Lily TrinhSTATEMENT OF ECONOMIC
Please type or print in ink.
COVER PAGE
A Public Document
VIA Olfiaa f l 7 use Only —�
p 1
BY
NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NUMBER
Trinh
Lily
V.
( 626 ) 569 -2142
MAILING ADDRESS STREET
CITY
STATE
ZIP CODE
OPTIONAL: E -MAIL ADDRESS
(Business Address Acceptable)
8838 E. Valley Boulevard
Rosemead
CA
91770
Itrinh @cityofrosemead.org
1 . Office, Agency, or Court
Name of Office, Agency, or Court :
City of Rosemead
Division, Board, District, if applicable:
Planning
Your Position:
Assistant Planner
► If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
® City of Rosemead
❑ Multi- County
❑ Other
Type of Statement (Check at least one box)
❑X Assuming Office /Initial Date: 09 / 05 / 06
X Annual: The period covered is January 1, 2009,
through December 31, 2009.
.or-
0 The period covered is through
December 31, 2009.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2009, through the
date of leaving office.
-or-
0 The period covered is through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
► Total number of pages 1
including this cover page:
P. Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than m% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or Greater ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, loans, & Business Positions (mmme other than Gres
and Tiami Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
IX No reportable interests on any schedule
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 March 3, 2010
Z ay year)
Signature
(File me 'glna 1 signed statement with your fiSng official.)
FPPC Form 700 (2 0 0 912 01 0)
FPPC Toll -Free Helpline: 866IASK -FPPC www.fppcxa.gov