Daniel Lopeze Received
STATEMENT OF ECONOMIC I 7�,K i��,® chat Use ony
COVER PAGE ROSEMEAD
} 2003
Please type or print in ink DUPLI CAT EPublic Document h '. FFtCF
NA ME (LAST) (FIRST) (MIDD,L�) -- "`DAVTTIME�TELEPHONE NUMBER
LDP EL DyN iEL S71- 2'16
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address) ^ ,scf0 � � ' 7r/70
�1a2 4 E7�I �0/7 ®< C.
1 . Office, Agency or Court
Name:
CITY O Rogeme o
Division, Board, District, it applicable:
Position:
PLAAJAJ1A LJ (!0rvi/"15510ee0r2
-+ 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
❑ Multi- County
❑ Other
3. Type of Statement (Check at )east one box)
,pq Assuming Office /Initial Date: 20J v r r o �
❑ Annual: The period covered is January 1, 2002,
through December 31, 2002.
-or-
0 The period covered is
December 31, 2002.
through
❑ Leaving Office Date Left:
(Check one)
0 The period covered is January 1, 2002, through
the date of leaving office.
-or-
0 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 ❑ Yes - schedule attached
Investments (Less than tom Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments no% or greater ownarshlp)
Schedule B ❑ Yes - schedule attached
Real Properly
Schedule C ❑ Yes - schedule attached
Income & Business Positions (income Other than Loans, GMs, and Laver)
Schedule D ❑ Yes - schedule attached
Income — Loans
Schedule E ❑ Yes - schedule attached
Income - Gifts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
-or-
ZL 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 /// 5-/03
/ 4 nth day, year)
Signature _
(Fie the originally aigne rmenr wit our tiling onmen.)
FPPC Form 700 (200212003)