Kim BorisSTATEMENT OF ECONOMIC INTERESTS REll
DITV OF ROSEMEAD
COVER PAGE FEB 182014
Please type er print in ink
NAME OF FILER TASTi (FIRST)�•• •aalea!!1° �rr�rc
B:
Palmer -Boris Kimberly L
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, Dismd, if applicable Your Position
Parks & Recreation Recreation Supervisor
� If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position
2. Jurisdiction of Office (check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi County
7] City of Rosemead
3. Type of Statement (check al mast one bo d
Wit Annual: The period covered is January 1, 2013, through
December 31, 2013.
.or.
The penal covered is through
December 31, 2013
L] Assuming ice: Date assumed I
❑ County of
❑ Other
❑ Leaving ice: Date Leh J�
(Check one)
O The period covered is January 1, 2013, through the date of
leaving office.
O The period covered is through
the date of leaving office.
❑ Candidate: Election year and office sought, if dtherent 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 FT Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑ Schedule AA - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule agached
.or.
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
vd .a Fyenc yaedeA,aecommardae- Pohlu*nxumenq
8838 E. Valley Blvd Rosemead Ca 91770
( 626 ) 569 -2250
I have used all reasonable
herein and in any attached
in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained
s is true and complete, I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the Stale of California that the foregoing is true and coned.
Da e eg
l Signed 02 /12/2014 Signature Y.n i✓J
ImonM. OaY ifik lha'HnxuF 59Ke 51ate. We Yon -v Alfi[iS.l
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline :866 /275 -3772 www.fppc.ca.gov