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Pat Piatt
STATEMENT OF ECONOMIC INTERE TS f i50fe °Ree Only C Iv,Pi - ��p} gg Offdal Use Only i, ,�l(J FAIR POLITICAL PRACTICES COMMISSION COVER PAGE t Please type or print in ink. A Public Document NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Platt James Patrick ( 626 ) 569 -2102 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E -MAIL ADDRESS (Business Address Acceptable) 8838 E Valley Blvd Rosemead Ca 91770 ppiatt @cityofrosemead.com 1 . Office, Agency, or Court Name of Office, Agency, or Court : City of Rosemead Division, Board, District, if applicable: Community Development Your Position: Management Analyst ► 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 least one box) ❑ State ❑ County of © City of Rosemead ❑ Multi- County ❑ Other 3. Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: ❑X Annual: The period covered is January 1, 2009, through December 31, 2009. -or- 0 The period covered is --I --- J, through December 31. 2009. ❑ Leaving Office Date Left: --- J __J (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 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 to %Ownership) Schedule A -2 ❑ Yes - schedule attached Investments (l0% or Greater Ownership) Schedule B ❑ Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (Income other man Gifts and Travel Payments) Schedule D ❑ Yes — schedule attached Income — Gifts - Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments -or- IX 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 29, 2010 (rn In, day, year) with your filing official.) FPPC Form 700 (200912010) Toll -Free Helpline: 8661ASK -FPPC wv Jppc.ca.gov