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Lily Trinh
Date Received CALIFORNIA • • 1 1 STATEMENT OF ECONOMIC INTERESTS orteatuseg FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) ..(MIDDLE) Trinh Lily 1. Office, Agency, or Court Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position Community Development Department Assistant Planner ► If fling 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 © City of Rosemead ❑ Other 3. Type of Statement (Check at least one box) ❑✓ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left December 31, 2012. (Check one) -or- The period covered is __J___J , 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." ► 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 - Gifts - schedule attached ❑ Schedule B - Real Properly - schedule allached ❑ 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 Recommended - Public Document) 8838 E. Valley Boulevard Rosemead CA 91770 DAYTIME 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 foregoi is rue d cp e Date Signed 02/19/2013 Signature (moork day, year) (File M onginallysgneds emer wfhywrfding oMOal.) FPPC Form 700 (2012/2013) FPPCAdvice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov