Ericka Hernandez Ca : icIfifJ`ts.celvod
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS CITY
FAIR POLITICAL PRACTICES COM W ssoN
A PUBLIC DOCUMENT COVER PAGE APR 05 2018
Please type or print in ink. CITY CI ERK'S OFFICE
NAME OF FILER (LAST) (FIRST) BY: (MIDDLE)
Hernandez Ericka
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Deputy City Clerk
is 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)
C State C Judge or Court Commissioner(Statewide Jurisdiction)
C Multi-County E County of
0 City of Rosemead C Other
3. Type of Statement (Check at least one box)
Cx Annual: The period covered is January 1, 2017,through 0 Leaving Office: Date Left J�
December 31.2017. (Check one)
-or• p Theperiod covered is January1, 2017, through the date of
Dec mbier31,coveredis�� ,through g
December 2017. leaving office.
•or•
E Assuming Office: Date assumed J_/ 0 The period covered is ,through
the date of leaving office.
C 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 A-1 -Investments-schedule attached C Schedule C-Income, Loans, 8 Business Positions-schedule attached
C Schedule A-2-Investments-schedule attached C Schedule 0-Income-Gifts-schedule attached
C Schedule B-Real Property-schedule attached C 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-Put Document)
8838 E. Valley Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2100
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 Is true and c•' d.
Date Signed April 5, 2018 Signature
(month,day rear) (F4s the surd sta •9danent isith your aria oAn]LL)
FPPC Form 700(2017/2018)
FPPC Advice Email;advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov