Sevan Petrossian - AssumingSTATEMENT OF ECONOMIC INTERESTS Date InItREGIEWPeceved
COVER PAGE CITit"C#"Efdi
A PUBLIC DOCUMENT OCT 0 9 2023
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE) ameteRKSOFFIer
J',tT%10 651 A-4 5a\7A El
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C;tJ o� Rosewl�.d
Division, Board, Department, District, if applicable Your Position
""I;c WorxJ AssD�,afie �atne--r
► 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
F-1 Multi -County
� City of )?ose.,„ aLo, al
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_J , through
December 31, 2021.
Assuming Office: Date assumed Av ry-r r M.5—
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one circle.)
❑ The period covered is January 1, 2021, through the date of
leaving office.
.or.
❑ 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:
Schedules attached
❑ Schedule A-1 -Investments - schedule attached
❑ Schedule A-2 -Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- INone - No reportable interests on any schedule
Schedule C - Income, Loans, & Business Positions - schedule attached
Schedule D - Income - Gifts - schedule attached
Schedule E - Income - Gifts - Travel Payments - schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business o -Agency Address Recommended - PuMn Document
('l6 ) 56 el —A 06 1
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 10 -01 ^ 2,0 21 Signature
(month, day, year) (File a odglnallyslgned papersfafement Mh your filing Orral.)
FPPC Form 200 -Cover Page (202112022)
advice@fppc.ca.gov • 866-225-3272 • www.fppc.ca.gov
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