Mike Bruckner - Assuming OfficeRECEWW
STATEMENT OF ECONOMIC INTERESTS DaGMtWAWNWec1
F,inq Ompal Use Only
COVER PAGE JUN 2 7 2022
A PUBLIC DOCUMENT
Please type or print in ink. CRY CLERK'S OFFICE
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NAME OF FILER (LAST) (FIRST) (MIDDLE)
Bruckner Michael S
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, ff applicable Your Position
Administration
Assistant City Manager
► 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
0 City of Rosemead
3. Type of Statement (check at least one box)
_ Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or.
The period covered is I through
December 31, 2021.
❑<I Assuming Office: Date assumed" 1. 1-1 1 Z -"*L'
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I
(Check one circle.)
❑ The period covered is January 1, 2021, through the date of
leaving office.
.or.
❑ The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) ► Total number of pages Including this cover page: 1
Schedules attached
I❑ Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans, 6 Business Positions - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - GiRs - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or- 0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE 21P CODE
(Business a AwencY Address Racommended - Public Davmerd)
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 foregoing is true and 5"M
Date Signed 6 Tl "la.- Signature
Y Yam
FPPC Form 700 - Cover Page (2021/2022)
advla®fppc.m.gw • 866-275-3772 • w Jppc.m.gw
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