Yin Yin Ta - LeavingSTATEMENT OF ECONOMIC INTERESTS Date Initial �� eFiling Received
COVER PAGEFilin9O,Only
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ta Yin Yin
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable
Public Safety Commission
Your Position
Commissioner
► IT TIiing Tor multiple positions, Ilst Delow or on an attachment. duo not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑■ City of Rosemead
=�- 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
December 31, 2023.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑■ Leaving Office: Date Left 08 / 22 / 2024
(Check one circle.)
through ❑ The period covered is January 1, 2023, through the date
of leaving office.
.or -
L] The period covered is // , through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (required) ► Total number of pages including this cover page: 1
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 ) 569-2100
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
Date Signed 08/29/2024 Signature
(month, day, year) (File the o 'ginally signecKpaper statement with your filing official.)
FPPC Form 700 - Cover Page (2023/2024)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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