James Berry - Assuming RECEIVED
CITY OF ROSEMEAD
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS t 211 2G17
FAIR RAC ricEs COMMISSION
A LIUBLIC DOCUMENT COVER PAGE CITY CLERK'S OFFICE
Please type or print in ink. BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
BERRY JAMES E.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF ROSEMEAD
Division, Board, Department, District, if applicable Your Position
TRAFFIC COMMISSION TRAFFIC COMMISSIONER
of If fling for multiple positions, list below or on an attachment (Do not use acronyms)
Agency: Position.
2. Jurisdiction of Office (Check at least one box)
E State E Judge or Court Commissioner(Statewide Jurisdiction)
E Multi-county E County of
City of ROSEMEAD E Other
3. Type of Statement (Check at least one box)
E Annual: The period covered is January 1, 2016.through E Leaving Office: Date Left J J
December 31,2016. (Check one)
or-
The period covered is ,through O The period covered is January 1, 2016, through the date of
December 31,2016. or leaving office.
IJ
Assuming Office: Date assumed 07 20 2017 0 The period covered is IJ through
the date of leaving office.
E Candidate: Election year and office sought if different than Pad 1:
4. Schedule Summary (must complete) I. Total number of pages including this cover page: 1
Schedules attached
E Schedule A-I -Investments-schedule attached E Schedule C-Income, Loans, &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached E Schedule D-Income-Gilts-schedule attached
E Schedule B-Real Property-schedule attached E Schedule E-Income-Gifts-Travel Payments-schedule attached
-Or-
• None- No reportable interests on any schedule
5. Verification
(AA-INC ADDRESS STREET CITY STATE ZIP CODE
(Busmesn orAgenry Address Recn- ended-orotic wvwoenp
8838 E.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 foreg,ajng is true and c ct.
o
(7-dr.
Date Signed T ZO Signa/ / -
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FPPC Form 700(2016/2017)
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