William Tocki - Assuming CALIFORNIA FORM Date AEQEht/Reeived
700 STATEMENT OF ECONOMIC INTLRESTS cIML)Ort nerfritcAD
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink
CITY C ' FP ICC(rncr
NAME OF FILER (LAST) (FIRST) By (MIDDLE)
Tr�k r111'awlA grh,s
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
?or s Comm kstoner
Division, Board, Department, District, if applicable Your Position
If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Ce4t of Rosemead Position: Pc"-(LSCOMM/SSen
2. Jurisdiction of Office (Check at least one box)
El State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County _.. ❑County of
City of ttosenecAJ ❑Other
3. Type of Statement (Check at least one box)
fl Annual: The period covered is January 1, 2016,through I] Leaving Office: Date Left
December 31, 20Th. (Check one)
or-
The period covered is_/_/ ,through 0 The period covered is January 1, 2016. through the dale of
December 31, 2016. leaving office.
-or-
• Assuming Office: Date assumed ID I a 1 1017 - 0 The period covered is J I ,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:J�
Schedules attached
❑ Schedule A-1 -Investments-schedule attached ❑Schedule C •Income, Loans, 8 Business Positions-schedule attached
Li Schedule A-2-Investments-schedule attached ❑Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑Schedule E -Income-Gifts- Travel Payments-schedule attached
-Of-
jAi None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency address Recomme,ded-Public OOcument)
248 Slest✓Is Ave- QoseMead C4 R(770---
DAYIME TELEPHONE NUMBER ENAIL ADDRESS
( 67 ) 680° - 4342 e �1 co//"
I have used all reasonable diligence in preparing this statement, I have reviewed this statement and to the best'Sf 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 &( /2 5-7:2cP(7 -.-__ Signature n'"
(month,day,read (we The nigoaliAped statement Km your fug of¢lep
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov