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Carolyn Chu❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule B - Real Property - schedule attached ❑ Schedule E • Income - Gilts - Travel Payments - schedule attached - or- © None - No reportable interests on any schedule 5. Verifi MAILINGADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recanmended - Public Oocumw#) 8838 E. Valley Boulevard Rosemead CA 91770 ( 626 ) 569 -2120 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 We and complete. I acknowledge this is a public document. I certify under penally of perjury under the laws of the State of California that the foregoing is true and correct Date Signed 3 -10 -11 Signatu mordh, de /1N Y � (Fie Ue AV �. ned 5alemenl with your filing aRisialJ FPPC Form 700 (201012011) FPPC Toll -Free Helpline: 8661275.3772 www.fppc.ca.gov CALIFORNIA FORm 700, STATEMENT OF ECONOMIC INTERESS I Date Redelued3s F AIR POLITICAL PRACTICE- C OMMISSION A PUBLIC DOCUMENT COVER PAGE LIAR 7 8 7011 Please type or print in ink. C1 r T?- P n . NAME OF FILER (LAST) (FIRST) Chu Carolyn A 1. Office, Agency, or Court Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position Finance Department Finance Manager ► If filing for multiple positions, list below or on an attachment Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑X City of Rosemead ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left 1 --J_ 2010. -or- (Check one) The period covered is —1 J__ 1 0 through December 31, O The period covered is January 1, 2010, through the date of 2010. leaving office. ❑ Assuming Office: Date � _J_ O The period covered is _J___J_, through the date of leaving office. ❑ Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule B - Real Property - schedule attached ❑ Schedule E • Income - Gilts - Travel Payments - schedule attached - or- © None - No reportable interests on any schedule 5. Verifi MAILINGADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recanmended - Public Oocumw#) 8838 E. Valley Boulevard Rosemead CA 91770 ( 626 ) 569 -2120 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 We and complete. I acknowledge this is a public document. I certify under penally of perjury under the laws of the State of California that the foregoing is true and correct Date Signed 3 -10 -11 Signatu mordh, de /1N Y � (Fie Ue AV �. ned 5alemenl with your filing aRisialJ FPPC Form 700 (201012011) FPPC Toll -Free Helpline: 8661275.3772 www.fppc.ca.gov