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Carolyn Chu CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS D'TRYEFzedb FAIR POLITICAL PRACTICES COMMISSION MAR 1 9 2015 A PUBLIC DOCUMENT COVER PAGE Please type or print in ink CITY CLERK'S OFFICE MANE OF FILER (LAST) (FIRST) BYtl11DDLE) Chu Carolyn A. 1. Office, Agency, or Court _ Agency Name (Do not use acronyms) City of Rosemead Division, Board,Department,District, if applicable Your Position Finance Department Acting Finance Director e 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 l7 Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County _ _ ❑County of -.. ©City of Rosemead ❑Other 3. Type of Statement (Check at least one box) Z Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left JJ December 31,2014. (Check one) -or- The The period covered is January 1, 2014,through the date of The period covered is JJ , through I>e 7 g December 31, 2014. leaving office. ❑ Assuming Office: Date assumed—J i O The period covered is __J through the date of leaving office. ❑ Candidate: Election year _ and offce sought, if different than Pad 1.. 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 1 ❑ Schedule A-I •Investments-schedule attached ❑ Schedule C-Income, Loans, 8 Business Positions-schedule attached IJ 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- Ni None•No reportable interests on any schedule 5. Verification MAKING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Raw,unendM-PuCGC Document) 8838 East Valley Blvd. Rosemead CA 91770 DAYTIME TELEPHONE NUMBER I E-MAIL ADDRESS ( 626 ) 569-2146 cchu @cityofrosemead.org 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. (///�� //��- , Date Signed 3- 19 -I S Signature ` (2 ' �' MOO..dayyear) (Fie the uAn ww Nrp Mao) FPPC Form 700(2014/2015) FPPC Advice Email:advice @fppc.a.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov