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Steven LySTATEMENT OF ECONOMIC INTERESTS COVER PAGE t , ! Please type or print in ink. NAME OF FILER Steven 1. Office, Agency, or Court 9AN 3 1 2011 is }- Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position City Council Councilman ► 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 © City of Rosemead ❑ Other 3. Type of Statement (Check at /east one box) ® Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left 2010. -or- (Check one) The period covered is ___J __J, through December 31, 2010. ❑ Assuming Office: Date ❑ Candidate: Election Year O The period covered is January 1, 2010, through the date of leaving office. O The period covered is ___J ---- J, 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 ❑X Schedule A -2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached ► Total number of pages including this cover page: 5 ❑ Schedule C - Income, Loans, 8 Business Positions — schedule attached (] Schedule D . Income — Gifts — schedule attached ❑X 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 or Agency Address Recommended - Public Document) 3040 Rosemead PI Rosemead CA 91770 ( 626 ) 572 -7054 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 foregA is true and correct. Date Signed 1/31/11 Signature (munlh, day,, year) FPPC Form 700 (2 0 1 012 011) FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov 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 Steven Lv DESCRIPTION OF BUSINESS ACTIVITY CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Steven Ly GENERAL DESCRIPTION OF BUSINESS ACTIVITY Stock Investments FAIR MARKET VALUE ❑ $2,000 - $10,000 5fl $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001- $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑X Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: J__J 10 __J__J 10 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 ( Descibe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule Q 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) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: __J__J 10 __J__J 10 ACQUIRED DISPOSED Comments: NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule Q IF APPLICABLE, LIST DATE: __J__J 10 J--J 10 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 ( Descnbe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: �� 10 JJ 10 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) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule Q IF APPLICABLE, LIST DATE: — J 10 __J__J 10 ACQUIRED DISPOSED FPPC Form 700 (2 01 012 011) Sch. AA FPPC Toll -Free Helpline: 8661275 -3772 w Jppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10 % or Greater) San Gabriel Valley Business Journal LLC Name 790 E Colorado Blvd. 9th Floor, Pasadena, CA 91101 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑x Business Entity, complete the box, then go to 2 3ENERAL DESCRIPTION OF BUSINESS ACTIVITY Business News Publication LBL Holding LLC Name 3040 Rosemead PI., Rosemead, CA 91770 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑X Business Entity, complete the box, then go to 2 3ENERAL DESCRIPTION OF BUSINESS ACTIVITY Real Estate Investment and Manaaen MARKET VALUE IF APPLICABLE, LIST DATE: R MARKET VALUE $2,000 - $10,000 $2,000 - $10,000 F AIR 0 $10,001 - $100,000 - / -J 1 � -/J 1 0 I Q $10,001 - $100,000 IF ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED $100,001 - $1,000,000 00 Over $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Sole Proprietorship ❑ Partnership YOUR BUSINESS POSITION Publisher ❑ $0 - $499 ❑X $10,001 . $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 -$10,000 PR OPERTY lli 4. INVESTMENTS AND INTERESTS IN REAL • BY THE BUSINESS ENTITY OR TR UST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity or Street Address or Assessor's Parcel Number of Real Property Description of Business Activity ar City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 JJ 10 �J 10 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Vm. remaining ❑ Check box if additional schedules reporting investments or real property are attached 0 LLC Other IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED rURE OF INVESTMENT LLC Sole Proprietorship ❑ Partnership N JR BUSINESS POSITION Managing Partner Other ❑ $0 - $499 ❑K $10,001 - $100.000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 Real Income from 5631 Aldama St, 328 S Ave 3450 E 8th St (all located in Los Angeles, CA) Check one box: ❑ INVESTMENT ❑K REAL PROPERTY LBL Holding LLC Name of Business Entity or Street Address or Assessor's Parcel Number of Real Property Real Estate Investment and Management Description of Business Activity Qr City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 , $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑x Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. mmorning ❑ Check box 9 additional schedules reporting investments or real property are attached FPPC Form 700 (201012011) Sch. A -2 FPPC Toll -Free Helpline: 866)275 -3772 www.fppc.ca.gov SCHEDULE D Income — Gifts ► NAME OF SOURCE League of CA Cities ADDRESS (Business Address Acceptable) 1400 K Street, Suite 400, Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Cities Association DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) j 21 10 45 Policy Meeting Lunch 4 j _8 j 10 35 Policy Meeting Lunch 6j 17 10 $ 35 Policy Meeting Lunch ► NAME OF SOURCE Athens Services ADDRESS (Business Address Acceptable) 14048 E. Valley Blvd., City of Industry, CA 91746 BUSINESS ACTIVITY, IF ANY, OF SOURCE Waste Removal and Disposal Services DATE (mm /dd/yy) VALUE DESCRIPTION OF GIFT(S) ► NAME OF SOURCE Burke, Williams and Sorensen ADDRESS (Business Address Acceptable) 444 S Flower St, Suite 2400, Los Angeles, CA 90071 BUSINESS ACTIVITY, IF ANY, OF SOURCE Legal Services DATE (mm /dd/yy) VALUE DESCRIPTION OF GIFT(S) 7 23 / 10 $ 250 LA Dodger Game 13 / 10 $ 100 CCCA Dinner $ ► NAME OF SOURCE Southern California Edison ADDRESS (Business Address Acceptable) 2244 Walnut Grove Avenue, Rosemead, CA 91770 BUSINESS ACTIVITY, IF ANY, OF SOURCE Cities Association DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 14 / 10 $ 148.59 Angel Baseball Game —) —) $ --J --J— $ Comments: ► NAME OF SOURCE CH Auto ADDRESS (Business Address Acceptable) 8399 E Garvey Ave, Rosemead, CA 91770 BUSINESS ACTIVITY, IF ANY, OF SOURCE Auto Sales DATE (mm /dd/yy) VALUE DESCRIPTION OF GIFT(S) 3 20 10 $ 125 Lincoln Training $ I Center Dinner 16 10 $ 70 Dinner at CA League �I $ NAME OF SOURCE League of CA Cities - LA Division ADDRESS (Business Address Acceptable) P.O. Box 1444 Monrovia, CA 91017 BUSINESS ACTIVITY, IF ANY, OF SOURCE Cities Association DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 11 / 4 1 10 $ 58 Monthly Meeting � --J $ FPPC Form 700 (2 01 012 011) Sch. D FPPC Toll -Free Helpline: 8661275 -3772 w Jppc.ca.gov SCHEDULE E Income — Gifts Travel Payments, Advances, and Reimbursements Name Steven • Reminder — you must mark the gift or income box. • You are not required to report income from government agencies. • You may mark the box 501(c)(3) for a travel payment received from a nonprofit 501(c)(3) organization. When the payment is a gift it is reportable but is not subject to the $420 gift limit. ► NAME OF SOURCE Rosemead Sister City Association ADDRESS (Business Address Acceptable) 8399 E Garvey Ave, Rosemead, CA 91770 CITY AND STATE Rosemead, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE © 501 (c)(3) Sister City Relationship Development DATE(S): 10 ( 131 10 - 10 ( 241 10 AMT: $ 1,000 (If applicable) TYPE OF PAYMENT: (must Check one) ❑ Gift N Income DESCRIPTION: Reimbursement for travel expenses for Keelung Sister City Visit. Topics included Economic D evelopment, Tourism, etc. ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE U 501 (c)(3) ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE ❑ 501 (c)(3) DATE(S): _ /_/_ - _ /_ /_ AMT: $ (If applicable) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income DESCRIPTION: ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE ❑ 501 (c)(3) DATE(S): Jam— - _/ _ J_ AMT: S (If applicable) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income DESCRIPTION: Comments: DATE(S): AMT: $ (If applicable) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income DESCRIPTION: FPPC Form 700 (201012011) Sch. E FPPC Toll -Free Helpline: 8661275.3772 w Jppcxa.gov