Ericka Hernandez - Assuming F1dEt°YSi.-
STATEMENT OF ECONOMIC IN I L A�ESTS Date Initt�ial iliAIDRE� v d
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CALIFORNIA FORM 700 Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE APR 10 2018
Please type or print in ink. A PUBLIC DOCUMENT ORYOLERKII
NAME OF FILER (LAST) (FIRST) (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
Administration City Clerk
► 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 ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County ❑County of
❑x City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
111Annual: The period covered is January 1, 2018, through ElLeaving Office: Date Left 4 / 9 I 2018
December 31, 2018. (Check one circle.)
-or-
The period covered is , through 0 The period covered is January 1, 2018, through the date of
December 31, 2018. -or-leaving office.
❑x Assuming Office: Date assumed 4 110 I 2018 0 The period covered is , 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-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- I None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 E. Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2100 ehernandez@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 is true an. correct.
AI jai
Date Signed //(rte/� lc�12oC� Signature r
V (month,day,year) (File the originally signed pa(P'N atement with your filing official.)
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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