Lisa BakerRECEIVED Date Received
CITY OF ROSEMEAD otaaa; use omy
STATEMENT OF ECONOMIC INTERESTS
A Public DocumerltAR U 6 2001
Please type or print in ink CITY CLERK'S OFFICE
NAME (LAST) (FIRST) - (MIDDLE) DAYTIME TELEPHONE NUMBER
�ak Lisp A c sc.z 988 use
MAILING ADDRESS STREET - CITY ZJP CODE OPTIONAL FAX / E-MAIL ADDRESS
(May be business address)
a6 f 'I Ze4d P•soG
COVER PAGE
1. Name of Office Sought or Held, Agency or
Court (Provide precise name. Do not use acronyms.)
Division, Board, District, if applicable:
Position
If Expanded Statement- List agency /position:
(Attach a separate sheet if necessary. Do not use acronyms.
File originally signed statement with each filing official.)
Agency: C f H e �LC
Position Title: 6401 6 4,(6 44A )
2, Office Jurisdiction (Check one)
.. ❑ State
❑ County of ,
K City of thWXta4
❑ Multi -County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Inifial Date:
Annual
(Check one)
• The period covered is January 1, 2000, through
December 31, 2000.
• The period covered is _J___J through
December 31, 2000.
❑ Leaving Office Date Left: ---J—J
(Check one)
• The period covered is January 1, 2000, through the
date of leaving office.
• The period covered is —J —J —, through the
date of leaving office.
❑ Candidate
4. Schedule Summary
_ - (Check applicable schedules pr 'No reportable interests.')
y During the reporting period, did you have any reportable
interests to disclose on:
Schedule A -1 ❑ Yes - schedule attached
. Investments (Lass man lost ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (araelerman 10-A 0m.,ship) - -
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income & Business Positions fln m Omer then Loans, Gms, and Travel)
Schedule D ❑ Yes - schedule attached
Income - Loans
Schedule E ❑ Yes - schedule attached
Income - Gilts
Schedule F ❑ Yes - schedule attached
Income - Travel Payments
w No reportable interests on any schedule
Total number of pages (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.
EXECUTED ON
(nronM, tle) year)
SIGNATURE
(File ( the ong ally si ad statement with your filing official.)
FPPC Fonn 700 (20002001)
FPPC Toll -Free Helpllne: 866 /ASK -FPPC