Steven Ly - Annual STATEMENT OF ECONOMIC INTERESTS Date Inniitial Miff ceived
CALIFORNIAFORM700 ' " Filing Official Use Only
FAIR POLITI,CAL PRACTICES COMMISSION COVER PAGE APR 1 2D20
Please type or print in-ink. A PUBLIC DOCUMENT �y
NAME OF FILER (LAST) (FIRST)
LY STEVEN
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF ROSEMEAD
Division, Board, Department, District, if applicable Your Position
CITY COUNCILMAN
► 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)
El 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 ❑ 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: 3
Schedules attached
❑ Schedule A-1 -Investments—schedule attached ❑ Schedule C-Income, Loans, & Business Positions—schedule attached
❑ Schedule A-2-Investments—schedule attached 0 Schedule D-Income—Gifts—schedule attached
❑X 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 BLVD ROSEMEAD CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( SLY@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 I ( 9'I I r
Signature II
(month,day,year) (File the originally signed paper statement with your Sing official.)
C ;:ll' -
l� FP PC Form 700-Cover Page(2019/2020)
sN - i advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-5
SCHEDULE A-2 CALIFORNIA FORM 700
Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION
Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) Steven Ly
►1. BUSINESS ENTITY OR TRUST 1. BUSINESS ENTITY OR TRUST
LBL Holding LLC, Real Estate
Name Name
Rosemead, CA 91770
Address(Business Address Acceptable) Address(Business Address Acceptable)
Check one Check one
0 Trust,go to 2 0 Business Entity, complete the box, then go to 2 0 Trust,go to 2 0 Business Entity,complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑$0-$1,999 ❑ $0-$1,999
❑$2,000-$10,000 -LL9._ _/____/.1.9_ ❑$2,000-$10,000 _i_/1 _J_/19
❑$10,001 -$100,000 ACQUIRED DISPOSED ❑$10,001 -$100,000 ACQUIRED DISPOSED
0$100,001 -$1,000,000 0 $100,001-$1,000,000
❑X Over$1,000,000 ❑ Over$1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
❑Partnership 0 Sole Proprietorship 0 Other 0 Partnership 0 Sole Proprietorship 0 Other
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
►2. IDENTIFY THE GROSS INCOME RECEIVED(INCLUDE YOUR PRO RAT, 2. IDENTIFY THE GROSS INCOME RECEIVED(INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
•
0$0-$499 0$10,001 -$100,000 0$0-$499 0$10,001 -$100,000
0$500-$1,000 0 OVER$100,000 0$500-$1,000 0 OVER$100,000
❑ $1,001 -$10,000 0$1,001 -$10,000
►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF$10,000 OR MORE(Attach a separate sheet if necessary.) INCOME OF$10,000 OR MORE(Attach a separate sheet if necessary.)
❑ None or 0 Names listed below ❑ None or • Names listed below
►4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box: Check one box:
0 INVESTMENT ❑ REAL PROPERTY p INVESTMENT 0 REAL PROPERTY
Name of Business Entity, if Investment, orName of Business Entity,if Investment, or
' Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or Description of Business Activity or
City or Other Precise Location of Real Property City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
0$2,000-$10,000 0$2,000-$10,000
0$10,001 -$100,000 _J_____1 9 ___1_1' 0$10,001 -$100,000 _i_/ 19 _1_119
❑$100,001 -$1,000,000 ACQUIRED DISPOSED ❑$100,001 -$1,000,000 ACQUIRED DISPOSED
❑ Over$1,000,000 ❑ Over$1,000,000.
NATURE OF INTEREST NATURE OF INTEREST
0 Property Ownership/Deed of Trust ❑Stock ❑ Partnership ❑ Property Ownership/Deed of Trust ❑ Stock 0 Partnership
❑ Leasehold ❑ Other ❑ Leasehold 0 Other
Yrs.remaining Yrs.remaining
❑ Check box if additional schedules reporting investments or real property ❑ Check box if additional schedules reporting investments or real property
are attached are attached .
Comments: FPPC Form 700-Schedule A-2(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION
Income — Gifts Name
Steven Ly
I. NAME OF SOURCE (Not an Acronym) ► NAME OF SOURCE (Not an Acronym)
Burke, Williams and Sorensen, LLP TransTech
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
Los Angeles, CA 90071 Chino, CA 91708
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Legal Support Engineering Services
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
03 16 / 19 139.26 CCCA Dinner 10 17 19 $95 League of Cities Dinne
10 16 19 113.21 League of Cities Dinna �� $
_1_1 $
► NAME OF SOURCE (Not an Acronym) ► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
_1_1_ $
_1_1_J— $ - _1_1
1 $
_1_1_ $
► NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
��- $
_1_1_ $
—1_1— $ _1_1 $
Comments:
FPPC Form 700 -Schedule D(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-15