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Daniel Scott03-19-2002 04:54m From - DIVISON 5 LACOFD 626 912 8100 T -106 P 001 /001 F -285 CALIF _ 700 STATEMENT OF ECONOMIC INTERESTS�1 FAIR POLIT PRACTIC COMMISSION A Public Document VATY OF ROSEMEAD MAR 19 2002 Please type or print in ink COVER PAGE NAME (LAST) (FIRST) (MIDDLE) DAYTI E NUMBER SCOTT DANIEL B. 626 ) 913 -1430 MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX I E -MAIL ADOP.ESS (May De besiness aaaress) 170 Gale Avenue, Industry, CA 91745 1. Full Name of Office Sought or Held, Agency or Court: City of Rosemead (L.A. County) Fire Division, Board, District, if applicable: Fire Department Position: Assistant Fire Chief �» If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position Title: _ -- 2. Jurisdiction of Office (Check 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— [0 Annual: The period covered is January 1, 2001, through December 31, 2001. -or. 0 The period covered is _l J^ through December 31, 2001. ❑ Leaving Office Date Left: - ^ / _J_ (Check one) C) The period covered is January 1, 2001, 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 imerests.') During the reporting period, did you have any reportable interests to disclose on: Schedule A -1 ❑ Yes - schedule attached Invesint hues man rot- ownazam/ Schedule A -2 ❑ Yes - schedule attached Investments fGraalennan Ia:o owner :n�pl Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income a Rosiness Positions pncome olner man Lca­, sen. and name) Schedule D ❑ Yes - scheduie attached - Income - Loans Schedule E ❑ Yes - schedule attached Income - Gilts Schedule F ❑ Yes - schedule attached Income - Travel Payments - -or- .+ �7 No reportable interests on any schedule Total number of pages completed Including this cover page: I 5. Verification I have used all reasonable diligence in preparing this statement. 1 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 Stale of California that the foregoing is true end correct. March 8, 2002 pate Signed %"'` Imantn. day, year) yr Signature r Ifne Ina or,gmally s goad clBlemenl With your liking oflvael.) FPPC Form 700 (2001/2002) FPPC Toll-Pree Helpline: 866/ASK-FPPC