Jean HallSTATEMENT OF ECONOMIC INTE
COVER PAGE
J�!t�a 3 0 2CG9
Please type or print in ink. A Public Document
CdT" ___-_ t
NAME (LAST) (FIRST) (MIDDLE) DIN1�IME TELEPHONE NUMBER
HALL JEAN E. ( 626 ) 288 -1684
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address)
3655 N. MUSCATEL AVE ROSEMEAD CA 91770
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
ROSEMEAD
Division, Board, District, if applicable:
Your Position:
TRAFFIC COMMISSIONER
► 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: _07j t 09
❑ Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is __J__J_ , through
December 31. 2008.
❑ Leaving Office Date Left: ��—
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
0 The period covered is
the date of leaving office.
❑ Candidate Election Year: -
through
4. Schedule Summary
► Total number of pages
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 es - schedule attached
Investments (10% or greater ownership)
Schedule B es - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (income other than Gilts
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 /J D a
(month, d year)
year)
Signature 7(z,
_(fiKthV originally signed statement with your
FPPC Form 700 (200812009)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov
SCHEDULE A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
(-6 S — tV �'f
5 - S � C�
FAIR MARKET VALUE
/
❑ $2,000 - $10,000
❑ $10,001 - $100,000
116100,001 - $1,000,000
❑ Over $1,000,000
/ NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
_ /_/ OB --j--j OB
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑
$2,000 - $10,000
❑ $100,001 - $1,000000
NATURE OF INVESTMENT
❑ Stock
❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
(Describe)
IF APPLICABLE, LIST DATE:
___J__J 08 __j
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2.000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Othei
❑ $10,001 - $100,000
❑ Over $1,000,000
(Describe)
IF APPLICABLE, LIST DATE:
___j__j 08 ___/__J 08
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY /
V 4-1J /-< o
GENERAL DESCRIPTf 6N OF BUSINESS ACTIVITY
c:zt, -j <_WEGI -el A 1:
FAIR MARKS VALUE
❑,$2,000 - $10,000 $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
(Describe)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE:
❑ $10,001 - $100,000
❑ Over $1,000,000
( Descnbe)
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100001 - $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
❑ $10,001 - $100,000
❑ Over $1,000,000
(Describe)
IF APPLICABLE, LIST DATE.
ACQUIRED DISPOSED
FPPC Form 700 (200812009) Sch. A -1
FPPC Toll -Free Helpline: 8661ASK -FPPC www.fppc.ca.gov
SCHEDULE A -2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
iL
Name
Address
I , /Y/ I/S(/+ ?e G .4 "bn
Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
IF APPLICABLE, LIST DATE:
3 -1 ry ?9 I - p z J�
❑ $10,001 - $100,000
—J—J 08
fj r
P $100,001 - $1,000,000
ACQUIRED
DISPOSED
ever $1,000,000
I
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
❑ $0 - $499 III - $100,000
❑ $500 - 00 I VER $100,000
1:1 $1 0 - $101 $10,000 /
Name
Address
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 1 08 JJ 08
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10000
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity Br
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity gl
City or Other Precise Location of Real Property
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
IF APPLICABLE, LIST DATE:
—/L
ACQUIRED DISPOSED
❑ Stock ❑ Partnership
❑ Leasehold F] Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs, remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (200812009) Sch. A -2
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
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clTV _ i � ' s Er ✓ / e: AO (e4 lci'776 /� -1 7
FAIR MARKET VALUE IF APPLICABLE LIST DATE:
❑ $2,000 - $10,000 'I t 7f
❑
$10,001 - $100,000 _461 2-i
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
`wnership /Deed of Trust
❑ Leasehold
Yrs. remaining
❑ Easement
IN
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.
► STREET ADDRESS OR PRECISE LOCATION
,Q O 7 / 9 /A!2 €N CYO
CCIITTYYJ
T
/ ,5 A- U Rl R
( //�
\ i
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
/61 a8
❑ $10,001 - $100,000
_/._/
100,001 - $1,000,000
ACQUIRED - DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. 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.
II
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' - NAME OF LENDER'
ADDRESS ADDRESS
BUSINESS ACTIVITY OF LENDER BUSINESS ACTIVITY OF LENDER
INTEREST RATE TERM (Months/Yeam)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
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, if applicable
FPPC Form 700 (2008/2009) Sch. B
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov