Karen OgawaPlease type or print in ink
STATEMENT OF ECONOMIC INTERESTS Date Received
09:na. Use Onry
A Public Document CI k6il�;IO_�VE®
CITY OF ROSEMEAD
COVER PAGE
MAR 0 5 2002
NAME (LAST)
(FIRST)
- (MIDDLE) T -�1� �) '�Y'I ' EUrro UMBER
MAILING ADDRESS
(May be business address)
STREET CITY
ZIP CODE
OPTIONAL: FAX / E -MAIL ADDRESS
62%/307 9 Z/
"E"I
4
°l t? -7 �
1. Full Name of Office Sought or Held,
Agency or Court:
Division, Board, District, if applicable: _
Position:
r If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title:
2. Jurisdiction of Office (Check one box)
❑ State
❑ County of
City of l2prC>
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:__J__J—
Annual: The period covered is January 1, 2001,
through December 31, 2001.
-or-
0 The period covered is 1---J, through
December 31. 2001.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2001, through
the date of leaving office.
-or-
0 The period covered is —J —, through
the dale 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 (Grawarlhan 10 % Ownership) -
Schedule B ❑ Yes – schedule attached
Real Property - - - -
Schedule C ❑ Yes – .schedule attached
Income 8 Business Positions (income Orhor than Loans, Givs, and Tminall
Schedule D ❑ Yes – schedule attached
Income – Loans
Schedule E ❑ Yes – schedule attached
1 – Gifts
ncome
Schedule F ❑ Yes – schedule attached.._ -
Income – Travel Payments
-or-
r �" No reportable interests on any schedule
Total number of pages completed including this
cover page:
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 / r ^� / 6, Zo r72-
(monlh, tlay. r)
Signet r z _
( the originally signed slaleme with your filing official.)
FPPC Form 700 (2001/2002)
FPPC Toll -Free Helpline: 866 /ASK -FPPC