Mike Bruckner - LeavingSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Phu rrWoL, r , l —A <<- s
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
District, ff applicable
Cs_'Wti1
Your Position
► 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 k25LAZ tb
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
December 31, 2022.
❑ Assuming Office: Date assumed
❑ Candidate: Dale of Election
Position:
RECEIVED
CITY OF ROSEMEAD
Date Fniti� Fjtir� $eiXd
CITY CLERICS OFFICE
BY:
❑ Judge, Refired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
*Leaving Office: Date Left _LJ� 2' Lg
(Check one circle.)
through ❑ The period covered is January 1, 2022, through the date of
-or-
leaving office.
_ ❑ The period covered is __J ---- r 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, & 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- ❑ None - No reportable interests on any schedule
a. verification
MAIDNG ADDRESS STREET CITY STATE ZIP CODE
(Suvrew orAgencyAddmss Recommended - Pubkc Daumenq
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 trye and correct.
Date Signed 7 1 S_ 1 tr Z'r Signature
m , my
FPPC Farm 700 -Cover Page (2022/2023)
advice@fppc.ca.gov • 866-275-3772 • w Jppcxa.gov
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