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Gloria Molleda
Date Received STATEMENT OF ECONOMIC INTERESTS °"'n "i" "e 0,1 COVER PAGE t Please type or print In ink. 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 Clerk's Office ► If fling for multiple positions, list below or on an attachment. Agency: City Clerk Position: 2. Jurisdiction of Office (check at least one box) ❑ Stale ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of © City of Rosemead ❑ Other — 3. Type of Statement (check at least one box) © Annual: The period covered is January 1, 2012, through December 31, 2012. -or- The period covered is through December 31, 2012. ❑ Assuming Office: Dale assumed ❑ Candidate: Election year ❑ Leaving Office: Dale Left (Check one) O The period covered is January 1, 2012, through the dale of leaving office. O The period covered is — the date of leaving office. and office sought, if different than Part 1: through 4. Schedule Summary 1 Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gills - schedule attached ❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached .or- 0 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 8838 E. Valley Boul evard Rosemead CA 91770 ( 626 ) 569 -2171 gmolleda@cityoftosemead.org 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 : Signatur 0 V> (monm, da) read _ or11e lr.nO .nallysignetlslalemenl Wih your riling 0iidal.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov