Carolyn ChuSTATEMENT OF ECONOMIC INTE
COVER PAGE
Please type or print in ink.
NAME OF FILER
Chu
1. O ffi ce, Ag ency, or Court
MAR 2 5 2013
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Finance Manager
► If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ Slate
❑ Multi -County
❑ City of
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
W] Annual: The period covered is January 1, 2012, through
December 31, 2012.
-or-
The period covered is
December 31, 2012.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
O The period covered is —
the date of leaving office.
and office sought, if different than Pad 1:
through
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments - schedule attached
❑ Schedule A -2 - Investments - schedule attached
❑ Schedule B - Real Properly- schedule attached
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Leaving Office: Date Left �J
(Check one)
through O The period covered is January 1, 2012, through the date of
leaving office.
► Total number of pages including this cover page:
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
.or-
None - No reportable interests on any schedule
5. Verificati
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business o AgaxyAddrais Recommended - Public Docummi)
8838 East Valley Blvd. Rosemead CA 91770
( 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 03/25/2013 Signature ( �Ar� a ,
i-Wh. day. y—) (File th iapYsignedaelemaN ailh yourahg ofia'a'.)
FPPC Form 700 (2 01 212 0 1 3)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 8661275 -3772 wrww.fppc.ca.gov