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Stephen CopenhaverSTATEMENT OF ECONOMIC Please type or print in ink COVER PAGE A Public Document Date Received y , ul i Y r)F ROSEMEAD ,r a 0 4 2005 NAME (LAST) (FIRST) ( MIDDLE) '- g ;,^�p;,�;..€� € Rk:I9FIF.- fJUMEER Copenhaver, Stephen A. ( 714 ) 985 -2880 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) Positions (income other than Gifts and Travel Payments) 500 S. Kraemer Blvd., Ste. 365, Brea, CA 92821 714/985 -2885 1 . Office, Agency, or Court Name of Office, Agency, or Court: City of Rosemead Division, Board, District, if applicable: Your Position: Consultan If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of EI City of Rosemead ❑ Multi- County F Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: —J —J Eta Annual: The period covered is January 1, 2004, through December 31, 2004. -or- 0 The period covered is through December 31, 2004. ❑ Leaving Office Date Left: ---J---J (Check one) 0 The period covered is January 1, 2004, through the date of leaving office. -or- 0 The period Covered is ___J --- J , through the date of leaving office. ❑ Candidate 4. Schedule Summary (Check applicable schedules or "No reportable interests.') During the reporting period, did you have any reportable interests to disclose on: Schedule A -1 © Yes - schedule attached Investments (Less than to% ownership) Schedule A -2 ❑ Yes – schedule attached Investments (10% or greater Ownership) Schedule B ❑ Yes - schedule attached Rea/ Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (income other than Gifts and Travel Payments) Schedule D (Eliminated - report loans on Schedule C) Schedule E ❑ Yes - schedule attached Income - Gifts Schedule F ❑ Yes - schedule attached Income - Travel Payments -or- � ❑ No reportable interests on any schedule Total number of pages completed including this cover page: 2 5. Verification I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 3/31/05 (month, day, year) Signature (F ile the originally signed statement with your filing official.) FPPC Form 700 (200412005) FPPC Toll -Free Helpline: 8661ASK -FPPC SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. > NAME OF BUSINESS ENTITY Ly/q (- ti'11py2,t GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKETVALUE ❑ $2,000 - $10,000 [m - $100,000 ❑ $100,001 - $1.000.000 ❑ Over $1,000,000 �NAT�URE OF INVESTMENT FA' Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: 04 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Name Stephen A. Copenhaver > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE: ❑ $10,001 - $100,000 ❑ Over $1,000,000 __J__J 04 /__J 04 ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTMTY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other IF APPLICABLE, LIST DATE ❑ $10,001 - $100,000 ❑ Over $1,000,000 __J__J 9 __J__J (}Q ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stack ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: (Desuibe) ACQUIRED DISPOSED Comments: (t"TCt.i/ /u P' abtt cxttht A�:cc `r_t' FPPC Form 700 (2004/2005) Sch. A -1 FPPC Toll -Free Helpline: 8661ASK -FPPC SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements_ > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY K' wt[�rr lei FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT R Stock ❑ Other IF APPLICABLE, LIST DATE: J--J -94— ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100.001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: --] --- J 04 --j--j ACQUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10.000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED > NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $100,001 - $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other ❑ $10,001 - $100,000 ❑ Over $1,000,000 IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ❑ $10,001 - $100,000 ❑ Over $1,000,000 Comments: t1to ' lbit FPPC Form 700 (200412005) Sch. A -1 FPPC Toll -Free Helpline: 888 1ASK -FPPC � - - STATEMENT OF ECONOMIC INTE EST_ Date Received OflMJal Use Only � 7 FAIR POLITICAL PRACTICES COMMISSION COVER PAGE CITY Or POSFPAEAD A Public Document )I1 L Please type or print in ink NAME (LAST) (FIRST) (MIDDLE) @�y,�y 20 y 05 CITY CLLIId\ J T6 p- EPJ ff- UMBER Copenhaver, Stephen A. ( 7 ) 2880 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) 500 S. Kraemer Blvd., Ste. 365, Brea, CA 92821 714/985 -2885 1 . Office, Agency, or Court Name of Office, Agency, or Court : City of Rosemead Division, Board, District, if applicable: Your Position: Consultant If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ Slate ❑ County of EWCily of Rosemead ❑ Multi- County ❑ Other L Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: ___J --- J EI Annual: The period covered is January 1, 2004, through December 31, 2004. -or- 0 The period covered is __J__J through December 31, 2004. ❑ Leaving Office Date Left: __J___J (Check one) O The period covered is January 1, 2004, through the date of leaving office. -or- The period covered is —_ / —J, through the date of leaving office. ❑ Candidate 4. Schedule Summary (Check applicable schedules or "No reportable interests.') During the reporting period, did you have any reportable interests to disclose on: Schedule A -1 © Yes – schedule attached Investments (Less than 10% Ownership) Schedule A -2 ❑ Yes – schedule attached Investments (10% or greater Ownership) Schedule B ❑ Yes — schedule attached Real Property Schedule C ❑ Yes — schedule attached Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) Schedule D (Eliminated – report loans on Schedule C) Schedule E ❑ Yes – schedule attached Income – Guts Schedule F ❑ Yes – schedule attached Income – Travel Payments -or- � ❑ No reportable interests on any schedule Total number of pages completed including this cover page: 2 5. Verification I have used all reasonable diligence in preparing this statement I have reviewed this statement and to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 3/31/05 (month, day, year) s% Signature / (- �= ' (File the originally sign6d statement with your filing official.) FPPC Forth 700 (2004/2005) FPPC Toll F H I I' • 86 SK FPPC o - ree e p me. -