Sandra Armenta RECIEVED
UatITY OFPlo R c ved
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR
commission PRACTICES COMFssion APR 0 3 2017
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink CITU CLEBICS OFFICE
BY. N�
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Armenta Sandra L.
1. Office, Agency, or Court
Agency Name (Da not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
City Council Mayor
ik If firing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
E State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
N City
of Rosemead ❑Other
3. Type of Statement (Check at least one box)
▪ Annual: The period covered is January 1,2016,through ❑ Leaving Office: Date Left JJ
December 31,2016. (Check one)
or-
The period covered is_r_I ,through 0 The period covered is January t,2016,through the date of
December 31,2016. or leaving office.
❑ Assuming Office: Date assumed JJ 0 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) 0. Total number of pages including this cover page: 4
Schedules attached
❑ Schedule A-1-Investments-schedule attached ❑Schedule C-Income, Loans, &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached 0 Schedule 0-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
(Business or Agency Address Recommended-Paine fl amene
8838 E.Valley Blvd Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2100 sarmenta@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
raj / r
Date Signed 04/03/2017 Signature ( 1/4'i'lyei A. ) i'1tri
day.year) (Blame otgnarvv signedeldemenl wTh Hupmr lazl
FPPC Form 700(2016/2011)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:366/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION
Income — Gifts Name
Sandra Armenta
I• NAME OF SOURCE(Not an Acronym) II- NAME OF SOURCE(Not an Acronym)
League of California Cities Latino Caucus League of California Cities Latino Caucus
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
770 L. Street, Suite 1030 Sacramento, CA 95814 770 L. Street,Suite 1030 Sacramento, CA 95814
BUSINESS ACTIVITY,IF ANY, OF SOURCE BUSINESS ACTIVITY IF ANY,OF SOURCE
Annual Board Retreat Annual Board Retreat
DATE(mmidNyy) VALUE DESCRIPTION OF GIFT(S) DATE(mmlddlyy) VALUE DESCRIPTION OF GIFT(S)
01 (29 r 16 s 86.00 Dinner 01 r 30 ) 16 r 131.00 Dinner
01 (30 / 16 5 38.00 Breakfast 01 131 116 g 38.00 Breakfast
01 (30 ) 16 553.00 Lunch JJ_ s
R- NAME OF SOURCE(Not an Acronym) le NAME OF SOURCE(Not an Acronym)
League of California Cities Latino Caucus League of California Cities Latino Caucus
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
770 L. Street, Suite 1030 Sacramento, CA 95814 770 L. Street, Suite 1030 Sacramento, CA 95814
BUSINESS ACTIVITY IF ANY OF SOURCE BUSINESS ACTIVITY IF ANY,OF SOURCE
Mid-Year Board Retreat League of California Cities Annual Conference
DATE(mmldd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mn ddlyy) VALUE DESCRIPTION OF GIFT(S)
O6 ) 18 r 16 g 27.00 Breakfast 10 (O6 116 S 128.00 VIP Dinner
06 ) 18 ( 16 538.00 Lunch 10 1 06 r 16 s 16.90 Gala
JJ s JJ s
• NAME OF SOURCE(Not an Acronym) le NAME OF SOURCE(Not an Acronym)
League of California Cities Latino Caucus League of California Cities Latino Caucus
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
770 L.Street, Suite 1030 Sacramento,CA 95814 770 L. Street, Suite 1030 Sacramento,CA 95814
BUSINESS ACTIVITY,IF ANY OF SOURCE BUSINESS ACTIVITY IF ANY,OF SOURCE
USC Latino Executive Education Long Beach Grand Prix Networking Event
DATE(mruddryy) VALUE DESCRIPTION OF GIFT(S) DATE(mmlddlyy) VALUE DESCRIPTION OF GIFT(S)
08 ,23 / 16 533.00 Reception 04 1 14 r 16 521.97 Reception
JJ— a J_J_ $
JJ_ a JJ s
Comments:
FPPC Form 700(2016/2017)5ch.D
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppera.gov
CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION
Income — Gifts Name
Sandra Armenta
. NAME OF SOURCE(Not an Acronym) P. NAME OF SOURCE(Not an Acronym)
California Contract Cities Association California Contract Cities Association
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
11027 Downey Ave., Downey, CA 90241 11027 Downey Ave., Downey,CA 90241
BUSINESS ACTIVITY,IF ANY, OF SOURCE BUSINESS ACTIVITY IF ANY OF SOURCE
Executive Board Meeting Executive Board Meeting
DATE(mMddryy) VALUE DESCRIPTION OF GIFT(S) DATE(mMtldryy) VALUE DESCRIPTION OF GIFT(S)
01 ,06x16 $52.00 Dinner 04 ,06 ) 16 $54.00 Dinner
021103116 $81.00 Dinner 05_1_1 0216 $47.00 Dinner
03/03116 $54.00 Dinner 06 /01116 $147.00 Dinner
IE NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Not an Acronym)
California Contract Cities Association California Contract Cities Association
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
11027 Downey Ave., Downey, CA 90241 11027 Downey Ave., Downey, CA 90241
BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE
Executive Board Meeting Executive Board Meeting
DATE(mMddryy) VALUE DESCRIPTION OF GIFT(S) DATE(mMddNy) VALUE DESCRIPTION OF GIFT(S)
07 116 116 $18.00 Dinner 11 1 oz , 16 $116.00 Dinner
Og1 07 1 16 $77.00 Dinner _I_1 $
101121 $
16 65.00 Dinner J_— s
) NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Not an Acronym)
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY IF ANY OF SOURCE BUSINESS ACTIVITY.IF ANY.OF SOURCE
DATE(mMtlNyy) VALUE DESCRIPTION OF GIFT(S) DATE(mmiddlyy) VALUE DESCRIPTION OF GIFT(S)
JJ $ JJ $
_JJ $ JJ $
Comments:
FPPC Form 700(2016/2017)Sch.D
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COr.1NI55ION
Name
Income — Gifts
Sandra Armenta
• NAME OF SOURCE(Not an Acronym) t NAME OF SOURCE(Not an Acronym)
Athens Services Republic Services
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
15045 Salt Lake Ave. City of Industry, CA 91746 2531 East 67th Street Long Beach, CA 90805
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY IF ANY,OF SOURCE
California Contract Cities Annual Municipal Seminar Los Angeles Dodger Tickets
DATE(mmlddlyy) VALUE DESCRIPTION OF GIFT(S) DATE(mrtddlyy) VALUE DESCRIPTION OF GIFT(S)
05 / 13 / 16 $100.00 Dinner 04 / 15 r 16 $300.00 4 Dodger Tickets
_1__J— $
▪ NAME OF SOURCE(Not an Acronym) 11. NAME OF SOURCE(Not an Acronym)
Advance America
ADDRESS (Business Address Acceptable) ADDRESS(Business Address Acceptable)
135 N. Church St. Spartanburg, SC 29306
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY IF ANY OF SOURCE
VICA State Officeholders Dinner
DATE(mn ddlyy) VALUE DESCRIPTION DF GIFT(S) DATE(mMdd/yy) VALUE DESCRIPTION OF GIFT(S)
gz 19 16250.00 Dinner
$ _1_
_1_1
• NAME OF SOURCE(Not an Acronym) • NAME OF SOURCE(Not an Acronym)
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY IF ANY,OF SOURCE
DATE(mm/Ed/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
��— 5 �— $
Comments:
FPPC Form 700(2016/2017)Sch.D
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov