Gerardo Mota - Leaving Date Irgt)�Cnived
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC It RESTS ''°�'''�l**--
CITY OF ROSEMEAD
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE AUG 3 0 2018
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) Cl t(ilI Erin°VI" 11 t
BY:
C O"\--("\. cle rci.A.L)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C1T1 CF PoSl:'tYlEIN0 S2..-(So9-
Division, Board, Department, District, if applicable Your Position
► 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
[City of (R-05COI ef\-0 ❑Other
3. Type of Statement (Check at least one box) �J
❑ Annual: The period covered is January 1, 2017, through �✓J Leaving Office: Date Left Ib
December 31, 2017. (Check one)
-or-
The period covered is , through 0 The period covered is January 1, 2017, through the date of
December 31, 2017. leaving office.
-or-
El Assuming Office: Date assumed i / 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-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
it\ CA
DAYTIMt i tLEPHONE NUMBER ESS
( 62 ) 5 Coc\ 2(CO ( _
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 and correct.
Date Signed '
O 3 o �i ft Signature ti
(month,day,year) (File the originally signed statement with your filing official.)
FPPC Form 700(2017/2018)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov