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Tam Chu - Assuming RECEIVED STATEMENT OF ECONOMIC INTERESTS Date dliritiakiieepai � CALIFORNIA FORM700 Filing O icia FAIR POLITICAL PRACTICES COMMISSION COVER PAGE JUN 0 3 REC1 Please type or print in ink. A PUBLIC DOCUMENT 61T1%dLatiV8 C"-FFie NAME OF FILER (LAST) (FIRST) (MIDDLE)---- Chu Tam Minh 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department, District, if applicable Your Position Parks and Recreation Department Recreation Supervisor ► 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 ❑x City 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. ❑x Assuming Office: Date assumed 10 I 2 / 2017 0 The period covered is_lam ,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: r 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- ® 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 P.O Box 349 Rosemead Ca 91770 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 626 )569-2265 tchu©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 6/1/20 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