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Rachel RichmanCALIFORNIA ❑ Yes - schedule attached Real Property FORM 700 ® Yes - schedule attached FAIR POLITICAL Business Positions (Income Other then Gift PRACTICES C0.11111M Schedule D ❑ Yes - schedule attached Please type or print in ink. (LAST) ess Address AccepteWe) So. Flower Street, Suite 2400 STATEMENT OF ECONOMIC INTER STS COVER PAGE A Public Document CITY (FIRST) (MIDDLE) DN MAR 1 11 Rachel H. ( 213 ) 236 -0600 CITY STATIET ZIP CODE OPTIONAL: EMAIL ADDRESS Los Angeles CA 1 90071 1 . Office, Agency, or Court Name of Office, Agency, or Court: Rosemead Community Development Commission Division, Board, District, if applicable: Your Position: Assistant General Counsel ► If filing for multiple positions, list additional agency(ies)f position(s): (Attach a separate sheet if necessary.) Agency: City of Rosemead Position: Assistant City Attorney 2. Jurisdiction of Office (Check at feast one box) ❑ State ❑ County of ® City of Rosemead ❑ Multi- County ❑ Other 3- Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: J —J— ❑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: —J —J (Check one) O The period covered Is January 1, 2009, through the date of leaving. office. .or- 0 The period covered is J —/ , through the date of leaving office. ❑ Candidate Election Y 4. Schedule Summary ► Total number of pages 2 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 to% ownership) Schedule A -2 ❑ Yes - schedule attached InVestmems (re% or Greater OwnerI Schedule B ❑ Yes - schedule attached Real Property Schedule C ® Yes - schedule attached Income, Loans, & Business Positions (Income Other then Gift 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 undenthe laws of the State of California that the foregoing is true and correct. Date Signed March 17, 2010 (month, dpf r ar) Signature r � / (File the onglnelly wgned VI wIM yo mg olricielJ FPPC Form 700 (200912010) FPPC Toll-Free Helpline: 866 /ASK•FPPC www.fppc.ca.gov SCHEDULE C JUU CALIFORNIA FORM Income, Loans, & Business FLAIR POLITICAL PRACTICES COMMISSION Positions Name (Other than Gifts and Travel Payments) Rachel H. Richman NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME Burke, Williams & Sorensen, LLP ADDRESS (Business Address Acceptable) 444 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 ❑ $LoD1 - $10,000 El $10,001 - $100,000 ❑X OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED [K salary (] Spouse's or registered domestic partner's income E] Loan repayment ❑ Sale of (Pawdy..,. boar, -IA) []Commissioner [] Ramat Income, ti t.Pbso. dSla,otto Pr. E] Other (acsaibe) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED El $boo - $ 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 El sale of (PmPedy. cad b-a -f-) ❑ Commission or ❑ Rental Income, &I each sawre asutooa or mwe ❑ Other (Da mbe) 2, LOANS RECFIVFn OR OUTSTANDING DURING THE REPORTING PERIOD * 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' ADDRESS Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Momhs/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property HIGHEST BALANCE DURING REPORTING PERIOD -❑ $500 - $1,000 ❑ $1,001 - $igmID ❑ $10,001 - $100,000 ❑ Guarantor ❑ OVER $100,000_ ❑ Other — Comments: City (0-some) FPPC Form 700 (200912010) Sch. C FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov STATEMENT OF ECONOMIC COVER PAGE Please type or print in Info A Public Document DEC 14 2010 NAME (LAST) (FIRST) (MIDDLE) DAY ® 1 E TELEPHONE NUMBER Richman Rachel H. ( 213 ) 230 -0600 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS (ausfness Address Aweplable) 444 So. Flower Street, Suite 2400 Los Angeles CA 90071 rrichman @bwslaw.com 1 . Office, Agency, or Court Name of Office, Agency, or Court: City of Rosemead Division, Board, District, if applicable: Your Position: City Attorney >r If fling for multiple positions, list additlonal agency(les)l posldon(s): (Attach a separate sheet if necessary.) Agency: Rosemead Community Development Comm. Position: Cc MMI SSI r'r'1 2. Jurisdiction of Office (Check at feast one box) ❑ Stale ❑ County of Z City of Rosemead ❑ Multi- County _ ❑ Other 3. Type of Statement (Check at least one box) ® Assuming Olficellnitial Date; _7_ 27 1 10 ❑ Annual: The period covered is January 1, 20D9, 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 dale of leaving office. -or- 0 The period covered Is through the date of leaving office. ❑ Candida Election Year; 4. Schedule Summary a Total number of pages 2 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 ie% owne rvp) Schedule A -2 ❑ Yes — schedule attached Investments (re% or Greater ownership) Schedule B ❑ Yes — schedule attached Real Property Schedule C N Yes — schedule attached Income, Loans, & Bustness Positions (Income Omer man Gins and Tr vd Psymenls) Schedule D ❑ Yes — schedule attached Income — Guts Schedule E ❑ Yes — schedule attached Income — Gifts — Travel Payments -or- 7 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 Informatlon contained herein and In any attached schedules Is true and complete. I certify under penalty of perjury under the laws of the State of Callfornta that the foregoing is true and correct. Date Signed August 27, 2010 fm-lm, my. year) Signature 9r� S�p�J1'II`a;L� (File fie dripinatly signed valement wilco your rdtau olrcial.) FPPC Form 700 (21111912010) FPPC Toll -Free Helpllne: BBB /ASK -FPPC www.fppc.ca.gov SCHEDULE C CALIFORNIA FORM Income, Loans, & Business FAIR PDUTICALPRAC710E5 COmMI5SI0N Positions Name (Other than Gifts and Travel Payments) Rachel H. Richman NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME Burke, Williams & Sorensen, LLP ZORESS (Business Address Acceptable) 444 S. Flower Street, Los Angeles, CA 9OD71 BUSINESS ACTIVITY, IF ANY, OF SOURCE Legal Services YOUR BUSINESS POSITION Attorney GROSS INCOME RECEIVED [] 5500 - S1,000 [j S1.W1 - $10.000 E] 510,001 - 5100,000 [g OVER 5100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED p Salary ❑ Spouses or regLArmd damasllc partner's III El Loan repayment 1 sale of MRopedy, cp, boat, el..) ❑Cammisslanar ❑RanWI In COme, tBl e.[h SPYrLe MSIa.Wa or mot F1 Other fv..Aal ADDRESS (Business Address A ... PON,) BUSINESS ACTIVITY, IF ANY. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ 5500 - 51,001) El S1,001 - e10,00o ❑ 570.001 - 5100.000 El OVER 5100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's a registered damestc part"Wa !murnai ❑ Loan repayment E] sale of IPrap aly, ca'. boat .1c.) ❑ canimisslan or F1 Re )name, fist eedh saw w .rsrttwaa, 1)m ❑ Other Masco.) 10, - 2.fLoANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD­ � � 11 :: I I � ., :: Mae 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 an 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• .eae (8os Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD [] 5500 - S1.000 1 El S 1 . 001 - s10,c00 El $10,001 - 5100,000 El OVER 510IXDDD Comments; INTEREST RATE TERM (MonthsrYaars) % El Nam SECURITY FOR LOAN E] Nam [] Personal residence ❑ peal Property Smal.does any 171 Guarantor E] Other (1lesaibe) FPPC Furrn 780 (2 0 0 912 01 0) Sch. C FPPC Tall -Free Helpllne: 8661ASK -FPPC www.rppc.on.gov