Howard Masuda RECEIVED
CITY nF RncrrLEAD
CALIFORNIA FORM r
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FAIR POLITICAL .*CES CO MMIS SION
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DOCUMENT COVER PAGE CITY CLERK'S OFFICE
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NAME OF FILER (LAST) IFIRSTI (MIDDLE)
Masuda Howard Y
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Traffic Commission Commissioner
• 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
City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2015,through ❑ Leaving Office: Date Left
December 31,2015. (Check one)
•or-
Dec period covered is ,through C The period covered is January 1. 2015,through the date of
JJ
December 31, 2015. leaving office
-or-
❑ Assuming Office: Date assumed JJ C The period covered is—JJ through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Pan 1:
4. Schedule Summary(must complete) ► Total number of pages including this cover page: —
Schedules attached
❑ Schedule A•I•Investments-schedule attached ❑Schedule C-Income,Loans, &Business Positions-schedule attached
❑ Schedule A•2•Investments-schedule attached ❑Schedule D-Income-Gilts-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
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Busm ss Or Agency Address Recommended-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 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. rl
Date Signed 2(25/2010 Signature -kh dk ,y t ec?t[�-
(morn day MN IFdeme on malysigned statement wm purMUg m1 a,I
FPPC Form 700(2015/2016)
FPPC Advice Email:advice @fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.a.gov