Sandra ArmentaSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink. APR Q 2 12
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Armenta Sandra i "•� k+
1. Office, Agency, or Court
Agency Name
Rosemead Community Development Commission
Division, Board, Department, District, if applicable Your Position
Commissioner
► 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
i] City of Rosemead ❑ Other
3. Type of Statement (Check at tease one box)
❑ Annual: The period covered is January 1, 2011, through I] Leaving Office: Date Left —0 2012
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 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: 2
❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑X Schedule D - Income - Gifts - schedule attached
❑ Schedule 8 - 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 Recanmended - Public Document)
8838 E. Vallev Boulevard Rosemead CA 91770
626 ) 569 -2100 1 sarmenta @cityofrosemead.org
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 Czlifornia that the foregoing is true and correct.
Date Signed March 30, 2012 Signature
brolk day, year) (File @e cdgio,dlysigned stafeWnf Kith your Poing Mfia' .)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 8661275 -3772 worm1ppc.ca.gov,
SCHEDULE D
Income — Gifts
► NAME OF SOURCE
League of California Cities Latino Caucus
ADDRESS (Business Address Acceptable)
770 L Street, Suite 1030 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Latino Caucus Annual Board Retreat, Los Angeles
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
01 21 / 11 s 83.00 Informal Dinner
01 / 22 11 $ 94.00 Sponsor Dinner
__J __j $
► NAME OF SOURCE
Athens Services
ADDRESS (Business Address Acceptable)
5355 Vincent Avenue Irwindale, CA 91706
BUSINESS ACTIVITY, IF ANY, OF SOURCE
CA Contract Cities Annual Municipal Conference
DATE (mmtdd /yy) VALUE DESCRIPTION OF GIFT(S)
05 / 13 / 11 $ 100.00 Sponsor Dinner
—1 —J— $
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
__ J __J S
-J $
Comments:
Name
Sandra L Armenta
► NAME OF SOURCE
League of California Cities Latino Caucus
ADDRESS (Business Address Acceptable)
770 L Street, Suite 1030 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE
League of CA Cities Annual Conference /San Fran
DATE (mm/ddlyy) VALUE DESCRIPTION OF GIFT(S)
09 j /
11 $
89.00
Sponsor Dinner
09 j /
11 $
13.00
Gala Reception
$
0 NAME OF SOURCE
Athens Services
ADDRESS (Business Address Acceptable)
5355 Vincent Avenue Irwindale, CA 91706
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Independent Cities Installation
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
09 / 16 / 11 % 62.50 Installation Dinner
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddtyy) VALUE DESCRIPTION OF GIFT(S)
__J $
��- $
FPPC Form 700 (2011/2012) Sch. D
FPPC Toll -Free Helpline: 866 /275 -3772 w fppc.ca.gov
P 1
STATEMENT OF ECONOMIC IN Uk§,Ts '_
' • •
COVER PAGE j AN d 2 1012
Please type or print in ink.
NAME OF FILER (LAST)
(FIRST) MIDDLE)i
Armenta
Sandra
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable
Your Position
City Council
Council Member
► If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
❑ County of
❑x 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__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 J I , through
the date of leaving office.
❑ Candidate: Election Year Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or " None. °
o- Total number of pages including this cover page. 2
❑ Schedule A -1 - Investments- schedule attached
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
FJ Schedule A -2 - Investments- schedule attached
❑X Schedule D - Income - Gifts- schedule attached
❑ Schedule B - Real Property - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments- schedule attached
.or-
El None - No reportable interests on any schedule
5. Verification
MNLING ADDRESS STREET
CITY STATE ZIP CODE
(Business ur Agency Address Recommended Public Document)
8838 E. Valley Boulevard
Rosemead CA 91770
DAYI TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 626 ) 569 -2100
sarmenta @cityofrosemead.org
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 foregoing is true and correct.
Date Signed March 30, 2012
Signature �
(momh day, year)
(rile the aigiiw! /y sigiuds aternere wbh�ffing effmi.J
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE D
Income — Gifts
► NAME OF SOURCE
League of California Cities Latino Caucus
ADDRESS (Business Address Acceptable)
770 L Street, Suite 1030 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Latino Caucus Annual Board Retreat, Los Angeles
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
Of / 21) 11 S 83.00 Informal Dinner
01 122 1 11 $ 94.00 Sponsor Dinner
$
► NAME OF SOURCE
Athens Services
ADDRESS (Business Address Acceptable)
5355 Vincent Avenue Irwindale, CA 91706
BUSINESS ACTIVITY, IF ANY. OF SOURCE
CA Contract Cities Annual Municipal Conference
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
05 / 13 / 11 $ 100.00 Sponsor Dinner
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S)
__j --- J $
Comments:
Name
Sandra L Armenta
► NAME OF SOURCE
League of California Cities Latino Caucus
ADDRESS (Business Address Acceptable)
770 L Street, Suite 1030 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE
League of CA Cities Annual Conference /San Fran
DATE (mm/dd /yy) VALUE DESCRIPTION OF GIFT(S)
09/221 $ 89.00 Sponsor Dinner
O9 j _22 / 11 $ 13.00 Gala Reception
__J __J— $
► NAME OF SOURCE
Athens Services
ADDRESS (Business Address Acceptable)
5355 Vincent Avenue Irwindale, CA 91706
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Independent Cities Installation
DATE (mm/ddtyy) VALUE DESCRIPTION OF GIFT(S)
09j_161 11 $ 62.50 Installation Dinner
► NAME OF SOURCE
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm /dd/yy) VALUE DESCRIPTION OF GIFT(S)
%
$
FPPC Form 700 (2 0 1112 0 1 2) Sch. D
FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov