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Steven Ly
STATEMENT OF ECONOMIC COVER PAGE Please type or print in ink. 1 I oft"'? Use eo� JAN D 2 2013 I CITY CLERK'S OFFIC BY (MIDDLE) Ly Steven 1. Office, Agency, or Court Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position City Council Councilman ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction Of Off Ge (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of © City of Rosemead ❑ Other 3. Type of Statement (check at feast one box) W1 Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left _J i December 31, 2012. (Check one) •Or• The period covered is ,through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed __J__J O The period covered is J___J , through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." o. Total number of pages including this cover page: 4 © Schedule AA - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Posidons — 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. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business a Agency Address Recommended Pu61K Doeumeno Rosemead CA 91770 DAYTIME'rELEPHONE NUMBER EMAIL ADDRESS (OPTIONAL) ( 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. � en ��� I certify under penalty of perjury under the laws of the State of California that the foregoin is tr d ot. Date Signed 01/01/2013 Signature I _ (month, Day, yaud (Hle the onginalNsgnedslalamrnl uvfh your (Gng olfirial) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -1 CALIFORNIA O. Investments FAIR POLITICAL Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10 %) Steven Ly Do not attach brokerage or financial statements. ► NAME OF BUSINESS Steven Ly GENERAL DESCRIPTION OF BUSINESS ACTIVITY 0. GENERAL DESCRIPTION OF BUSINESS ACTIVITY Stock Investments FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $i,000,orfo ❑ Over $1,000,000 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Q Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,Go1 - $1(10.000 ❑ $100,001 - $1,000,000 ❑ Over $1,000.000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received or $0 - $ 499 O Income Received of $500 or More ( Repod on Schedule C) IF APPLICABLE, LIST DATE: -- -- ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $l0,00l - $100,000 ❑ $100,001 - $7,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Recanted or $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: NATURE OF INVESTMENT ❑ Stock ❑ Other ioescribe) ❑ Partnership O Income Received or $o - $ 499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100.001 - $1,000,0o0 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received or $500 or More (Report on Schedule D) IF APPLICABLE, LIST DATE: I_J 12 -- J -- J - 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ Slum - $ 100,000 ❑ $ioo.00i - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 1275 -3772 vuww.fppc.ca.gov SCHEDULE A -2 CALIFORNIA FORm 7 Investments, Income, and Assets N • PRACTICES COMMISSION Name of Business Entities /Trusts (Ownership Interest is 10% or Greater) Steven Ly LBL Holding LLC 709 E Colorado Blvd, Pasadena, CA Address (Business Address Acceptable) Check one ❑ Trust, go to 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY Real Estate Investment and Management FAIR MARKET VALUE.. IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ 82.000 - $10,000 12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 RV Over $1,000,000 San Gabriel Valley Business Journal LLC 709 E Colorado Blvd, Pasadena, CA Address (Business Address Acceptable) Check one ❑ Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 J� 12 JJ 72 ❑✓ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT LLC ❑ Partnership ❑ Sole Proprietorship YOUR BUSINESS POSITION Managing Partner ❑ $0 - $499 © $10,001 - $100,000 ❑ 3500 - $1,000 ❑ OVER $100.000 ❑ $1,001 - $10,000 ❑ None Rental Incomes from 5631 Aldama St., 328 S Ave 59, 3452 E 8th St Check one boxy ❑ INVESTMENT © REAL PROPERTY LBL Holding LLC Name of Business Entity, if Investment, or Assessors Parcel Number or Street Address or Real Property Description of Business Activity a City or Other Precise Location oI Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100.000 . . . � 1 —/ L? ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED © Over $1,000,000 NATURE OF INTEREST © Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached NATURE OF INVESTMENT LLC ❑ Partnership ❑ Sole Proprietorship YOUR BUSINESS POSITION Partner ❑ $0 - $499 ❑ $10,001 - $1o0,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,00l - $1o,000 None 4. INVESTMENTS AND INTERESTS IN REAL P ROPERTY r • • LEASED By THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, 2: Assessor's Parcel Number or Street Address of Real Property Description of Business Activity gL City or Other Precise Location of Real Property FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $1Qool - $10o000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OFINTEREST ❑ Property Ownership /Deed of Trust IF APPLICABLE, LIST DATE: _/J 12 JJ 12 ACQUIRED DISPOSED ❑ Stock ❑ Pannership ❑ Leasehold ❑ Other Ym. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2012/2013) Sch. A -2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE D Income - Gifts ► NAME OF SOURCE (Not an Acronym) Burk W illi a m s, and So r e ns e n, LLP ADDRESS (Business Address Acceptable) 444 S Flower St., Los Angeles, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Legal Firm DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S) 05 / 17 1 12 $ 130 Dinner (CCCA) 09 / 05 / 12 $ 1 Dinner (League) • NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) • NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /ddlyy) VALUE DESCRIPTION OF GIFT(S) $ Comments: Name Steven Ly I � ► NAME OF SOURCE (Not an Acronym) California Joint Powers Insurance Agency ADDRESS (Business Address Acceptable) 8081 Moody St., La Palma, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Public Agency on Risk Management DATE (mm /ddlyy) VALUE DESCRIPTION OF GIFTS) 11 / 09 / 12 $ 230 Kindle Fire (Raffle) — —J— $ $ ► NAME OF SOURCE (Nat an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) ��— $ $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) FPPC Form 700 (2012/2013) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 wmYfppc.ca.gov