Matt Hawkesworth. STATEMENT OF ECONOMIC INTE o ��.a7 USe onl _
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE C l'i y '
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Please type or print in ink A Public Document t :
,, MAR �' 6 2009
NAME (LAST) (FIRST) (MIDDLE) +•. +D TIME3EhEPH.pNE NU 6ER
Hawkesworth Matthew Edward 6 ) 569- 2101 -
MAILING ADDRESS STREET CITY STATE ZIP DE' C9pTIONA6�- FA3F� /��vIAILADDRES3_,..
(May use business address)
1778 Van Dusen Road La Verne CA 91750
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
City of Rosemead
Division, Board, District, if applicable:
City Manager's Office
Your Position:
Assistant City Manager
► 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 Rosemead
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
❑ Assuming Office /Initial Date:
® Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is through
December 31, 2008.
❑ Leaving Office Date Left: ___J ----
(Check one)
O The period covered is January 1, 2008, through the
date of leaving office.
-or-
0 The period covered is ____J --- J, through
the date of leaving office.
4. Schedule Summary
► Total number of pages 1
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 than 70% Ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments (70% orgmater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, 6 Business Positions (income Other than Gins
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income — Gifts
Schedule E ❑ Yes - schedule attached
Income - Gifts - Travel Payments
-or-
X No reportable interests on any schedule
S. 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 March 18, 2008
(month. day. year)
Signature I
(File fh originally signed falement with your fling official.)
❑ Candidate Elect Year:
FPPC Form 700 (200812009)
FPPC Toll -Free Helpline: 866 /ASK -FPPC www.fppc.ca.gov