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Monday ReganSTATEMENT OF ECONOMIC Please type or print in ink. COVER PAGE A Public Document Official u3 MAR 0 4 201 CITY CLEWS — 0 — F] B Y NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER Regan Monday Sarah ( 626 ) 569 -2255 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E -MAIL ADDRESS (Business Address Acceptable) 8838 E Valley Blvd. Rosemead CA 91770 1 . Office, Agency, or Court Name of Office, Agency, or Court: City of Rosemead Division, Board, District, if applicable: Parks and Recreation Your Position: Recreation Supervisor ► If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ County of ❑ City of ❑ Multi- County ❑ Other Type of Statement (Check at least one box) ❑ Assuming Office /Initial Date: ❑ Annual: The period covered is January 1, 2009, through December 31, 2009. -or- 0 The period covered is __J __J_, through December 31. 2009. ❑ Leaving Office Date Left: (Check one) O The period covered is January 1, 2009, through the date of leaving office. -or- 0 The period covered is —_J __J, through the date of leaving office. ❑ Candidate Election Year: 4. Schedule Summary P. Total number of pages - 2 including this cover page: ► Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A -1 ❑ Yes - schedule attached Investments (Less man 10% Ownership) Schedule A -2 ❑ Yes - schedule attached InVeStmentS (10% or Greater Ownership) Schedule B © Yes - schedule attached Real Property Schedule C ❑ Yes - schedule attached Income, Loans, & Business Positions (Income Other than Gigs and Travel Payments) Schedule D ❑ Yes - schedule attached Income - Gifts Schedule E ❑ Yes - schedule attached Income - Gifts - Travel Payments -or- F No reportable interests on any schedule 5. Verification 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 certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed �.1 1 3 12 /© �j- (month, day, year) Signature — � � ( e the ha signed stalemant wRh your fling official) FPPC Form 700 12 0 0 912 01 01 SCHEDULE B Interests in Real Property (Including Rental Income) ► STREET ADDRESS OR PRECISE LOCATION 9234 Guess Street CITY Rosemead CA 91770 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - sloo,000 © $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ® Ownership /Deed of Trust ❑ Leasehold Ym. remaining IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. Name ► STREET ADDRESS OR PRECISE LOCATION CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust ❑ Leasehold IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ❑ Easement Yea. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $400 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you am a 10% Or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE ❑ None TERM (Months /Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, If applicable FPPC Form 700 (200912010) Sch. B FPPC Toll -Free Helpline: 866/ASK -FPPC w .fppc.ca.gov