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Nancy Valderama
RECEIVED CITY OF ROSEMEADate Received otricW Use only STATEMENT OF ECONOMIC INTERE�TA 2 6 2001 A Public Document Please type or print in ink CITY CLERK OFFICE NAME ( fin (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Al OV W IPA] WA ZIP CODE eA I /77J OPTIONAL: FAX / E -MAIL ADDRESS COVER PAGE 1. Name of Office Sought or Held, Agency or 4. Schedule Summary Court (Provide precise name. Do not use acronyms.) (Check applicable schedules pr Wo reportable interests.") d / 7- z © n P ,f/„� - -*During the reporting period, did you have any reportable Division, Board, District, if applicable: interests to disclose on: Position: -0 If Expanded Statement — List agency /position: (Attach a separate sheet it necessary. Do not use acmnyms. File originally signed statement with each riling official.) Agency: Position Title: 2. Office Jurisdiction (Check one) ❑ State ❑ County of - A City of /� D SEFf gJ9� ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: 1 Annual �-' (Check one) ® The period covered is January 1, 2000, through December 31, 2000. Q The period covered is „ I --- , through December 31, 2000. ❑ Leaving Office Date Left: (Check one) 0 The period covered is January 1, 2000, through the date of leaving office. 0 The period covered is _J� through the date of leaving office. ❑ Candidate Schedule A -1 ❑ Yes — schedule attached Investments ti-e. then mx D- nanmip) Schedule A -2 ❑ Yes — schedule attached Investments (Greater men 1 rA ownership) Schedule B ❑ Yes — schedule attached Real Property Schedule C ❑ Yes — schedule attached Income 8 Business Positions (moan. Omar then Loens. Gifts, and Tiawrl) Schedule D ❑ Yes — schedule attached Income — Loans Schedule E Yes — schedule attached income — Gifts Schedule F ❑ Yes — schedule attached Income — Travel Payments -* ❑ 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 M a 6 " d -" (month, day, Pearl SIGNATURE (Fie the original! J7 signed statement with your filing official.) FPPC Form 700 (2 0 0 012 0 01) FPPC Toll -Free Helpllne: 866/ASK -FPPC Schedule E I Income — Gifts > NAME OF SOURCE ADDRESS # oZ /,3 5 E 9�Te-c -.* , BUSINESS ACTIVITY, IF ANY, OF SOURCE LFi�}P�ULS' d LYA CG171E — IJIVAHO, DESCRIPTION OF GIFT(S) VALUE DATE AI AIJ � zJ g2S ,_)/ > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DESCRIPTION OF GIFT(S) VALUE DATE $ — /�— $ —J —/— > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DESCRIPTION OF GIFT(S) VALUE DATE $ $ ��— $ ��— Comments: > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DESCRIPTION OF GIFT(S) > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DESCRIPTION OF GIFT(S) VALUE DATE VALUE DATE $ ��- $ $ $ ��— $ ��— $ - —J —J— > NAME OF SOURCE ADDRESS BUSINESS ACTIVITY, IF ANY, OF SOURCE DESCRIPTION OF GIFT(S) VALUE DATE $ ��— $ $ ��— FPPC Fonn 700 (200012001) Sch. E FPPC Toll -Free Helpllne: 866 /ASK -FPPC