Ericka Hernandez AnnualAMMO
CITY OF ROSEMEAD
STATEMENT OF ECONOMIC INTERESTS Date lnitial.E V �2e,Pe yep
e - - Filing aR�d'Ws4 � [ j
COVER PAGE
A PUBLIC DOCUMENT CITY CLERK'$ OFFICE
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Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agency, or Court
(Do not use acronyms)
District, if applicable
I. 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
UrCity of 'R&Mrx'*"4
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2022, through
December 31, 2022.
.or -
The period covered is through
December 31, 2071.
] Assuming Office: Date assumed
❑ 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, 2022, through the date of
-or• leaving office.
❑ The period covered is I I through
the date of leaving office.
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 — GiRs — schedule attached
Schedule B - Real Property — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached
-or- X None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business xAgencyAddress Recanmended - Pudk Doc"nn
8838 E. Vallev Boulevard
( 626 ) 569-2100
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 pee�1rrjury undet the laws of the State of California that the foregoing is true and correct.
Date Signed/G% /�� Signature �..
i only (File )
FPPC Form 700 -Cover Page (2022/2023)
advice@fppc.ca.gov-966-275-3772-w fppc.ca.gov
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