Jennifer Mendez - Annual�RECEIVED
STATEMENT OF ECONOMIC IN I ERESTS DaCllytR1K#NMed
Filing Ofiipel Use Only
COVER PAGE SEP 016 2022
A PUBLIC DOCUMENT
Please We or print in ink. CITY CLERIQ; OFFI ft
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Mendez Jennifer
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, ff applicable Your Position
Parks Commission Commissioner
► 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
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 through
December 31, 2021.
N Assuming ice: Date assumed J 21 l 2022
❑ Candidate: Date of Election
Position:
❑ Judge, Refired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Countyof
❑ Other
❑ Leaving ice: Date Left ---J---J—
(Check
--J—J(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) P. Total number of pages including this cover page: 1
Schedules attached
❑ Schedule A-1 -Investments - schedule attached
❑ Schedule A-2 -Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- W None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(ausirws crAgeocy Address Reaommetled- Pudk 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 StQ� r -202'L Signature
man y,YW
' -Cover Page (2021/2022)
a6ke&PPc.ra.gov-966-275-3772-w Jppc.Sov
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