Michael Vuong - Assuming (Planning Commissioner) Date !nititilliintfienal
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Official Use Only
FAIR POLITICAL PRACTICES COMMISSION aF'
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink.
•
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Vuong Michael
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department; District, if applicable Your Position
Planning Commission Commissioner
► 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)
El Multi-County ❑County of
®City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1,2017,through ❑ Leaving Office: Date Left
December 31,2017. (Check one)
-or-
The period covered is—__I—J ,through 0 The period covered is January 1, 2017,through the date of
December 31,2017. -or-
leaving office.
❑x Assuming Office: Date assumed 03 / 04 / 2019 O_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: 1
Schedules attached
❑ Schedule A-1 -Investments-schedule attached ['Schedule C-Income, Loans, &Business Positions-schedule attached
D 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-
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 Boulevard . Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL 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 J "► 2.0 Signature J�
montfl day year) (File the originally signed statemen with our filing fficial.)
FPP Form 700(2017/2018)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov