Roush 700 - Leaving OfficeCALIFORNIA FORM 700
FAIR POLITICAL. PRACTICES COMMISSION
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST)
Roush Michael
. .. .....
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Alameda
Division, Board, Department, District, if applicable
H
MAY 16 2019
\ All A Aii_211A
( 'LE
CITY CLERK'S OFFICE
Your Position
Interim City Attorney
■ If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
State
LI Multi-County
City of Alameda
111 Judge or Court Commissioner (Statewide Jurisdiction)
['County of
El Other
3. Type of Statement (Check at least one box)
5
▪ Annual: The period covered is January 1, 2018, through CI Leaving Office: 0
ce: Date Left 13 / 2019
December 31, 2018. (Check one circle.)
-or-
The period covered is , through
December 31, 2018.
0 The period covered is January 1, 2018, through the date of
-or-
leaving office.
El Assuming Office: Date assumed / • The period covered is 12 01
the date of leaving office.
O Candidate: Date of Election and office sought, if different than Part 1:
2018
4. Schedule Summary (must complete) ■ Total number of pages including this cover page: 1
Schedules attached
El Schedule A-1 - Investments — schedule attached
El Schedule A-2 - Investments — schedule attached
fl Schedule B - Real Properly — schedule attached
-or- Di None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
2263 Santa Clara
DAYTIME TELEPHONE NUMBER
( 925 ) 876 7525
CITY
Alameda
, through
0 Schedule C - Income, Loans, & Business Positions — schedule attached
0 Schedule D - Income — Gifts — schedule attached
El Schedule E - Income — Gifts — Travel Payments — schedule attached
STATE
EMAIL ADDRESS
mhrlegal@comcast.net
CA 94501
ZIP CODE
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.
*-14
Date Signed May 16, 2019 SignaturP
(month, day year)
(File the originally signed paper statement with your Ong official)
FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
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