Sean Dang - Annual z RECEIVED
• CITY OF'ROSEMEAD
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
CALIFORNIA FORM700 Fil%na1102020
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
CITY CLERK'S OFFICE
Please type or print in ink. A PUBLIC DOCUMENT BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
t)ia f sal
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Ci17 err l ad -
Division, Board, Department, District, if appli able Your Position • .
arty Caict,
u, G /fig/WA
► 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 Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County ❑County of •
5106ity of f O4ei P"f em). ❑Other
3. Type of Statement (Check at least one box)
R/Annual: The period covered is January 1, 2019,through ❑ Leaving Office: Date Left.__/_
December 31, 2019. (Check one circle.)
-or-
The period covered is—J_/ ,through 0 The period covered is January 1,2019,through the date of
December 31, 2019. -or-leaving office.
❑ Assuming Office: Date assumed_i_/ 0 The period covered is_J—J ,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
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 Documentt)rA9? \ndti/yxi kp CA. Qt7
7 e
IMETELENUMBER 1r� EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowle e 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 tru/2nd corre .
Date Signed • [fry -ao1 2 20 Signature
( onth,day,year) (File the e ally 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
Instructions
Cover Page
Enter your name, mailing address, and daytime telephone • If your agency is a multi-county office, list each county in
number in the spaces provided. Because the Form 700 is which your agency has jurisdiction.
a public document,you may list your business/office • If your agency is not a state office, court, county office, city
address instead of your home address. office, or multi-county office(e.g., school districts, special
Part 1. Office,Agency, or Court districts and JPAs), check the"other" box and enter the
• Enter the name of the office sought or held, or the agency county or city in which the agency has jurisdiction.
or court. Consultants must enter the public agency name Example:
rather than their private firm's name. (Examples: State This filer is a member of a water district board with jurisdiction
Assembly; Board of Supervisors; Office of the Mayor; in portions of Yuba and Sutter Counties.
Department of Finance; Hope County Superior Court)
1.Office,Agency,or Court
• Indicate the name of your division, board, or district, if Agency Nano(Co not use e,,,,,,,•)
applicable. (Examples: Division of Waste Management; Feather River Irrigation District
Dnisan,Board,Depatnen(Distiu.a app5cabla Your Poston
Board of Accountancy; District 45). Do not use acronyms. N/A Board Member
• Enter your position title. (Examples: Director; Chief •If ting for nudtpl,posNons,Est blow or on en attachment.(Do not use acronyms)
Counsel; City Council Member; Staff Services Analyst) Awry.N/A
Poston:
• If you hold multiple positions(i.e., a city council member 2.Jurisdiction of Office(Check et fear one bo)
who also is a member of a county board or commission), °� Judge or Court Amm ien (sem'aeJu dceon)
MWtCoumy Yuba&Sutter Counties ❑County of
you may be required to file statements with each agency. DU),of El Other
To simplify your filing obligations, you may complete an
Part 3. Type of Statement
expanded statement.
Check at least one box.The period covered by a statement
• To do this, enter the name of the other agency(ies) is determined by the type of statement you are filing. If you
with which you are required to file and your position are completing a 2019 annual statement, do not change the
title(s) in the space provided. Do not use acronyms. pre-printed dates to reflect 2020. Your annual statement is
Attach an additional sheet if necessary. Complete used for reporting the previous year's economic interests.
one statement covering the disclosure requirements Economic interests for your annual filing covering January 1,
for all positions. Each copy must contain an original 2020,through December 31, 2020,will be disclosed on your
signature. Therefore, before sigr�ig the statement, statement filed in 2021. See Reference Pamphlet, page 4.
make a copy for each agency. Sign each copy with an
original signature and file with each agency. Combining Statements: Certain types of statements may be
If you assume or leave a position after a filing deadline, combined. For example, if you leave office after January 1,
you must complete a separate statement. For example, a but before the deadline for filing your annual statement, you
city council member who assumes a position with a county may combine your annual and leaving office statements. File
special district after the April annual filing deadline must file by the earliest deadline. Consult your filing officer or the
a separate assuming office statement. In subsequent years, FPPC.
the city council member may expand his or her annual filing to Part 4. Schedule Summary
include both positions. • Complete the Schedule Summary after you have reviewed
Example: each schedule to determine if you have reportable
Brian Bourne is a city council member for the City of Lincoln interests.
and a board member for the Camp Far West Irrigation • Enter the total number of completed pages including the
District—a multi-county agency that covers Placer and cover page and either check the box for each schedule you
Yuba counties. Brian will complete one Form 700 using full use to disclose interests; or if you have nothing to disclose
disclosure (as required for the city position) and covering on any schedule, check the"No reportable interests"box.
interests in both Placer and Yuba counties(as required for Please do not attach any blank schedules.
the multi-county position) and list both positions on the Cover
Page. Before signing the statement, Brian will make a copy Part 5. Verification
and sign both statements. One statement will be filed with Complete the verification by signing the statement and
City of Lincoln and the other will be filed with Camp Far West entering the date signed. All statements must have an original
Irrigation District. Both will contain an original signature. "wet"signature or be duly authorized by your filing officer to
Part 2. Jurisdiction of Office file electronically under Government Code Section 87500.2.
• Check the box indicating the jurisdiction of your agency When you sign your statement,you are stating, under
and, if applicable, identify the jurisdiction. Judges,judicial penalty of perjury,that it is true and correct. Only the filer
candidates, and court commissioners have statewide has authority to sign the statement. An unsigned statement
jurisdiction. All other filers should review the Reference is not considered filed and you may be subject to late filing
Pamphlet, page 13,to determine their jurisdiction. penalties.
FPPC Form 700-Cover Page(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-6
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property
(Including Rental Income) ;, ; .10
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 11.- ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
ci44 - c t - r-Coa2.
CITY CITY
It Ve,6/415673-D
FAIR//MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑$2,000-$10,000 ❑$2,000-$10,000
❑$10,001 -$100,000 -J - -/�1 9 ❑$10,001 -$100,000 -J�� -/_1
00,001 -$1,000,000 ACQUIRED DISPOSED ❑$100,001 -$1,000,000 ACQUIRED DISPOSED
1114'1❑ Over$1,000,000 ❑ Over$1,000,000
NATURE OF INTEREST NATURE OF INTEREST
'wnership/Deed of Trust ❑ Easement ❑Ownership/Deed of Trust ❑ Easement
❑ Leasehold ❑ ❑ Leasehold ❑
Yrs.remaining Other Yrs.remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑$0-$499 ❑$500-$1,000 ❑$1,001 -$10,000 ❑$0-$499 ❑$500-$1,000 ❑$1,00i -$10,000
g410,001 -$100,000 ❑OVER$100,000 ❑$10,001 -$100,000 ❑ OVER$100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of interest, list the name of each tenant that is a single source of
income of$10,000 or more. income of$10,000 or more.
❑ None ❑ None
4146n/4r 614
* You are not required to report loans from a commercial lending institution 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* NAME OF LENDER*
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years) INTEREST RATE TERM(Months/Years)
% ❑ None % ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD •HIGHEST BALANCE DURING REPORTING PERIOD
❑$500-$1,000 ❑$1,001 -$10,000 ❑$500-$1,000 ❑$1,001 -$10,000
❑$10,001 -$100,000 ❑OVER$100,000 ❑$10,001-$100,000 ❑OVER$100,000
❑Guarantor, if applicable ❑Guarantor, if applicable
Comments:
FPPC Form 700-Schedule B(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-11
Instructions — Schedule B
Interests in Real Property
Report interests in real property located in your agency's disclose the number of years remaining on the lease.
jurisdiction in which you, your spouse or registered domestic • If you received rental income, check the box indicating the
partner, or your dependent children had a direct, indirect, or gross amount you received.
beneficial interest totaling $2,000 or more any time during • If you had a 10%or greater interest in real property and
the reporting period. Real property is also considered to be received rental income, list the name of the source(s) if
"within the jurisdiction"of a local government agency if the your pro rata share of the gross income from any single
property or any part of it is located within two miles outside tenant was$10,000 or more during the reporting period. If
the boundaries of the jurisdiction or within two miles of any you received a total of$10,000 or more from two or more
land owned or used by the local government agency. (See tenants acting in concert(in most cases,this will apply
Reference Pamphlet, page 13.) to married couples), disclose the name of each tenant.
Interests in real property include: Otherwise, mark"None."
• An ownership interest(including a beneficial ownership • Loans from a private lender that total$500 or more and
interest) are secured by real property may be reportable. Loans
• A deed of trust, easement, or option to acquire property from commercial lending institutions made in the
• A leasehold interest(See Reference Pamphlet, page 14.) lender's regular course of business on terms available
to members of the public without regard to your official
• A mining lease status are not reportable.
• An interest in real property held in a retirement account
(See Reference Pamphlet, page 15.) When reporting a loan:
• An interest in real property held by a business entity or Provide the name and address of the lender.
trust in which you, your spouse or registered domestic - Describe the lender's business activity.
partner, and your dependent children together had a 10% - Disclose the interest rate and term of the loan. For
or greater ownership interest(Report on Schedule A-2.) variable interest rate loans, disclose the conditions
• Your spouse's or registered domestic partner's interests in of the loan (e.g., Prime+2) or the average interest
real property that are legally held separately by him or her rate paid during the reporting period. The term of
a loan is the total number of months or years given
You are not required to report: for repayment of the loan at the time the loan was
• A residence, such as a home or vacation cabin, used established.
exclusively as a personal residence (However, a residence
in which you rent out a room or for which you claim a -
Check the box indicating the highest balance of the
business deduction may be reportable. If reportable, loan during the reporting period.
report the fair market value of the portion claimed as a tax - Identify a guarantor, if Aa5E5a"R5R RCELNMMaER°Ra�aTaa
4600 24th Street
deduction.) applicable. aTY
Sacramento
• Some interests in real property held through a blind trust If you have more than one o,z.�°;o E IF APPLICABLE.DST DATE
❑5,0.00,-5,00,000 J N 5B J 'IS
(See Reference Pamphlet, page 16.) reportable loan on a single 0-0., , ^°° .° DISposEo
• Please note: A non-reportable property can still piece of real property, report --Mn ar
onnemant
be grounds for a conflict of interest and may be the additional loan(s) on o „°" `°`la 0nustEa��
disqualifying. Schedule C. IFRENTAL PROPERTY. a ROSSI o
°°
❑50-5000 0 5s -51.0°0 0 5,,00,-5,°.°w
To Complete Schedule B: Example: o5,a.t,-5,00.000 ❑OVER$100000
IrYOu a�,a,D•6°r°rea,er
• Report theprecise location Allison Gande is a city tern%Mt Mena a of ea.tenant Nat Is a angle source of
p (e.g., an assessor's parcel
number or address) of the real property. planning commissioner. Henry weII
During the reporting period,
• Check the box indicating the fair market value of your NAME OF LENDER'
she received rental income of Sophia Petroillo
interest in the property(regardless of what you owe on the $12,000,from a single tenant co0Ess 1ue Sky ParkwayeSacramento
property). who rented property she BUSINESS ACTIVITY IF ANY.OF LENDER
• Enter the date acquired or disposed onlyifyou initiallyRestaurant Owner
q p owned in the city's Jurisdiction. INTEREST RATE TERN(MotisMears)
acquired or entirely disposed of your interest in the If Allison received $6,000 8 ONone 15 Years
property during the reporting period. each from two tenants,the HIGHEST BALANCE DURING REPORTING PERIOD
0 5500-51.000 0 51,001-5,0.000
• Identify the nature of your interest. If it is a leasehold, tenants'names would not be o5t000,-5,°°.� ❑osnns,W.°�
required because no single ❑Guarantor.Eawemue
Reminders tenant paid her$10,000 or
• Income and loans already reported on Schedule B are
more. A married couple is c""'"'
not also required to be reported on Schedule C. considered a single tenant.
• Real property already reported on Schedule A-2, Part 4
is not also required to be reported on Schedule B.
• Code filers—do your disclosure categories require
disclosure of real property?
FP PC Form 700(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-12