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Sandra Armenta
Initial Filing STATEMENT OF ECONOMIC INTERESTS C r�r , COVER PAGE APR 1 2015 Please type or print In ink. NAME OF FILER (LAST) (FIRST) 6i=FICE Armenta Sandra L 5y; L�EZ 1. Office, 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 ❑ Multi- County © City of Rosemead ❑ County of ❑ Other 3. Type of Statement (check at least one box) 7 Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left -- -- -or- - December 31, 2014. -- - -- - - -- -- (Checkone) -- -- -- -- 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 ❑ Candidate: Election year O The period covered is — the date of leaving office. and office sought, if different than Pad 1: through Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule B - Real Property- schedule attached ► Total number of pages including this cover page: 3- 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. Ver MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Remmmended - Public Document) 8838 E. Valley Blvd Rosemead CA 91770 ( 626 ) 569 -2171 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 04/01/2015 (month, day, year) ❑ Judge or Court Commissioner (Statewide Jurisdiction) Signature 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 ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L Street, Suite 1030 Sacramento ,CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Annual Board Retreat DATE (mm /dd /yy) VALUE DESCRIPTION OF GET(S) 01 i 12 14 $ 45.00 Dinner 01 13 14 $ 30.00 Breakfast 01 / 13 / 14 $ 47.00 Lunch ► NAME OF SOURCE (Not an Acronym) Advance America ADDRESS (Business Address Acceptable) d-3'' N. aitroN st. siga 6j,61AM se- BUSINESS ACTIVITY, IF ANY, OF SOURCEF Mid Year Board Retreat DATE (mmldd /yy) VALUE DESCRIPTION OF GIFT(S) 08 / 02 / 14 $ 50.00 D $ $ ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L Street, Suite 1030 Sacramento ,CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE League of CA Cities Annual Conference DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFTS) 09 04 1 14 $ �$, 0 Pre Gala Reception __J__j $ —/--J $ Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Sandra Armenta ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L Street, Suite 1030 Sacramento ,CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Annual Board Retreat DATE (mmldd /yy) VALUE DESCRIPTION OF GIFT(S) 01 $ 70.00 Dinner - 01 -1- 14 1 14 S 30.00 Breakfast ► NAME OF SOURCE (Not an Acronym) League of California Cit L C ADDRESS (Business Address Acceptable) 770 L Street, Suite 1030 Sacramento ,CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Mid Year Board Retreat DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) O8 02 i 14 $ 35 _n Breakfast 08 $ 2 Lunch —/ J— ► NAME OF SOURCE (Not an Acronym) Burke, W illiams, and Sorensen LLP ADDRESS (Business Address Acceptable) 444 South Flower St., Suite 2 Los Angeles, C BUSINESS ACTIVITY, IF ANY, OF SOURCE California Contract Cities Annual Municipal Conf. DATE (mrVdd /yy) VALUE DESCRIPTION OF GIFT(S) 05 r 15 / 14 Q a °. Dinner FPPC Form 700 (2014/2015) Sch. D FPPC Advice Email: adviceCWfppaca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov SCHEDULE D Income — Gifts ► NAME OF SOURCE (Not an Acronym) Republic Services ADDRESS (Business Address Acceptable) 2531 East 67th Street Long Beach, CA 90805 BUSINESS ACTIVITY, IF ANY, OF SOURCE California Contract Cities Annual Municipal Conf. DATE (mm /dd /yy) VALUE DESCRIPTION OF GIFT(S) 05 / 17 / 14 $ 50.00 Dinner ► 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) $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mMddAy) VALUE $ $ $ DESCRIPTION OF GIFT(S) Comments: Name Sandra Armenta ► NAME OF SOURCE (Not an Acronym) Republic Services ADDRESS (Business Address Acceptable) 2531 East 67th Street Long Beach, CA 90805 BUSINESS ACTIVITY, IF ANY, OF SOURCE Los Angeles Dodger Tickets DATE (mm/dd /yy) VALUE DESCRIPTION OF GIFT(S) 08 / 04 14 $ 220.00 4 Dodger Tickets $ ► 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) —/ $ —/— $ ► 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 --/ $ FPPC Form 700 (20W2015) Sch. D FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 w Jppc.ca.gov