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Steven Ly - Annual (Councilmember) RECEIVED CITY OF ROSEMEAD STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received CALIFORNIA FORM700 FAIR POLITICAL PRACTICES COMMISSION COVER PAGE Alf 2021 A PUBLIC DOCUMENT CITY CLE ' OFFICE Please type or print in ink. BY: NAME OF FILER (LAST) (FIRST) (MIDDLE) Ly Steven 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department, District, if applicable Your Position City Council Council Member 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 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 December 31,2020. (Check one circle.) -or- The period covered is_J—J ,through 0 The period covered is January 1,2020,through the date of December 31,2020. -or-leaving office. ❑ Assuming Office: Date assumed_j—J- 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) iv. Total number of pages including this cover page: 2 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) 8838 E.Valley Boulevard Rosemead CA 91770 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS (626 ) 569-2110 sly@cityofrosemead.org 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 ue and correct. Date Signed 31 Mar 2021 Signature �• (month,day,year) e the originally signed.:per statement with your filing official.) FPPC Form 700-Cover Page(2020/2021) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov . Print- - • Clear Page-5 SCHEDULE A-2 CALIFORNIA FORM 700 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION Name of Business Entities/Trusts ' (Ownership Interest is 10% or Greater) Steven L ►1. BUSINESS ENTITY OR TRUST 1. BUSINESS ENTITY OR TRUST LBL Holding LLC, Real Estate Name Name Rosemead, CA 91770 Address(Business Address Acceptable) Address(Business Address Acceptable) Check one Check one 0 Trust,go to 2 © Business Entity,complete the box, then go to 2 0 Trust,go to 2 ❑ Business Entity,complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑$0-$1,999 ❑$0-$1,999 ❑$2,000-$10,000 ____/J20 -/-/2 ❑$2,000-$10,000 ____/_____/20 _J20 ❑$10,001-$100,000 ACQUIRED DISPOSED ❑$10,001 -$100,000 ACQUIRED DISPOSED D$100,001 -$1,000,000 ❑$100,001-$1,000,000 Over$1,000,000 ❑ Over$1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Partnership ❑Sole Proprietorship ❑ Other ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION YOUR BUSINESS POSITION ►2. IDENTIFY THE GROSS INCOME RECEIVED(INCLUDE YOUR PRO RATA 2. IDENTIFY THE GROSS INCOME RECEIVED(INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) ❑$0-$499 ❑$10,001 -$100,000 ❑$0-$499 ❑$10,001 -$100,000 ❑$500-$1,000 0 OVER$100,000 0$500-$1,000 ❑ OVER$100,000 0$1,001-$10,000 0$1,001 -$10,000 ) F 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF ►3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF$10,000 OR.MORE(Attach a separate sheet if necessary.) INCOME OF$10,000 OR MORE(Attach a separate sheet if necessary.) 0 None or ❑ Names listed below ❑ None or ❑ Names listed below ►4. INVESTMENTS'AND INTERESTS IN REAL PROPERTY HELD OR 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: Check one box: ❑ INVESTMENT 0 REAL PROPERTY ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity,if Investment, or Name of Business Entity,if Investment, or Assessor's Parcel Number or Street Address of Real Property Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑$2,000-$10,000 ❑$2,000-$10,000 0$10,001 -$100,000 /20 _/___/20 ❑$10,001 -$100,000 ______/_/20 _ 20 /_ /20 ❑$100,001-$1,000,000 ACQUIRED DISPOSED 0$100,001 -$1,000,000 ACQUIRED DISPOSED ❑Over$1,000,000 0 Over$1,000,000 NATURE OF INTEREST NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑Stock ❑ Partnership ❑ Property Ownership/Deed of Trust ❑Stock ❑ Partnership ❑ Leasehold ❑ Other ❑ Leasehold ❑Other Yrs.remaining Yrs.remaining ❑Check box if additional schedules reporting investments or real property 0 Check box if additional schedules reporting investments or real property are attached are attached Comments: FPPC Form 700-Schedule A-2(2020/2021) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Print : Clear Page-9