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Steven LyCALIF ORNIA 1 i STATEMENT OF ECONOMIC INTERESTS 4 6�� FC, D FAIR P PRACTICES COMMISSION h1AYZ ia .�15 ■ • COVER PAGE Please type or print in ink. CITY CLERK'S OFFICE NAME OF FILER (LAST) (FIRST) fpgl FI LY STEVEN 1. Off ice, Agency, or Court Agency Name (Do not use acronyms) CITY OF ROSEMEAD Division, Board, Department, District, if applicable Your Position CITY COUNCIL COUNCIL MEMBER ► 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of Q 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 I I December 31, 2014. (Check one) -or- The period covered is I_ I , through O The period covered is January 1, 2014, through the date of December 31, 2014. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is J— I , through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." b Total number of pages including thls cover page: 6 7 Schedule A -1 - Investments - schedule attached © Schedule C - Income, Loans, & Business Positions - schedule attached 0 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. El None - No reportable interests on any schedute 5. Verifi MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 8838 E VALLEY BLVD ROSEMEAD CA 91770 626 ) 569 -2171 1 SLY @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 03/31/2015 Signature (month, day, year) (File the ongmal)signedslalement withyourfilingoforal.J FPPC Form 700(2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov, SCHEDULE E Income — Gifts Travel Payments, Advances, and Reimbursements Name STEVEN LY • Mark either the gift or income box. Mark the "501(c)(3)" box for a travel payment received from a nonprofit 501(c)(3) organization or the "Speech" box if you made a speech or participated in a panel. These payments are not subject to the $440 gift limit, but may result in a disqualifying conflict of interest. ► NAME OF SOURCE (Not an Acronym) LEAGUE OF CA CITIES ADDRESS (Business Address Acceptable) 1400 K ST REET CITY AND STATE SACRAMENTO, CA ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): 11 12, 14 11 / 14 AMT: $ 750.00 (if gif) TYPE OF PAYMENT: (must check one) ❑ Gift W1 Income ❑ Made a Speech/Participated in a Panel W] Other - Provide Description LEAGUE LEADERS MEETING ► NAME OF SOURCE (Not an Acronym) METROPOLITAN WATER DISTRICT ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESSACTIATY, IF ANY, OF SOURCE DATE(S): 11 / 01 14 - I 1 / 02 / 14 AMT $ 743.00 (if gift) TYPE OF PAYMENT: (must check one) ❑ Gift WJ Income ❑ Made a Speech /Participated in a Panel I] Other - Provide Description BAY DELTA EDUCATIONAL TOUR ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IFANY, OF SOURCE DATE(S): —/_ - _J_( AMT: $ (If gift) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income ❑ Made a Speech /Participated in a Panel ❑ Other - Provide Description Comments: ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S): — /_ /_ - _/� AMT: $ (If giR) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income ❑ Made a Speech /Participated in a Panel ❑ Other - Provide Description FPPC Form 700 (201412015) Sch. E FPPCAdvice Email: advice @fppaca.gov FPPCToll -Free Helpline:866 /275 -3772 w w.fppc.ca.gov SCHEDULE A -2 CALIFORNIA FORM 700' FAIR POLITICAL PRACTICES COMMISSION Investments, Income, and Assets of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) I STEVEN LY LBL HOLDING LLC 709 E COLORADO BLVD, PASADENA Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS REAL ESTATE INVESTMENT AND MANAGEMENT FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 --- / 14 - j --- / - j4 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 Q Over $1,000,000 NATURE OF INVESTMENT - 1 Partnership El Sole Proprietorship Z LLC YOUR BUSINESS POSITION MANAGING PARTNER ❑ $0 - $499 0 $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 None or Lj Names listed below REAL INCOMES FROM 5631 ALDAMA, 328 S AVE 59, AND 3452 E 8TH ST; ALL WITHIN CITY OF LOS ANGELES Check one box: ❑ INVESTMENT Q REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $10,001 - $100,000 ACQUIRED DISPOSED El $100,001 - $1,000,000 ACQUIRED DISPOSED Q Over $1,000,000 ❑ Stock ❑ Partnership NATURE OFINTEREST ❑ Property OwnershiplDeed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining E] Check box if additional schedules reporting investments or real property are attached Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ so-$1 ❑ $2,000 - $10,006 _ / 14 -- 14 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship BUSINESS POSITION ❑ $0-$499 ❑ $500 - $1,000 ❑ $1,001 - $19,000 or ❑ $10,001 -$100.000 ❑ OVER $100,000 Unecs one oox: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 14 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached _ FPPC Form 700 (2014/2015) Sch. A -2 FPPC Advice Email: advice @fppc.ca.gov FPPCToll -Free Helpline :866 /275 -3772 vvww.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME IMPRENTA COMMUNICATIONS GROUP ADDRESS (Business Address Acceptable) 300 RAYMOND AVE, PASADENA NAME OF SOURCE OF INCOME US ARMY ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION 2LT (0-1 PAY GRAC GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 W] $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Z Salary ❑ Spouse's or registered domestic partner's income rr--�� J (For self - employed use Schedule A -2.) L Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, ca, L.A etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION SENIOR ACCOUNT DIRECTOR GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 Z $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED W] Salary ❑ Spouse's or registered domestic partner's 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 Name STEVEN LY (Real pmpedy, car, boat eta) Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) I I ❑ Other (Describe) 1 )- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD 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 ACTIVITY, 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/Yeam) ❑ None SECURITY FOR LOAN ❑ None L] Personal residence ❑ Real Property City ❑ Guarantor ❑ Other (Describe) FPPC Form 700 (2014/2015) Sch. C FPPC Advice Email: advice @fppe.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov SCHEDULE D Income — Gifts ► NAME OF SOURCE (Not an Acronym) BURKE, WILLIAMS AND SORENSEN LLP ADDRESS (Business Address Acceptable) 444 S FLOWER ST, LOS ANGELES, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /dd/yy) VALUE DESCRIPTION OF GIFT(S) 09 / 04 / 14 $ 120.00 LEAGUE DINNER ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm /ddlyy) VALUE' DESCRIPTION OF GIFT(S) --J --J— $ --J --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 GIFTS) --J/— $ —J $ Comments: Name STEVENLY ► NAME OF SOURCE (Nat an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mmldd /yy) VALUE —I —J $ $ $ DESCRIPTION OF GIFT(S) ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mMdd /yy) VALUE DESCRIPTION OF GIFT(S) —/ $ —/— $ — / —/ $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mmiddlyy) VALUE __j --- J— $ —�/ $ $ DESCRIPTION OF GIFTS) FPPC Form 700 (2014/2015) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPCToll -Free Helpline:866 /275 -3772 www.fppc.ca.gov SCHEDULE E Income — Gifts 7 Na Travel Payments, Advances, and Reimbursements • Mark eitherthe gift or income box. • Mark the "501(c)(3)" box for a travel payment received from a nonprofit 501(c)(3) organization or the "Speech" box if you made a speech or participated in a panel. These payments are not subject to the $440 gift limit, but may result in a disqualifying conflict of interest. NAME OF SOURCE (Not an Acronym) LEAGUE OF CA CITIES ADDRESS (Business Address Acceptable) 1400 K STREET CITY AND STATE SACRAMENTO, CA ❑ 501 (c)(3) or DESCRIBE BUSINESSACTIVITY, IFANY, OF SOURCE DATE(S):1 12, 14 _ 11 / 14 / 14 AMT $ 750.00 (If gift) TYPE OF PAYMENT. (must check one) ❑ Gift Z Income ❑ Made a Speech /Participated in a Panel W1 Other - Provide Description LEAGUE LEADERS MEETING ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IFANY, OF SOURCE DATER: _/ - AMT$ (if gift) TYPE OF PAYMENT: (must check one) ❑ Gift ❑ Income ❑ Made a SpeechlParticipated in a Panel ❑ Other- Provide Description ► NAME OF SOURCE (Not an Acronym) METROPOLITAN WATER DISTRICT ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY IFANY, OF SOURCE DATE(S): 11 01 / 14 - 11 / 02 14 AMT $ 743.00 (if 9#0 TYPE OF PAYMENT: (must check one) ❑ Gift Z Income ❑ Made a Speech/Participated in a Panel WJ Other- Provide Description BAY DELTA EDUCATIONAL TOUR ► NAME OF SOURCE (Not an Acronym) ADDRESS (BUsina-= Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IFANY, OF SOURCE DATEM: --- /--J_ - --J _/_ AMT: $ (If gift) TYPE OF PAYMENT (must check one) ❑ Gift ❑ Income ❑ Made a Speech /Participated in a Panel ❑ Other - Provide Description Comments: FPPC Form 700 (201412015) Sch. E FPPC Advice Email: advice @fppc.ca.gov FPPCToll -Free Helpline:866 /275 -3772 www.fppc.ca.gov