AR 19 ATTACHMENT A — Pasadena City Council, December 16, 2024

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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form wilt be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name:

Home Address:

Mailing Address:

Email Address:

Business Phone:

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Date Available to Start: -^^ /Z^l^rEtY
Home Phone:Ceil Phone:

Board Seat Tv&e: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Council District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
^Alternate Tenant Member (1 seat, reserved for tenants) Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service ~ List boards, commissions, committeQS. and organizations on which you are currently sen/ing or have sen/ed, offices held and in what city. •S ^ -^ /} f^ ^ c H i£'-t>
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Emplovmerft- Title and duties, current and past (acceptable to attach resume as an Qlternative).
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Education - Include professional or vocational licenses or certificates. ^€ € ^i-lt^C H-fLt^

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YESDNO

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)
YESD NOJ3,

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

4. Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
YES
YESD
NO
NO
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5. Do you,or your extended family1 members, have a material YEs interest in rental property in the County of Los Angeles within the last three years?

6. Do you reside at a property owned or managed by a member of YES the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

7. Have there been, or are there now, any personal or business YES circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES obligations of the Pasadena Rental Housing Board?
D
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NO
NO
DNO
NOD
1Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)}.

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOD

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
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11. How would you add value to the Pasadena Rental Housing Board? ^€i€ ^HA€//-ff\

12. What do you view are the primary objectives and goals ofthe Pasadena Rental Housing Board?
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13. How would you help to achieve these objectives and goals? ^f€ ^7/^-^^D
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1, t/^R<? tt A<' M c-ttfi<'> &) /:?V (printed name), declare under penalty of perjury under the faw of the State of'California that the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this 2^ day of 'pec^^lB'^^ , 20 ^¥.

Signed;
Printed Name: i/4R^My M€$>^C>B//»^
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CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Council district under section 181 'ffe^ 9f' The Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of reSdency may be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident of District No. ^> of the City of Pasadena I reside ati
CA <?//£coe zip
Pasadena,
Signed:)
Printed Name: i'^n.c'^y /^<.-i.ac-&//fA/
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2. If you are not a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cat. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
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Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Sen/ice (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landSord and the tenanVresident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that incfudes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued.

Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

If the residency document reflects a name that differs from the tracing document due to a name change (for example, marriage, divorce, or court order), name change documentation is required.
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CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.

Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Measure H's Definitions:

Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Material Interest in Rental Property: an individual has a Material Interest in Rental Property if they, or any member of their Extended Family, own, manage, or have a 5% or greater ownership stake in Rental Units in the county of Los Angeles, or if they or any member of their Extended Family owned, managed, or had a 5% or greater ownership stake in Rental Units in the county of Los Angeles in the past three (3) years (Section 1803(i)).

Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreational facilities held out for use by the Tenant (Section 1803(x)).

Tenant; a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CIPf OF PASADENA
Economic Interests Affidavit - MANDATORY
1, jy^fl c.ifc^ M s-^R cS''^^ (printed name), declare under penalty of perjury under the law of the State'of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this
Signed:,
^1_ day of ^ec r'^^3 ^^ . 20_^
Printed Name: i/4i^^^y M^^KC&^A)
CITY OF PASADENA{y^% Affidavit of Tenancy - MANDATORY for Tenant Board ^£^ and "Tenant Alternate Seats
(Form RHB-003)
1, i^-T{ v ^ <s,t/ //l ^ > ft'-' A^A/ (printed name), declare under penalty of perjury under the law of the State of CaffTornia that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.

3. I reside at the following address:

Pasadena, California y//<i75-(zip code)
(street),
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
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Printed Name: j/^n, ^^^-r ^ -efR^ &^^J
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Community Service: NW
7'/l^ C'UT^CI'^^ -7€'ft^ ^ <?/^/^i-^4^J.y^^ /^,/^ 4^ (;^^/t..t^- M ^ ^^ ii ^-c ^ , r h ,3, ^ ,, ^v. c > ^~r T^ ^ ^ j-3< ^ .4 . -3. ft^\ A^y ^p^A^A1-c<VT •&^ft>i^$^ ;\f^c'u^<'f ?<y<l~ r^-^^t&.

Employment:

I've been a licensed real estate agent for over 25 years, representing a broad spectrum of clients, from first-time homebuyers, to growing families, to retirees.

I have also represented investors in the sale and purchase of income properties. My brokerage is Enget & Volkers, right here in Pasadena.

Education:

Pierce College, Woodland Hills, CA
Real Estate Finance and Appraisal
Northern Illinois University, Dekalb, IL
Finance
Real Estate License, State of California - DRE #01120186 Licensed Transaction Coordinator
Property Management Master Certification
Broker Price Opinion Resource Certification
Certified Distressed Property Expert Certification
Biannual Ethics Courses, many regarding Fair Housing Practices

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relations/Real Estate:

As a real estate agent, staying current with continuing education is crucial, particularly in areas such as consumer protection, fair housing, senior advocacy, and ethics, as laws and regulations are constantly evolving. I've taken many courses annually to continually enhance my awareness and expertise.

In my extensive experience as a realtor, I've uncovered multiple cases of real estate transaction fraud and aided local, state, and federal investigators to ensure just outcomes. During the foreclosure crisis, many homes that were in foreclosure were tenant-occupied. Tenants were often unaware of the foreclosure, and were subject to fraud by people claiming ownership of the property and demanding rents or pushing for evictions. I made a point of educating tenants on their rights to post-foredosure tenancy and provided them with documents on changes of ownership, to let them know who they needed to be paying rent to. This experience has continued to shape my ethical approach to transactions to this day, and made me aware of the many challenges tenants can face.

To enhance my understanding of landlord-tenant relations I became certified as a Property Management Master (this is the highest certification from the California Association of Realtors). I am not a property manager and do not work for a property management company. This certification helps me understand the rules that need to be abided by all parties.

As a tenant, I've been heavily involved in informing my neighbors about the local initiatives and legal changes that affect us. I was an early supporter of the petition to get Pasadena Measure H on the ballot. I had discussions with my neighbors about the benefits rental protection would provide for our community.

After Measure H passed and was put into effect, I was instrumental in educating my neighbors about the resulting changes, and assisted them with completing their rent rollback forms. I also canvassed throughout Pasadena for signatures to get Los Angeles County Measure A (Hometessness Services and Affordable Housing Ordinance) on the 2024 Ballot.

11. How would you add value to the Pasadena Rental Housing Board?:

I am a strong and passionate advocate for my community. I make a concerted effort to make my neighbors aware of their rights as tenants and ensure fair treatment.

As a tenant, I fully understand the concerns of renters, and my family and I feel the direct burden of excessive rent increases. As a real estate agent, I am wetl-versed in the various needs and goals landlords have, and can provide a real-world perspective on the housing shortage and its impact on increasing rental rates.

I believe my unique perspective and understanding encompassing the needs of both parties will help the Board bring about fair and equitable results for tenants while taking into account the needs of landlords.

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?:

The Pasadena Rental Housing Board aims to regulate rent increases and protect tenant rights while balancing the interests of both landlords and tenants. I believe this charter and board helps to level the landlord-tenant relationship by giving tenants an opportunity to be heard by voicing their complaints and disputes without being under threat of retaliation.

13. How would you help to achieve these objectives and goals?:

My experience as a realtor has equipped me with the skills necessary to bridge divides and foster cooperation. I have a proven track record of bringing diverse groups together, facilitating productive dialogue, and finding common ground. I am confident in my ability to approach complex issues with integrity, fairness, and a balanced perspective.

I have successfully managed transactions, coordinated with various stakeholders, and effectively prioritized tasks to achieve desired outcomes. I am adept at listening attentively to different viewpoints, identifying underlying concerns, and negotiating solutions that are mutually beneficial.

I have a deep commitment to the Pasadena community and a strong belief in my ability to effectively represent the interests of our neighbors. As a proud resident of Pasadena, I have a vested interest in the well-being of our city. I love where I live and am passionate about working collaboratively with others to address the challenges and opportunities that lie ahead.

I have found in my 25 years of real estate experience that there's always a way to find common ground, and aid in the progress of the city. I am committed to working tirelessly to ensure that our community remains a vibrant and inclusive place for all.

Thank you for considering my qualifications. I look forward to the opportunity to serve our community.
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CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB-001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feel may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name: ^O^vS> ^0^\?.\ ¥^<Lt<b^oS\
Date Available to Start: \<<W^tJ^X.

Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone: ^^^^^^^^^^^^^B^eil Phone:

Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Tenant Member (7 seats, one per Council district, reserved for tenants) Representing City Councit District
At-large Member (4 seats, open to any Pasadena resident without respect to tenancy or Council District)
Alternate Jenant Member (1 seat, reserved for tenants)
Alternate At-large Member (1 seat, open to any Pasadena resident without respect to tenancy or Council District)
Community Service - List boards, commissions, committees, and organizations on which you are currently serving orhave^ sen/ed, offices held and in what city. ^)\^\ ^fCr^ ^^\ VV«^ ^\^^.- \f^^^^^ CO\)^W ^6()^.!^A,^\\fCrn ft^^\ ^.^, y/\(<^?\; \I?->n)M\y-^ ^pyi S^ '^cJ\^V ^osjTj^\^vG\u^^r ^n\k - ^Q\^
employment - Title and duties, current and past (acceptable to attach resume as an alternative).
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1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YESD No

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)
YESNOB

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

5. Do you,or your extended family1 members, have a material YES || NO interest in rental property in the County of Los Angeles within the last three years?

6. Do you reside at a property owned or managed by a member of the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

7. Have there been,or are there now, any personal or business YES |_| NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES p><| NO obligations of the Pasadena Rental Housing Board?
1 Extended Family; any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOD

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Reat Estate:
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11. How would you add value to the Pasadena Rental Housing Wi^\ a
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12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
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I, Z_o ^i s \^J,^\oS.i _ (printed name), declare under penalty of perjury under the law of the State of Californte that the information reported in this Form RHB-001 is true, accurate, and complete.

Signed this r^ day ofV)pf^(^^r . 20 3-1.

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CITY OF PASADENA
Residency Verification - MANDATORY
All applicants must provide proof of residency in a City Counctl district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residency may be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident of District No.~lof the City of Pasadena I reside at
CA ^{[C-)^ (zip code).

Signed:

Printed Name:LOdt q
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(street), Pasadena,
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2. If you arenot a registered voter, please provide clear, readable two forms of proof of residency acceptable to the Department of Motor Vehicles (DMV) for a REAL ID, listed below (Cal. Code Regs. tit. 13, § 17.00 and § 15.01 (d)).

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:
•
•
•
Home utility bill or cellular phone bill
Records from any state or national bank. state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document Issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued.

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•
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

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CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
AH applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 700.

Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. Alt applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties In Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form othenvise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Measure H's Definitions;
Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
i. ^yiS \^rGc;(o^(I, 4-0u [S WiXjtdO^t (printed name), declare under penalty of perjury under the law of the State of CaliTorfiia that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this »^_ day of Q^C€^
Signed:

Printed Name:

A. €,20
LrC|OV03i Cx,iS5c
"^
B^
b»^ l-..rifetti
y^?Ws ^y
ffi^»j
.^^/

CITY OF PASADENA
Affidavit of Tenancy - MANDATORY for Tenant Board
and Tenant Alternate Seats
(Form RHB.003)
t, L.Qu\\ ^\^o\oS(
kt
^(printed name), declare under penalty of perjury under the law of the State of California thAt the foregoing is true and correct:

1. lama tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or tease, or b) have provided proof of a relationship to a person named ji^^^^^^^y^^j^^^^^^^^^yj^^^y^y^^of a tenant,

3. I reside at the following address—•^•^^—IB^i^lii—P (street), Pasadena, California &( j( 0 ^ (zip code)
1 OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.
0 ofcr dae€M Signed this
Signed:

Printed Name: /^Oui* i
, 20^_.
^^nfoji^
--^
^
f&
!yy 1^

CITY OF PASADENA

APPLICATION FOR APPOINTMENT TO THE

PASADENA RENTAL HOUSING BOARD
FORM RHB.001
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are invited to attach additional pages, a copy of your resume, or submit supplemental information which you feet may assist the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year. r^ \.

Applicant Name: CYl^S-tlA^ L\.Jfl^-4<t Pod^V.^Z
Home Address:

Mailing Address:

Email Address:

Business Phone:

Home Phone:

Date Available to Start: J^5JarP
Celt Phone:

Board Seat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

LA IM^^ci ^CoJv^- ^^i ^^n-t€(<-<-- AJJ^ ftYYje^. See ^ Tmp'^- ^^tjt o^ycrx^vx-'^r r\\i\\C ^OIU'lh;fe<t ^_c^ pt'¥j^le\^ VJLL^ •&L Cfei'^-PU^ Chnic/ ^G-t'\^\^ C\i^^C yc.^t'T^^^ . l.^ ftn^Q..^ Pr'?^- T^;a;j Sa-A^y^ ,yoNn-Ke£ '.

Employment - Title and duties, current and past (acceptable to attach resume as an alternative).
\.^ Pt^/.,W4 f^'^-fel2- Cu^mw^^ 1.4^ a*^ Ar.^cn.l^^ p^^vs^^ *•'
^\v\9^^ ^\^T lA^CIz- 1/u^j j LCtfyvA ^ ^St^-t^^
^^\C L<^nc^ ^Ur^^ ^^\€Va^t • mc^l^n I^^(W^A 4S&<^^u^
Education - Include professional or vocational licenses or certificates.

Y_)OL^ <&TA'\cc^ (^ LO.^ ^T^-y^{?- o^ LeyU S^^{€.S"
?c^lav^ S-^x+e O^iV&^rH^^Sc-^-^io^ ~o^ i^-frte, E-r^jhsh

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YESNO

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)
YESDNO

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

5. Do you,or your extended family1 members, have a material interest in rental property in the County of Los Angeles within the last three years?

7. Have there been,or are there now, any personal or business circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the obligations of the Pasadena Rental Housing Board?
YES || NO
YESDNO
YESNO
YESNO
1Extended Family: any spouse, whether by mam'age or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOa

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:
\jsio^^^ (^ a iyc:yOf\<^crtC(i^+u^ JT€AU^- R^W*S €/^if>. ^ u.r+'h \^l^wi(L^\^^jke apc^ ln^ry^' 4ycd' 1v1£a^L w^ Ars ^X^)^,^ fri^d<:de.J f^^ ^r\e^n ^VV^A^-^Y^dltr^ rir ^1k>J£.'r^ \AWS .4e^4!\3t- .oSOT^-^oas Q f^ ^€. r.t'^shaUc^.^' <?€'nV€JlS -fAC^^X'flx^k <^A^ 7n ^,h^m-i.fct^>^,Wwdl<'^l<Ln 0^ Cb\\/^t^^^^

11. How would you add value to the Pasadena Rental Housing Board? TVlQ^^n rvWl. vA)0^¥- ^ VIA v^. ncnax (v^^ rAA^\^hA -h- ,i vi-^^p'^'\A^'±^ Cor^JS^SL \P^U 4Atoi^W^AJc(2-^^ QY^ £^ivc<-a-H5, ^-^eotrCv^ivq A:^ C^A-^cfJ^^. '^c;4\3-h<Qn^ ^^v\^J'£i^ -tQTK^S \jo»C€.<; cn^/wl/)^i^r\w^ ~^\^^- i^n'n^: .-);4hpH <, l^Kc'nc\ve n-ivcufrMl +C12- ^oY?~?a^^XC 'r3" °~T

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
?\Z^B •v^.15 C.Ai^-^ \0 ^^^ 'M<Ci;vV^<^ -H..TV^- ^X^^ol t^o<^^ ^ r^Af-KciU -foi2. loo-t-h 4^n-i^'\-<-^ ko^'rt'A— -^^^ Ay<A bf\Vit/\^..\^^<^1^ ^-1 OHA_\ ^hA\ G^el S , C^^j ec-<-^v€4 \ y^ ^c?^- ^?£.Y^C^^ h^&i r^jW^. ^\\^ \,v'rirh ^,o^<<'^-^<\U<-$, ar^A 4^.-^^ f'LfC -te 4<.*sAt-<^- ~&y ^-Kvbtl^r^+-
(^^\\}ft It-A KiUiijvWW
~3~

13. How would you help to achieve these objectives and goals? 1 ^\\\ lfeVt./^^\</ m\A o^-^'s^.SN-o^ eY1?&<^( e/¥^c^ 41iS Q W<A^i A£5tS*1<°( C^ d
^o^- -^^fivd- TUAV-^S .Av^^•..^ S»^\l\^ V/\ i-^VCfcti"^ ^0^- -^^fiV'Jf TU^V-^^ ;AV^ M^ .^^ura-M^n -h-^ e^^^-hxA^P h—^ ^. ^' \ c^-^ -T h^rv-) ^( ^.''^ K^ ^p^U^l^t 4p^'H^^'^mA ^^^.^^^. e^ 4^ QWA\\..^S i^vv^^^ CA<:i<;5 ^/W-c •^<-^"' ''r-^' ~ T I, Q^-AS-^'i^L 'VL<^^(2^^.':b (printed name), declare under penalty of perjury under the law of the State of California that the information reported in this Form Rt-IB-001 is true, accurate, and complete.
4-;'+
Signed this ^. day of O^ce-^be^ . 20^.

Signe
Printed Name:C^^^ 9^c^p\s^
aa
°;
^*».?,
'W-,
ISIiS
i
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CITY OF PASADENA
Residency Verification ~ MANDATORY
All applicants must provide proof of residency in a City Council district under section 1811(b) of The Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residency may be established by either of the following:

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.
am a resident of District No. 3^'of the City of Pasadena I reside at
CA CiU^V-(zlpcocte).
(street), Pasadena,
Signed:

Printed Name: f_^\AS-^v^ ^?-^(^^~J€-'Z

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicie
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipatity, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either Internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/iandtord and the tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and include a photograph of the applicant at the age the record was issued. •
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
ADMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

WEO

CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic interests Affidavit" attesting to the information reported in applicant's Form 700.

Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests In Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811{b), these documents are public records; they will not be confidential.

Measure H's Definitions:

Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITf OF PASADENA
Economic Interests Affidavit - MANDATORY
I, A, ^AJ'4S'1l - \^i^U(^^€^- (printed name), declare under penalty of perjury under the law of tfie State of California th^t the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this ^^ day of Qe ^Avv-b^tC . 20^^.

Signed:

Printed Name: (^J(-A s^^. ^c{\U^-Cl^
^1^ CITY OF PASADENA
t(^^'^ Affidavit of Tenancy - MANDATORY for Tenant Board 9^^^^'
^^:^y an<^ 'renant Alternate Seats
(Form RHB-003)
t, LA''^IA<5-^^^ |<-^xlV^<'']^4 (printed name), declare under penalty of perjury under the taw of the State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.

3. I reside at the following address:

Pasadena, California c;il|p^ (zipcoe
(street),
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this __^__ day of 'OQ./^.^.^y f2. , 20_^4j.

Signed:

Printed Name: CWUSjn^ \2j^^^^^
-•;1
.:I
<®'%Ss^}

CITY QF PASADENA
BIOGRAPHICAL DA1 A FOR APPOINTMENT TO CITY ADVISORY""- :'"-v?~n The information contained on this form is for the City Covncil to fill vacancies on City Ad\'isory Boards^ Comwissions, Commtttces, or Task Forces. You are invited to attach additional pays, a copy of your resume, or submit supplemental mformaJwn may' assist the City Council in its evaluation of your application.

J""'.

Biographical forms may be submitted an)' time during the year; however, they will be purged January Sf'r^'each year. If you have not been appointed to an advisory body during the preceding year and still desire appointment, please resuhmit an updateShiograipfncal form or advise in writing that the initial form is still usable.

Pasadena Rental Housing Board (PRHB) On which Commission would you like to serve? Applicant Name: Christine Lynette Rodriguez
Home Address
Employer: Los Angeles Center for Community Law and Action Work Addres'1
Date available to start:

Home Phone: I
Work Phone: ( )
E-mail:

Commynih' Sen'ice - List hoards, commissions, comminees, and organizafwns <fn which you are currently serving or have served^ offices held and in what city.

La Defensa, Court watch volunteer, I <os Angeles
Social Impact Center, Expungement clinic volunteer, Los Angeles UCLA El Centro, Los Angeles, Reentry Clinic volunteer
Los Angeles Art Deco Society, volunteer, Los Angeles
Employment - Title and duties, current and past.

Los Angeles Center for Community Law and Action, Legal Assistant for tenant rights Employees First Labor Law, Legal Assistaiit for employee rights Public Counsel, Legal Assistant for foreclosure prevention Matian Law, Legal Assistant for immigration rights
Education — Include professional or vocational licenses or certificates.

UCLA School of Law, Master of Legal Studies 2024
Portland State University, Bachelor of Arts, English 2017 Personal - Answer "yes" or "no" to tfw following questions.

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/depanment) YES

2. Are you related to any employee or appointee of the City of Pasadena? (If yes, please YES indicate name and relcitwnship.)
NO
NO

3. Are you aware that financial disclosure may be required annually? (e.g. sources of income, hans and gif Is, investments, interests in real property.) NO
YESNO
YESNO

4. Rules of law and ethics prohibit members from participating in and voting on matters YES in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest which may develop from your occupation or financial holdings in relation to your responsibilities as a member of the advisory body to which you seek appointment? (If yes, please ittdicate any potential conflicts).

5. Have there been or are there now, any personal or business circumstances which might reflfct adversely on tke propriety of your srrving as a meniber of any advisory body to which you might be appointed?

6. Arc you aware of the time commitment necessary' to fulfill the obligations of the advisory body to which you seek appointment?

7. What specifically in your background, training, education, or interests qualifies you as an appointee? Working as a legal assistant for tenant rights equips me with valuable experience and insight tliat make me an excellent candidate for the Pasadena Rental Housing Board. Through my work, I have developed a deep understanding of housing laws, tenant protections, and the challenges renters face in securing and maintaining stable housing. I have honed my ability to interpret complex legal frameworks and advocate effectively for equitable solutions, ensuring tenants' voices are heard and fteir rights are upheld. This role has also strengthened my skills in problem-solving, mediation, and collabor^ion with diverse stakeholders—essential qualities for fostering balanced policies that benefit both tenants and landlords. My hands-on experience advocating for homeowners facing foreclosure demonstrates my commitment to housing justice and my ability to contribute meaningfully to creating a fair and sustaiiiable housiiig environment in Pasadena.

8. What do you sec as the objectives and goals of the advisory- body to which you seek appointment? The objectives and goals of the Pasadena Rental Housing Board are to foster fair and balanced rental housing policies that protect tenants' rights while the rights of homeowners are also upheld. My key objectives would inctude promoting housing stability in order to limit displacement, ensuring comptiance with Measure H, encouraging fair housing practices, being fair with both landlords and tenants to foster community harmony, and provide educational resources regarding housing rights. Both tenants and landlords

9. How would you help achieve these objectives and goals? What special qualities would you bring? To achieve the objectives and goals of the Pasadena Rental Housing Board, I would leverage my professional experience, skills, and dedication to equitable housing policies. Drawing on ray background as a legal assistant foi tenant rights, I would analyze and support initiatives that promote housing stability and affordability while ensuring compliance with legal standards. My experience mediating tenant-landlord disputes has equipped me with strong communtcation and cotiflict-resolution skills. 1 would use these to foster prodocttve conversations between stakeholders and fmd balanced solutions. iiaving worked closely with tenants facing housing msecurity, I bring first- band insight into the challenges they encounter. This perspective eiisures Aat poiicies reftect the realities of those they affect. By combining my professional expertise widi a genuiiie passion for housing justice, 1 would contribute to creating fair and sustainable housing policies that benefit the entire Pasadena community.

Signature: ^^^^^^^^^^^^^ Date: ^/l72024
I hereby certify that the following m/or^iafk^n is correct to the best of my knowledge.

OOPAOOOOOO& 0000 00 000000000000^0000000000^00 00000 0
One of the goats of the City Council is to balance advisory body appointments in terms of geographic residence, location, ethnicity, gender, and age. The following mfnrmalvm is desirable, hut not required for appointment.

Year of Birth:i(^zGender^Ethnicity: UVri^District # 0
If City resident, number of years:

CITY OF PASADENA
Commissioner Biographical Form - VOLUNTARY
This biographical form will be filed in the Office oftlie Mayor & City Council; if you are appointed to a commission, it wilt assist City Hall in responding to questions regarding your background as a commissioner if requested by the news media or interested citizens. This Biographical Form should be submitted along with your commission application.

If you choose to complete the form, please be sure that the information provided is factual. It will be tfae basis for information provided over the telephone and at the public counter. The form may be duplicated and given to the news media and it may also be posted on the City's website.

NAME: Christine RodriguezDISTRICT: 5YEARS AS PASADENA RESIDENT: 4 OCCUPATION: Legal Assistant
EDUCATION & TRAINING:

UCLA School of Law, Master of Legal Studies 2024
Portland State University, Bachelor of Arts, English 2017 SERVICE RECORD:

La Defensa, Court watch volunteer, Los Angeles
Social Impact Center, Expungement clinic volunteer, Los Angeles UCLA El Cenh-o, Los Angetes - Reentry Clinic volunteer
MEMBERSHIP & OFFICES HELD IN CIVIC, RELIGIOUS, FIiATERNAL OR TECllNICAL ASSOCIATIONS:

Pasadena Tenants Union
Los Angeles Art Deco Society
IIOBBIESs
Exploring Los Angel&s, riding my bike, fashion design
SIGNATURE:
)
DATE: U| ^ I '2°"21
/hereby certify that the following information is "correct to the best of my knowledge. 09000UOOOOOOGOOOOOOOOOOOOOOOOOQiOOQOft000090<tOO€tOO
WJfen complete, email and send original to:fanmt€war((a^itvo^uM(hna- iwt Jana Stewart
Office of the Mayor & City Council
100 N. GarfieldAve., RoomS228
Pasadena, CA 91101
.^SP£Sr<^
CIPf OF PASADENA

APPLICATION FOR APPOINTMENT TO WK
^.^.^f
~'^^y
PASADENA RENTAL HOUSING BOARDkc"CE'v^n
FORM RHB-001•!,•,
':;'Jt,l':?f ll-">.!?
The information contained on this form will be used by the City Council to fill vacancies on the Pasadena Rental Housing Board. Please answer all questions. You are'invited toattaCHadditional pages, a copy of your resume, or submit supplemental information which you feet may ass'fst the City Council in its evaluation of your application. Applications will be purged from the City's files January 31 of each year. If you have not been appointed to the Rental Housing Board and still desire to be considered for appointment, please resubmit an updated application, or advise City staff in writing that the initial form is still current and can be used for an additional year.

Applicant Name: Simon Nicholas Ybarra
Home Address:

Mailing Address:

Email Address
Business Phone:
1, Pasadena CA 91101
Pasadena CA 91101
Home Phone:

Date Available to Start: December 1,2024
Cell Phone:

Board Ssat Type: Indicate the type of Board seat in which you wish to fill (mark one or more):

Pasadena Tenants Union - Volunteer Housing Counselor
Employment - Title and duties, current and past (acceptable to attach resume as an alternative).

Resume Attached
Education - Include professional or vocational licenses or certificates.

Associate of Arts - Business - Pasadena City College
Associate of Arts - Engineering & Technology - Pasadena City College

1. Have you ever worked for the City of Pasadena? (If yes, please list dates/department)
YESaNO

2. Are you related to any employee, appointed or elected official of the City of Pasadena? (If yes, please indicate name and relationship)
YESDNO

3. Are you aware that financial disclosure is required annually? (e.g., sources of income, loans and gifts, investments, interests in real property)

4. Rules of law and ethics prohibit members from participating in and voting on matters in which they may have a direct or indirect financial interest. Are you aware of any potential conflicts of interest wh'ch may develop from your occupation, or economic holdings, in relation to your responsibilities as a member of the Rental Housing Board? (If yes, please indicate any potential conflicts)
YES
YES
NOa
U No E)

5. Do you,or your extended family1 members, have a material YES | | NO interest in rental property in the County of Los Angeles within the last three years?

6. Do you reside at a property owned or managed by a member of YES j^J NO the City Council, or any member of the City Council's extended family, or in which any member of the City Council, or member of the City Council's extended family, has any ownership stake in said property?

7. Have there been, or are there now, any personal or business YES | | NO circumstances which might reflect adversely on the propriety of your serving as a member of the Pasadena Rental Housing Board?

8. Are you aware of the time commitment necessary to fulfill the YES |X| NO obligations of the Pasadena Rental Housing Board?
' Extended Family: any spouse, whether by marriage or not, daniastic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Charter Section 1803(g)).

9. Are you aware that you may serve no more than eight
consecutive years as a member of the Pasadena Rental
Housing Board?
YESNOD

10. Describe your relevant life experience, professional training, and/or education in the following areas: Housing/Housing Justice/Landlord Tenant Relationships/Real Estate:

I have been learning about housing policy and precedent as part o< my participation in the Pasadena Tenants Union for the last year and a half. Over the summer, I produced an initial draft of an original research project on California's varying rent regulations and eviction protections to examine the impact of the Costa-Hawkins Rental Housing Act and local laws on eviction rates using data from the Eviction Lab.

11. How would you add value to the Pasadena Rental Housing Board? I bring data analytics training, a rational focus on policy outcomes, and familiarity with state and local housing laws to the table. I am a consensus builder with some experience in meeting facilitation and work-group mediation. I am a logical problem solver, used to reading regulations and identifying loopholes or unintended outcomes.

12. What do you view are the primary objectives and goals of the Pasadena Rental Housing Board?
TTie PRHB's primary objective is to promote healthy, sustainable housing for tenants in Pasadena without undue cost to the rights and profitability of landlords. This is served by identifying rental units, regulating evictions and rents appropriately to reduce impact, and discouraging retaliatory behavior or evasion of regulations.

13. How would you help to achieve these objectives and goals? I would strive to improve the quality of regulations passed by the board. I would support its outreach and data gathering efforts.

I would also set achievable goals lo address areas of confusion like the status of vacancy controls for different types of units or tenancies and the recommendation of regulations furthering Pasadena's EDis Act implementation to the city council.

Simon Nicholas Ybarra(printed name), declare under penalty of perjury under the taw of the State of California that the information reported in this Form RHB-001 is true, accurate, and complete,
Signed this 2 / day of <j7<-- ^v4 ^^
Signed:
, 20 ?y,
Printed Name: S//^^/? /^(S^^A.
,^^ s^
f
^ <?.!•T. itI^< ^

CITY OF PASADENA
Residency Verification - MANDATORYR?Trn/pn
All applicants must pivvide proof of residency in a City Council district if{)cfeK{SSctipn18il1(b). of The Pasadena Fair and Equitable Housing Charter Amendment (Measure H). Proof of residency may be established by either of the following: ^ r i.;;( ^fi / i',-^ PA:. r'-M,

1. If you are a registered voter, please complete and sign the following declaration and the City Clerk will verify your signature on file with the Los Angeles County Registrar of Voters.

I am a resident of District No. 3of the City of Pasadena I reside at
CA 911Q1 (zip code).
(street), Pasadena,
Signed:

Printed Name: S>//M<?^^<^^-^<^

Please provide clear, readable copies of two (2) documents from the following list and attach to this application:

Home utility bill or cellular phone bill
Records from any state or national bank, state or federal savings association, trust company, industrial loan company, state or federal credit union, or any institution or entity that has issued a credit card
Insurance documents, including medical, dental, vision, life, home, rental or vehicle
Medical documents
A document issued by a U.S. government agency, meaning an entity, office, or authority governing over a country, state, county, city, municipality, district, agency, department, or any other political subdivision of a country or state Mortgage bill
Employment documents
Tax return (either internal Revenue Service (IRS) or California Franchise Tax Board (FTB)
Rental or lease agreement with the signature of the owner/landlord and the tenant/resident
School documents issued by a public or private primary, secondary, or post- secondary institution, college, or university that includes the applicant's date of birth. If using a foreign school document, it must be sealed by the school and inclucie a photograph of the applicant at the age the record was issued. •
•
Change of Address Confirmation by the U.S. Postal Service Property tax bill or statement
Letter attesting that the applicant resides in Pasadena from a homeless shelter, shelter for abused women, non-profit entity, faith-based organization, employer or government agency within the United States
Deed or title to residential real property
Voter registration confirmation letter or postcard issued by the California Secretary of State or the Los Angeles County Registrar of Voters Proof of payment of resident tuition at a public institution of higher education in California
An original copy of an approved Claim for Homeowners' Property Tax Exemption (BOE-266) form filed with the Los Angeles County Assessor Court documents that list the applicant as a resident of Pasadena California Certificate of Vehicle or Vessel Titles or registration (i.e., a title to, or a DMV registration for, a boat, truck or car)
A DMV No Fee Identification Card Eligibility Verification (DL 933) form, completed and signed
If your name does not appear on any residency documents, you may present a birth certificate, marriage license, or domestic partner registration certificate to trace your relationship to the person whose name does appear on the residency documentation.

CITY OF PASADENA
Supplement to Statement of Economic
Interest (FPPC Form 700)
(Form RHB-002)
RECEtVFH
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All applicants must complete a Statement of Economic Interest (FPPC Form 700) and "Economic Interests Affidavit" attesting to the information reported in applicant's Form 7C " • ', ::.,t:-;!;<'"^ ' • ::vi.PAO£;\'A Instructions: The Pasadena Fair and Equitable Housing Charter Amendment (Measure H) prohibits Tenant Board and Alternate Tenant Board members from having "Material Interests in Rental Property" (defined below) at the time of their appointment and during their service. All applicants for all Board seats (both Tenant and At-Large) must report their own and their Extended Family's interests and dealings in rental properties in Los Angeles County in the three (3) years before submitting an application. The City is adopting the Fair Political Practices Commission's Form 700 for this purpose, but Measure H requires information about interests in rental property in Los Angeles County for three years, not the one year the FPPC Form otherwise uses. Under City Charter Section 1811(b), these documents are public records; they will not be confidential.

Measure H's Definitions:

Extended Family: any spouse, whether by marriage or not, domestic partner, parent, child, sibling, grandparent, aunt or uncle, niece or nephew, grandchild, or cousin (Section 1803(g)).

Rental Unit: any building, structure, or part thereof, or land appurtenant thereto, or any other rental property rented or offered for rent for residential purposes, whether or not such units possess a valid Certificate of Occupancy for use as rental housing, together with all housing services connected with use or occupancy of such property, such as common areas and recreationai facilities held out for use by the Tenant (Section 1803(x)).

Tenant: a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental housing agreement to the use or occupancy of any Rental Unit (Section 1803(aa)).

CITY OF PASADENA
Economic Interests Affidavit - MANDATORY
i, Simon Nicholas Ybarra printed name), declare under penalty of perjury under the law of the State of California that the information provided and reported in this Form RHB-002 and the attached Form 700 is true, accurate, and complete.

Signed this 31
Signed:
day of €>ch?6f'-_, 202</ .

Printed Name:r//^c-'y^xqi"r£i.
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CITY OF PASADENA
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Affidavit of Tenancy - MANDATORY for TenantBoartf V fc I'D and Tenant Alternate Seats
(Form RHB-003)
2n?!: OCT 31 AH '0; 13
!:''<'
i, Simon Nicholas Ybarra^^^g^ ^^ ^^^ ^^ penalty oil^ury under ^^ of the State of California that the foregoing is true and correct:

1. I am a tenant, subtenant, lessee, sublessee or any other person entitled under the terms of a rental agreement or lease (oral, written, or implied) for the use or occupancy of a rental unit.

2. I am either a) named in a rental housing agreement or lease, or b) have provided proof of a relationship to a person named in a rental agreement that entitles me the rights of a tenant.

3. I reside at the following address:^^^^^B^^^^^—IBIMi1— (street), Pasadena, California 911oi (zip code)
OR
This form is not applicable to my application as I am not seeking a Tenant Board or Tenant Alternate Seat.

Signed this ,^_,j/,_, _„ day of <%/^.^*-
Signed:
,2QS.y.

Printed Name: !/,/ J'tiQAMto^n^y^
Simon YbarraRECEIVED
?'l?'' Hr>T...'5.1_.B!.' !fi; ! ^
l;iTV J.:,HK
CITY OF :^r.ADENA
Professional Skills
Microsoft Office (induding Access, Power Bl &Visio)
Python / Java / HTML / CSS / Javascript
Oracle SQL
Data Analytics via ArcGIS, Tableau, and SPSS
Education
California State University, los Angeles August 2023 - Present o Information Systems (Software Dev) BS, in progress
o Accounting minor, in progress
Pasadena City College January 2021 -June 2023
o Engineering & Technology AA
o Business AA
o Dean's list, 2 semesters
September 2022 - Present
Work Experience
Writing Tutor
o At Pasadena City College
o Acquired CRLA Level 1 Tutor Certification
o Developed one-on-one consultation skills to identify and address student needs o Resolved tickets accurately and quickly during high volume hours Voter Records Clerk September 2020 - November 2020
o At the Los Angeles County Registrar-Recorder
o Mastered office-specific technologies as needed (Cherwell, DIMS, GIS) o Maintained information security appropriate to sensitive records o Identified and resolved file duplications, input errors, and voter updates Department Manager May 2015 - August 2020
o At Wa Ima rt Associates
o Trained colleagues in the use of MIS technologies
o Monitored department performance for systemic issues
o Verified receipt of high-cost jewelry inventory shipments July 2023 - Present
Volunteer Experience
Tenant Counselor
o With Pasadena Tenants Union
o Counseling tenants through housing crises by clarifying how state and local housing policy applies to their issue and connecting them to additional resources

Pasadena City CouncilDecember 16, 2024

Pasadena City Council
December 16, 2024