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Rachel Richman - AnnualSTATEMENT OF ECONOMIC I, CRESTS Date Initial Filing Received COVER PAGE New Filing Oficiet Use Only A PUBLIC DOCUMENT Filed Date: 03/01/2024 12:11 PM Please type or prof in ink. SAN: FPPC NAME OF FILER (LAST) (FIRST) (MIDDLE) Richman Rachel 1. Office, Agency, or Court Agency Name (UO not use acronyms) City of Rosemead Division, Board, Department, Dishid, 'rf applicable Your Position ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at )east one box) ❑ state ❑ Mufti -County ❑x City of Rosemead I Type of Statement (Check at least one box) ® Annual: The period covered is January 1, 2023, through December 31, 2023. .or - The period covered is — I through December 31, 2023. ❑ Assuming Office: Date assumed ❑ Candidate: Date of Election Attorney Position: ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left (— (Check one circle.) O The period covered is January 1, 2023, through the date -or- of leaving office. Q The period covered is _ the date of leaving office. and office sought, if different than Part 1: through Schedule Summary (required) ► 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 F-1 E - Income - Gifts - Travel Payments - schedule attached -Or- ❑ None - No reportable interests on any schedule J. YC11114fgn{211 MAILING ADDRESS STREET CITY STATE ZIP CODE l8mriess or Agency Address Recommended - Pub& Dowment) Burke, Williams and Sorensen, LLP, 444 Flower St. #2400 Los Angeles CA 90071 ( 213 ) 236-0600 ext:2828 irrichman(nbwslaw.com 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 03/01/2024 12:11 PM Signature Rachel H Richman neon ay, year) (File the mlgmally sgnedpaperswement with yawfi#ng olfidet..) FPPC Form 700 - Cover Page (2023/2024) advice&fppc.ca.gov • 806-275-3772 • vn Jppc.m.gov Page -5 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Burke, Williams & Sorensen, LLP ADDRESS (Business Address Acceptable) 444 S. Flower Street, Ste 2400 BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION Attorney GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $Soo - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑X OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑X Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more Name NAME OF SOURCE OF INCOME Rache ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 [-]$1.001-$10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boaf, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source or $10,000 or more ❑ Other Other /Descdbe) (Describe) 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' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (MonthslYears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other City (Describe) FPP(: Form 700 - Schedule [ (2023/2024) advice@fppc.w.gov • 866-275-3772 • w Jppc.ca.gov Page -13