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Sandra A. Lopez - Annual RECEIVED • • • CITY OF ROSEMEAD CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date) i OFiling il Use Only • FAIR POLITICAL PRACTICES COMMISSION COVER PAGE Tr CLERK'S OFFICE BY: Please type or print in ink. A PUBLIC DOCUMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Lopez Sandra Armenta 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department, District, if applicable Your Position City Council Council Member ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: San Gabriel Valley Mosquito &Vector Control Dist. Position: Board of Trustee 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) 0 Annual: The period covered is January 1, 2019,through ❑ 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_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: 2 Schedules attached ❑ Schedule'A•l -Investments–schedule attached ❑ Schedule C-Income, Loans, &Business Positions–schedule attached ❑ Schedule A-2-Investments–schedule attached ❑X 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. Rosemead CA 91770 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 May 06,2020 Signature (month,day year) (File the originally signed paper statement with your filing offici . FPPC Form 700-Cover Page(2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov • Page-5 CALIFORNIA FORM 700 SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION Income — Gifts Name Sandra Armenta Lopez ► NAME OF SOURCE (Not an Acronym) ► NAME OF SOURCE (Not an Acronym) Burke,Williams, &Sorensen, LLP Burke, Williams, &Sorensen, LLP ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 444 S. Flower St., Ste#2400, Los Angeles, CA 90071 444 S. Flower St., Ste#2400, Los Angeles, CA 90071 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Contract Cities Association Annual Seminar League of CA Cities Annual Conference DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 05 16 19 $139.26 Dinner 10 16 19 226.42 2 Dinners ��— $ —J— $ ► NAME OF SOURCE (Not an Acronym) ► NAME OF SOURCE (Not an Acronym) California Contract Cities Associations California Contract Cities Association ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 17315 Studebaker Rd., Ste#210, Cerritos, CA 90703 17315 Studebaker Rd., Ste#210, Cerritos, CA 90703 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Executive Board Meetings Executive Board Meetings DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 02 06 19 97.04 Dinner 060819 22.66 Dinner 04 03 19 82.10 Dinner 08 07 19 103.05 Dinner 05 08 19 110.32 Dinner 09 04 19 15.05 Dinner P. NAME OF SOURCE (Not an Acronym) ► NAME OF SOURCE (Not an Acronym) California Contract Cities Associations ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 17315 Studebaker Rd., Ste#210, Cerritos, CA 90703 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE Executive Board Meetings DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) 11 06 19 $53.03 Dinner $ $ • Comments: FPPC Form 700-Schedule D(2019/2020) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-15