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Jean Scott
STATEMENT OF ECONOMIC COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) '� r; I -,i,j. �� 5� t,s Lb ".-• �.� �' it K... y�, Jean Scott Scott Jean F. 1. Office, Agency, or Court Agency Name City of Rosemead Assistant Parks and Recreation Director Division, Board, Department, District, if applicable Your Position ► If fling for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge (Statewide Jurisdiction) ❑ Multi -County ❑ County of ❑ City of ❑ Other 3. Type of Statement (Check at least one box) 0 Annual: The period covered is January 1, 2010, through December 31 2010. -or- The period Covered is 2010. Through December 31, ❑ Leaving Office: Dale Left ---J ---J (Check one) O The period Covered is January 1, 2010, through the date of leaving office. ❑ Assuming Office: Date O The period Covered is through the date of leaving office. ❑ Candidate: Election Year Office sought, 9 different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ 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 © None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business orAgency Address Recommended - Public Documenu 8838 E. Valley Blvd. Rosemead CA 91770 DAY HME TELEPHONE NUMBER E -MAIL ADDRESS ( 6262 ) 569 -2220 1 jeanscott@cityofrosemead.org I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge (he information contained herein and in any attached schedules is true and complete. I acknowledge (his 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 4/4/11 Signature (month, day, year) (File the originally signed slalement with your filing official.) FPPC Form 700 (2 01 012 011( FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov