Jerry MotaDate Received
STATEMENT OF ECONOMIC INTERESTS -
COVER PAGE
Please type or print in ink. -
NAME OF FILER (LAST) (FIRST) (MIDDLE)
MOTA GERARDO ARTURO
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Parks and Recreation Recreation
w If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
R l City of Rosemead
❑ Judge (Statewide Jurisdiction)
❑ County of — ._._. -.__.
❑ Other .- - - ---- - -- -- - - -- - --
3. Type of Statement (Check at least one box)
[] Annual: The period covered is January 1, 2010, through December 31
2010. -or-
The period covered is through December 31,
2010.
❑ Assuming Office: Date
❑ Candidate: Election Year
❑ Leaving Office: Date Lek
(Check one)
O The period covered is January 1, 2010, through the date of
leaving office.
O The period covered is
of leaving office.
Office sought, if different than Part 1:
through the date
4. Schedule Summary
Check applicable schedules or "None.' P. Total number of pages including this cover page
❑ 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-
[X] None - No reportable interests on any schedule
5. Veri
MAILING ADDRESS STREET CITY STATE !1? CODE
(Business or Agency Address Recommended- Public Document)
11651 Ranchito Street
El Monte
( 626 ) 227 -3218
CA 91732
I have used all reasonable diligence in preparing this statement. I have revievded this statement and to the best of my knowledge the infon contained
herein and in any attached schedules is true and complete. I acknowledge this is a public document.
I certify under penalty of perjury render the laws of the State of California that the foregoing is true and correct.
Date Signed g
March 24, 2011 Si nature g
g (month, day, Yee) �r wiginahY Sloped s v. hmeni w yo!a ii Jr, g officralj
FPPC Form 700 (2010/2011)
FPPC Toll -Free Helpline: 6661275 -3772 www.fppe.ca.gov