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James Piatt r`r_tridffirihrrl Date Inti ai E hl] a-x'T±:c CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS FAIR PouTICAL PRACTICES COMMISSION CITYCL3 K;GFF CE A PUBLIC DOCUMENT COVER PAGE ay: Please type or print in ink. NAME OF FILER (LAST) FIRST Non EI Platt James Patrick 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department,District, if applicable Your Position Public Works Senior Management Analyst • 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) ID State 0 Judge or Court Commissioner(Statewide Jurisdiction) 0 Mufti-County 0 County of City of Rosemead ❑Other 3. Type of Statement (Check at least one box) 0 Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left December 31, 2017. (Check one) on 0 The period covered is January 1,2017.through the date of Decembb Dec periodcovered is J_J , through leaving office. er 31,2017. .pr. ❑ Assuming Office: Date assumed J—J 0 The period covered is J_J through the date of leaving office. D 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: 1 Schedules attached ▪ Schedule Ad •Investments-schedule attached ❑Schedule C-Income. Loans, 8 Business Positions-schedule attached ❑ Schedule A-2• Investments-schedule attached ❑Schedule 0• Income- Gifts-schedule attached ❑ Schedule B•Real Property-schedule attached 0 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 (Rumness or Agency Address Recommended-Pubic Document) 8838 Valley Blvd Rosemead CA 91762 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 626 ) 569-2102 ppiatt@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 foregoing and correct. Date Signed March 12, 2018 Signature 4y� (month,day year) Elk the ohylnellysienee statement Mrs your mng oIJNI FPPC Form 100(2017/2018) FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov