Peter WallinSTATEMENT OF ECONOMIC
Please type or print in ink
COVER PAGE
A Public Document
CITY OF ROSEMEAD
i,I!Vi t 2 0 ()5
NAME (LAST)
(FIRST)
(MIDDLE) - -
BAYTWE —T.S EAHON6NDMBER
Wallin
Peter
L.
( 310 ) 450 -9582 x214
MAILING ADDRESS STREET
CITY
STATE ZIP CODE
OPTIONAL: FAX I E -MAIL ADDRESS
(May use business address)
2800 28th Street, Suite 315
Santa Monica
CA 90405
(310) 450 -0506
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
CITY OF ROSEM
Division, Board, District, if applicable:
Your Position:
Assistant City Attorney
• If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: Redevelopment Agency /Community Develop.
Position: Agency Counsel
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
® City of Rosemead
❑ Multi -County
F n +h, r
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: —J
M Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
0 The period covered is through
December 31, 2004.
❑ Leaving Office Date Left: ---J ---J
(Check one)
• The period covered is January 1, 2004, through the
date of leaving office. -
- or -
O The period covered is - -- through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests.')
• During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 Q Yes - schedule attached
Investments ( Less than 10% ownership)
Schedule A -2 ❑x Yes - schedule attached
Investments ( 10% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, 8 Business Positions (Income Other than Gifts and
Tavel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
• ❑ No reportable interests on any schedule
Total number of pages
completed including this cover page: 4
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 underthe laws of the State
of California that the foregoing is true and correct.
Date Sign
Signature
(i the originalry signed sla[emenl with your fling official.)
FPPC Form 700 (200412005)
FPPC Toll -Free Helpline: 866/ASK-FPPC
SCHEDULE A -1 CALIFORNIA FORM700
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
PETER L. WALLIN
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
> NAME OF BUSINESS ENTITY
SEE ATTACHED
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:
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:
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:
ACQUIRED DISPOSED
Comments:
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Slack
❑ Other
(Describe)
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
(Describe)
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:
ACQUIRED DISPOSED
FPPC Form 700 (2004/2005) Sch. A -1
FPPC Toll -Free Helpline: 866 1ASK -FPPC
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SCHEDULE A -2
Investments, Income, and Assets
of Business Entities /Trusts
(Ownership Interest is 10% or Greater)
WALLIN, KRESS, REISMAN & KRANITZ
2800 28th Street, Suite 315, Santa Monica CA 90405
Check one
❑ Trust, go to 2 ❑x Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Law practice
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
® $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ® Partnership
YOUR BUSINESS POSITION Partner
❑ Other p
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑x OVER $100,000
❑ $1,001 - $10,000
Cities of San Gabriel, Rosemead, La Verne
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
None
Name of Business Entity or
Street Address or Assessor's Parcel Number of Real Property
Description of Business Activity 1
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
04
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
ACQUIRED DISPOSED
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
Name
PETER L. WALLIN
one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 04
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership
YOUR BUSINESS POSITION
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500- $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity or
Street Address or Assessors Parcel Number of Real Property
Description of Business Activity gL
City or Other Precise Location of Real
Property
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust
❑ Stock ❑ Partnership
Leasehold ❑ Other
Yrs. remairung
Check box if additional schedules reporting investments or real property
are attached
LN
FPPC Form 700 (200412005) Sch. A -2
FPPC Toll -Free Helpline: 866 /ASK -FPPC