Steven Ly - Annual RECEIVED
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS DYrQFaRl3iSffl�teived
Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE APR 01 2019
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICE
BY•
NAME OF FILER (LAST) (FIRST) (MIDDLt)
Ly Steven
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead •
Division, Board, Department, District, if applicable Your Position
City Councilman
► 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 0 Judge or Court Commissioner(Statewide Jurisdiction)
ElMulti-County0County of Los Angeles
g City of Rosemead 0 Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018, through 0 Leaving Office: Date Left I—1
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 0 The period covered is I I , 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
❑x Schedule A-1 -Investments—schedule attached ❑Schedule C-Income, Loans, &Business Positions—schedule attached
❑ Schedule A-2-Investments—schedule attached ❑x Schedule D-Income— Gifts—schedule attached
❑ Schedule B-Real Property—schedule attached ❑Schedule E-Income—Gifts— Travel Payments—schedule attached
-or- El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 E Valley Blvd Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( sly@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 03! '3-10 ` (t Signature `ws4`4.„
(month,day,year) (File the originally sign paper statement with your filing official.)
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
Page-5
SCHEDULE A-'I CALIFORNIA FORM 700
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%) Steven Ly
Investments must be itemized.
Do not attach brokerage or financial statements.
P. NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY
LBL Holding LLC
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
Real Estate
FAIR MARKET VALUE FAIR MARKET VALUE
0 $2,000-$10,000 ❑$10,001 -$100,000 0 $2,000-$10,000 0 $10,001 -$100,000
❑X $100,001 -$1,000,000 ❑ Over$1,000,000 ❑$100,001 -$1,000,000 0 Over$1,000,000
NATURE OF INVESTMENT Rental NATURE OF INVESTMENT
❑ Stock ❑Other ❑ Stock ❑Other (Describe)
Describe)
❑X Partnership 0 Income Received of$0-$499 0 Partnership 0 Income Received of$0-$499
o Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
_—l—JAL J LiL —J-118 _J- 1_1$_
ACQUIRED DISPOSED ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY I. NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE FAIR MARKET VALUE
0 $2,000-$10,000 0 $10,001 -$100,000 0 $2,000-$10,000 0 $10,001 -$100,000
❑ $100,001 -$1,000,000 ❑ Over$1,000,000 ❑ $100,001 -$1,000,000 ❑ Over$1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
❑ Stock ❑Other ❑ Stock ❑Other
(Describe) (Describe)
❑ Partnership 0 Income Received of$0-$499 ❑ Partnership 0 Income Received of$0-$499
Q Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED ACQUIRED DISPOSED
I. NAME OF BUSINESS ENTITY O. NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE FAIR MARKET VALUE
0 $2,000-$10,000 0$10,001 -$100,000 0$2,000-$10,000 0 $10,001 -$100,000
❑ $100,001 -$1,000,000 ❑ Over$1,000,000 ❑$100,001 -$1,000,000 ❑ Over$1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
❑ Stock ❑Other ❑ Stock ❑Other
(Describe) (Describe)
❑ Partnership 0 Income Received of$0-$499 ❑ Partnership 0 Income Received of$0-$499
O Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
—1—Ji —J—JJL .—J—liL _i_____/A8_
ACQUIRED DISPOSED ACQUIRED DISPOSED
Comments:
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
Page-7
CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION
Name
Income — Gifts
Steven Ly
► NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE (Not an Acronym)
Republic Services Interwest Services
ADDRESS(Business Address Acceptable) ADDRESS (Business Address Acceptable)
18500 N Allied Way, Phoenix, AZ 85054 1500 S Haven Ave, Suite 220, Ontario, CA 91761
BUSINESS ACTIVITY, IF ANY,OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Waste Disposal Municipal Consulting
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
05 / 23 / 18 $250 Dodgers Tickets 05 21 / 18 $150 Dinner, ICSC
_J—J— $ JJ— $
J—J $ _JJ— $
► NAME OF SOURCE (Not an Acronym) ► 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)
—J_J_ $ —J— $
_1__J $ _J_J— $
J_1 $ __I_J_ $
► NAME OF SOURCE(Not an Acronym) ► 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)
J_/____ $ _JJ— $
_/____/_ $ —___J— $
_/_____I_____ $ ____I_J_ $
Comments:
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
Page-15