Rachel Richman V'..--
CFv CF dose='E=AC•
Date Initial Filing Received
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS n°^�'•°^°�
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE CITY Diddei cc= ,61ca
Please type or print in ink BY'.___
NAME OF FILER ILPSTI (FIRST) (MIDDLE)
Richman Rachel H.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Positron
City Attorney
H If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency Commission Position: General Counsel -
2. Jurisdiction of Office (Check at least one hox)
❑State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County— _— ❑County of .-- —
City of Rosemead ❑Other --
3. Type of Statement (Check at least one box)
Q Annual: The period covered is January 1, 2016,through ❑ Leaving Office: Date Left
—J-
December 31, 2016. (Check one)
-Or
Dec period covered is ,through 0 The period covered is January 1,2016, through the date of
—J
December 31,2016. leaving office.
-or-
❑ Assuming Office: Date assumed .J_ 0 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: 2
Schedules attached
❑ Schedule A-I -Investments-schedule attached ]Schedule C-Income, Loans, B Business Positions-schedule attached
IJ Schedule A-2-Investments-schedule attached ❑Schedule D-Income- Gins-schedule attached
❑ Schedule B-Real Property-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 Acidness Recommended-PoUt Bowmen()
444 S. Flower Street, Suite 2400 Los Angeles CA 90071
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 213 ) 236-0600 rrichman@bwslaw.com
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 3 lc27l/. Signature-• L-_ l - —
(makclayyear) (File the anon*.fliedsblamM men lvw Meq onobrl
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Tail-Free Helpline:866/275-3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Rachel Richman
10. 1.INCOME RECEIVED or 1.INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Burke,Williams&Sorensen, LLP
ADDRESS(Business Address Acceptable) ADDRESS (Business Address Acceptable)
444 S.Flower Street,#2400, Los Angeles,CA 90071
BUSINESS ACTIVITY IF ANY, OF SOURCE BUSINESS ACTIVITY,IF ANY, OF SOURCE
Legal Services
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
Attorney
GROSS INCOME RECEIVED E No Income-Business Position Only GROSS INCOME RECEIVED E No Income- Business Posilian Only
❑$500-$1000 ❑stool -sumo ❑$500-$1000 E$1,001 -$10,000
El 110,001 -$100,000 D OVER$100,000 ❑$10001 -$1010,000 ❑OVER$100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
%Salary E Spouse's or registered domestic patlners Income E Salary El Spouses or registered domestic Rafter's Income
(For self-employed use Schedule A-2) (For self-employed use Schedule A-E)
El Partnership(Less than 10%ownership.For 10%or greater use ❑Partnership(Less than 10%ownership. For 10%or greater use
Schedule A-2.) Schedule A-2.)
E Sale of E Sale or
(Real proPerti ea..boat etc) (Real PmMM.Gar:boat etc.)
0 Loan repayment 0 Loan repayment
Commission or ❑ Renta Income,lid each source of$10.000 or more 0 Commission or ❑ Rental Income,tin each source of 1p000 or mare
(Oescnbe) (DesaMe)
❑Other ❑ Other
(Llttnbe) (Descnbe)
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as Follows'.
NAME OF LENDER' INTEREST RATE TERM(Months/Yews)
% El None
ADDRESS(Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY,IF ANY.OF LENDER E None E Personal residence
❑ Real Properly
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
$500-$1,000
cry
❑stool .$10,000
E Guarantor _
E$10,001 -$100,000
I OVER$100000 ❑Other
(Ceudbe)
Comments:
FPPC Form 700(2016/2017)5th.C
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov