RECE
Commission/Commiftee (see page 2 for qualifications):
lnusiness and lndustry Commission as a
"@Au"iness Representative QneatEstate Professional
ECommUNtTY Fund Grant Committee as a:
-Oa;;"""" R"pr"r"ntative Qv"rnon Area Representative
[Yluousino commission as a:
- gbtoness Representative OemRov"e of Vemon Business
flnr""n Vemon commission as a:
@6usiness RePresentative Qenvironmental RePresentative Qr-aoor RePresentative Name:
Employer Address:
Quarifications and Reasons for rnterest in Serving on a commission / committee (attach additional sheet if necessary): -"--' C-"r*#t 1 gsroial 0^J l^loulJ trkl t' c onhhuz seu'lJ l"(^t c,bf <'l VQ,rnoa '
Bv sionino below. I affirm thal I meet the requirements of the appointing category I have indicated' .,n";r*' I o.t"' 3/rr/)3
Qt-aoor RePresentative
QResident
Emalt to [email protected] or Mall to city clerk Department, 4305 Santa Fe Avenue' Vemon, CA 90058.
APR 2s 2023
CITY OF VERNON
COMMISSION AND COMMITTEE
APPLICATION A-t-l ,orll 1a
. For Olflce Use OnlY 1' Lj-2i-*
ilLabor E Environmental ! Vernon Area E Employee EResident E4fusiaefi In[ustriaf
Residence Address:
Occupation:
Email:
Emproyer: Ynq{t Uil$ley'* Tu f L €Yl t"c '
RECEIVED
By Sandra at7:59 am, May 02,2023
GITY OF VERNON
COMMISSION AND COMMITTEE APPLIGATION
Commission/Committee (select all of i nterest):
ngrrin"rs and lndustry Commission as a:
@gr"in".s Representative C ne"r Estate Professional Or"oor. Representative nor""n Vernon Commission as a:
Q Ausin"ss Representative OEnrironmental Representative QUUo, Representative nV"rnon CommUNlW Fund Grant Committee as a:
(O Business Representative Or"rnon Area Representative
I7lr"rnon Housing commission as a:
Oeu"iness Representative Oerpoy"e of V rnon Business OResioent Jorge Nevarez Jr
Small Business Owner
Qualifications and Reasons for lnterest in Serving on a Commission / Committee (attach additional sheet if necessary):
I have been operating Ace Pleating in the City of Vemon for 25+ years. I am a currently serving as a business representative commissioner and recently nominated as Vice Chair of the VHC. I am familiar with the procedures of the meetings, recently renewed my ethics training, and filed the Form 700 as required. I am hopeful that I might be selected for another term on VHC and look forward to serving another term.
I meet the requirements of the appointing category I have indicated.
Date: 05/01 12023
Email to [email protected] or Mail to City Clerk Department, €05 Santa Fe Avenue, Vemon, C490058
E4ctusfue$ In"[ustriaf
(\trat,'F cahon-, Co"fi'rrw4 4 L (o1tt 5 v*'e-b
dVnv,hro w e4
Occupation: Ace Pleating & Stitchir r
Email:
RECEIVED
[,i,qR Z S 2023
IFORNIA
,jtiY CLERK DEPART CITY OF VERNON ---
COMMISSION AND COMMITTEE
APPLICATION
Commission/Committee (see page 2 for qualifications):
IJusiness and lndustry Commissron as a:
O ausiness Representative Qneaf Estate Professionat Oa"oor, Representative ICommUtttlTY Fund Grant Committee as a:
Qeusiness Representative Qv"rnon Area Representative
I
ffi Horring Commission as a: " 'Qar.iness Representative ftmpnyee of Vernon Business QResident Occupation:
emptoyer ROOress: 5
l-lnr""n Vernon commission as a:
OeusingssRepresentative a ^QfnvironmentalRepresentative Qt-aoorRepresentative *,,; 'Bgftht V C,dt \\.<-
Residence Address:
Qualification.
"no
n"".tons for lnterest in Serving on a Commission / Committee (attach additional sheet if necessary):
Emai! to [email protected] or Mail to City Clerk Department, 4305 Santa Fe Avenue, Vernon, CA 90058.
ly
Qualifications contirmed by on
4,o11. 2- l
flBusiness lReal Estate DLabor I Environmental E Vernon Area Employee EResident ENI
,)e5
lE4c fusiv e fi I n^fus trin I
Emait:
-S+,i[-1,
The business is located in Vernon
RECEIVED
By Sandra at 2:34 pm, May 22, 2023
CITY OF VERNON
COMMISSION AND COMMITTEE
APPLICATION
Commission/Committee (see page 2 for qualifications):
lJusiness and lndustry Commission as a:
Q ausiness Representative Qnear Estate professionar OuUo, Representative l-lCorrUNtTy Fund Grant Committee as a:
Q eusine=s Representative Qv"rnon Area Representative
Housing Commission as a:
CBu"in""s Representative Oempoyee of Vernon Business Resident l_-lor""n Vernon Commission as a:
$usiness Representative Qenvironmentat Representative Q-aUorRepresentative Name:
Residence Address:
Employer Address:
Email: Phone:
Qualifications and Reasons for lnterest in Serving on a Commission / Committee (attach additional sheet if necessary):
DW:V-- g€ l'+futr t,i<r(
By signing
Signalure:
Email to
meet the requirements of the appointing category I have indicated.
Date:
Vemon, GA 90058.
or Mail to City Clerk Department, 43OS Santa Fe Avenue, Q ual ific ation s confi rmed by
ElBusrness EReal Estate flLabor E Environmental E vernon Area fl Employee esident f,ag fusiv e [1 I nfiu triaf
5.tq.?-7
ln the last 4 years of being on the Housing commission, it has helped me to see how transparent the city has become and I would enjoy being able to participate in enhancing the transparency of the city,s policy in the upcoming years. f.
RECEIVED
By Sandra at 3:45 pm, May 23, 2023
CITY OF VERNON
COMMISSION AND COMMITTEE
APPLICATION
Commission/Committee (see page 2 for qualifications):
lJusiness and lndustry Commissron as a:
O Business Representative Qneaf Estate Professional CUoor. Representative lCommUNlTY Fund Grant Committee as a:
Q ausiness Representative Qr"rnon Area Representative
Cemptoyee of Vernon Business OResioent
@environmental Representative QlaOor Representative
l_luousing Commission as a:
CBrsiness Representative
Green Vernon Commission as a:
Qausiness Representative
Name: Alfred Mejia
Residence Address:
Occupation: EHS Coordinator Emproyer: Barksdale lnc
EmproyerAddress: 3211 Fruitland Ave Vernon, CA 90058
Email:
Qualifications and Reasons for lnterest in Serving on a Commission / Committee (attach additional sheet if necessary):
EHS employee looking to help company move forward in safety initiatives.
By signing below, I affirm that I meet the requirements of the appointing category I have indicated.
Signature: Alfred Mejia Date: 0512312023
Email to [email protected] or Mail to City Clerk Department, 4305 Santa Fe Avenue, Vernon, CA 90058.
Q u al if ic ati on s confi rmed by
.(Business EReal Estate lLabor fl Environmental E Vernon Area [f Employee nResident lE4c fusiv e $ I n[us trin t
RECEIVED
By Sandra at 2:40 pm, May 22, 2023
CITY OF VERNON
COMMISSION AND COMMITTEE
APPLICATION
Commission/Committee (see page 2 for qualifications):
l-pusiness and lndustry Commissron as a:
CBusiness Representative Qneaf Estate Professional
lCommUNlTY Fund Grant Committee as a:
Cr"oor. Representative
Q ausiness Representative Q u"rnon Area Representative
l_l uorring Commission as a.
Qausi ness Representative Crmptoyee of Vernon Business Onesident Mor""n Vernon Commission as a:
Cersiness Representative @rnvironmental Representative QlruorRepresentative Name: Johncito "John" Peraza
Residence Address:
occupation Field DePutY Emproyer: US House of ReP.
Employer
Email:
Address: 415 W Ocean BIvd. Lo Beach, CA 90802
Qualifications and Reasons for lnterest in Serving on a Commission / Committee (attach additional sheet if necessary):
Field Deputy assigned to the City of Vernon. Policy SME for Environmental Justice.
By signing below, I affirm that I meet the requirements of the appointing category I have indicated.
Johncito Peraza els
Signature: Date: 0512212023
Emailto@orMaiItoCityClerkDepartment,4305SantaFeAvenue,
Vernon, CA 90058.
For Office Use Only
Qualifications confirmed by on
q.)q- LV
EBusiness EReal Estate ELabor 6 Environmental ! Vernon Area n Employee EResident lE4c fusiv e [1 I nfus tria I