Brian LewinSTATEMENT OF ECONOMIC INTERESTS Date Received
CALIFORNIA FORm 70 D a use Onl
FAIR POLITICAL PRACTICES CONIMiSSION COVER PAGE EC' E
Please type or print in ink.
A Public Document CITY OF ROSEMEAD
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NAME (LAST)
(FIRST)
(MIDDLE) DA E HO LINU ER
Lewin
Brian
N. I CITY GUE r
MAILING ADDRESS STREET
CITY
STATE
zip ODE
BPPTIONAL: E -MAIL ADDRESS
(Business Address Acceptable)
---�,�
501 E. Ralph St.
Rosemead
CA
91770 -2112
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
Traffic Commission
Division, Board, District, if applicable:
City of Rosemead
Your Position:
Commissioner
P. 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
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: ��—
R 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.
4. Schedule Summary
P. 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
InVOSlrnentS (Less than 10% 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 Position (Inwme Other than Gifts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
® 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 April 1, 2010
(mordh, dey, r�
Signa /
e origmally signed statement with your filing official.)
❑ Candidate Election Year:
. FPPC Form 700 (200912010)
FPPC Toll -Free Helpline: 866 1ASK -FPPC www.fppe.ca.gov