Gerado Mota RECEIVED
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS :tzrT`f1om +,4 .A v
FAIR POLITICAL PRACTICES COMMISSION FEB 2 3
A PUBLIC DOCUMENT COVER PAGE
Please type or punt in ink. CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) CiY'--IMIDULE)-- -
Mota Gerardo
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Parks and Recreation Recreation Supervisor
e 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 E Judge or Court Commissioner(Statewide Jurisdiction)
C Multi-County C County of
IZ City of Rosemead C Other
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2015,through C Leaving Office: Date Left_ —J
December 31,2015. (Check one)
or-
The period covered is .through 0 The period covered is January 1.2015,through the date of
December 31,2015. or leaving office.
C Assuming Office: Date assumed_r_r 0 The period covered is , through
the date of leaving office.
C Candidate: Election year and office sought, if different than Part Y.
F4. Schedule Summary(must complete) ► Total number of pages including this cover page:
Schedules attached
C Schedule A-1-Investments-schedule attached 0 Schedule C-Income,Loans, 8 Business Positions-schedule attached
0 Schedule A•2•Investments-schedule attached ['Schedule D-Income-Gets-schedule attached
C Schedule B-Real Property-schedule attached 0 Schedule E-Income-Gilts-Travel Payments-schedulee attached
or-
_
13/None• No reportable interests on any schedule
5. Verification
MAILING MORES STREET CITY STATE ZIP CODE
(Busoness or Agency Addmss Recommended-Pudic Document)
8838 East, Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2100
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 O;l / J a Ito Signature_ (CY (,).u0 _--" / _
m.dry,ye a4 (File the eylmllysignei]*timant win yew fiWpa c4)
FPPC Form 700(2015/2016)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov