Sheri BermejoCALIF ORNIAFORm STATEMENT OF ECONOMIC INTERESTS -`
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MiAN D a 720063
A Public Document CITY CLERK'S OFFICE
Please type or print in ink. BY
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NU
S. �errne't3 Slnerl Marie (0569 -Z%4y
MAILING ADDRESS R E CITY STATE ZIP CODE OPTIONAL: FAX / E -MAIL ADDRESS
(May use business address)
8838 E. Valle+ BoLd eVaroA , R osevv>eaal CA Ckl -•
1 . Office, Agency, or Court
Name of Office, Agency, or Court :
C; +y of Roserneckcl
Division✓ Board, District, if applicable:
A ssoc;olle Platihei/
Your Position:
'+ 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 Meot
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date: —_J __J
4. Schedule Summary
iiiiiiTotal 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 man toss ownership)
Schedule A -2 ❑ Yes — schedule attached
Investments (lo% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income other than Gins
and Travel Payments)
Schedule D- ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
�<No reportable interests on any schedule
5. Verification
Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
0 The period covered is __J __J_, through
December 31, 2007.
❑ Leaving Office Date Left: —J --J
(Check one)
O The period covered is January 1, 2007, through the
date of leaving office.
-or-
0 The period covered is _�� through
the date of leaving office.
❑ Candidate
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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed I�WaA s, _00P
(mo th, day, year)
Signatur ,4�04
(File the originally signed statement WP your filing official
FPPC Form 700 (200712008)
FPPC Toll -Free Helpline: 866/ASK -FPPC