Evelyn Martinez - Assuming (Code Enforcement Officer) RECEIVED
CITY OF ROSEMEAD
0® STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
CALIFORNIA FORM t use Only
COVER PAGE
4° 2020
FAIR POLITICAL PRACTICES COMMISSION -
CITY CLERK'S OFFICE
Please type or print in ink. A PUBLIC DOCUMENT
BY;
NAME OF FILER (LAST) (FIRST) (MIDDLE)
III 0 .11 1,-,
1. Office, Agency, or Court
Name< D o not use acronyms)
Agency ( CI _-y1 0 S ErneArD .
Division, Board,Department, District,if applicable Your Position
'wtVt c Sr- C5-rq C t DF-- U cc-m 7
► If filing for multiple positions,list below or on an attachment (Do not use acronyms) 0 T-TI tt
Agency: Position:
2. Jurisdiction of Office (Check at leastone box)
o State 0 Judge or Court Commissioner(Statewide Jurisdiction)
❑Multi-County 0 County of
%City of SC Yr 9 0 Other_
3. Type of Statement (Check at one box)
❑ Annual: The period covered.is January 1,2018,through 0 Leaving Office: Date Left—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. leaving office.
-or-
I:Si Assuming Office: Date assumed -�•�.. 1 2_O24) -period covered i, i= `rough
the date of leaving office.
O Candidate Date of Election and office sought if different than Part 1;
4..Schedule Summary (must complete) l► Total number of
p ) pages including this cover page:
Schedules attached
❑ Schedule A-1-Investments-schedule attached , ❑Schedule`C-Income,LOan,.&Business Positions schedule attached
❑Schedule A-2-Investments-schedule attached ❑Schedule D-Income–Gifts-schedule attached
❑ Schedule B-Real Property-schedule attached 0 Schedule E-Income–Gifts–Travel Payments.-schedule attached
-or- gi None No reportable interests on any schedule
5 Verification .
MAILING ADDRESS - STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
$ 7
. 838 E.Valley Blvd;:, Rosemead CA. 91 7.0
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS a'
( 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 forego! Is true and correct. -_
Date Signed 1 ��Signature �, f
( onth,d ,year) (File the originally signed paper statement with your filing official.)
L • `-' LV FPPC Form 760(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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