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Keving Chang - AnnualSTATEMENT OF ECONOMIC INTERESTS Date fl(I(1+ MAiling Received COVER PAGE A PUBLIC DOCUMENT MAR 2 6 2024 Please type or print in ink. CR1/ C1PpK'S OFFICE NAME OF FILER (LAST) (FIRST) (MIDDLE) Chang Kevin 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department, District, if applicable Your Position Traffic Commissioner P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -County ❑JM City of Rosemead Position: ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (check at feast one box) ❑t♦ Annual: The period covered is January 1, 2022, through ❑ Leaving Office: Date Left ---J--J December 31, 2022. (Check one circle.) -or- The period covered is JJ through E] The period covered is January 1, 2071, through the date of December 31, 2022. orleaving office. ❑ Assuming Office: Date assumed —1_J ❑ The period covered is through the date of leaving office. _ J Candidate: Date of Election and office sought, if different than Part 1: Schedule Summary (required) ► Total number of pages including this cover page: Schedules attached _J Schedule A-1 - Investments - schedule attached ❑E Schedule C - Income, Loans, & Business Positions - schedule attached j] Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑E 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 anness a Agency Address Recnvenended - Public Dowment) 8838 E. Valley Blvd Rosemead CA 91770 ( 626 ) ( 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 03/25/2024 Signature Kevin Chang OyiiaiibyKev Date'. 2o24.00.251 GAO: FPPC Form 700 - cover Pap (2022/2023) advice@rppc.ca.gw • 866-275-3772 • v Appcu.pv Perri M SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 4616 Delta Ave CITY Rosemead FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑�$10,001 - $100,000 [J J $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST M Ownership/Deed of Trust ❑ Leasehold IF APPLICABLE, LIST DATE: --j_J22_ --j--j22— ACQUIRED DISPOSED ❑ Easement ❑ Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 F1$500 - $1 000 ❑ $1,001 - $10,000 O $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME'. If you own a 1D-/6 or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None Anh Thu Tran t^ ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10.001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ ownership/Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE'. J—J22 —j --j22_ ACQUIRED DISPOSED ❑ Easement El Omer IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ Norte You are not required to report loans from a commercial lending institution 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 INTEREST RATE % ❑ None TERM (MonthsNears) HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1.000 ❑ $1,001 - $10000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, B applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10.001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC roan 700 - Schedule B (2022/2023) advie@fPPc.ce.,l • "6-275-3772 v www.fPPc.u.gov Page -11 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Los Angeles County Public Works ADDRESS (Business Address Acceptable) 900 S. Fremont Ave, Alhambra, CA 91803 BUSINESS ACTIVITY, IF ANY, OF SOURCE Local Government YOUR BUSINESS POSITION Associate Civil Engineer GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $$00 - $1,000 ❑ $1001 - $10.000 ❑ $10,001 - $100,000 Q OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary ❑ Spouse's or registered domestic partner's income (For seB-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of ❑ Loan repayment (Real property car boat etc.) ❑ Commission or ❑ Rental Income, ret each source or slo"cr more (Describe) n Kevin Chang NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $$00 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - S1D0,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income (For seM-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of ❑ Loan repayment (Real popery, car boat etc.) ❑ Commission or ❑ Rental Income, ra each source or 910.000 or more (Describe) ❑ OtherI I ❑ Other (De,wrbe) (Descrme) li2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD You are not required to report (cans 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' Pennymac Loan Services ADDRESS (Business Address Acceptable) 3043 Townsgate Rd, Westlake Village, CA 91361 BUSINESS ACTIVITY, IF ANY, OF LENDER Mortgage Lender HIGHEST BALANCE DURING REPORTING PERIOD ❑ $50a - si xia ❑ $1,001 - $10,000 ❑ $10,001 -$100,000 O OVER $100,000 Comments: INTEREST RATE 3 % ❑ None TERM (Months/Years) 30 SECURITY FOR LOAN ❑ None a Personal residence 4616 Delta Ave 0 Real Property street ad Rosemead 0 , ❑ Guarantor ❑ Other (Describe) FWC Form 700 - Schedule C (2022/2023) edAce@Fppc.ce.8ov • 866475-3772 • www.fppc.n.eoa Page -13