Gloria MolledaSTATEMENT OF ECONOMIC
Please type or print in ink.
(LAST)
use business address)
3 E. Valley Boulevard
COVER PAGE
A Public Document
(FIRST) (MIDDLE)
Gloria
Rosemead CA 91770
1 . Office, Agency, or Court
Name of Office, Agency, or Court :
City of Rosemead
Division, Board, District, if applicable:
City Clerk's Office
Your Position:
City Clerk
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: N/A
Position: N/A
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
❑X City of Rosemead
❑ Multi-County
❑ Other
Type of Statement (Check at least one box)
K Assuming Office /Initial Date: —1—J-8—J 08
❑ 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 __J __J, through
the date of leaving office.
❑ Candidate
cy y
JAN, 0 4 200
OPTIONAL: FAX/ E -MAIL ADDRESS
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 other than Gibs
and Travel Payments)
Schedule D ❑ Yes — schedule attached
Income — Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
❑X 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 1/9/200$
(month, day, year)
Signatu A j Rh Q; a, l� O & C�
(File the originally signed statement w yo filing official.)
FPPC Form 700 (200712006)
FPPC Toll -Free Helpline: 866/ASK-FPPC