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Kane Thuyen - Annual • RECEIVED • CITY OF ROSEMEAD STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received CALIFORNIA FORM 700 Frill pA ISc2020 FAIR POLITICAL PRACTICES COMMISSION COVER PAGE Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICE ,BY; NAME OF FILER (LAST) (FIRST) (MIDDLE) THUYEN KANE 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF ROSEMEAD Division, Board, Department, District, if applicable Your Position Dc?w t City Attorney ► 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,Retired Judge, Pro Tern Judge,or Court Commissioner (Statewide Jurisdiction) ❑Multi-County ❑County of City of Rosemead ❑Other 3. Type of Statement (Check at least one box) • Annual: The period covered is January 1,2019,through ❑ Leaving Office: Date Left December 31,2019. (Check one circle.) •or- The period covered is ,through 0 The period covered is January 1,2019,through the date of December 31,2019. -or-leaving office. ❑ Assuming Office: Date assumed 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: 2 Schedules attached ❑ Schedule A-1 -Investments—schedule attached ❑x 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- ❑ None- No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended-Public Document) CA DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 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 March , 2020 Signature (month,day,year) (File the originally signed paper statement with your filing official.) FPPC Form 700-Cover Page(2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-5 SCHEDULE C CALIFORNIA FORM 700 Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION Positions Name (Other than Gifts and Travel Payments) Kane Thuyen ► 1. INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME BURKE, WILLIAMS &SORENSEN, LLP ADDRESS (Business Address Acceptable) ADDRESS(Business Address Acceptable) 444 S. Flower St., Ste. 2400, L.A., CA 90071 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY,OF SOURCE Law Firm YOUR BUSINESS POSITION YOUR BUSINESS POSITION Partner GROSS INCOME RECEIVED ❑No Income-Business Position Only GROSS INCOME RECEIVED ❑No Income-Business Position Only ❑$500-$1,000 ❑$1,001 -$10,000 ❑$500-$1,000 El$1,001 -$10,000 ❑$10,001 -$100,000 ❑X OVER$100,000 ❑$10,001 -$100,000 ❑ OVER$100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑X Salary ❑Spouse's or registered domestic partner's income ❑Salary ❑Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.) ❑Partnership(Less than 10%ownership.For 10%or greater use El Partnership(Less than 10%ownership.For 10%or greater use Schedule A-2.) Schedule A-2.) ❑Sale of ❑Sale of (Real property,car,boat,etc.) (Real property,car,boat,etc.) ❑ Loan repayment ❑ Loan repayment ❑ Commission or ❑ Rental Income,list each source of$10,000 or more ❑ Commission or ❑ Rental Income,list each source of$10,000 or more (Describe) (Describe) ❑ Other ❑Other (Describe) (Describe) ► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from a commercial lending institution, or any indebtedness created as part of a retail installment or credit card transaction, 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' INTEREST RATE TERM(Months/Years) % ❑None ADDRESS(Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence El Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD ❑$500-$1,000 City ❑$1,001 -$10,000 ❑ Guarantor ❑$10,001 -$100,000 ❑ OVER$100,000 ❑Other (Describe) Comments: FPPC Form 700-Schedule C(201.9/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-13