Lily TrinhSTATEMENT OF ECONOMIC
••
COVER PAGE
MAR a 6 20
Please type or print in ink.
Office sought, if different than Part 1:
4. Schedule Summary
NAME OF FILER (LAST) _
(FIRST)
C11 1Y 6 LPIRR'S OF 7
Trinh
Lily
}>Y
1. Office, Agency, or Court
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
Agency Name
-or-
City of Rosemead
Assistant Plan
Division, Board, Department, District, if applicable
Your Position
► If filing for multiple positions, list below or on an attachment.
CITY STATE ZIP CODE
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
Rosemead CA 91770
❑ Stale
❑ 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: Date Left
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. ~
► rota/ 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 - 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. V e r ification
MALNGADDRESS STREET
CITY STATE ZIP CODE
taus%ness wAgencyAd&ess Recommended - PuL#x Oxamenq
8838 E. Valley Boulevard
Rosemead CA 91770
DAYrIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 626 ) 569 -2142
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 anfi ra . ct,
Date Signed 3 -6 -12 Signature
11-6 dal Yea/)
FPPC Form 700 (2 0 1112 0 1 2)
FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov