Daniel Lopez - Annual (Planning Commissioner) •
RECEIVED
STATEMENT OF ECONOMIC INTERESTS Dived
CALIFORNIA FORM 700 Filing Official Use Only
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE MAR 2 4 2021
A PUBLIC DOCUMENT
CI`I YCLERK'S OFFICE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Lopez Daniel
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board,Department, District, if applicable Your Position
Planning Commission Commissioner
► 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 • • 0 County of
❑■ City of City of Rosemead 0 Other
3. Type of Statement (Check at least one box) •
❑■ Annual: The period covered-is January 1, 2020,through 0 Leaving Office: Date Left_/_
December 31,2020. . (Check one circle.)
-or-
- The period covered is , through 0 The period covered is January 1,2020, through the date of
December 31,2020. -or-leaving office.
O Assuming Office: Date assumed j__ 0 The period covered is—�—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: 1
Schedules attached
❑ Schedule A-1 -Investments–schedule attached ❑Schedule C-Income, Loans, &Business Positions-schedule attached
O Schedule A-2-'Investments–schedule attached 0 Schedule D-Income–Gifts–schedule attached
❑
Schedule.B-Real Property–schedule attached 0 Schedule E-Income–Gifts–Travel Payments schedule attached
-or- ❑p 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 Boulevard Rosemead CA • 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
•
(626 ) 569-2100
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 foreg•'- is true an. w.rrect.
Date Signed 3/24/2021 Signature
(month,day,year) (File the angina lysigned pteme t with y riling official.)
• FPPC Form 700-Cover Page(2020/2021)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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