Annie Lao RECIEVED
CITY OF ROSMEAD
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS .. MAR 2 a 2018
FAIR >O L:TC AL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE CITY CLERK'S OFFICE
BV:
Abase type or Niro in ink
NAME OF FUR (LAST) fIRS1) PIDDLE)
Lao Annie
1. Office, Agency, or Court
Agency Name (Do not use eaaryna)
City of Rosemead
Division.Board, Depa tuent District if appkable row Position
Community Development Assistant Planner
e If filly for multiple positions. 1st beta or on an attachment (Do not use anonyms)
Agency Position'
2. Jurisdiction of Office (meek grease One boa)
❑State 0 Judge or Court Commissioner(Stateside.kaisdiction)
❑Muf-County ❑Courtly of
l]city d Rosemead ❑Otlwr
3. Type of Statement (aleck at bast one box)
• Annual: The period covered is January 1, 2017,trough ❑ Leaving Office: Date Left J-7
December 31, 2017. (Check one)
The period wavered is JJ through 0 The period covered S January 1,2017,through the date of
December 31,2017. leaving eke.
❑ Assuming Office: Dale assumed jj 0 The period covered is_J_J though
the date of leaving envie.
O Candidata: Dab of Election and office sought,it different than Pall:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-I -Investments-schedule attached ❑Schedule C-Insane,Lara;, 8 Btskwss Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached ❑Schedule D-Income-Gills-schedule attached
O Schedule B-Reel Property-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-schedule attached
-Or-
El None- No reportable interests on any schedule
5. Verification
MauNG ADDRESS STREET CITY STATE ZIP CODE
(Business or rypmy Address Recommended-Pubic omvnen)
8838 E. Valley Blvd Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMNL ADDRESS
( 626 ) 569-2147 also@cityofrosemead.org
I have used all reasonable diigence in prepaing this statement I have reviewed this statement and to the best of my knowledge the information conned
herein and in any attached schedules S true and complete. I acknowledge this S a public document
I certify under penalty of perjury under the laws of the State of Calffomia that the foregoing is true and correct
Date Signed 3 kSISignature
Owe day (Fie be m4seA+HPred shbmmd Subpar FF9 oboe)
FPPC Form 700(2017/2018)
FPPC Advice Email:adviceefppco-kw
FPPC Toll-Free nelplhee:866/275-3772 www.Ippca.gov