Evelyn Gutierrez RECE'VFFC'
Date i hTal Prrldl filth§dV2
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTL..ESTS
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
CITY aye+s oF,=Ice
Please type or print in ink BY _
NAME OF FILER (LAST) (FIRST) {MIDDLE)
esti e r r e i Cvtityn
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Cs4-y0c ? - mead
Division, Board, Department, District, if applicable Your Position
Nvrnrum Ro,scvvIGes Noma-r) Q o rca.o5pecla,list
► If filing 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 Stale 0 Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County E County of
Z)City of RO52MC0.d ❑Other
3. Type of Statement (Check at least one box)
J Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left
December 31, 2017. (Check one)
Of•
The period covered is ,through 0 The period covered is January 1, 2017,through the date of
December 31, 2017, leaving office.
-or-
E Assuming Office: Date assumed O The period covered is , through
the date of leaving office,
O 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 Al -Investments-schedule attached D Schedule C-Income, Loans, &Business Positions-schedule attached
❑ Schedule A-2-Investments-schedule attached 0 Schedule D-Income-Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached ❑Schedule E- Income- Gilts- Travel Payments-schedule attached
-or-
'S,Mone • No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
1738 L. Vali{i 6(vd Rosevr>Qad CA % IBRO
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
lc2la51p9 - 21\04 equ tiff/_2Lyoermemeed.ofq
I have used all reasonable diligence in preparing this statement. I have reviewed thi(statement and to the best of my knowledge the information ntained
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 lava of the State of California that the foregoing Is true and correct
LeVDate Signed 63) I Li/a ul3 Signature ✓/yn
(mat,deurWd (File Me wgP*My sOed siefeNin your Ong of fide(
FPPC Form 700(2017/2018)
FPPC Advice Email:advice@wfppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov