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Jeff AllredSTATEMENT OF ECONOMIC INTERESTS MAK) oa Recei • ' • ' y L 0 ap �- LZ +1[ I FAIR POLITICAL PRACTICES COMMISS17N • P UBLIC DOCUMENT COVER PAGE ' N%��� Please type or print In ink. 33 yi NAME OF FILER (LAST) (FIRST) ALLRED JEFFREY 1. Offi Agency, or Court Agency Name CITY OF ROSEMEAD Division, Board, Department, District, if applicable Your Position CITY MANAGER ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ Stale ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of © City of ROSEMEAD ❑ Other 3. Type of Statement (Check at least one box) ❑x Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Dale Left — / —J December 31, 2011. (Check one) -or- The period covered is through O 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 date 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: Z' ❑ Schedule A -1 - Investments- schedule attached ❑ Schedule C - Income, Loans & Business Positions - schedule attached ❑ Schedule A -2 - Investments- schedule attached ❑ Schedule D - Income - Gilts - schedule attached ❑ Schedule B - Real Property - schedule attached R 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 (auaness wAgemyAddmss Rero coded - Pubir Oocumentt) 8838 E. VALLEY BOULEVARD ROSEMEAD CA 91770 ( 626 ) 569 -2100 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 Califomia that the Date Sioned 3 12-6 1 /'?-- FPPC Form 700 (2 01112 0 1 2) FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov SCHEDULE E Income - Gifts Travel Payments, Advances, and Reimbursements • You must mark either the gift or income box. • Mark the 501(c)(3) box for a travel payment received from a nonprofit 501(c)(3) organization. These payments are not subject to the $420 gift limit, but may result in a disqualifying conflict of interest. ► NAME OF SOURCE G t a s (—'ix rc(el�. " ADD T (Business � 04jal p e),l1A ! l g CITY AND &cadim BUSINE A ANY, OF SOURCE. ^ F 501 (c)(3) DATE(S):L 8- -__JJ— AMT:$ (if gift) TYPE OF PAYMENT: (must check one) "NI Gift Income ❑ Made a Speech /Participated in a Panel Other - Provide Description iV0 CA (C& VVI-g �y ► NAME OF SOURCE 0 lG0 (t dey� (7n'eZt z ADDRE rV usr'ness Address Ac �l�) VV_ CITY AND STATE ^(f +(I\ I((�i1 I CA BUSINESS ACTIVITY, F ANY, OF URCE 501 (c)(3) lAd 14 'eq oU DATE(S): r v l_V_J 1 - Jam AMT: $ (if gift) TYPE OF PAYMENT: (must check one) 0 Gift Income Made a Speech /Participated in a Panel Other - Provide Descrip ion �� a lie P. G t feu Uesb Comments: ► NAME OF SOURCE Qk l`a C-e aeA & V-uP ADDRESS (Business ddmss Awep ble) y sv s CITY A D STATE �V BUSINESS ACTIVITY, IF ANY, OF SOURCE 501 (c)(3) DATE(S): L o / J � - _JJ— AMT:$_JeL� (if gift) TYPE OF PAYMENT: (must check one) to 1 Gift E] Income ❑ Made a Speech /Participated in a Panel ❑ Other - Provide Description ► NAME SOURCE S to (( A I g2 in r ;;77J BUSINESS ACTIVITY, IF`#NY, OF SOURCE U 501 (c)(3) to _e r rot Lft� C144 DATE(S): ° m s AMT: $ 72 (9, 06 9 ° (If gift) TYPE OF PAYMENT: (must check one) ' X Gift E] Income ❑ Made a Speech /Participated in a Panel ❑ Other - Provide Description e rtuk. l , _Q ys 'J Gl�co�� cvv�aw(papkl Y14 (woJ7 aj- FPPC Form 700 (201112012) Sch. E FPPC Toll -Free Helpline: 866 1275 -3772 vn Jppc.ca.gov MAYOR: Steven Ly MAYOR PRO TEM: Sandra Annenta COUNCIL MEMBERS: William Alarcon Margaret Clark Polly Low March 27, 2012 Secretary of State Political Reform Division 1500 1 I rh Street, Room 495 Sacramento, CA 95814 To Whom It May Concern: City of Wpsemead 8838 E. VALLEY BOULEVARD P.O BOX 399 ROSEMEAD, CALIFORNIA 91770 TELEPHONE (626) 569 -2100 FAX (626) 307 -9218 Enclosed, is an original 700 Statement of Economic Interest for City Manager Jeffrey Allred. 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