Jay ImperialCALIFORNIAFORM
700
FAIR p&MCAL PRACTICES
LDMMISSIDN
COVER PAGE
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MAR 19 2003
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NAME (LAST) (FIRST) (MIDDLE) 7AVTIJiWF TELEPHONE NUMBER
Imperial, Jay T. 626 )569 -2100
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL FAX / E -MAIL ADDRESS
(May be business address)
8755 E. Ralph Street, Rosemead, CA 91
1 . Office, Agency or Court
.Name:
City of Rosemead
Division, Board, District, it applicable:
Position:
Councilmember
-+ 11 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 Rosemead
❑ Multi- County
❑ Other -
3. Type of Statement (Check at least one box)
Assuming Office /Initial Date: —�
0 Annual: The period covered is January 1, 2002,
through December 31, 2002.
-or-
0 The period covered is through
December. 31, 2002.
❑ Leaving Office Date Lett: _J —J
(Check one)
(D The period covered is January 1, 2002, through
the date of leaving office.
-Or-
p The period covered is _�_J through
the date of leaving office.
STATEMENT OF ECONOMIC ITS' D a o/lina
lTi s
CITY OF ROSEMEAD
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 rhan f0 % ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (to% m gmaier ownership)
Schedule B -❑ Yes - schedule attached
Real Property
Schedule C ❑Yes - schedule attached
Income & Business Positions (Income other than Loans, Gifts, and Trsval)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments -
-or-
❑x No reportable interests on any schedule
Total number of pages completed including this
cover page: 1. -
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 1 / at " �"�" k , ,-
n ay, year)
Signature ��. 7f
He originally s,gned statement w your filing - ........
❑ Candidate I I
nnnnef
STATEMENT OF ECONOMIC INTERESTS
A Public Document
Please type or pilaf in ink COVER PAVE
Date Received
aria( use onty
NAME (LAST) (FIRST) (Middle) DAYTIME TELEPHONENUMBER
Jay T. Imperial ( )
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX /EMAIL ADDRESS
(May be business admesa)
City Hall, 8838 East Valley Boulevard; P.O. box 1339, Rosemead, CA 91770
1. Full Name of Office Sought or Held,
Agency or Court:
County Sanitation Districts No(s). 15
of Los Angeles County
Division, Board, District, if applicable:
Board of Directors
Position:
Director - Rosemead
10 If filing for multiple positions, list additional agency(iesy
position(s): (Attach a separate sheet if necessary.)
Agency
Position Title
Jurisdiction of Office (check one box)
❑ State
❑ County of _
❑ City of
❑ Multi- County
0 Other Agf
3. Type of Statement(Oheck at east one bas)
❑ Assuming OfficelInitial Date:_
❑ Annual: The period covered is January 1, 2001, through
December 31, 2001.
-or-
0 The period covered is
December 31. 2001.
® Leaving Office Date Left: 4 1 9 1 02
(Check one) -
0 The period covered is January 1, 2001, through
the date of leaving office.
-or-
0 The period covered is I I thrc
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
y During the reporting period, did you have any reportable interests
to disclose on:
Schedule A -1
❑ Yes - schedule attached
Investments (Less
than 1o% ownership)
Schedule A -2
❑ Yes - schedule attached
Investments (Greater (ban 10% Ownership)
Schedule B
❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income 8 Business Positions (income Other than Loans, Gifts, and Tray )
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
Ill 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. 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 Z/ Ycrv`&
ay, year
Signature 0
ie origins —u rat wl your lingo iaa.
FPPC Form 700 (2001112002
1
FPPC Toll -Free Helpline: S ASK -FPP
Date Received
STATEMENT OF ECONOMIC INTERESTS osi Um DMY
A Public Document
Please type orprint in ink COVER PAGE
NAME (LAST) (FIR ) (Middle) DAYTIME TELEPHONE NUMBER
Jay T. Imperial ( )
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX /E -MAIL ADDRESS
(May be business address)
City Hall, 8838 East Valley Boulevard; P.O. box 1339, Rosemead, CA 91770
1. Full Name of Office Sought or Held,
Agency or Court:
County Sanitation Districts No(s). 15
of Los Angeles County
Division, Board, District, if applicable:
Board of Directors
Position:
Director - Rosemead
iii If Filing for multiple positions, list additional agency(iesy
position(s): (Attach a separate sheet if necessary.)
Agency:
Position Title
Jurisdiction 0f Office (Checkonebox)
-
❑ State
❑ County of
❑ City of
❑ Multi -County
Q Other Agency
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
❑ Annual: The period covered is January 1, 2001, through
December 31. 2001.
-
Q The period covered is
December 31, 2001.
® Leaving Office Date Left: 4 / 9 / 02
(Check one)
Q The period covered is January 1, 2001, through
the date of leaving office.
4. Schedule Summary
(Check applicable schedules or "No reportable interests.')
Illl, During the reporting period, did you have any reportable interests
to disclose on:
Schedule A -1
❑ Yes - schedule attached
Investments Mess
than 10% ownership)
Schedule A -2
❑ Yes - schedule attached
investments (Greater than 10% Ownershtp)
Schedule B
❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions thiunne Other than Loans, GIBS, and Trams)
Schedule D ❑ Yes - schedule attached
Income — Loans
Schedule E ❑ Yes - schedule attached
Income — Gifts
Schedule F ❑ Yes - schedule attached
Income — Travel Payments
-or-
111i 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. 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
=n ay. Year
Signature
i e he ongina y signed staier,ent win your hung d ¢ia .
ro01
Q The period covered is
the date of leaving office.
❑ Candidate
FPPC Form 700 �2001I20021
FPPC Toll -Free Helpline: 866 ASK -FPPC