Chase Sornoso - Annual (Parks Commissioner) RECEIVED
STATEMENT OF ECONOMIC INTERESTS Date aPFili4R„�EMFtDed
Filing Official LI;;;,,Only
CALIFORNIA FORM 7 COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION MAR 3 0 2021
A PUBLIC DOCUMENT
•
Please type or print in ink. CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) (MIDDLE
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead •
Division, Board, Department, District, if applicable • Your Position
Beat tifeatieR-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 Tern Judge,or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County ❑County of
®City of Rosemead ❑Other
3. Type of Statement (Check at least one box) -,
❑� Annual: The period covered is January 1,:2020,through ❑ Leaving Office: Date Left I—J
December 31,2020. (Check one circle.)
-or-
The period covered is I I ,through 0 The period covered is January 1,2020,through the date of
December 31,2020. leaving office.
-or-
• Assuming Office: Date assumed 0 The period covered is I I ,through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
�$ Schefule Summary (must complete) - Total number o€pages including this cover pager
n Schedules attached
❑ Schetlufe A 1 lnvest>*nfs schedule attached
n Schedule G income,Lr) ns, &Business Positron schedule attached
e ❑ Schedule A 2 Investments schedule attached ❑ Schedule D Income Gifts y schedule attached
® O Schedule B Real Property schedule attached ❑ Schedule E income Gifts Travel Payments schedule attached r
iaji
.or-,Cl`Not1e- No°reportable=interests-arany schedule I
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 foregoing is true and correc
i
Date Signed ? / Z_ Signature
(month.day,year) (File the originally signed paper statement 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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SCHEDULE C CALIFORNIA FORM 700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments)
► 1. INCOME RECEIVED I. 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
SO \\:\\(, UvNc«\e., \t V*
ADDRESS (Busirless Address Acceptable) ADDRESS (Business Address Acceptable)
\O N ?.era\et& , /°ES-CoVNVA
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
aer k'- MAI/laze ivteri -
YOUR BUSINESS PO ION YOUR BUSINESS POSITION
�, � �JIG- Pal+ ► i
GROSS INCOME RECEIVED ❑No Income- Business Position Only GROSS INCOME RECEIVED ❑No Income- Business Position Only -
LI $500-$1.000 ❑ $1,001 -$10,000 ❑ $500-$1,000 ❑ $1,001 -.$10,000
)g17$10,001 -$100,000 ❑ OVER$100,000 0 $10,001 -$100,000 ❑ OVER$100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary 0 Spouse's or registered domestic partner's income ❑ Salary 0 Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.)
0 Partnership(Less than 10%ownership. For 10%or greater use ❑ Partnership(Less than 10%ownership. For 10%or greater use
Schedule A-2.) Schedule A-2.)
❑ Sale of ❑ Sale of
(Real property,car,boat,etc.) (Real property,car,boat,etc.)
❑ Loan repayment ❑ Loan repayment
❑ Commission or ❑ Rental Income,list each source of$10,000 or more ❑ Commission or ❑ Rental Income,list each source of$10,000 or more
(Describe) (Describe)
❑ Other ❑ Other
(Describe) (Describe)
► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from a commercial lending institution, or any indebtedness created as part of
a retail installment or credit card transaction, 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* INTEREST RATE TERM (Months/Years)
% ❑ None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence
❑ Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500-$1,000
City
❑ $1,001 -$10,000
❑ Guarantor
❑ $10,001 -$100,000
❑ OVER$100,000 ❑ Other
(Describe)
Comments:
NOMMEA
• FPPC Form 700-Schedule C(2020/2021)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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