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Sandra ArmentaRECEIVED STATEMENT OF ECONOMIC INTERESTS Cma® mosSaEAD APR 0 12014 •• COVER PAGE Please type or prior in ink. CIN CLERKS OFFICE oY NAME OF FILER M1AaTI IFlRSTI MIOnCEr'� Armenia Sandra L 1. Office, Agency, or Court A -1 Agency Name (Do not use acronyms) schedule City of Rosemead ❑ Schedule C Division, Board Department, District, if applicable Your Position City Council Council Member M If filing for multiple positions, list below or on an attechment. (00 not use acronyms) Agency. Position: 2. Jurisdiction of Office (Check at leas! one box) ❑ State ❑ Muiti -County © City of Rosemead ❑ Judge or Court Commissioner (Statewide Jurist ctidn) ❑ County of ❑ Other 3. Type of Statement (check at feast one box) © Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Leff -- December 31, 2013. (Check one) ar- The period covered Is JJ .through O The period covered is January 7, 2013 thmugh the dale of December 31, 2013. leaving Forme. ❑ Assuming Office: Date assumed O The period covered is I thraJgh the date of leaving office . ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary a Cheat applicable schedules or "None." ie Total number of pages including this cover page: ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, 8 Business Positions - scheolle aftached ❑ Schedule A -2- Investments - schedule attached Schedule D - Income - Gifts - schedule attached ❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gals- Travel Payments- schedu e attached -or. ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STRem Fitt STATE aP COUc ;a.,, AgencyAaarese Rem'nmenArY carteIXcomaon 8838 E. Valley Blvd Rosemead CA 91770 ( 626 1 569 -2100 have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge rte FrPr Farm 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. 04/01/2014 (mmrh day ywv) Signature FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.w.gov FPPC Will Helptine: 966 /275 -3772 werw.fppc.ca.gov SCHEDULE D Income — Gifts NAME OF SOURCE (Not an Ammnym) League of CA Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L Street, Suite 1030 Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY OF SOURCE Latino Caucus Mid Year Board Retreat, Monterey DATE (mirld ) VALUE DESCRIPTION OF GIFTS) 07) 12) 13 s 72.00 Golf 07/ 12 r 13 s 73.00 Sponsor Dinner 07/13113 s 35.00 Breakfast NAME OF SOURCE (Not an Acronym) League of CA Cities Latino Caucus ADDRESS (Business ACtlms3 Acceptable) 770 L Street, Suite 1030 Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY OF SOURCE League of CA Annual Conference, Sacramento DATE (mmOdI VALUE DESCRIPTION OF GIFTS) 09/19113 10.00 Reception 09119113 B 25.00 Sponsor Dinner 09120113 S 20.00 Sponsor Lunch NAME OF SOURCE (Not an Acmnym) Republic Services ADDRESS M.Nini is AWreas acceptaek) 2531 E. 67th St. Long Beach, CA 90805 BUSINESS ACTIVITY IF ANY OF SOURCE Entertainment DATE (mMddlyy) VALUE DESCRIPTION OF GIFTS) 05101113 55.00 LA Dodger Ticket -1 05124113 s 220.00 LA Dodger Tickets -4 �J— 5 Comments'. CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION 0, NAME OF SOURCE (NCI an Acmnym) League of CA Cities Latino Caucus ADDRESS ISOamesa Address acceptama) 770 L Street, Suite 1030 Sacramento, CA 95814 BUSINESS ACTIVITY IF ANY OF SOURCE Latino Caucus Mid Year Board Retreat, Monterey DATE (mmtaaryy) VALUE DESCRIPTION OF GIFTS) 07 r 13) 13 s_ 46.00 Lunch 07113 r 13 ? 121.00 Sponsor Dinner 07114113 s 31.00 Breakfast NAME OF SOURCE (Nat an Acronym) Burke, Williams, and Sorensen, LLP ADDRESS (Business Address Acceptaele) 444 South Flower St., Suite 2400 BUSINESS ACTIVITY IF ANY OF SOURCE CA Contract Cities Association Municipal Conference DATE (mmlddtyy) VALUE DESCRIPTION OF GIFT(s 05117113 B 109.00 Dinner . NAME OF SOURCE (NCI an ACwnym) ADDRESS (euamasa Addres Aacapteela) BUSINESS ACTIVITY IF ANY OF SOURCE DATE (mMtle /yy) VALUE DESCRIPTION OF GIFT(S) JJ— s JJ s s FPPC Form 700 (2013/2014) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov