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Joanne Russell Chavez04/02/2012 11:12 FAX STATEMENT OF ECONOMIC COVER PAGE Please type or print In Ink- Russell- Chave2 Joanne 1. O ffic e, Ag ency, or Court Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position Traffic Commission Traff Co ► If filing for multiple positions, list below or on an attachment. Agency: Positiom 2. jurisdiction of Office (Check at /east one box) ❑ State ❑ Multi- County © City of Rosemead ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other _ 3. Type of Statement (check at least ono box) Qx Annual: The Period covered Is January 1, 2011, through ❑ Leaving Office: Date Left —J December 31, 2011. (Check one) -or. The period covered is ��, through O The period covered Is January 1, 2011, through the dale of � December 31, 2011 leaving office. ❑ Assuming Office: Date assumed O The period covered is �J , through The dale of leaving office. ❑ Candidate: Election Year Office sought, If different than Part 1: 4. Schedule Summary Check applcable schedules or None." ► Total number of pages including this cover page: ❑ Schedule A -1 • Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions- schedule attached ❑ Schedule A -2 - Investments- schedule attached ❑ Schedule D - Income - Gas- schedule attached ❑ Schedule B • Real Property- schedule attached ❑ Schedule E - Income - Gills - Travel Payments- schedule attached •or• N - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE LP CODE lsuvnsts wAgeocyAdrbess Rrrwn deo- Public euchmwrrrl 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 California that the foregoi Is a and correct. 1 Date Signed f yya�rl Signalur FPPG Form 700 (201112012) FPPC Toll -Free Helpline: 866 /275-3772 www.fppc.ca.gov la 002 h AL - "D'Ate oS U " o ve - orncer uae orxr i 1. O ffic e, Ag ency, or Court Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position Traffic Commission Traff Co ► If filing for multiple positions, list below or on an attachment. Agency: Positiom 2. jurisdiction of Office (Check at /east one box) ❑ State ❑ Multi- County © City of Rosemead ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other _ 3. Type of Statement (check at least ono box) Qx Annual: The Period covered Is January 1, 2011, through ❑ Leaving Office: Date Left —J December 31, 2011. (Check one) -or. The period covered is ��, through O The period covered Is January 1, 2011, through the dale of � December 31, 2011 leaving office. ❑ Assuming Office: Date assumed O The period covered is �J , through The dale of leaving office. ❑ Candidate: Election Year Office sought, If different than Part 1: 4. Schedule Summary Check applcable schedules or None." ► Total number of pages including this cover page: ❑ Schedule A -1 • Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions- schedule attached ❑ Schedule A -2 - Investments- schedule attached ❑ Schedule D - Income - Gas- schedule attached ❑ Schedule B • Real Property- schedule attached ❑ Schedule E - Income - Gills - Travel Payments- schedule attached •or• N - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE LP CODE lsuvnsts wAgeocyAdrbess Rrrwn deo- Public euchmwrrrl 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 California that the foregoi Is a and correct. 1 Date Signed f yya�rl Signalur FPPG Form 700 (201112012) FPPC Toll -Free Helpline: 866 /275-3772 www.fppc.ca.gov