Gerardo Mota RECIEVED
CITY OF ROSMEAD
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS 1I1AR 0 ?' 2017
FAIR POLUICAL PRACTICES COM'AISSIOn
A PUBLIC DOCUMENT COVER PAGE CIN CLERK'S OFFICE
Please type or print in ink BY: N° 1
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Moth Gerardo Arturo
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 feast one box)
❑State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
Ox city of Rosemead Other
3. Type of Statement (Check at least one box)
• Annual: The period covered is January 1, 2016, through ❑ Leaving OMss. Date Left
December 31, 2016. (Check one)
ory
The period covered is , through O The period covered is January 1,2016, through the date of
December 31, 2016. leaving office.
-or-
❑ Assuming Office: Date assumed_t_( 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 (must complete) ► Total number of pages including this cover page:—2--
Schedules
2_Schedules attached
❑ Schedule A-I -Investments-schedule attached ❑Schedule C-Income, Loans, &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached ❑Schedule D-Income-Gilts-schedule attached
❑ Schedule B-Real Property-schedule attached 0 Schedule E-Income-Gifts-Travel Payments-schedule attached
or•
E None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Buvmss or Agency Address Recommended-Public Document)
8838 E.Valley Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2265 gmota@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 true and correct.
03/02/2017 , ,
Date Signed Signature
(month.day yey) (F The o.igme signed stNxrem with your AN9 nFmell
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:266/275-3772 www.fppc.ca.gov