Michelle Ramirez RECEIVED
Dat,, I`J'1N.Of Rga.,MYA`D
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink. :ITV f,LEHK'S OFFICE
r,L
NAME OF FILER (LAST) (FIRST) (Mta0LE1'"
Ramirez Michelle G
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department. District it applicable Your Position
Public Works Department Director of Public Works
• If filing tor multiple positions, list below or on an attachment. (Do not use acronyms)
Agency. Position'.
2. Jurisdiction of Office (Check at least one box)
▪State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
LI Annual: The period covered is January 1, 2017,through ❑ Leaving Office: Dale Left JI
December 31, 2017. (Check one)
-or- O The period covered is January 1, 2017, through the date of
Dec periodcoveredis_J� , through
Decemtubberr311,, 2017. leaving office.
-or-
❑ Assuming Office: Date assumed 0 The period covered is JJ , through
the date of leaving office.
❑ Candidate: Date of Election and office sought. if different than Part 1'
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-I -Investments—schedule attached ❑Schedule C-Income. Loans, &Business Positions—schedule attached
❑ Schedule A-2-Investments—schedule attached ❑Schedule 0-Income—Gifts—schedule attached
❑ Schedule B-Real Property—schedule attached ❑Schedule E-Income— Gifts— Travel Payments—schedule attached
-or•
O None • No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-PUMc Document)
8838 E.Valley Bouelvard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2158 mramirez@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 foregoingg / is/true/annddd�ccoJ+�ct,
Date Signed 03/01/2018 Signature �d�.WFA-W L� [ fLVYlA�
(month day year) rFue the odrilly signed gatemen or Ong dime'
PC Form 700(2017/2018)
FPPC Advice Email:advices fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov