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Nancy Eng Date Initial Filing Received CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS °�^^ FAIR PounCAL PRACTICES C Om miSSIO4 A PUBLIC DOCUMENT COVER PAGE Filed Date: 04/02/2017 09:58 PM SAN: FPPC Please type or print in ink. NAME OF FILER ILASTI {MST) IMIDOLE) Eng Nancy H 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department.District, if applicable Your Position Planning Commissioner ► If filing for muniple positions,list below or on an attachment. (Co not use acronyms) Agency: Position 2. Jurisdiction of Office (Check at least one box) ❑State E Judge or Court Commissioner(Statewide Jurisdiction) E Multi-County ❑County of City of Rosemead ❑Other 3. Type of Statement (Check at least one box) I] Annual: The period covered is January 1, 2016,through E Leaving Office: Date Leh-i_ December 31,2016. (Check one) or- The period covered is ,Through 0 The period covered is January 1,2016,through the date of December 31,2016. leaving office. -or- ❑ Assuming Office: Date assumed 0 The period covered is JJ ,through the date of leaving office. E Candidate: Election year and office sought,if different than Pad t 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1 Schedules attached E Schedule A-1 -Investments-schedule attached ❑Schedule C-Income, Loans, &Business Positions-schedule attached ❑ Schedule A-2-Investments-schedule attached ❑Schedule D -Income-Gifts-schedule attached ❑ Schedule B-Rea/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 (Bus)rev or Agency Address Recommended.Puhk Document) PO Box 115 Rosemead CA 91770-0115 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 626 ) 288-7032 autumn818©hotmail.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 04/02/2017 09:58 PM Signature Electronic Submission (month.day year) (Ate me ongNuu✓signed ststemem with you(coag clack FPPC Form 700(2016/2017) FPPC Advice Email:advicegofppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov