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2003 (46)CALIFORNIAFORM 700 FAIR POLITICAL PRACTICES COMMISSION.:: Please type or print in ink COVER PAGE A Public le Received i 4 7 =t _ =AL 4 J 1 1 ffacW Use 0nr CITY OF ROSEMEAD iw V 2003 NAME (LAST) (FIRST) (MIDDLE)--- -- TELEPHONE NUMBER LaPEL DAnJi6Z (626 )._71 -2'167 MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS (May be business address) R ose-fo EAO 0A q� (t02 4 &Ai22eTT 5i a� O 1 0 1 . Office, Agency or Court Name: CITY 0 47e Division, Board, District, it applicable: Position: //�� PLANNiAJ C,�0M1"l5St0fVDr2 -+ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet it necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of ®City of 1�oSeME ❑ multi- County ❑ Other 3. Type of Statement (Check at least one box) Assuming Office /Initial Date: ❑ Annual: The period covered is January 1, 2002, through December 31, 2002. -or- 0 The period covered is ___J - /_, through December 31. 2002. ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2002, through the date of leaving office. -or- 0 The period covered is _J__J through the date of leaving office. ❑ Candidate STATEMENT OF ECONOMIC 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 ❑ Yes - schedule attached Investments (Less than m% ownership) Schedule A -2 ❑ Yes - schedule attached Investments n0% or greater Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income & Business Positions hncorne ocher than Loans, Gfis, and Travel) Schedule D ❑ Yes - schedule attached Income - loans Schedule E ❑ Yes - schedule attached Income - Gifts Schedule F ❑ Yes - schedule attached Income - Travel Payments -or- .. S- No reportable interests on any schedule Total number of pages completed including this cover page: 5. Verification I have used all reasonable diligence in preparing this statement. 1 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 /1/6-/03 - nlh, day, year) Signature Q_ (Fie the originally signefi..%aioernenr wll our tiling official.) FPPC Form 700 (2D0212003)