RECEIVED
MAY 2.92025
City of CITY CLERK DEPARTMENCITY OF VERNON
VERNON COMMISSION AND COMMITTEE APPLICATION
ALIFORNIA
Commission/Committee (select all of interest) read back of form for qualifications and meeting information:
Business and Industry Commission as:
Business Representative Real Estate Professional Labor Representative & CommUNITY Fund Grant Committee as:
Business Representative Vernon Area Representative
Housing Commission as:
Business Representative Employee of Vernon Business Resident Green Vernon Commission as:
Business Representative Environmental Representative Labor Representative Name: STEVEN FROBERG
Residence Address:
Occupation: CAREGIVER Employer: SELF- EMPLOYED
Employer Address:
Email: Phone:
Qualifications and Reasons for Interest in Serving on a Commission / Committee (attach additional sheet if necessary: I would like to Continue servin
ensure that Southeast Lt county Contine to have access to tagion. Southeast LA County is
funds specially eumarked for this'
By signing below, I affirm that I meet the requirements of the appointing category I have indicated. I affirm that I will file a Statement of Economic Interests Form 700 and complete the required 2-hr AB1234 Ethics Training within 30 days of receiving notice of appointment to a Commission.
Signature: Ster Fideng Date: 05/27/2025
Email to [email protected] or Mail to City Clerk Department, 4305 Santa Fe Avenue, Vernon, CA 90058.
For Office Use Only
asha 5/29/25
Qualifications confirmed by
• Environmental •Vernon Area • Employee •Resident
City of
CITY OF VERNON
VERNON COMMISSION AND COMMITTEE APPLICATION
C ALIFORNIA
Commission/Committee (select all of interest) read back of form for qualifications and meeting information:
Business and Industry Commission as:
Business Representative Real Estate Professional Labor Representative / CommUNITY Fund Grant Committee as:
Business Representative Vernon Area Representative
Housing Commission as:
Business Representative Employee of Vernon Business Resident / Green Vernon Commission as:
Business Representative Environmental Representative Labor Representative Name: Frank Gavina
Residence Address:
Executive Gavina Coffee Company
Occupation: Employer:
Employer Address: 2700 Fruitland Ave. Vernon CA 90058
Email: [email protected] Phone:
Qualifications and Reasons for Interest in Serving on a Commission / Committee (attach additional sheet if necessary):
I have chaired both the Vernon Housing Commission and the Community Fund Grant Committee c By signing below, I affirm that I meet the requirements of the appointing category I have indicated. I affirm that I will file a Statement of Economic Interests Form 700 and complete the required 2-hr AB1234 Ethics Training within 30 days of receiving notice of appointment to a Commission. 9b55e05c-ab76-4bd2-92c8- Digitally signed by 9b55e05c-
ab76-4bd2-92c8-f7921f2a904b 5/28/25
f7921f2a904b Date: 2025.05.28 22:53:50-07'00
Signature: Date:
Email to [email protected] or Mail to City Clerk Department, 4305 Santa Fe Avenue, Vernon, CA 90058.
For Office Use Only
Qualifications confirmed by Yonnie Parker 5/29/2025
on
•Business •Real Estate • Labor • Environmental • Vernon Area • Employee •Resident
RECEIVED
JUN 2 6 2025
City of CITY OF VERNOR CLERK'S OFFICE
VERNON COMMISSION AND COMMITTEE APPLICATION
ALIFORNIA
Commission/Committee (select all of interest) read back of form for qualifications and meeting information:
Business and Industry Commission as:
Business Representative Real Estate Professional Labor Representative & CommUNITY Fund Grant Committee as:
Business Representative Vernon Area Representative
Housing Commission as:
Business Representative Employee of Vernon Business Resident Green Vernon Commission as:
Business Representative Environmental Representative Labor Representative Name: Sandha Saavedra Solorzano
Residence Address:
occupation: Front Desk Seckity Employer JEn/SEl Labers Inc.
Employer Address: 714 W. Olympic Blvd Suite 601, Los Angeles, Ca 90015 Phone:
• com
Qualifications and Reasons for Interest in Serving on a Commission / Committee (attach additional sheet if necessary):
By signing below, I affirm that I meet the requirements of the appointing category I have indicated. I affirm that I will file a Statement of Economic Interests Form 700 and complete the required 2-hr AB1234 Ethics Training within 30 days of receiving notice of appointment to a Commission. 06/26/2025
Signature:+ Date:
Email to [email protected] or Mail to City Clerk Department, 4305 Santa Fe Avenue, Vernon, CA 90058.
For Office Use Only
6/26/25
Qualifications confirmed by _ Parker on
•Business •Real Estate •Labor • Environmental * Vernon Area • Employee •Resident