Daniel Lopez RECEIVED
CITY OF ROSEMEAD
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Dade ttAx Z 9P crived
FAIR POLITICAL PRACTICES enl]MISSION
A PUBLIC DOCUMENT COVER PAGE CITY CLERKS OFFICE
Please type or print in ink BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Lopez Daniel
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Planning Commission Planning Commissioner
DNision, Board Department,District if applicable Your Position
City of Rosemead
i 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)
O State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
City of City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
lZ Annual: The period covered is January 1,2015,through ❑ Leaving Office: Date Left_r_f
December 31,2015. (Check one)
or-
The period covered is through 0 The period covered is January 1, 2015,through the date of
December 31,2015. or 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 Part 1:
4. Schedule Summary(must complete) ► Total number of pages including this cover page: 1
Schedules attached
▪ Schedule A-1 -Investments—schedule attached ['Schedule C-Income, Loans, &Business Positions—schedule attached
❑ 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-
• None- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE _
(eudrwss or Agency Address Recommended-PuMc Document)
8838 East Valley Boulevard Rosemead CA 91770
DArNME TELEPHONE NUMBER -- E-MAIL ADDRESS
( 626 ) 569-2100
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 fore ' (1 is true a d correct.
03/27/2016 Ip
Date Signed Signature <
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FPPC Form 700(2015/2016)
FPPC Advice Email:advice @fppc.ca.gev
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov