Carolyn ChuSTATEMENT OF ECONOMIC
'• COVER PAGE I NA10 I , fir
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NAME or FILER ([AST) (FIRST) „A I �
Chu Carolyn IA
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Finance Department Finance Manager
► If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County
❑x City of Rosemead
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (check at least one box)
❑x Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left J�
December 31, 2011. (Check one)
.or-
The period covered is —J —J , 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__J through
the date of leaving office.
❑ Candidate: Election Year
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "Notre."
❑ Schedule A -1 - Investments - schedule attached
❑ Schedule A -2 - Investments- schedule attached
❑ Schedule B - Rea/ Property- schedule attached
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
fflmiwss wAgemyAddws Rerommemred - Public OocumeMJ
8838 East Valley Blvd. Rosemead, Ca 9177
( 626 ) 569 -2146
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 3 -6 -12 Signature
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I. Total number of pages including this cover page:
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 8661275 -3772 www.fppe.ca.gov