Sheri BermejoSTATEMENT OF ECONOMIC INTERES Sr Date Received
Please type or print in ink.
COVER PAGE
A Public Document
NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME TELEPHONE NUMBER
S. Bermejo
Sheri
Marie
( 626 ) 569 -2144
MAILING ADDRESS STREET
CITY
STATE
ZIP CODE
OPTIONAL: E -MAIL ADDRESS
(Business Address Acceptable)
8838 Valley Boulevard
Rosemead
CA
91770
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
City of Rosemead
Division, Board, District, if applicable:
Planning Division
Your Position:
Principal Planner
► If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at feast one box)
❑ State
❑ County of
❑ City or Rosemead
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: __J __J
❑X Annual: The period covered is January 1, 2009,
through December 31, 2009.
.or-
0 The period covered is - - - J —/, through
December 31, 2009.
❑ Leaving Office Date Left:
(Check one)
O The period covered is January 1, 2009, through the
date of leaving office.
-or-
0 The period covered is — / —/ through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
► Total number of pages 1
including this cover page:
► Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A -1 ❑ Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% or Greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (income Omer than Gifts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
0FFICE
-or-
® No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed March 8, 2010
(month, day,, year)
Signature
(File the originally signed statement with four filing official.)
FPPC Form 700 (2009/2010)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov