Wayne CoRECEIVED
CRY OF ROSEMEAD
STATEMENT OF ECONOMIC INTERESTS 1,17714
COVER PAGE CITY CLERK'S OFFICE
ay:
Please type or print in ink
NAME OF FILER (LAST) (FIRST) / (MIDDLE(
1, Office, Agency, or Court
Agency Namelo not use
� It filing for notiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position
2. Jurisdiction of Office (Check at least one box)
O State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
I
Multi -County LJ County of
)I�ly of VA _ ❑ Other _
3. Ty{)a of Statement (Check at )east one box)
Annual: The period covered Is January 1, 2013, through ❑ Leaving Office: Date Left
December 31, 2013. (Check one)
-or -
The pared covered Is !_J ,through O The period covered is January 1, 2013, through the data of
December 31, 2013 leaving office.
El Assuming Office: Date assumed J.__._— O Tire period covered is , through
the date of leaving office.
Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
ll
Schedule A -1 - Invesnu,sts - schedule attached
❑ Schedule A -2- Investments - schedule attached
❑ Schedule B - Real Property- schedule attached
and office sought, if different than Pad 1
i Total number of pages including this cover page:
❑ Schedule C - Income, Loans, 8 Business Posdions - schedule attached
O Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments- schedule attached
-or-
None - No reporters interests on any schedule
Dau eoq
n
I eve used ell reasonable gence in preparing this statement. I have reviewed this statement and to the best of my knowledge the Information wntained
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 C / ;�/ Signature � ./ (f(/ —
a As, AAI I11,. AoinaMelenN ela4me1I .11 ArrNr,or, Bu
FPPC Form 700 (2013/2014)