Sandra Lopez - Annual (Councilmember) CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE Fling Official Use Only
A PUBLIC DOCUMENT Filed Date:03/31/2021 01:08 AM
SAN:FPPC
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Lopez Sandra Armenta
1. Office,Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division,Board,Department,District,if applicable Your Position
City Council Member
► If filing for multiple positions,list below or on an attachment. (Do not use acronyms)
Agency: SEE ATTACHED LIST 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)
❑x 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,MO,through the date of
December 31,2029. -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 (]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 Document)
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
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 03/31/2021 01:08 AM Signature
(month,day,year) (File the originally signed paper statement with your riling official.)
FPPC Form 700-Cover Page(2020/2021)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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STATEMENT OF ECONOMIC INTERESTS
CALIFORNIA FORM 700
COVER PAGE ATTACHMENT FAIR POLITICAL PRACTICES COMMISSION
Name
Sandra Lopez
EXPANDED STATEMENT LIST
Agency Name Division,Board, Position or Title Jurisdiction Type of Period Covered
Department,District Statement
Senate Staff District Representative State Annual 01/01/20-12/31/20
California
CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION
Name
Income — Gifts
Sandra Lopez
►NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE(Not an Acronym)
Republic Services
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
2531 East 67th Street Long Beach,CA 90805
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)
06/ 11 /20 $10.00 Bundt Cake
08/07/20 s 10.00 Lunch
09/23/20 340.06 Dinner
►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)
►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)
Comments:
FPPC Form 700-Schedule D(2020/2021)
advice@fppc.ca.gov•866-275.3772•www.fppc.ca.gov
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