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Patrick Piatt
RECEIVED � CITY OF R;;;;;g Lue CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Mpu $' FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE cmeLERK. (nice Please type or print in ink 13Y- NPME OF FILER (LAST) FIRan IMIn0LEI Piatt James Patrick 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board. Department, District. if applicable Your Position Community Development Senior Management Analyst • If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency. Position. 2. Jurisdiction of Office (Check at least one box) State (J Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County _ - ❑County of vt Cioy of Rosemead ❑Other 3. Type of Statement (Check at least one box) 2 Annual: The period covered is January 1, 2014, through I5 Leaving Office: Date Lett—. J r December 31. 2014. (Check one) or- The period covered is through 0 The period covered is January 1, 2014.through the date of December 31. 2014. leaving office. ❑ Assuming Office: Dale assumed_Ill. 0 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 A4 -Investments-schedule attached ❑ Schedule C•Income. Loans. &Business Positions-schedule attached ❑ Schedule A-2-Investments-schedule attached ❑ Schedule 0-Income-Gifts-schedule attached ❑ Schedule B-Real Propedy-schedule attached ❑ Schedule E-Income- Gifts-Travel Payments-schedule attached -or- © None-No reportable interests on any schedule 5. Verification MAILING ADDRESS 5-DEFT CITY STATE ZIP DOH (Busbess or Agency Address RecoMMended-Pubic Document) 8838 Valley Blvd Rosemead CA 91770 DAYTIME TELEPHONE NUMBER E MAI.ADDRESS 626 ) 569-2102 ppiatt @cityofrosemead.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 t . . d correct. /7/ 03/12/2015 Date Signed—. Signature . . /. ,w-1 cram day.years T6klhe town,segues Slelement Wh pw,wreaP Tall FPPC Form 700(2014/2015) FPPC Advice Email:advice @fppc.ca.gov FPPC Toll-Free Helpline:966/275-3772 www.fppc.ca.gov