Michael Cao AssumingRECEIVED
STATEMENT OF ECONOMIC INTERESTS Date�OP4t�gggd
Filing OPoclal Llse Only
COVER PAGE OCT 2 7 2022
A PUBLIC DOCUMENT
Please type or print in ink. CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Cao Michael
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Public Safety Commission
Commissioner
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at feast one box)
❑ State
❑ Mufti -County
Fol 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 ---J---Jthrough
December 31, 2021.
Assuming Office: Date assumed 21 I 2022
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
Leaving Office: Date Left —J I
(Check one circle.)
❑ The period covered is January 1, 2021, through the date of
-or-
leaving office.
❑ The period covered is 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
❑ Schedule A-1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & 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- W None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public 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 foregoing is true and correct.
Date Signed lc9 ` 27 - `L2 Signature
m y, yW
FPP[ Form 700 -Cover Page (2023/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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