Charlie Chavez - Assuming (Parks Commission)STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Chavez Charlie
1. Office, Agency, or Court
Agency Name foo not use acronyms)
City of Rosemead
Division, Board, Department, District, I applicable Your Position
Parks Commission
Commissioner
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
— State
❑ Multi -County
On City of Rosemead
Position:
RECEIVED
':ITY OF ROSEMEAD
AUG 2 5 2022
OFFICE
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left J�
.or -
December 31, 2021. (Check one circle.)
The period covered is —J I through ❑ The period covered is January 1, 2021, through the date of
December 31, 2021. -or-
leaving office.
01 Assuming Office: Date assumed 71 21 / 2022 [2 The period covered is —J_J through
the date of leaving office.
[I Candidate: Data of Election and office sought, if different than Part 1:
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, 8 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- i. None - No reportable interests on any schedule
J. venucduon
MAIIJNG ADDRESS STREET CITY STATE 211P CODE
(auslness o; Agency Addr65s Recommended - Pub'h Document)
8838 E. Valley Boulevard Rosemead CA 91770
( 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 foreaaina Is true and correct.
Date Signed (� cc; '2-5 - 'Z 2-
(ma1h. day. yW
FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275.3]72 • www.fppc.ca.gm
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