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Pat PiattCALIF ORNIA O' STATEMENT OF ECONOMIC INTEREST�J D oa eRUcove¢ f f � FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) J ) Piatt James Patrick 1. Office, Agency, or Court Agency Name City of Rosemead Division, Board, Department, District, if applicable Your Position Housing Division, Community Development Department Management Analyst ► If filing for multiple positions, list below or on an attachment Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Multi- County © City of Rosemead ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ 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 December 31. 2012. ❑ Assuming Office: Date assumed ❑ Candidate: Election year O The period covered is — the date of leaving office. and office sought, if different than Part 1: through 4. Schedule Summary 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 - Gifts - schedule attached ❑ Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- W1 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business crAgem yAddress Recommended - Public Document) 8838 E Valley Blvd. Rosemead Ca 91770 ( 626 ) 569 -2102 ppiatt@cityofrosernead.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 �gd correct. Date Signed 02/19/2013 Imonlh, day y. ❑ Leaving Office: Date Left ___J --- J (Check one) through O The period covered is January 1, 2012, through the date of leaving office. Signature / It. mlglwffysgned sIdemerd wdh ynorgog alrrci�.J FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov