loans from commercial lending institutions 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* NAME OF LENDER*

ADDRESS (Business Address Acceptable) f.DDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER

INTEREST RATE TERM (MonthslYears) INTEREST RATE TERM (MonthslYears)

_ _ _---'% 0 None _ _ _ _% DNone

HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
0$500 - $1,000 0 $1,001 - $10,000 D $500 - $1,000 o $1,001 - $10,000
0$10,001 - $100,000 DOVER $100,000 D $10,001 - $100,000 DOVER $100,000

D Guarantor, if applicable D Guarantor, if applicable

Comments: __________________________________________________________________________________
FPPC Form 700 (201012011) Sch, B
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
SCHEDULE D
Name
Income - Gifts
"'ToI~

~ NAME OF SOURCE ... NAME OF SOURCE

See attached.
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY. IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

---1--1_ >..$_ __

---1---1_ $..$_ __ ---1--1_ $$.._ __

,.. NAME OF SOURCE ,.. NAME OF SOURCE

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY. OF SOURCE

DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S) DATE (rnm/dd/yy) VALUE DESCRIPTION OF GIFT(S)

---1---1__ $.$_ _ __ ---1--1__ $.$_ _ __

---1---1_ $..$_ __ ---1--1_ $..$_ __

$ $

.... NAME OF SOURCE .... NAME OF SOURCE

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE

DATE (mm/ddfyy) VALUE DESCRIPTION OF GIFT(S) DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)

---1---1_ $..$_ __ .---1--1_ $'_ _ __

---1--1_ $.$_ _ __

Commen~: ____________________________________________________________________________________

FPPC Form 700 (2010/2011) Sch. 0

FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
 Norma Torres
Form 700
Schedule 0 - Gifts

Foundation Health Plan Insurance 05/1 and beverages

for Resources and 05/13/10- beverages

05/14/10 spouse accompanying

A. Perez for Assembly 12106/10

 SCHEDULE E
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION

Income - Gifts Name

Travel Payments, Advances,
and Reimbursements

• Reminder - you must mark the gift or income box.

• You are not required to report income from government agencies.
• You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3)
organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit.

.... NAME OF SOURCE .... NAME OF SOURCE

See attached.
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

CITY AND STATE CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (c)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (c)(3)

DATE(S):--'--1_ . - - ' - - 1 _ AMT: $;_ _ _ _ __ DATE(S):--'----1_ - --'----1_ AMT: $>-_ _ _ __

(If applicable) (If applicable)

TYPE OF PAYMENT: (must check one) 0 Gift 0 Income TYPE OF PAYMENT: (must check one) 0 Gift 0 Income

DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

.... NAME OF SOURCE ~ NAME OF SOURCE

ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)

CITY AND STATE " CITY AND STATE

BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (c)(3) BUSINESS ACTIVITY, IF ANY, OF SOURCE o 501 (c)(3)

DATE(S):--'--1_ - - - ' - - 1 _ AMT: $ _ _ _ _ __ DATE(S):--'----1_ - --'----1_ AMT: $_ _ _ _ __

(If applicable) (/f applicable)

TYPE OF PAYMENT: (must check one) 0 Gift D Income TYPE OF PAYMENT: (must check one) 0 Gift D Income

DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ DESCRIPTION: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Commenffi: _____________________________________________________________________________________

FPPC Form 700 (2010/2011) Sch. E

FPPC Toll-Free Helpline: 866/275-3772 WNW.fppc.ca.gov
 Norma Torres
Form 700
Schedule E - Travel Payments, Advances and Reimbursements

beverages in connection with panel

!
participation.
08/05/10 food and
in connection with panel