Kathy Garcia - Leaving RECEIVED
;,_QITY OF,RQSEMEAD
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION ' ti st 7017
A PUBLIC DOCUMENT COVER PAGE
CITY CLERK'S OFFICE
Please type or pont in ink. By.
NAME OF FILER HAST) (FIRS) (MIDDLE)
Garcia Kathy R
1. Office, Agency, or Court _
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Director of Public Works
w If filing for multiple positions, list below or on an attachment. (Da not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑State ❑Judge or Court Commissioner(Statewide Junsdiction)
❑Multi-County 0 County of
z City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
06 05 2017
❑ Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left_t_pli
December 31, 2015. (Check one)
or-
The period covered is_Copp/ ,through 0 The period covered is January 1, 2015,through the date of
December 31, 2015. leaving office.
or-
❑ Assuming Office: Dale assumed —J S The period covered is l0 ( 03 1 2016 through
the date of leaving office.
Q Candidate: Election year and office sought, if different than Part 1:
-
4. Schedule Summary (must complete) ► Total number of pages including this cover page:_L--
Schedules
L_Schedules attached
❑ Schedule Al •Investments-schedule attached 0 Schedule C-Income, Loan &Business Positions-schedule attached
❑ Schedule A-2•Investments-schedule attached 0 Schedule D-Income-Gifts-schedule attached
❑ Schedule 8-Real Properly-schedule attached 0 Schedule E-Income-Gilts-Travel Payments-schedule attached
•or-
None- No reportable interests on any schedule —
5. erification 2:1A44/ P/Sz& V;°/tie auvr (-A 9:j ' ;
MAILING ADDRESS STRCITY STATE ZIP CODE
(drslness or Agency Address Recommended-Public Document)
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( g/6 ) 7 /i—r 97 //c/i��Tl� /' b , (42.-‘,,e, ,,--)0161/....co,„
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to tit 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 ofpg}Jury und�r the laws of the State of California that the foregoing is true and erect
�/ �/,-�/ /l
Date Signed 6L/ Signature 7
(mo*day real (Ede he oSrnMb SWM statement with ourMogi orf eU
FPPC Form 700(2015/2016)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov