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Polly Low
R ECEIVED STATEMENT OF ECONOMIC INTERESTS S &Te Pf § %,E 1EAD A��t �e1y2015 COVER PAGE CITY CLERK'$ OFFICE Please type or pool in ink. BY NAME OF FILER _ (LAST) tFIRST) (MIDDLE) Low ❑ Judge or Court Commissioner (Statewide Jurisdiction) 1. O Agency, or Court Agency Name (Do not use acronyms) Rosemead City Council Division, Board, Department, District, if applicable Your ► 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 ❑ Multi -County © City of Rosemead ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2014, through December 31, 2014. -or. The period covered is December 31, 2014. ❑ Assuming Office: Date assumed ❑ Candidate: Election year O The period covered is — the date of leaving office. and office sought, if different than Part 1: through Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 . Investments - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule 8 - Real Property - schedule attached ❑ County of Polly ❑ Leaving Office: Date Left - -� (Check one) through O The period covered is January 1, 2014, through the date of leaving office. ► Total number of pages including this cover page; ❑ Schedule C - Income, Loans, & Business Positions - schedule attached © Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or. ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 8836 Valley Blvd Rosemead CA 91770 ( 626 ) 826 -2277 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 / Signature (month, dog year) (FildtheAdfidaty signed statement with yourflitg efth l) FPPC Form 700(2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE D Income — Gifts 0. NAME OF SOURCE (Not an Acronym) Burke, Williams & Sorensen LLP ADDRESS (Business Address Acceptable) Burke, Williams & Sorensen LLP BUSINESS ACTIVITY, IF ANY, OF SOURCE Contract City and League of Cities Conference DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 05 / 15 / 14 $ 143.43 Dinner 09 / 04 / 14 $ 110.67 Dinner J —I— $ ► NAME OF SOURCE (Not an Acronym) Skylink TV ADDRESS (Business Address Acceptable) 500 Montebello Blvd Rosemead CA 91770 BUSINESS ACTIVITY, IF ANY, OF SOURCE Concert DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 11 30 / 14 $ 384.00 Concert Tickets $ J $ • NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE —J— $ —J $ �— $ DESCRIPTION OF GIFT(S) Comments: NAME OF SOURCE (Not an Acronym) Transtech ADDRESS (Business Address Acceptable) 13391 Benson Ave Chino CA 91710 BUSINESS ACTIVITY, IF ANY, OF SOURCE Meeting DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 05 / 17 / 14 $ 80.00 Dinner J J $ NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) — / —! $ —/ $ J J— $ NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd /yy) VALUE — / —/_ $ $ — /�— $ DESCRIPTION OF GIFT(S) FPPC Form 700 (2014/2015) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPCToll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov