Annie Lao - Annual (Associate Planner) ° RECEIVED
CITY OF ROSEMEAD
STATEMENT OF ECONOMIC INTERESTS Date Initial Fili eceived
CALIFORNIA FORM 700 FirmaRt nI2021
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT CITY CLERK'S OFFICE
Please type or print in ink. BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
LAD AWE
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
c z- oct
Division, Board, Department, District, if applicable Your Position
► 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, Refired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County ❑County of
City of Par<tki4SIO ❑Other
3. Type of Statement (Check at least one box)
ek.Annual: The period covered is January 1,2020,through ❑ 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. leaving office.
-or-
0 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
❑ 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 0 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
(Businne�esjss or Agency Address rrRecommended 1-`Public Document) b 00 c41 9
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
c 6& ) s R -a((5O o [SQ, cht4.6teciwiND _ of-4
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 '- /R_S(2ca..\ Signature
(month,day,year) (File the originally signed papersta•ment with your filing official.)
FPPC Form 700-Cover Page(2020/2021)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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