Ben Kim Date hili HihWHeivetl
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INT '.ESTS .."'„'t'*u'M-'D
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink. CIT1is OF=CF
NAME OF FILER (LAST) (FIRST) 5V )MIDDLE).
Kim Ben
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Community Development Department Director of Community Development -
• 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 ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑ Multi-County - i]County of -
El City of Rosemead _ ❑Other
3. Type of Statement (Check at least one box)
Ox Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left —J
December 31,2017. (Check one)
-Or-
Dec period covered is /_/ , through 0 The period covered is January 1, 2017,through the date of
December 31, 2017. leaving office.
-or-
i] Assuming Office: Date assumed 0 The period covered is_ lit -. , through
the date of leaving office.
❑ Candidate: Date of Election -, and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1
Schedules attached
❑ Schedule A-I Investments-schedule attached i]Schedule C -Income, Loans, & Business Positions-schedule attached
Schedule A-2-Investments-schedule attached ❑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
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Bushes or Agency Address Recommended-Publ¢nxumevp
8838 E. Valley Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2169 bkim@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 tr • • -rrr-: .
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03/12/2018 Signature Date Signed 9
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FPPC Form 700(2017/2018)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov