Lisa BakerSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink - A Public Document
NAME (LAST) (FIRST) (MIDDLE)
use business address)
CODE
CITY OF ROSEMEAD
P PAR �, 1 2006
OPTIONAL: FAX/ E -MAIL ADDRESS
dYdI?
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
&A
Division, Board if applicable:
( 17zu�n�
Your Position:
wrt�5l'h�c' A cli1'1 %I]lSj���/J
If fling 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 Zat /�`
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: —�—
Annual: The period covered is January 1, 2005,
through December 31, 2005.
-o r-
Q The period covered is �_J through
December 31, 2005.
❑ Leaving Office Date Left:
(Check one)
• The period covered is January 1, 2005, through
the date of leaving office.
-or-
O The period covered is _�� —, through
the date of leaving office.
❑ Candidate
4. Schedule Summary
Total number of pages Z
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 (10% or greater Ownership)
Schedule B
❑ Yes – schedule attached
Real Property
-
Schedule C
❑ Yes – schedule attached
Income, Loans,
& Business Positions (Income other than sins
and Travel Payments)
Schedule D
❑ Yes - schedule attached
Income — Gifts
Schedule E
❑ Yes — schedule attached
Income — Travel Payments
-o r-
n 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
Signature
FPPC Form 7uu (2eeDrzuub)
FPPC Toll -Free Helpline: 866 /ASK -FPPC
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
Funny Mae,
GENERAL) DESCRIP/ITIII1ON,, OF BUSINESS ACTIVITY
S fut�_° Y1GtA' /�
FAIR MARK
$2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Lg Stock
❑ Other
(Desmbe)
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
❑ $10,001 - $100,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
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
❑ $10,001 - $100,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
__j 05 __JJ 05
ACQUIRED DISPOSED .
Comments:
> 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
❑ $10,001 - $100,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
__j . j __05 _
ACQUIRED DISPOSED
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $100,001 - $1,000,000
❑ $10,001 - $100,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock
❑ Other
IF APPLICABLE, LIST DATE'.
__J _ 0 _ 5 _ __J_J OS
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
❑ $10,001 - $100,000
❑ Over $1,000,000
IF APPLICABLE, LIST DATE:
t_J 05 � — J OS
ACQUIRED DISPOSED
FPPC Form 700 (200512006) Sch. A -1
FPPC Toll -Free Helpline: 866 /ASK -FPPC