Carolyn ChuDate Received
STATEMENT OF ECONOMIC INTERESTS RECEIVED
CITY OF ROSEMEAD
.. COVER PAGE MAR 0 3 2014
Please type or print in ink
NAME OF HLER "an (FIRST) TD
CI CLE K'S OFFICE
Chu Carolyn A. BY:
t. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead _
Division, Board, Department, District, if applicable Your Petition
Finance Department Finance Manager
. If filing for multiple positions, list below or on an attachment (Do not use acronyms)
Agency '.
Position.
2. Jurisdiction of Office (Check of least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi - County
❑ County of
Z City of City of Rosemead
❑ Omer
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2013 through ❑ Leaving Office: Date Let
December 31, 2011 (Check one)
-or- The period covered is ___J _J , through O The period covered is January 1, 2013, through the date of
December 31, 2013. leaving oftme.
❑ Assuming ice: Date assumed O The period covered is —J —1 ,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: �-
El Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gihs - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
None - No repodabk interests on any schedule
5. Verification
PARING ACORE55 STREET CITY STRTE ZIP CODE
Iae.W94 aAye,ey /dtlBts RewnmeMM- PFAvc No+maMl
8838 E. Valley Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E MAIL ADDRESS (OPTIONAL)
( 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 agached 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 Calnormal that the foregoing is true and correct.
Date Signed Sul Signature
r�mm,ft r=at rnrieF '> namem wn wa wa Mtlxl
FPPC Form 700 (2013/2014)
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