Lisa burkeSTATEMENT OF ECONOMIC INTERESTS Date Received
Official Use Only
COVER PAGE
Please t or print in ink A Public Doeurns).EAf OF ROSEMEAD
NAME (LAST) _ (FIRST) (MIDNAR l I ZUU3 DAYTIME TELEPHONE NUMBER
MAILING ADDRESS STREET _ CITY ZI k D i NAL: FAX / E -MAIL ADDRESS
(May be business address)
1 . Office, Agency or Court
Name:
Div Board, District, if applicable:
CO>h dn� alCl' r
Position:
Q-45 Cmd lnafn>
..� 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 je
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J —J—
N' 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: —1 —/—
(Check one)
Q The period covered is January 1, 2002, through
the date of leaving office.
-or-
0 The period covered is __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 io % ownership)
Schedule A -2
❑ Yes – schedule attached
Investments (lo% or greater owna ship)
Schedule B
❑ Yes – schedule attached
Real Property -
Schedule C
❑ Yes – schedule attached
Income & Business Positions (Income Olher than Loans, Gifts, 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-
.. 1 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
Signature
your
FPPC Form 700 (200212003)
FPPC Toll -Free Helpline: 666 /ASK -FPPC