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Ericka Hernandez - Annual (City Clerk) RECEIVED CITY OF ROSEMEAD STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received CALIFORNIA FORM 700 COVER PAGE MAFitjng�Qf(�,rla,�lge2ofty FAIR POLITICAL PRACTICES COMMISSION �+ I�EIYa u 1 A PUBLIC DOCUMENT CITYCLERK'SOFFICE Please type or print in ink. BY: NAME OF FILER (LAST) (FIRST) (MIDDLE) Hernandez Ericka 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Rosemead Division, Board, Department, District, if applicable Your Position City Clerk's Office City Clerk ► 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, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑Multi-County ❑County of ❑■I City of City of Rosemead ❑Other 3. Type of Statement (Check at least one box) * Annual: The period covered is January 1,2020,through ❑ Leaving Office: Date Left December 31,2020. (Check one circle.) -or- The period covered is ,through 0 The period covered is January 1,2020,through the date of December 31,2020. leaving office. -or- 111 Assuming Office: Date assumed i—J 0 The period covered is ,through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 1: e,e9 7tirnmary mus comp-°: > alit/ r.orof f 4 "ncft ) f' IF eve q,.r., - 4,- a . 77 Se edt e ]© nves me=is.,schedule attac ed °� h gle , ca Income,Loa-a,t ' ess Mho s sc o fl eMEM - (� 014 o FVFOTON �° t1 tFI) mum- - c ed la Du Income• Sits—schedule -taphea :ehedue B. Rea :•rafe;,y...sehea,,b ittaehe,, - ..!yt i " y,B -sc -• a. � �. - "i None- '`o repo able inferesfs-o n che.,l� 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended-Public Document) 8838 E.Valley Boulevard Rosemead CA 91770 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS (626 ) 569-2100 ehernandez@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 5, 2021 Date Signed Signature (! (month,day,year) (File the originally signed p..-r statement with your filing official.) FPPC Form 700-Covera ZO2 1) advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Print Clear Page-5