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Polly Low
STATEMENT OF ECONOMIC COVER PAGE Date Received ^ - -: cial (Ise Ony Please type or print in ink. A Public Document ' MAR y a 2 0 j 11 J EoQu NAME (LAST) (FIRST) (MIDDLE) i ) . DAYTIME TELEPHONE NUMBER i y Low Polly (t626 ) 573 5549 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL- FAXaFy ADDRESS (May use business address) 1039 La Presa Ave Rosemead CA 91770 1 . Office, Agency, or Court Name of Office, Agency, or Court: Rosemead City Council 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 © City of Rosemead ❑ Multi- County ❑ Other 3. Type of Statement (check at least one box) 4. Schedule Summary ► Total number of pages 1 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 10% ownership) Schedule A -2 ❑ Yes - schedule attached Investments 00% or grealer Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions llnmme other than Gifts and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Guts - Travel Payments -or- Q 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 underpenalty of perjury underthe laws of the State of California that the foregoing is true and correct. Date Signed x,,e 4 - (me ay, year) J ,. v . Signature (File [he8ldaly ad ta[errren[ with your Tiling official.) ❑ Assuming Office/Initial Date: ® Annual: The period covered is January 1, 2008, through December 31, 2008. -or- 0 The period covered is Jam, through December 31, 2008- ❑ Leaving Office Date Left: (Check one) 0 The period covered is January 1, 2008, through the date of leaving office. -or- 0 The period covered is through the date of leaving office. ❑ Candidate Election Year: FPPC Form 700 (200812009) FPPC Toll -Free Helping: 8661ASK -FPPC www.fppo.ca.gov