Greg Tsujiuchi - Annual RECEIVED
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS CMIFi Meaeceived
Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAR 25 2019
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) DY. (MIDDLE)
Tsujiuchi Greg Shinzo
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
City Manager's Office Assistant City Manager
► 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
Rosemead
®City of ❑Other
3. Type of Statement (Check at least one box)
[t❑ Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left_J—J
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.
❑ Assuming Office: Date assumed 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: 1
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- El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 East Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 )569-2261 gtsujiuchi@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 and correct.
March 25, 2019
Date Signed Signature
(month,day,year) (File the originally signed paper statement 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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