Daniel ScottMAR. -24' 03 (MON) 16:56
CITY OF ROSEMEAD
TEL :626- 301-9218
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
eluase rvna nr nrlmm ink
A Public Document
P. 002
� iYlWeived '
MAR 2 d) 2003
4 I Y ULLRK' OFFICF
NAME (LAST) (FIRST) (MIDDLEI DAYTIME TELEPHONE NUMBER
Scott Daniel B. (626 )974 -8371
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX I EMAIL ADDRESS
(may be buslness sadress)
400 N. Citrus Avenue Covina 91723
I . Office, Agency or Court
Name:
City of Rosemead (LA Couaty) Fire
Division, Board, District, if applicable:
Fire DepartMent
Position:
Assistant Fire Chief
If filing for multiple positions, list additional agoncy(ies)/
poaition(s): (Attach a separate shoat if necessary.).
Agency:
Position_
2. Jurisdiction O f Office (check Of least one box)
❑ State
® County of Los Angeles
❑ City of
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:--J
R1 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)
• The period covered is January 1, 2002, through
The Pate of leaving office.
.or-
• The period covered is J I through
the date of leaving office.
❑ Candidate
4. Schedule Summary
(Cheek applicable schedules or "No raparlable infarasts -')
During the reporting Period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less man +or. omarsnm)
Schedule A -2 ❑ Yes - schedule attached
im nom or gmara. pmyrsmpt
Schedule B Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions pnaome omer men Lama, cma aad Tmwp
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: 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 ano correct.
Data Signed MM _ t 24, 2003
(mooch, da , yeaq
Signature
Ie Ina mginally signed slatamen rvll your Illmg I.,,
FPPC Form 700 (200212003)
FPPC Toll -Free Heloline: 866 1ASK -FPPC