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Gerardo Mota
STATEMENT OF ECONOMIC I COVER PAGE 1 ; KlU 18 2013 Please type or print in ink. NAME OF FRER Mota Gerardo I_ Art j 1. Office, Agency, or Court Agency Name City o R Division, Board, Department, District, if applicable Your Position Parks and Recreation Department Recreation Supervisor ► If filing for multiple positions, list below or on an attachment. Agency: Position: _ 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ 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 ❑ Leaving Office: Date Left —J —J December 31, 2012. (Check one) -or- The period covered is �� through O The period covered is January 1, 2012, through the date of _ December 31, 2012. leaving office. ❑ Assuming Office: Date assumed O The period covered is through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 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- 0 None - No reportable interests on any schedule 5. Verificat MAILING ADDRESS STREET CITY STATE ZIP CODE (Busmass mAgemyAddress Reoomn anded - Pudic Do nnenf) 8838 E. Valley Blvd. Rosemead CA 91770 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 626 ) 569 -2160 I have used all reasonable diligence in preparing this statement. 1 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 tru and correct. Date Signed 03/14/2013 Signatu s"° °D (month, day. year) ('de dw odgmalrysgned statement n ywr rang oftial.) FPPC Form 700 (2012/2013) FPPC Advice Email: advicegfppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov