Annie Lao CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS (? -' Received
CITY Or riMSPMEAp
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink.
NAME OF FILER RAST) (FIRST) LII sr
FOR,_-
Lao Annie
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Community Development Assistant Planner
► If filing for multiple positions, list below or on an attachment. (Do nor use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
0 State 0 Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County 0 County of
Ox City of Rosemead 0 Other
3. Type of Statement (Check at least one box)
O Annual: The period covered is January 1, 2016,through 0 Leaving Office: Date Left_/_/
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.
-Of-
O Assuming Office: Date assumed—J I 0 The period covered is_/_/ , through
the date of leaving office.
O 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
O Schedule A-1 - Investments-schedule attached 0 Schedule C-Income, Loans, 8 Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached 0 Schedule D-Income-Gifts-schedule attached
O Schedule B -Real Properly-schedule attached 0 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-Public Document)
8838 East Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2144 alao@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.
Date Signed 19�a I} Signature
C
( can day year) i(AeOre ovally signed statement with pm Ring aria)
FPPC Form 700(2016/2017)
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