Rachel Richman•' • - &1112 STATEMENT OF ECONOMIC
COVER PAGE I I FEB �Lo
lease y e in in in
NAME OF FILER _ (LAST)
1. Office, Agency, or Court
AaencvName
Board, Department, District, if applicable /four Position
► If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at feast one box)
❑ State -
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi-County
El El County of
City of ��
Other
3. Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2011, through
Leaving Office: Date Left J_L I Z
December 31, 2011.
(Check one)
-or-
. The period covered is I I
, through ® The period covered is January 1, 2011, through the date of
December 31, 2011.
leaving office.
❑ Assuming Office: Date assumed —J —J
O The period covered is through
the dale of leaving office.
❑ Candidate: Election Year Office sought, if different than Part 1: .
4. Schedule Summary
Check applicable schedules or "None."
► Total number of pages including this cover page:
❑ Schedule A -1 - Investments - schedule attached
Schedule C - Income, Loans, B Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or.
❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
4L-1 q S_ I�tv_J-P—� S t_
I n s lei -ncl r� l- e (A I M 1
Q13) D3 (,5,- o(,,00 I Y�I c.h+�anCCbu�s�aw.c�✓)
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoin rs true and comet.
Date Signed a / , Signature
(month, day,, Year) die the a i"ysignedslafemem wdh your fNg oncial)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866 1275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM f 1 If
Income, Loans, & Business FAIR POLITICAL
Positions Name
(Other than Gifts and Travel Payments) 1Via , t R V 1 11hyy of in
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
4`f Y S, fat JAY 9 , Loy
BUSINESS ACTIVITY, IF ANY, OF SOURCE CA (_ OD —7
YOUR BUSINESS POSITION
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceplab /e)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $to,000
❑ $10,001 - $100,000 ® OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
HIV Salary ❑ Spouse's or registered domestic parmer's income
E] Loan repayment ❑ Partnership
❑ Sale of
(Reel property; car, boat, etc.)
❑ Commission or ❑ Rental Income, fist each source of $10,000 or In.
❑ Other
(Desm1e)
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10.000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale or
(Real property, car,
❑ Commission or ❑ Rental Income, list each source a slo 000 or more
❑ Other
(Describe)
11 2 LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
" You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthsNears)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100.000
❑ OVER $100,000
Comments:
❑ Real Property
Street atltlRSs
City
❑ Guarantor
❑ Other
(Descnbe)
FPPC Form 700 (2011/2012) Sch. C
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
STATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
NAME OF FILER
Richman
1. Office, Agency, or Court
Rachel
MAR 2 7 2al,t
r >Y
Agency Name
City of Rose
Division, Board, Department, Distdct, if applicable Your Position
City Attorney
► If filing for multiple positions, list below or on an attachment.
Agency: n
Positon:
2. Jurisdiction of Office (check at least one bar)
❑ State
❑ Multi -County
❑x City of City of Rosemead
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (check at least unebox)
❑ic Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left ---J---J
December 31, 2011. (Check one)
-or-
The period covered is __07_J 2011 through O the period covered is January 1, 2011, through the data of
December 31, 2011. leaving office,
❑ Assuming Office: Dale assumed J_J O The period covered is —_!_/ through
the date of leaving office.
❑ Candidate: Election Year Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules of "None. ° ► Total number of pages including this cover page: 2
❑ Schedule A -1 - Investments- schedule attached ❑K Schedule C - Income, Loans & Business Positions - schedule attached
❑ Schedule A -2 - Investments- schedule attached ❑ Schedule D - Income - Gifts- schedule attached
❑ Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
E] None - No reportable interests on any schedule
5. Ve r i f i c a t i on
MAILINGADDRESS STREET CITY STATE ZIP CODE
(aus z orAgemyAddress Roca vended - Pubk Doc eO
444 S. Flower Street, Suite 2400 Los Angeles CA 90071
( 213 ) 236 -0600
rrichman @bw slaw.com
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 acknowledge this is a public document.
I certify under penally of perjury under the laws of the State of California that the fore is true and correct.
p a,, ,/ /,/ ( / //'
Date Signed I ay,4 r � 2 ' Signature s IF* ft S - a�M w�M �'� �ar�ar.�
rearm eexy —1 1 r s ran M,
FPPC Form 700 (2 01112 01 2)
FPPC Toll -Free Helpline: 6661275 -3772 www.fppc.ca.gov,
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Burke, Williams & Sorensen, LLP
ADDRESS (Business Address Acceptab le)
444 S. Flower Street, #2400,Los Angeles, CA 90071
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Legal Services
YOUR BUSINESS POSITION
Attorney"
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,00D Q OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑>< Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ sale of
(Realpropedg cafi bast etc.)
❑ Commssion or []Rental
Income, us<wcn source of$1p,oso or more
❑ Other
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1001 - $10,000
❑ $10.001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership -
❑ Sale of
(Realpmpeny. car, boat. eIsJ
❑ Commission or ❑ Rental Income, fist each source of $fo,o00 or more
❑ Other
LOANS 2. r OR OUTSTANDING DURING THE REPO
You are not required to report loans from commercial lending Institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10.001 - $100.000
❑ OVER $100,000
Comments:
❑ Real Properly
❑ Guarantor
❑ Othef
(OesMbs)
FPPC Form 700 (2011/2012( Sch. C
FPPC Tall -Free Helpline: 8661275-3772 www.fppc.ca.gov
MAYOR:
Steven Ly
MAYOR PRO TEND
Sandra Armenta
COUNCIL MEMBERS:
William Alarcon
Margaret Clark
Polly Low
March 29, 2012
Secretary of State
Political Reform Division
1500 11 Street, Room 495
Sacramento, CA 95814
To Whom It May Concern:
City o f 1psemead
8838 E. VALLEY BOULEVARD P.O BOX 399
ROSEMEAD, CALIFORNIA 91770
TELEPHONE (626) 569 -2100
FAX (626) 307 -9218
Enclosed, are original 700 Statement of Economic Interest for Planning Commissioner
Michael Saccaro; City Attorney Rachel Richman; and Assistant City Attorney Joseph
Montes. If there are any questions, please feel free to contact the office of the City Clerk
at (626)569 -2177. Thank You.
Sincerely,
Ericka Hernandez
Assistant to the City Clerk
700 Statements Enclosed: Michael Saccaro
Rachel Richman
Joseph Montes