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Richard ShawCALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink COVER PAGE A Public Document R E ;b>k CITY OF ROSEMEAD MAR 2 7 2006 CI NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPADIVE°NNMaER —.! Shaw Richard W. 626 292 -3300 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS (May use business address) 8838 Las Tunas Drive Temple City CA 91780 1 . Office, Agency, or Court Name of Office, Agency, or Court: Los Angeles Cou S h e riffs Dep artme n t Division, Board, District, if applicable: Temp S t a tion Your Position: C - Unit Commander 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 R County of Los Angeles ❑ City of ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: R Annual: The period covered is January 1, 2005, through December 31, 2005. -or- 0 The period covered is — /�_, through December 31. 2005. ❑ Leaving Office Date Left: I I (Check one) • The period covered is January 1, 2005, through the date of leaving office. -or- • The period covered is through the date of leaving office. ❑ Candidate STATEMENT OF ECONOMIC INTERESTS 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 (Loss than 10% Ownership) Schedule A -2 ❑ Yes - schedule attached Investments (10% or greelar Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C - ❑ Yes - schedule attached Income, Loans, B Business Positions rtncome other than Gins and Tm.1 Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Travel Payments -or- X❑ 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 - 21- D 4, i J nm year) � Signature f /// (File the originally signed statement wimyour filing oHdal.) FPPC Form 700 (200512006) FPPC Toll -Free Helpline: 866 1ASK -FPPC