Danielle Garcia - Assuming (PW Management Analyst) RECEIVED
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS . Dattp�pved
/► Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE JAN 21 2020
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK'S OFFICE
NAME OF FILER (LAST) FIRST) CNtMIBDLC)tj
6 cilrei ri-- • • r .far,;elf 12- My SS'G---
1.
--1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Cif' o : roSem•Q_J
Divis'lin, Board,.Department, District, if applicable Your Position
\ 1.3‘,./ - 6 c.- +h'. $ W.a. S
► 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 Ve,S Y`a-ok°\ ❑Other
3. Type of Statement (Check at least one box) •
❑ Annual: The period covered is January 1,2018,through Cl Leaving Office: Date Left__I____I
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.
[CAssuming Office: Date assumedt7I i 2 1 / ZQ 0 The period covered is I ,through'
the date of leaving office.
El Candidate: Date of Election and officesought, 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 El Schedule C-Income, Loans, &Business Positions—schedule attached
❑ Schedule A-2-Investments—schedule attached El Schedule D-income—Gifts—schedule attached
❑ Schedule B-Real Property—schedule attached ❑Schedule E-Income—Gifts—Travel Payments—schedule attached
-or- 406- 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 penalty of perjury under the laws of the State of California that the foregoing is true a.' cer. .N
A t
S;�1111110
Date Signed • 0)/2-I /'2 b 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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