David Montgomery-ScottSTATEMENT OF ECONOMIC
Please type or print in ink
COVER PAGE
A Public Document
MAR o i l Lnjio
CITY CLEWS WTJCr.�
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NAME (LAST)
(FIRST)
(MIDDLE)
DAYTIME T
Montgomery-Scott
David
Gregory
( 562 ) 522 -2323
MAILING ADDRESS STREET
CITY
STATE
ZIP CODE
OPTIONAL: E -MAIL ADDRESS
(Business Ad&ess Acceptable)
6328 Bigelow Street
Lakewood
CA
90713
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
City of Rosemead
Division, Board, District, if applicable:
Parks and Recreation
Your Position:
Parks and Recreation Director
► If filing for multiple positions, list additional agency(ies)i
position(s): (Attach a separate sheet if necessary.)
Agency:
Position: ----------- -- ---- ----- -------- --- -- - - -- ---
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ County of
[X City of Rosemead
❑ Multi- County
❑ Other
Type of Statement (Check at Mast one box)
❑ Assuming Officellnitial Date:
Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
0 The period covered is l J, through
December 31, 2009.
❑ Leaving Office Date Left --- --- l_._._.J.__._.-
(Check one)
O The period covered is January 1, 2009, through the
date of leaving office.
-or-
0 The period covered is ._._._.l_._._.l_._._ -, through
the date of leaving office.
❑ Candidate Election Year:
4. Schedule Summary
► Total number of pages
including this cover page:
► Check applicable schedules or "No reportable
interests."
have disclosed interests on one or more of the
attached schedules:
Schedule A -1 [] Yes - schedule attached
Investments (Less man 10% ownershlp)
Schedule A -2 ❑ Yes - schedule attached
Investments (10% w Greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income other man Gifts
anti Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
® No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury underthe laws of the State
of California that the foregoing is true and correct.
Date
FPPC
wim yrnrr Ung aPCiay
Form 700 (200912010)
PC www.fppc.ca.gov