Gloria Molledai I Date Received
STATEMENT OF ECONOMIC INTERESTS OrGmal Use Only
1� "d x;14
Please type or print in ink.
COVER PAGE
NAME OF FILER
(LAST)
(FIRST)
.... (MIDDLE)
Molleda Gloria `
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable - Your Position
City Clerk
► If fling for multiple positions, list below or on an attachment
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
I] City of Rosemead
❑ County of
❑ Other
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2011, through
December 31, 2011.
-or-
The period covered is I I through
December 31, 2011.
❑ Assuming Office: Date assumed
❑ Candidate: Election Year
❑ Leaving Office: Dale Left I
(Check one)
O The period covered is January 1, 2011, through the date of
leaving office.
O The period covered is
the date of leaving office.
Office sought, 9 different than Part 1:
through
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments — schedule attached
❑ Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
❑ Schedule C - Income, Loans, 8 Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-Or-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(audness w Agency Address Recommended - Pvdlc Document)
8838 E. Valley Boulevard Rosemead CA 91770
( 626 ) 569 -2171
gmolledal@sbcglobal.net
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date Signed 1/9/2012 Signatur N1�u
(mmut day, year) fFile me aigma'rysig slfflems[ mth ya,rRrng ctwel.)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
► Total number of pages including this cover page: 1
FPPC Form 700 (2 01112 01 2)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov