Phong Ly - Annual RECEIVED
STATEMENT OF ECONOMIC INTERESTS Date Cti-liti�al6pllol sAi
CALIFORNIA FORM 700 nm,use
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAY 13 2019
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) T(MIDDLE)
LY PHONG VINH
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF ROSEMEAD
D vision, Board, Department, District, if applicable Your Position
PARKS COMMISSION COMMISSIONER
► If fling 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(Statewde Jurisdicton)
❑Multi-County ❑County of
E 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_ I , through 0 The period covered is January 1, 2018, through the date of
December 31, 2018.
.0r.leaving office.
❑ Assuming Office: Date assumed_J—J 0 The period covered is--! L- —, 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:
Schedules attached
❑ Schedule A-1 -Investments–schedule attached ❑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- I] 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 Boulevard 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 true and correct.
Date Signed 05/13/2019 Signature
/
(month.day year: (Het:111 ally signed p.•er statement with your Sing 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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