Rachel Richman• Y • 1 1 STATEMENT OF ECONOMIC INTERESTS Rece ived e
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT I COVER PAGE MAR 2 2 2011
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
T'
RICHMAN RACHEL
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
► If filing for multiple positions, list below or on an attachment.
Agency,: Rosemead Community Development Commission Position: Commission Counsel
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 least one box)
❑X Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left ---J ---J-
200, -or_ (Check one)
The period covered is d � —!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 —J —
❑ Candidate: Election Year
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." ► Total number of pages including this cover page:, 2
❑ Schedule A -1 - Investments - schedule attached 0 Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule allached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
❑ None - No reportable interests on any schedule
5. Verification
NAILING ADDRESS STREET CITY STATE _ ZIP CODE
(Business ar Agency Address Recummended - Public Document)
4 S. Flower Street, Suite 2400 Los Angeles CA 90071
213 ) 236 -0600 1 rrichman @bwslaw.com
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 °2 Signature
(month, day, year) (Fte Me ongh* sipW sfaMmenl .0 your Nmg aMclaf)
FPPC Form 700 (2 01 012 011)
FPPC Toll -Free Helpline: 8661276 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM F1
Income, Loans, & Business FAIR POLITICAL PRACTIC15S COMMISSION
Positions Name
(Other than Gifts and Travel Payments) pla(A� k- Lh rrla y
NAME OF SOURCE OF INCOME
Burke, Williams & Sorensen, LLP
ADDRESS (Business Address Acceptable)
4 44 S. Flower Street, Los Angeles, CA 90071 _
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Legal Services
YOUR BUSINESS POSITION
Attorney
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑X OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑X Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Pr ,fy. cei boa( etc)
❑ Commission or ❑ Rental Income, Ifsr each so.= arsfoow ormore
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Pmpertg car, boa( etc.)
❑ Commission er ❑ Rental Income, list each source o /$10,000 ar omre
❑ Other I I ❑ Other
lr 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
(Oescnbe) (Describe)
" You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, made in the lender's regular course of business on terms
available to members of the public without regard to your official status. Personal loans and loans received
not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER" INTEREST RATE TERM (Months/Years)
% ❑ None
ADDRESS (Business Address Acceptabla)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence
❑ Real Property
Sheer address
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,
❑ $1,001 - $10,000
❑ $10,001 - $100,000 _
❑ OVER $100,000
City
❑ Guarantor
❑ Other
Comments:
(Oe.dbe)
FPPC Form 700 (201012011) Sch. C
FPPC Toll -Free Helpline: 6661276.3772 www.fppc.ca.gov