Rachel Richman4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page: 2
❑ Schedule A -1 - Investments - schedule attached ❑✓ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gilts - 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
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
444 S. Flower Street, Ste 2400 Los Angeles CA 90071
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 213 ) 236 -0600
rrichman @bwslaw.com
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 und an It of perju �dee{he laws of the State of California that the foregoing is true and correct.
Date Sign / Signature (3 1
(month, don (File the originellysignodslalement wlPo your filing oKCie4)
FPPC Farm 700(2014/2015)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
RECEIVE
CITY OF ROSEMEAO
MAR 31- 2015
Date Initial Filing
• 1 1 STATEMENT OF ECONOMIC INTERESTS Received
CITY CL`LF41C" OVI IC
•
COVER PAGE BY:
Please type or print In Ink.
-
NAME OF FILER (LAST)
(FIRST) (MIDDLE)
Richman
Rachel H.
1. Office, Agency, or C ourt
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable
Your Position
City Attorney
o If filing for multiple positions, list below or on an attachment,
(Do not use acronyms)
'Successor Agency to Rosemead Community
Agency: Development Commission
Position: General Counsel
2. Jurisdiction of Office (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, 2014, through
❑ Leaving Office: Date Left J —J
December 31, 2014.
(Check one)
-ory
The period covered is —J_J
through O The period covered is January 1, 2014, through the date of
December 31, 2014.
leaving office,
❑ Assuming Office: Date assumed
O The period covered Is through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Pad 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page: 2
❑ Schedule A -1 - Investments - schedule attached ❑✓ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gilts - 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
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
444 S. Flower Street, Ste 2400 Los Angeles CA 90071
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 213 ) 236 -0600
rrichman @bwslaw.com
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 und an It of perju �dee{he laws of the State of California that the foregoing is true and correct.
Date Sign / Signature (3 1
(month, don (File the originellysignodslalement wlPo your filing oKCie4)
FPPC Farm 700(2014/2015)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Burke, Williams & Sorensen, LLP
ADDRESS (Business Address Acceptable)
444 S. Flower St., Ste 2400, Los Angeles, CA 90071
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Legal Services
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑✓ OVER $100,OOD
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑✓ Salary ❑ Spouses or registered domestic partners income
, (For self - employed use Schedule A -2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A -2.)
❑ Sale of
❑ Loan repayment
(Roof prmartg aeq boa( am)
❑ Commission or ❑ Rental Income, list eech course of $10,000 or more
❑ Other
(Dascnbe)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
s '
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IFANY, OF SOURCE
BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For self - employed use Schedule A -2.)
❑ P.dnershlp (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
❑ Loan repayment
(Real property ca" boat, etc)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER`
ADDRESS (Business Address Acceptable)
BUSINESS ACTIV1rY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Properly
❑ Guarantor—
❑ Other_
mly
FPPC Form 700(2014/2015)$ch.0
FPPC Advice Email: advice @fppc,ca,gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov