Lily Valenzuela RECEIVED
700 STATEMENT OF ECONOMIC INTERESTS Date Qh R30 IrpBt9Ap rO
CALIFORNIA FORM
FAIR POLITICAL PRACTICES COMMISSION I
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink. 'SIT :I ^"k5 OFFICE
NAME OF FILER (EAST) (FIRST) (MIDDLE) ----
Valenzuela Lily T.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Planning City Planner
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, 2016, through 0 Leaving Office: Date Left_J_/
December 31,2016. (Check one)
The period covered is_/J ,through O The period covered is January 1, 2016,through the date of
December 31. 2016, or leaving office.
El Assuming Office: Date assumed —J O The period covered is JJ 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:
Schedules attached
Schedule A-1 -Investments-schedule attached ❑Schedule C-Income, Loans &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached ❑Schedule 0-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-schedule attached
-Or-
111 None • No reportable interests on any schedule _
5. Verification
MAILING ADDRESS STREET Cm STATE ZIP CODE
(Business w Agency Address Recommended-Pudic W[umem)
8838 Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2142 Itrinh@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.
03/20/2017
Date Signed Signature mss( .°^ey�p•
pow],day yamlr1N
) AIe94030 signed statement Pith your aria ofioN)
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov