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Steven Ly
RECEIVEL? CITY OF ROSEMEAC CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS ^ (JrA4 wF9_ .�d FAIR L PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE CITY CLERK'S CFFf.^,E Please type or print in ink BY: NAME OF FILER (ASTI (FIRST) (MIDDLE) Ly Steven 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division,Board, Department,District, if applicable Your Position City Council Councilman 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 O City of Rosemead ❑Other 3. Type of Statement (Check at/east one box) 2 Annual: The period covered is January 1, 2015,through ❑ Leaving Office: Date Leh December 31,2015. (Check one) or The period covered is_I J through O The period covered is January 1, 2015,through the date of December 31,2015. or leaving office. ❑ Assuming Office: Date assumed_/ I O The period covered is J_J through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 4 Schedules attached O Schedule A-1 -Investments-schedule attached ZI Schedule C-Income,Loans, &Business Positions-schedule attached O Schedule A-2-Investments-schedule attached U Schedule e-Income-Gifts-schedule attached ❑ Schedule B-Real Property-schedule attached ❑Schedule E-Income-Gilts-Travel Payments-schedule attached -or- ❑ None - No reportable interests on any schedule 5. Verification MAIL NG ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended-Pubic Document) 8838 E Valley Blvd Rosemead CA 91770 OAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 626 ) 569-2100 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 03/28/2016 Signature (mm0l,fiery year) ('le 0e ohglniWy sl statement AIM your King official) FPPC Form 70012015/2016) FPPC Advice Email:advice @fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov • SCHEDULE A-1 CALIFORNIA FORM 700 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) Do not attach brokerage or financial statements. la NAME OF BUSINESS ENTITY I. NAME OF BUSINESS ENTITY Aegean Marine Petroleum Bank of America Corp GENERAL DESCRIPTION DF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE FAIR MARKET VALUE 2 52.000-$10,000 ❑$10,001 -$100,000 2$2,000-$10,000 ❑$10,001 -$100.000 ▪ $100,001-$1,000,000 D Over$1,000,000 E$100,001 -$1 000,000 0 Over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT 2 Stock D Other Stock 0 Other (Describe) IDe e) L Partnership 0 Income Received of$0-$499 Partnership 0 Income Received of$0-$499 0 Income Received of$500 or More(Report on Schedule C) Q Income Received of$500 or More RepOn on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE.LIST DATE. jj 15 02 102 / 15 _/_/ is 02 / 05 , 15 ACQUIRED DISPOSED ACQUIRED DISPOSED la NAME OF BUSINESS ENTITY la NAME OF BUSINESS ENTITY IBM Corp Quest Diagnostic Inc GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE FAIR MARKET VALUE 2$2,000-$10,000 0$10.001-5100.000 2$2.000-$10,000 ❑$10,001 -5100,000 ❑$100,001 -$1,000,000 ❑over 51.000,000 ❑$100001 -$1,000,000 ❑ Over$1.000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT 2 Stock E Other 2 Stock J Other (Describe) (Describe) ▪ Partnership 0 Income Received of$0-$499 Partnership O Income Received of$0-$499 0 Income Received of$500 or More(Aepon on Snnetme C) 0 Income Received of 5900 or More RReport on Schedule C) IF APPLICABLE.LIST DATE: IF APPLICABLE.LIST DATE: jj 15 02 1 13 1 15 15 02 f 03 115 ACQUIRED DISPOSED ACQUIRED DISPOSED $- NAME OF BUSINESS ENTITY IN NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE FAIR MARKET VALUE ❑$2,000-$10,000 ❑$10001 -$100,000 O 52.000-$10,000 ❑510001 -$100000 ❑$100,001-51.000,000 ❑over$1,000000 ❑$100,001-$1000,000 ❑ over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT E Stock L Other E Stock 0 Other (DesC be) (Describe) fl Partnership O Income Received of$0-$499 ❑ Partnership O Income Received of$0-$499 O Income Received of$500 or More(Report an Schedule Cr 0 Income Received of 5500 or More(Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE,LIST DATE. _r_t 15 j l 15 _/_/ 15 j 1 15 ACQUIRED DISPOSED ACQUIRED DISPOSED Comments: FPPC Form 700(2015/2016)Sch.A-1 FPPC Advice Email:advice @fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov SCHEDULE A-2 CALIFORNIA FORM 700 Investments, Income, and Assets °"Ti"LPR°"ICESC°Mr"r15sION of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) • 1. BUSINESS ENTITY OR TRUST LBL Holding LLC Name Name 709 E Colorado Blvd, Pasadena, CA Address(Business Address Acceptable) Address(Business Address Acceptable) Check one Check one ❑ Trust,go to 2 Q Business Entity, complete the hox,Men go to 2 ❑ Trust,go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE: 7$0-51999 7 s0-$1999 ❑ $2,000-$10,000 I / 15 / / 15 ❑s?o00-$10,000 / / 15 ) /15 ❑$10001 -$100000 ACQUIRED DISPOSED ❑$10001 -$100,000 ACQUIRED DISPOSED ❑$100 001-s700.000 ❑$100,001-$1,000,000 ©over$1000,000 ❑Over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ©Partnership ❑Sole Proprietorship E E Partnership ❑Sole Proprietorship ❑ Other YOUR BUSINESS POSITION Manager 1 YOUR BUSINESS POSITION P. 2.IDENTIFY THE GROSS INCOME RECEIVED(INCLUDE YOUR PRO RATA 2.IDENTIFY THE GROSS INCOME RECEIVED(INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITYITRUST) 0 50-5499 2$10,001 -s100,000 7 s0-$499 0 510,001 -$100,000 ❑ ss00-$1000 ❑OVER$100,000 ❑$500.$1000 ❑ OVER$100,000 ❑ $1,001-$10,000 ❑$1001 -$10,000 E a. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF 510,000 OR MORE ynr.e..y,..,..xm.i.�.,�.,;.., INCOME OF$10,000 OR MORE i l( I =w=,mo.ema+��-�_�: ❑None or ❑Names listed below ❑None or ■ Names listed below Real Incomes from 5631 Aldama St,328 S Ave 59, and 3452 E 8th St;All within City of Los Angeles P.4.INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box: ❑INVESTMENT 2 REAL PROPERTY 7 INVESTMENT ❑ REAL PROPERTY Name of Business Entity,if Investment,or Name of Business Entity,if Investment.or Assessors Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Description of Business Ac1iity gr Description of Business ACtMIy or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE. ❑$2,000-$10,000 ❑52.000-$10000 7$10001-$100,000 / / 15 / 115 ❑ 510,001 -$010000 / / 15 _;_/ 15 ❑swum -$1000,000 ACQUIRED DISPOSED ❑ $100,001 -$1,000,000 ACQUIRED DISPOSED ❑ Over$1,000,000 ❑Over$1,000,000 NATURE OF INTEREST NATURE OF INTEREST ❑Property Ownership/Deed of'rust ❑Stock ❑Partnership ❑Property Ownership/Deed of Trust ❑Stoay ❑Partnership ❑Leasehold ❑Other ❑ Leasehold ❑Other Yrs.rema omg Yrs remaining ❑ Check box if additional schedules reporting investments or real property ❑Check box if additional schedules reporting investments or real properly are attached are attached FPPC Form 700(2015/2015)Sch.A-2 Comments: FPPC Advice Email:advice @fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov CALIFORNIA FORM 700 SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION Income — Gifts Name . NAME OF SOURCE(Not an Acronym) In NAME OF SOURCE(Not an Acronym) Burke,Williams and Sorensen LLP Athens Services ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable) BUSINESS ACTIVITY,IF ANY OF SOURCE BUSINESS ACTIVITY.IF ANY,OF SOURCE Legal Services Street Sweeping DATE(mnVdd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mmlddlyy) VALUE DESCRIPTION OF GIFT(S) 05 14( 15 155.76 CCCA Dinner 05 15 15 E 100.00 COCA Dinner JJ E JJ E Jam— E _/_/— $ la NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Not an Acronym) ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable) BUSINESS ACTIVITY, IF ANY OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mmldd/yy) VALUE DESCRIPTION OF GIFT(S) JJ_ E _J_J— $ JJ E JJ E JJ S _J_/— S NAME OF SOURCE(Not an Acronym) ■ NAME OF SOURCE(Not an Acronym) ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable) BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY IF ANY OF SOURCE DATE(mMdd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mnV dfyy) VALUE DESCRIPTION OF GIFT(S) __J—l— E _1_1_ E J_J— 3 J—J— E J__J— E Comments: FPPC Form 700(2015/2016)Sch.D FPPC Advice Email:advice @fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov