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Sandra ArmentaRSMIVEO Date11tfi21'ihnRecetved STATEMENT OF ECONOMIC INTERESTS official Use Only COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (M Armenta Sandra L. 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead applicable City Council Your Yostion Council Member P. If fling for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Multi -County ® City of Rosemead 3. Type of Statement (check at least one box) © Annual: The period covered is January 1, 2017, through December 31, 2017. -or- The period covered is through December 31. 2017. ❑ Assuming Office: Date assumed __J___J ❑ Candidate: Date of Election Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other — ❑ Leaving Office: Date Left (Check one) O The period covered is January 1, 2017, through the date of -or- leaving office. O The period covered is through the date of leaving office. and office sought, if different than Part 1: Schedule Summary (must complete) ► Total number of pages including this cover page: 3 Schedules attached ❑ Schedule A-1 - Investments - schedule attached ❑ Schedule A-2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached -or- F-1 None - No reportable interests on any schedule ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑X Schedule D -Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 8838 E. Valley Blvd. Rosemead CA 91770 ( 626 )676-3965 ralarmenta@gmaii.com Ihave 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 March 8, 2018 Signature �7 (month, day, year) (File the odurady signed statement with yo4 filing official) FPPC Form 700(2017/2018) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE D Income — Gifts ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L. Street, Suite 1030, Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Annual Board Retreat DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFTS) 01 / 06 / 17 $ 89.00 Dinner 01/ 07 / 17 $ 42.00 Breakfast 01 / 07 / 17 $ 127.00 Dinner ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L. Street, Suite 1030, Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Annual Board Retreat DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 01 08 17 37.00 Breakfast $ —J�— $ Jam— $ ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L. Street, Suite 1030, Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Mid -Year Board Retreat DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFTS) 06 109 / 17$ 42.00 San Diego Reception 06 / 10 / 17 $ 53.00 Breakfast 06 / 10 / 17$ 63.00 Lunch Comments: Name Sandra Armenta I ► NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770 L. Street, Suite 1030, Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE League of California Cities Annual Conference DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 09 14 17 95.00 Dinner 09 14 17 41.00 Gala / / s __J__J— $ ► NAME OF SOURCE (Not an Acronym) California Contract Cities Association ADDRESS (Business Address Acceptable) 17315 Studebaker Rd., Ste# 210, Cerritos, CA 90703 BUSINESS ACTIVITY, IF ANY, OF SOURCE Executive Board Meeting DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S) 02 01 17 68.00 Dinner —J__J$ 03 / 01 / 17$ 57.00 Dinner 05 / 03 / 17 $ 67.00 Dinner ► NAME OF SOURCE (Not an Acronym) California Contract Cities Association ADDRESS (Business Address Acceptable) 17315 Studebaker Rd., Ste# 210, Cerritos, CA 90703 BUSINESS ACTIVITY, IF ANY, OF SOURCE Executive Board Meeting DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 06/ 07 / 17 $ 35.00 Dinner 10 / 04 / 17 $ 39.00 Dinner 12/ 06 / 17 $ 39.00 Dinner FPPC Form 700 (2017/2018) Sch. D FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE D Income — Gifts I> NAME OF SOURCE (Not an Acronym) League of California Cities Latino Caucus ADDRESS (Business Address Acceptable) 770, L. Street, Suite 1030, Sacramento, CA 95814 BUSINESS ACTIVITY, IF ANY, OF SOURCE Long Beach Grand Prix Networking Event DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 04 / 08 / 17$ 29.00 Reception $ I► NAME OF SOURCE (Not an Acronym) Burke, Williams & Sorensen, LLP ADDRESS (Business Address Acceptable) 444 S. Flower St., Ste# 2400, Los Angeles, CA 90071 BUSINESS ACTIVITY, IF ANY, OF SOURCE CA Contract Cities Association Annual Seminar DATE (mm/dd/yy) VALUE 05 / 11 / 17$ 137.26 DESCRIPTION OF GIFT(S) Dinner _J__J— $ __J__J— $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFTS) Comments: Sandra Armenia ► NAME OF SOURCE (Not an Acronym) Republic Services ADDRESS (Business Address Acceptable) 2531 East 67th Street, Long Beach, CA 90805 BUSINESS ACTIVITY, IF ANY, OF SOURCE Los Angeles Dodger Ticket DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 04 / 05 / 17$ 75.00 1 Dodger Ticket 09/ 04 / 17 $ 75.00 1 Dodger Ticket ► NAME OF SOURCE (Not an Acronym) Republic Services ADDRESS (Business Address Acceptable) 2531 East 67th Street, Long Beach, CA 90805 BUSINESS ACTIVITY, IF ANY, OF SOURCE Los Angeles Laker Ticket DATE (mm/dd/yy) VALUE 12 23 17 50.00 P. NAME OF SOURCE (Not an Acronym) DESCRIPTION OF GIFT(S) 1 Laker Ticket ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) $ ��— $ FPPC Form 700 (2017/2018) Sch. D FPPC Advice Email: advice@fppc.ca.gov FPPC Tall -Free Helpline: 866/275-3772 www.fppc.ca.gov