Matt HawkesworthSTATEMENT OF ECONOMIC
COVER PAGE
Please type or print in ink.
NAME OF FILER
Hawkesworth
Matthew
Edward
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Administraton Assistant City Manager
► If filing 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
❑X City of Rosemead ❑ Other
3. Type of Statement (Check at least one box)
X Annual: The period covered is January 1, 2010, through December 31, ❑ Leaving Office: Date Left ---J ---J
2010. -or- (Check one)
The period covered is through December 31, O The period covered is January 1, 2010, through the date of
2010, leaving office.
❑ Assuming Office: Date O The period covered is ��, through the dale
of leaving office.
❑ Candidate: Election Year Office sought, If 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-
❑X None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business crAgencyAddress RecammeMed- Public Document)
8838 Vallev Blvd. Rosemead CA 91770
( 626 ) 569 -2107 1 mhawkesworth @cityofrosemead.org
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 March 14, 2011 Signature
(MOM, day, yeas)
FPPC Form 700 (2 01 012 011)
FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov