HomeMy Public PortalAboutHERNANDEZ, ERNIE - FORM 700 - CITY MANAGER - ANNUAL STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
CALIFORNIA FORM 700 Filing Official use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C- 117 OF LYIJiWoOI C 1 i VVI, -/vA-Gc
Division, Board, Department, District, if applicable Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position: MAR 3 0 2022
2. Jurisdiction of Office (Check at least one box) CITY CLERKS OFFICE
❑State ❑Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
_ (Statewide Jurisdiction)
❑Multi-County ❑County of -
�G City of Lln ootid, ❑Other
3. Type of Statement (Check at least one box)
X Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left
December 31,2021. (Check one circle.)
-or-
The period covered is I I , through ❑ The period covered is January 1, 2021, through the date of
December 31, 2021. -or-leaving office.
❑ Assuming Office: Date assumed—lam ❑ The period covered is — I , through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► 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– Gifts–schedule attached
Schedule B-Real Property–schedule attached Schedule E-Income– Gifts– Travel Payments–schedule attached
-or-)g None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
11 35 0 3ULL ? S 2.1) LyivwooD 2-6, Z
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( l) 0 - ZZo zo e-hG - -i IA c2e l ivt w00 .O , CA uS
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 O 3/ 3o/Z Z Signature
(month, y,year) (F;•riginallysigned paper statement with your filing official.)
FPPC Form 700-Cover Page (2021/2022)
Print Clear advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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