Duc LoiDate Received
STATEMENT OF ECONOMIC INTERESTS Use Dhy
CALIFORNIA FORM700
FAIR POLITICAL PRACTICES COMMISSION A Public Document„ ITY OF ROSEMEAD
Please type or print in ink
(_.J CAT. COVER PAGE MAR L 20U2
NAME (LAST) (FIRST) (MIDDLET7y r1I r-- LEPHONE NUMBER
LD / Y G( (z_ (�
MAILING ADDRESS STREET CITY ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May be business address)
77(0 � CM6YZ:S6 G) 4Ct R S I � - 9 1177o
1. Full Name of Office Sought or Held,
Agency or Court: r
G`r. J 6 _
Division, Board, Digtrict, if applicable:
Position:
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
❑ Multi- County
n ntt,
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Dater I
[j� Annual: The period covered is January 1, 2001,
through December 31, 2001. _
-or-
e The period covered is through
December 31, 2001. -
❑ Leaving Office Date Left:
(Check one)
Q The period covered is January 1, 2001, 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 town ownarshlp)
Schedule A -2 ❑ Yes - schedule attached
Investments (Grealer friar, 10 % 0wnersniP)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
income & Business Positions (income Omer than Loans. curs, old Travel)
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
Total number of pa es 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 b
month, yyyy,, ° ~
ay, y or)
1
Signature
(File e' originally signed statement with your tiling olliclal.)
FPPC Form 700 (200112002)
FPPC Toll -Free Helpline: 666 /ASK -FPPC