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Andrew LazzaretoSTATEMENT OF ECONOMIC INTERESTS COVER ?AGE Please type or print in ink A Public Document Ddte "Redelved CC I orxc�cu. Oey i }: I :..'L.f NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Lazzaretto Andrew Charles Jr. 818 438 -4995 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS (May use business address) P.O. Box 3073 Burbank CA 91508 andy @aclazz.com 1 . Office, Agency, or Court Name of Office, Agency, or Court City of Rosemead Division, Board, District, if applicable: Your Position: R Consultant and City Manag • If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Rosemead Redevelopm Agency Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ County of 0 City of Rosemead ❑ Multi- County ❑ Other 3. Type of Statement (check at least one box) © Assuming Office /Initial Date: 3j_ 1_j 06 ® Annual: The period covered is January 1, 2005, through December 31, 2005. =or- 0 The period covered is _J —J , through December 31, 2005. ❑ Leaving Office Date Left: --J ---]— (Check one) O The period covered is January 1, 2005, through the date of leaving office. -or- 0 The period covered is �_ /_, through the date of leaving office. ❑ Candidate 4. Schedule Summary • Total number of pages including this cover page: 1 r 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 then 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 than Gifts and Travel Payments) Schedule D ❑ Yes – schedule attached Income — Gifts Schedule E ❑ Yes — schedule attached Income — Travel Payments -or- ❑K 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. 1 certify under penalty of perjury under the laws of the State of California that the foregoing Is true and correct. Date Signed March 16, 2006 ( N, day, year) Signature �� (File the originally sign ant vnth your filing V I I FPPC Form 700 (200512006) FPPC Toll -Free Helpline: 666/ASK -FPPC