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Jay Imperialr� ,yam STATEM I T 0 E ONOMIC INTERESTS COVER PAGE tQJ fit "' �� s i A S61ic Document Date Received olricial Use Only NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Imperial Jay T 626 695 -6975 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) 8755 East Ralph Street Rosemead CA 91770 1 . Office, Agency, or Court Name of Office, Agency, or Court: City of Rosemead Division, Board, District, if applicable: City Council 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 (Cheek at least 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 ❑ Annual: The period covered is January 1, 2006, through December 31, 2006.. -or- 0 The period covered is —J � through December 31. 2006. I] Leaving Office Date Left: — 07 (Check one) - ® The period covered is January 1, 2006, through the date of leaving office. -or- 0 The period covered is J am_, through the date of leaving office. ❑ Candidate 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 ❑ Yes - schedule attached Investments (to% or greater Ownership) Schedule B ❑ Yes — schedule attached Real Property. Schedule C -❑ Yes - schedule attached Income, Loans, &Business Positions (Income Other clRa and Trevel Payments) Schedule D ❑ Yes- schedule attached Income — Gifts ' Schedule E ❑ Yes - schedule attached Income - Travel Payments -or- 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 F:!L64 " gzols (rqnth, day, year) Signature (F' rig a e tement with your filing official.) moor � FPPC Toll -Free Helpline: 866 /ASK.FPPC Please type or print in ink \ I C I STATEMENT OF ECONOMIC INTERESTS COVER PAGE A Public Document Please We or print in ink Jay T. ZIP CODE Hall, 8838 East Valley Boulevard, P.O. Box 399 Rosemead, Califomia, 91770 1. Office, Agency, or Court 4. Schedule Summary Total number of pages Name of Office, Angency or Court: County Sanitation District No(s). 15 (including this cover page of Los Angeles County Check applicable schedules or "No reportable interests." _ Division, Board. District, if applicable: Board of Directors I have disclosed Interests on one or more of the attached schedules: Your Position: Altern Direc - Rosemead Schedule A -1 n Yes - schedule attached If filing for multiple positions, list additional agency(ies)/ Investments (Less than 10% Ownership) position(s): (Attach a separate sheet if necessary.) Agency: Schedule A -2 ❑ Yes - schedule attached Investments (10% or greater ownership) Position: Schedule B F� Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached 2. Office Jurisdiction (Checkat least one box) ❑ Income, State Loans, and Business Positions (Income Other than Gifts and Tavel Payments) County of Schedule D Yes - schedule attached City Of Income — Gifts Multi -County X❑ Other Agency Schedule E Yes - schedule attached Income — Travel Payments -or- ❑ No reportable interests on any schedules J 3. Type of Statement (Check at least pne box) ❑ Assuming Office /Initial Date: 5. Verification XQ Annual: The period covered is January 1, 2006, through December 31, 2006. 1 have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of -or- O The period covered is through my knowledge the information contained herein and in any attached schedules is true and complete. December 31, 2006. I certify under penalty of perjury under the laws of the X Leaving Office Date Left '3)2R/06 State of California that the forgoing is true and correct. (Check one) i O The period covered is January 1, 2006 , Date Signed. (month, day, year) through the date of leaving office. -or- Signature (Fla the originally signed statement with your filing official.) O The period covered is ,through the date of leaving office. Candidate FPPC FORM 700 (2006/2007) rrry ran -r,00 narpuua. eaarnan -rrra