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Gerardo A. Mota
CALIFORNIA FORM cITDate I�h�ie�ih� calved 700 STATEMENT OF ECONOMIC INTERESTS V,-05,R0 EMEAB FAIR POLEFICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE Phase type or print in ink. city CI FAK'S()FFICF NAME OF FILER FUST) (MST) By:(MIDDLE) Moto, Gerardo Arturo 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department,District, if applicable Your Position Parks and Recreation Department Recreation Supervisor F 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) ❑State D Judge or Court Commissioner(Statewide Ju,isdictlon) ❑Multi-County ❑County of City of Rosemead D Other 3. Type of Statement (Check at least one box) El Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left_JJ December 31,2017. (Check one) •or• The period covered is through 0 The period covered is January 1, 2017,through Be date of December 31.2017. -or-leaving office. ❑ 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, 8 Business Positions-schedule attached ❑ Schedule A-2-Investments-schedule attached ❑Schedule O•Income-Gifts-schedule attached ❑ Schedule e-Real Property-schedule attached ❑Schedule E-Income-Gifts- Travel Payments-schedule attached -or- O None• No reportable interests on any schedule _ 5. Verification MAIUNG AGGRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended•Public Document) 8838 E.Valley Blvd. Rosemead CA 91770 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 626 ) 569-2250 gmota©cftyofrosemead.org I have used all reasonable dilgence 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 is true and con(/a/{�/, Date Signed 03/26/2018 Signaturecoi iw'ceec/CE. rmoxa dei me (He naarM.mry.gmaaaeem n 'our Ong ) FPPC Form 700(2017/2018) FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov