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Polly Low
5. Verification OVAIJNs ADDRESS STREET - CITY STATE - nP WCE (emmas, or Awri Acidi asnameneed -PUhlk Vvs1 r Blld 1039 La Press Ave Rosemead CA 91770 Cutlet TELEPHONE NUMBER S4WL ADDRESS E PTIONA ) ( 626 ) 664 -2899 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. 7AD, l Date Signed Signatures - rni Or, liarN fale Ile a1V 99nel5fAa'nml rn"a"vei"Eve) FPPC Form 700 (2012/2013) FPPC Advice Email. adveadompC.ca.gov FPPC Toll Free Helpline'. 866 /275 -3772 wvrwfppaca are CALIFORNIA • 1 1 STATEMENT OF ECONOMIC INTERESTS POLITICAL FAIR O PUBLIC DOCUMENT COVER PAGE Please type or print In ink. NAME OF FILER (LAST) _I FIRei) ' i 3 't lenders) - Low Polly 1. Office, Agency, or Court Agency Name Rosemead City Council Division, Board, Department District If applicable Your Position City Council Member I If flina for multiple positions, list below or on an attachment. Agency' - - -. Position: _. 2. Jurisdiction Of Ofi(Check at least one box) ] Stale ] 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) -Dr. The period covered is J . _� , through O The period covered Is January 1, 2012, through the date of December 31, 2012 leaving office. ] Assuming Office: Date assumed O The period covered is through the date of leaving office. ] Candidate: Election year and office sought, if Ifferent than Pert 1 —. 4. Schedule Summary Check applicable schedules or "None." i Total number of pages including this cover page: ] Schedule A -1 - Investments - schedule attached ] Schedule C - Income, Loans, 8 Business Positions - schedule attached ] Schedule A.2 - Investments - schedule attached ] Schedule D - Income- Gifts - schedule attached ❑ Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached 'Or- ] None - No reportable interests on any schedule 5. Verification OVAIJNs ADDRESS STREET - CITY STATE - nP WCE (emmas, or Awri Acidi asnameneed -PUhlk Vvs1 r Blld 1039 La Press Ave Rosemead CA 91770 Cutlet TELEPHONE NUMBER S4WL ADDRESS E PTIONA ) ( 626 ) 664 -2899 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. 7AD, l Date Signed Signatures - rni Or, liarN fale Ile a1V 99nel5fAa'nml rn"a"vei"Eve) FPPC Form 700 (2012/2013) FPPC Advice Email. adveadompC.ca.gov FPPC Toll Free Helpline'. 866 /275 -3772 wvrwfppaca are SCHEDULE D Income - Gifts li� NAME OF SOURCE Mat an Acronym) Skylink TV (Global Communications Group) ADDRESS (env — AddrOc Acceptable) 500 Montebello Blvd, Rosemead, CA BUSINESS ACTIVITY IF ANY OF SOURCE DATE (minnAllI VALUE DESCRIPTION OF GIFT(S) 11 J 04 l 12 3 240.00 Comedy Shaw Tickets JJ s JJ s t NAME OF SOURCE (Not an common) ADDRESS (Business Atltlre55Att Ctable) BUSINESS ACTIVITY, IF ANY OF SOURCE DATE Toruddlyyl VALUE DESCRIPTION OF GIFTS) — J__..J JJ S— SOUR_. J_� a NAME OF SOURCE (Nat an Acronym) ADDRESS coat— Aodrass AttGOtane) BUSINESS ACTIVITY. IF ANY OF SOURCE DATE (mr-SL ) VALUE DESCRIPTION OF GIFT(S) JJ S— JJ S. Comments CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION 11� NAME OF SOURCE (Not an Acronym) AODRFSS (BU.vnass Add— Accapfabta) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mmltltllyy( VALUE DESCRIPTION OF GIFTS) JJ s t NAME OF SOURCE (Not an Acronym) ADDRESS (BUSlness And— Acceptable) .SOUR_..__ BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE C— Eddlyy) VALUE DESCRIPTION OF GIFI(S) JJ— 3 JJ 8 JJ NAML VF SVURGL (Not an ACNOym) AOURESS (Brame crA11— ACCenteble) BUSINESS AC I IVIfY , IF ANY, OF SOURCE DATE (mmiddlyy) VALUE DESCRIPTION OF GIFT(S) JJ 8 JJ JJ 3 FPPC Form 700 (201212013) Sch. D FPPC Advice Email. adacCON,,c.ca.gov OPEC Toll Free Helpl'me: 86612753772 wwwlppcca.gov