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Sandra ArmentaA STATEMENT OF ECONOMiC INTERESTS mate izeee�d i COVER PAGE HArc 3 Ll 2i"n r Please type or pool in ink. A Public Document t' ,=�,(`' n Ei NAME (LAST) (FIRST) (MIDDLE) 6 .. - Armenta Sandra L ( 626 ) 676 -3965 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E -MAIL ADDRESS (Business Address Acceptable) 9428 Olney St Rosemead CA 91770 sandralarmenta @gmail.com 1 . Office, Agency, or Court Name of Office, Agency, or Court: City of Rosemead Division, Board, District, if applicable: Your Position: City Council Member ► 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 ❑X City of Rosemead ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: ❑ Annual: The period covered Is January 1, 2009, through December 31, 2009. -or- e The period covered is �� 09 through December 31, 2009. ❑ Leaving Office Date Left: —J �— (Check one) O The period covered is January 1, 2009, through the date of leaving office. -or- The period covered is through the date of leaving office. ❑ Candidate Election Year: 4. Schedule Summary P. Total number of pages 3 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 10% ownership) Schedule A -2 ❑ Yes - schedule attached investments (lo% or Greater ownership) Schedule B ❑X Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (income other than Gifts and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E © Yes - schedule attached income - Gifts - Travel Payments -or- F1 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 03/30/10 (month, day, year) Signature A'YI dl li- 41'YUn (File the originally signed statement with yo&f Ong olrwial.) FPPC Form 700 (2009/2010) FPPC Toll -Free Helpline: 666 /ASK -FPPC www.fppc.ca,gov I i ,I SCHEDULE D Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION 9428 Olney St CITY Rosemead FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,130D ® $100,001 - $1,000,000 ____J 1 09 JJ 09 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Treat ❑ Easement ❑ Leasehold Yrs, remaining 0 Ownership /Resident Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $ Tool - $ 10,000 ❑ $10,001 - $1ooxo ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. Name Sandra Armenta ► STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $10D,000 ❑ $100,001 $1,000,000 ❑ Over $1.000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust ❑ Leasehold Yrs. remalri ng IF APPLICABLE, LIST DATE: __J_/ O9 _/_J 09 ACQUIRED DISPOSED ❑ Easement ❑ Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,ODO ❑ $1,001 - $10,000 ❑ $10,001 - $10(wD0 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. You are not required to report loans from commercial lending institutions 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' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months /Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1.001 - $10.000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, it applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE ❑ None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,0ol - $10o,000 ❑ OVER $100.000 ❑ Guarantor, it applicable FPPC Form 700 (200912010) Sch. B FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov SCHEDULE E Income - Gifts Travel Payments, Advances, and Reimbursements Name Sandra Armenta • Reminder — you must mark the gift or income box. • You are not required to report income from government agencies. ► NAME OF SOURCE Southern California Edison Company ADDRESS (Business Address Amet Mble) 2244 Walnut Grove CITY AND STATE Rosemead, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Networking DATE(S); 04 27 09 - 04 I, 27 / 09 AMT: $ 289.53 (1(appllcable) TYPE OF PAYMENT (must check one) ❑X Gift ❑ Income DESCRIPTION: Edison mixer and meeting at Staples Center ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): --J—/ - —(— AMT: S (It applicable) TYPE OF PAYMENT.. (must check one) ❑ Gift ❑ Income DESCRIPTION ► NAME OF SOURCE Burke, Williams & Sorensen, LLP ADDRESS (Business Address Acceptable) 2280 Market Street - Suite 300 CITY AND STATE Riverside, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Networking DATE(S): 09 / 17 / �9 - �� O9 AMT: $ 174.00 Of applicable) TYPE OF PAYMENT: (must check one) N Gift ❑ Income DESCRIPTION: League of California Cities dinner ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): --I --J— - AMT: $ (if applicable) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income DESCRIPTION: Comments FPPC Form 700 (200912010) Sch. E FPPC Toll -Free Helpline: 866/ASK-FPPC w Jppc.ca.gov , , . l l STATEMENT OF ECONOMIC INTERES COVER PAGE Please type or print in ink A Public Document NAME (LAST) (FIRST) (MIDDLE) Armenta Sandra L MAILING ADDRESS STREET (Business Address Acceptable) CITY STATE ZIP CODI 9428 Olne St Rosemead CA 91770 1 . Office, Agency, or Court Name of Office, Agency, or Court: County Sanitation District of Los Angeles County Division. Board, District, if applicable: Your Position: Alternate Director ► 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 /east one box) ❑ State ❑X County or Los Angeles ❑ City of ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office/Initial Date: ❑ Annual: The period covered is January 1, 2009, through December 31, 2009. -or- 0 The period covered is 03 /__ 0 9 , through December 31, 2009. ❑ Leaving Office Date Left: _J _I (Check one) O The period covered is January 1, 2009, through the date of leaving office. -or- 0 The period covered is _1_J through the date of leaving office. ❑ Candidate Election Year: MAR 3 0 2010 OFFICE 626 ) 676 -3965 OPTIONAL: E -MAIL Al 4. Schedule Summary ► Total number of pages 3 including this cover page: ► 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 lo% 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 (income Omer than Gins and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ® Yes - schedule attached Income - Gifts - Travel Payments -or- 0 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 03/30/10 (month, daay, yea l Signature (File the adgtnally signed statement with your filifi official) FPPC Form 700 (200912010) FPPC Toll -Free Helpline: 866/ASK-FPPC www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION 9428 Olney St CITY Rosemead FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,0ol - $1oa,000 --J -109 ® $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1.000,000 NATURE OF INTEREST ❑ Ownership /Dead of Trust ❑ Easement ❑ Leasehold ® Ownership /Resident Yre. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10.001 . $100.000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that Is a single source of income of $10,000 or more. Sandra Armenta STREETADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ._J_) O9 ❑ $100,001 - $1.000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Twat ❑ Leasehold ❑ Easement El Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1.001 - $ 10.0oo ❑ $10.001 . $ 100.000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of Income of $10,000 or more. ' You are not required to report loans from commercial lending institutions 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' ADDRESS (Business Address Ameplable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Monlhs/Yeam) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1.000 ❑ $ 1.001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor. if applicable NAME OF LENDER' ADDRESS (Business Address Acwprable) BUSINESS ACTIVITY, IF ANY. OF LENDER INTEREST RATE TERM (Months/Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ mo0 - $ 1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: FPPC Form 700 (200912010) Sch. B FPPC Toll -Free Helpline: 8661ASK -FPPC wmlgv.fppc.ca.gov Name SCHEDULE E Income - Gifts Travel Payments, Advances, and Reimbursements Name Sandra Armenta • Reminder - you must mark the gift or income box. • You are not required to report income from government agencies. ► NAME OF SOURCE Southern California Edison Company ADDRESS (Business Address Acceptable) 2244 Walnut Grove CITY AND STATE Rosemead, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Networking ► NAME OP SOURCE Burke, Williams & Sorensen, LLP ADDRESS (Business Address Acceptable) 2280 Market Street - Suite 300 CITY AND STATE Riverside, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Networking DATE(S): 04 ) 0 9 - 04 27j 0 9 AMT: $ 289.53 (Irappllcable) TYPE OF PAYMENT: (must check one) Q Gift ❑ Income DESCRIPTION: Edison mixer and meeting at Staples Center ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): Jam_ - _ J _J_ AMP. s (if applicable) TYPE OF PAYMENT. (must check one) [] Gift ❑ Income DESCRIPTION: DATE(s): _09 17 I 09 _ 09 / 17 09 AMT $ 174.00 (it applicable) TYPE OF PAYMENT: (must check one) ® Gift ❑ Income DESCRIPTION: League of California Cities din ► NAME OF SOURCE ADDRESS (Business Address Acceptable) CITY AND STATE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): - —( _ AMT: $ (It applicable) TYPE OF PAYMENT (must check one) ❑ Gift ❑ Income DESCRIPTION: Comments: FPPC Form 700 (200912010) Sch. E FPPC Tall -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov MAYOR: Gary Taylor MAYOR PRO TEM: Steven Ly COUNCIL MEMBERS. Sandra Armenta Margaret Clark Polly Low March 31, 2010 pity of Ros¢rn¢ad 8838 E. VALLEY BOULEVARD P.O BOX 399 ROSEMEAD, CALIFORNIA 91770 TELEPHONE (626) 569 -2100 FAX (626) 307 -9218 Los Angeles County Sanitation District 1955 Workman Mill Road Whittier, CA 90601 To Whom It May Concern: Enclosed, please find City of Rosemead Council Member Armenta's 700 Statement of Economic Interest form. Sincerely, .Ettcka OEetnanAz Ericka Hernandez Assistant to the City Clerk