Joanne ItagakiSTATEMENT OF ECONOMIC I
COVER PAGE
Please type or print in ink.
NAME (LAST)
ITAGAKI
MAILING ADDRESS
(May use business address)
(FIRST)
A Public Document
JOANNE
CITY
3191 CROSSROADS PKWY N. #405 INDUSTRY
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
CITY OF ROSEMEAD
Division, Board, District, if applicable:
Your Position:
CONSULTANT
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 feast 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: __J ___J
❑X Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is through
December 31. 2007.
❑ Leaving Office Date Left: ___J __J
(Check one)
O The period covered is January 1, 2007, through the
date of leaving office.
-or-
0 The period covered is ��, through
the date of leaving office.
❑ Candidate
APR D T 1068
( 562 )
OPTIONAL: FAX/ FAX / E -MAIL ADDRESS
jitagaki@willdan.com
(MIDDLE)
STATE ZIP CODE
CA 91746
4. Schedule Summary
Total number of pages
including this cover page: 2
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 (10% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑X 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 - Travel Payments
-or-
F 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 MARCH 24, 2006
(n/ (month, day, year)
Signature �&
File the originally signed statement th your filing offaal_)
FPPC Form 700 (200712008)
FPPC Toll -Free Helpline: 8661ASK -FPPC
SCHEDULE C
Income, Loans, & Business
Positions Name
(Other than Gifts and Travel Payments) JOANNE ITAGAKI
NAME OF SOURCE OF INCOME
JOANNE ITAGAKI - WILLDAN
ADDRESS
13191 CROSSROADS PKWY N. #405 INDUSTRY
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
CONSULTANT
GROSS INCOME RECEIVED
❑ $500 - $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
❑ Sale of
(Property, car, boat, ale.)
❑ Commission or ❑ Rental Income, list each source of $lgrxw or more
❑Other
NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $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
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or [_]Rental Income, list each source of $10,000 or more
❑ Other
* 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' INTEREST RATE TERM (Months/Years)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001- $100,000
❑ OVER $100,000
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Comments:
FPPC Form 700 (200712008) Sch. C
FPPC Toll -Free Helpline: 866 /ASK -FPPC