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Scot Yotsuyar- Date Received STATEMENT OF ECONOMIC IN!ERWV'' oftialuse Only TY OF ROSEME ' J Mme ........ ■ eanuw ,v��ranaxYa.lve��,ll- x7n�c COVER PAGE - MAR 1 12003 Please type or print in ink -A. Public Document NAME (LAST) (FIRST) _ (MIDDLE) TELEPHONE NUMBER Scot MAILING ADDRESS STREET _ CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADDRESS (May be business address) 8838 B. Valley Blvd. Rosemead CA 91770 1 . Office, Agency or Court Name: City of Rosemead , Administrati on Divisj n, Board, District, if applicable: Position: Pi tact - nr of AAmi nistratiyn Rar,iraa �+ 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 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:�_J— [� 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 Left: (Check one) Q 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 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 10% Ownership) Schedule A -2 ❑ Yes – schedule attached Investments (10% or greater Ownership) Schedule B ❑ Yes – schedule attached Real Property Schedule C ❑ Yes – schedule attached Income & Business Positions (0come Omer than Loans, Gins, 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- 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 03/06/03 (month, day, year) Signature tit (File the originally signed are t with your filing official.) FPPC Form 700 (2002/2003) FPPC Toll -Free Heloline: 866 1ASK -FPPC 700 STATEMENT OF ECONOMIC INTER��. R� a owed w. CALIF ORNIA ' - CITY OF ROSEMEAD FAIR POLITICAL PRACTICES COMMISSION A Public Document JUN 0 '12002 Please fin or nrint in Ink - COVER PAGE 1. Full Name of Office Sought or Held, Agency or Court: A l Division, Ion, Board, District, if applicable: Position: - �+ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: C:S O�G Sii4 i/Bjt' Position Title: 2. Jurisdiction of Office (Check one box) ❑ State ❑ County of city of . 4:�3�s 4 r® ❑ Multi- County ❑ Other . Type of Statement (Check at least one box) Assuming Office /Initial Date: J1J S _- ❑ Annual: The period covered is January 1, 2001, through December 31, 2001.. - -or- 0 The period covered is through December 31, 2001_ ❑ Leaving Office Date Left: (Check one) • The period covered is January 1, 2001, through the date of leaving office. -or- O The period covered is --J --J— ,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 ❑ Yes - schedule attached Investments (Less man 10% Ow ershmp) Schedule A -2 ❑ Yes - schedule attached investments (Greater than 10:: Ow ersnp) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income & Business Positions omome other than Loans. G,ns. and rraveq Schedule D ❑ Yes — schedule attached Income - Loans Schedule E ❑ Yes - schedule attached Income - Gilts _ Schedule F ❑ Yes - schedule attached Income — Travel Payments -or- No reportable interests on any schedule To al 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. Dale Signed - (month, � - /, day year) - Signature (Fde the originally signed stile with your fm nar� FPPC Form fUU (LUU11zvu4) FPPC Toll -Free Helpline: 666 1ASK -FPPG NAME (LAST) (FIRST) (MIDDLE) - DAYTIME TELEPHONE NUMBER X 4- .S tj A scoff � .5 4 ( bz6) MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX r E -MAIL ADDRESS (May be business address) - - ��39 " cam- uR r A s o f� ,�, E.t a' C A 2 o 10 1. Full Name of Office Sought or Held, Agency or Court: A l Division, Ion, Board, District, if applicable: Position: - �+ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: C:S O�G Sii4 i/Bjt' Position Title: 2. Jurisdiction of Office (Check one box) ❑ State ❑ County of city of . 4:�3�s 4 r® ❑ Multi- County ❑ Other . Type of Statement (Check at least one box) Assuming Office /Initial Date: J1J S _- ❑ Annual: The period covered is January 1, 2001, through December 31, 2001.. - -or- 0 The period covered is through December 31, 2001_ ❑ Leaving Office Date Left: (Check one) • The period covered is January 1, 2001, through the date of leaving office. -or- O The period covered is --J --J— ,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 ❑ Yes - schedule attached Investments (Less man 10% Ow ershmp) Schedule A -2 ❑ Yes - schedule attached investments (Greater than 10:: Ow ersnp) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income & Business Positions omome other than Loans. G,ns. and rraveq Schedule D ❑ Yes — schedule attached Income - Loans Schedule E ❑ Yes - schedule attached Income - Gilts _ Schedule F ❑ Yes - schedule attached Income — Travel Payments -or- No reportable interests on any schedule To al 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. Dale Signed - (month, � - /, day year) - Signature (Fde the originally signed stile with your fm nar� FPPC Form fUU (LUU11zvu4) FPPC Toll -Free Helpline: 666 1ASK -FPPG