Sandra ArmentaSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
A1
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NAME OF FILER (LAST) (FIRST) -' "IWIODLE)
Armenta Sandra
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1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Council
► If fling for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County
n r; ,,, r Rosemead
Councilmember
Position:
❑ Judge (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑X Annual: The period covered is January 1, 2010, through December 31,
2010. -or-
The period covered is —_J__J through December 31
2010.
❑ Assuming Office: Date __J __J
❑ Candidate: Election Year
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2010, through the date of
leaving office.
O The period covered is through the date
of leaving office.
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules Or "None."
❑ Schedule A -1 - Investments
- schedule attached
❑ Schedule A -2 - Investments
- schedule attached
❑ Schedule B - Real Property
- schedule attached
► Total number of pages including this cover page: 2
❑ Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑X Schedule D - Income - Guts - Schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business ar Agency Address Recommended - Publk Documenp
8838 E Valley Blvd Rosemead CA 91770
626 ) 569 -2100 1 sarmenta @cityofrosemead.org
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct
Date Signed April 1, 2011 Signature � Jet f 4
(month, day, year) (File the ongiaody signed statement with your 110 19 official)
FPPC Form 700 (2 01 012 01 1)
FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov
SCHEDULE D
Income — Gifts
► NAME OF SOURCE
Athens Services
ADDRESS (Business Address Acceptable)
14048 Valley Blvd, Industry, CA 91746
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Waste Management
DATE (mMtld /yy) VALUE DESCRIPTION OF GIFT(S)
J 14 10 100 Dinner at CCCA
��— $
$
► NAME OF SOURCE
(Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
--J--J
NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmtdd /yy) VALUE
$
J am— $
DESCRIPTION OF GIFT(S)
Comments:
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd/yy) VALUE
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd /yy) VALUE
$
$
DESCRIPTION OF GIFTS)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /ddlyy) VALUE
J am— $
$
$
DESCRIPTION OF GIFT(S)
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
FPPC Form 700 (201012011) Sch. D
FPPC Toll -Free Helpline: 866 /275 -3772 v .fppc.ca.gov