James Lara - Assuming STATEMENT OF ECONOMIC INTERESTS Date�'EI ` eived
CALIFORNIA FORM 700 crrnV VP/Mg-am)
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
MAY 2 7 RECO
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST) cl'Y f}rf'p 5 u1-I-lL I
BY:
Lara James Anthony
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 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)
D Multi-County ❑County of
®City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
x❑ Annual: The period covered is January 1,2019,through D Leaving Office: Date Left.J—J
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:
Schedules attached
❑x 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)
9108 Garvey Ave. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 )569-2134 jlara@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 fore ing is true and correct.
Date Signed May 27, 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
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A
SCHEDULE A-°I
CALIFORNIA FORM 700
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%) James Lara
Investments must be itemized.
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY
State Farm Fidelity Investments
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
Roth IRA Roth IRA
FAIR MARKET VALUE FAIR MARKET VALUE
❑X $2,000-$10,000 ❑$10,001 -$100,000 ❑X $2,000-$10,000 ❑ $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 Roth IRA NATURE OF INVESTMENT Roth IRA
❑ Stock ❑X Other ❑ Stock ®Other
(Describe) (Describe)
❑ Partnership 0 Income Received of$0-$499 ❑ Partnership 0 Income Received of$0-$499
0 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:
19
ACQUIRED DISPOSED ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY
Fidelity Investments
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
401K
FAIR MARKET VALUE FAIR MARKET VALUE
0 $2,000-$10,000 ❑$10,001 -$100,000 ❑ $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 401K 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:
ACQUIRED DISPOSED ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY ► 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:
ACQUIRED DISPOSED ACQUIRED DISPOSED
Comments:
FPPC Form 700-Schedule A-1(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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