Ayla JeffersonRECEIVED
CITY OF R03EMEA�
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing eive
COVER PAGE AR 03 1(723
LIC DOCUMENT
A PUB CITY CLERK'S OFFICE
Please type or print in ink. BY:
NAME OF FILER (UST) (FIRST) (MIDDLE)
JEFFERSON AYLA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF ROSEMEAD BUILDING OFFICIAL
Division, Board, Department, District, if applicable
► 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
� City of ROSEMEAD
Position:
Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
County of
Other
3. Type of Statement (check at least one box)
W-, Annual: The period covered is January 1, 2022, through ,� Leaving Office: Date Left —1_�
December 31, 2022. (Check one circle.)
-or.
The period covered is —J through I_j The period covered is January 1, 2022, through the date of
December 31, 2022. or leaving office.
1 Assuming Office: Date assumed The period covered is —L I through
the date of leaving office.
Candidate: Date of Election and office sought, if different than Part 1:
Schedule Summary (required) ► Total number of pages including this cover page:
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
•Of- [it
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business w Agency Address Ra=mended - Pu61ic Document)
8838 E VALLEY BLVD ROSEMEAD CA 91770
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.
Date Signed 4/1/2023 Signature
ay, year
FPPC Form 700 - Cover Page (2022/2023(
advice@fppc•ca.gov - 866.275-3772 - www.fppc.m.g"
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