Gerardo MotaSTATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
Oficial Use Only
COVER PAGE
Please type or print in ink
NAME OF FILER. (LAST) (FIRST( (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do` not use acronyms)
CIT y of RosicvxggoivJ S�,,PCza.2ISQ�2
Division, Board, Department, District, if applicable Your Position
► If fling 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑� Multi -County F-1County of
L0'City of P05EVh ❑ Other
3. Type of Statement (check at feast one box)
3� IU
F1 Annual: The period covered is January 1, 2017, through Leaving Office: Date Left ��
December 31, 2017. (Check one)
or -
The period covered is
December 31, 2017.
Assuming Office: Date assumed
❑ Candidate:. Date of Election
through
O The period covered is January 1, 2017, through the date of
.or.
leaving office.
O The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) o. Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 . Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income Gifts - schedule attached'
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts Travel Payments - schedule attached
,or,
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business orAgency Address Recommended - Public Document)
DAYTIMt I ELEPHONE NUMBER _ 2ESS
( b2 G ) 56'\; 21ov i
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.
1 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date Signed oP�I3o't1,8 Signature v� S Ldv�_
(month, day, year) (File the onginally signed statement with your filing oflcia).)
.FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov