Polly Low RECIEVED
700 STATEMENT OF ECONOMIC INTERESTS Dat�lToft-muse°DM d
CALIFORNIA FORM nv
PAM PRACTICES CorMlssloN APR 0 3 2017
POLITICAL
A PUBLIC DOCUMENT COVER PAGE
Please type of print in ink. CIT?CLARKS OFFICE
ra"
NAME OF FILER (LAST) (FIRST)
r —
Low Polly
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
City Council Council Member
► 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 E Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
Ex City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
xX Annual: The period covered is January 1,2016,through ❑ Leaving Office: Date Left J—J
December 31,2016. (Check one)
or-
The period covered is JJ ,through O The period covered is January 1, 2016,through the date of
December 31,2016. or leaving office.
❑ Assuming Office: Date assumed 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, &Business Positions-schedule attached
❑ Schedule A-2-Investments—schedule attached XD 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
MAILINGADDRESS STREET CITY STATE ZIP CODE
Iacfiress or Agency Address Recamnen6 d-Pala Document)
8836 East Valley Blvd 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 car ect.
0
Date Signed 31), '1-rb 7 SignatureJ /. '
ro,day.yaan (Rn thaSap,ySanedstatement wrhyour aonv ombau
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULED FAIR POLITICAL PRACTICES COMMISSION
Name
Income — Gifts
• NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Nat an Acronym)
Mr Gerald Yang League of California Cities
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
120 E Valley Blvd, San Gabriel, CA 91776 1400 K Street,Suite 400 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY OF SOURCE BUSINESS ACTIVITY,IF ANY,OF SOURCE
Meeting - Meeting
DATE(mm/ddryy) VALUE DESCRIPTION OF GIFT(S) DATE(ram/cid/my) VALUE DESCRIPTION OF GIFT(S)
02 27 16 42.50 Dinner 01 / 20 / 16 $16.00 Reception
12 /29 / 16s 55.00 Dinner 06 / 18 / 16 $30.00 Summer Social
101 6 16 $27.00 Dinner
• NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Not an Acronym)
Burke, Williams&Sorensen LLP League of California Cities
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
444 S Flower St#2400, Los Angeles,CA 90071 1400 K Street, Suite 400 Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Contract City and League of Cities Conference Meeting
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
05 ) 12 / 16 $171.24 Dinner 10 29 16 $28.00 Social Reception
• NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Not an Acronym)
Hazens Real Estate Group
ADDRESS(Business Address Acceptable) ADDRESS(Bus/ness Address Acceptable)
6101 W Century Blvd, 16 Fl Los Angeles, CA 90045
BUSINESS ACTIVITY IF ANY OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Meeting
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
J 01 / 16 60.00 Dinner
$ _1_ $
JJ s _1_1_ $
JJ— $ J_1 $
Comments:
FPPC Form 700(2016/2017)Sch.0
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov