Polly Low - Annual RECEIVED
CITY OF ROSEMEAD
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Inioiffl��F ° 8 2019
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
AR�I
CITY CLERK • •FFICE
Please type or print in ink. A PUBLIC DOCUMENT BY: ,_ l%
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Low Polly
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
City Council Council Member
► 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 ❑County of
❑x City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018,through ❑ Leaving Office: Date Left
December 31, 2018. (Check one circle.)
-or-
The period covered is , through 0 The period covered is January 1, 2018,through the date of
December 31, 2018. .or.leaving office.
❑ Assuming Office: Date assumed_J_l 0 The period covered is ,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: 3
Schedules attached
❑ Schedule A-1 -Investments—schedule attached ❑Schedule C-Income, Loans, &Business Positions—schedule attached
❑ Schedule A-2-Investments—schedule attached EJ Schedule D-Income—Gifts—schedule attached
❑x 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
(Business or Agency Address Recommended-Public Document)
8836 East Valley Blvd Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2100
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 d correct.
Date Signed )1/1- Signature!
(month,day,year) pie the ori Ily sig d paper statement with your tiling official.)
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property Name
(Including Rental Income)
I. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
1036 La Presa Ave
CITY CITY
Rosemead
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE:
❑$2,000-$10,000 ❑ $2,000-$10,000
O$10,001 -$100,000 18 0 $10,001 -$100,000 -JL 18 18
X$100,001 -$1,000,000 ACQUIRED DISPOSED ❑ $100,001 -$1,000,000 ACQUIRED DISPOSED
❑Over$1,000,000 ❑ Over$1,000,000
NATURE OF INTEREST NATURE OF INTEREST
❑X Ownership/Deed of Trust ❑ Easement ❑ Ownership/Deed of Trust ❑ Easement
❑ Leasehold ❑ ❑ Leasehold ❑
Yrs.remaining Other Yrs.remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY,GROSS INCOME RECEIVED
❑$0-$499 ❑$500-$1,000 ❑ $1,001 -$10,000 ❑ $0-$499 ❑$500-$1,000 ❑ $1,001 -$10,000
❑$10,001-$100,000 ❑ OVER$100,000 ❑ $10,001 -$100,000 ❑ OVER$100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of$10,000 or more. income of$10,000 or more.
❑ None ❑ None
* You are not required to report loans from a commercial lending institution made in the lender's regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER* NAME OF LENDER*
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY,OF LENDER BUSINESS ACTIVITY, IF ANY,OF LENDER
INTEREST RATE TERM(Months/Years) INTEREST RATE TERM(Months/Years)
% ❑ None % ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
❑$500-$1,000 ❑ $1,001 -$10,000 ❑ $500-$1,000 ❑ $1,001 -$10,000
❑ $10,001-$100,000 ❑ OVER$100,000 ❑$10,001 -$100,000 ❑ OVER$100,000
❑ Guarantor,if applicable ❑Guarantor,if applicable
Comments:
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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CALIFORNIA FORM 700
SCHEDULED FAIR POLITICAL PRACTICES COMMISSION
Name
Income — Gifts
► NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE(Not an Acronym)
Burke, Williams & Sorensen LLP Athens
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
444 S Flower St#2400, Los Angeles, CA 90071 14048 Valley Blvd, La Puente, CA 91746
BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE
Contract City and League of Cities Conference Contract City and League of Cities Conference
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
05 17 18 $106.68. Dinner 05 18 18 $100.00 Dinner
► NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE(Not an Acronym)
Interwest Consulting Group
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
15140 Transistor Lane, Huntington Beach, CA 92649
BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE
ICSC-Las Vegas
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
05 20 18 $121.00 Dinner �� $
► NAME OF SOURCE(Not an Acronym) P. NAME OF SOURCE(Not an Acronym)
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
Comments:
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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