Erik Garwick - Assuming (Public Works Manager) KKtt;tIVEU
STATEMENT OF ECONOMIC INTERESTS Date I iflTM Offil RRg&Ri
CALIFORNIA FORM 700 Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE DEC 3 2019
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICE
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NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agency, or Court
Agency Name (Do not use acronyms)
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Division, Board, Department, District, if applicable YourAosition r
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► 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
gi City of r--23S6--- r ' --jO"t--- ❑Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left I
December 31, 2018. (Check one circle.)
-or-
The period covered is Alk(�I ) , through 0 The period covered is January 1, 2018,through the date of
December 31, 2018. (/ -or-leaving office.
Assuming Office: Date assumed zi'II/' l Zvt 7 0 The period covered is J ,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- VNone - 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 Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 )569-2100
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 penal perjury under the laws of the State of California that the foregoing is true nd corr t.
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Date Signed A. /' 0/e Signature
(month,day,year) (File he original gned paper statem ' 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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