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Carol CowleyDate Initial Filing STATEMENT OF ECONOMIC INTERESTS Received OlilcleI Use Only COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Cowley Carol Ann 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department, District, if applicable Your Position Interim City Clerk ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Successor Agency Community Development Com ` Position: Secretary 2. Jurisdiction of ❑ 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 __J – — – J- December 31, 2014. © Assuming Office: Date assumed � 07 07 — ❑ Candidate: Election year 2015 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 B - Real Property – schedule attached ❑ Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached -or- [Z None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 8838 E. Valley Boulevard, Rosemead CA 91770 ( 626 ) 569 -2171 1 ccowley @cityofrosemead.org I have used all reasonable diligence in preparing this statement. I have reviewed this statement and o the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public docu nt. / t I certify under penalty of perjury under the laws of the State of California that the for go' g is tpLe and c (Check at least one box) ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Leaving Office: Date Left __J—_J (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: 1 Date Signed CAIL�G J �}_ Signature /. (month, day, year �" (File the onglnallyslgned shnemenl Mth yourfil g ieF.j' FPPC orm 700 (2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov RECEIVED r,I_ {7Y QFI{inSFMEAD CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS E9 FAIR POLITICAL PRACTICES ssioN A PUBLIC DOCUMENT COVER PAGE Please type or print in ink. CITY CLERK'S OFFICE RY NAME OF FILER (LAST) (FIRST) (MIDDLE) Cowley Carol 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead DHision, Board, Department,Distric, if applicable Your Position City Clerk's Office Interim City Clerk 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 ❑Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County ❑County of _ 0 City of Rosemead ❑Other 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2015, through E Leaving Office: Date Left 11_2 December 31,2015. (Check one) or- The period covered is—rJ , through O The period covered is January 1.2015, through the date of December 31.2015. leaving office. rot- ❑ Assuming Office: Date assumed J J O The period covered is__J_/ ,through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Pad 1' 4. Schedule Summary(must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 •Investments-schedule attached ❑Schedule C•Income,Loans, 8 Business Positions-schedule attached i] Schedule A-2•Investments-sdiedule attached ❑Schedule D•Income-Gilts-schedule attached ❑ Schedule 8-Real Properly-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-schedule attached -or- "0 None- No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommencied-Public Document' 8838 East Valley Boulevard Rosemead CA 91770 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 626 ) 569-2100 I have used all reasonable diligence in preparing this statement. I have reviewed this statement and the best of my knowlerse the info • ation contained herein and in any attached schedules is true and complete. I acknowledge this is a public door) nt. I certify under penalty of perjury under the laws of the State of California that the forag is true -nd or •et Of Date Signed -:Au..Jr—A.A ad_ G Signature La (monm.ew�� (me the ally nvnm naenen to your Brig•4) FPPC Form 700(2015/2016) FPPC Advice Email:advice@fppcca.gov FPPC Toll-Free Helpline:866/275.3772 www.fppc.ca.gov