David Montgomery-ScottSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
1 . Office, Agency, or Court
Name of Office, Agency, or Court
City of Rosemead
Division, Board, District, if applicable:
Parks & Recreation Department
Your Position:
Parks & 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
City of Rosemead
❑ Multi-County
El Other
Type of Statement (Check at feast one box)
❑ Assuming Office/Initial Date: J —J —
X Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is — /J, through
December 31. 2008.
❑ Leaving Office Date left: _— I
(Check one)
• The period covered is January 1, 2008, through the
date of leaving office.
-or-
O The period covered is —._l __J_ —, through
the date of leaving office.
❑ Candid Election Year
MAR 17 2 -IM9
CITY C'UCI 7WS OFF ICE
DAYTIME TELEPHONE
( 626 ) 569 -2161
OPTIONAL: FAX/ E -MAIL ADDRESS
4. Schedule Summary
► Total number of pages 1
including this cover page: o
► 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 70% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments Oro% w greeter Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑Yes - schedule attached
Income, Loans & Business Positions tmcome Omer man Gies
and Tmml 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
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
8/09
your
FPPC
Form 700 (2008/2009)
PC www.fppc.M.gov
A Public Document
Please type or print in ink.
NAME (LAST)
(FIRST) (MIDDLE)
Montgomery-Scott
David G.
MAILING ADDRESS STREET
CITY STATE ZIP 001
(May use business address)
8838 E. Vallev Blvd.
Rosemead CA 91770
1 . Office, Agency, or Court
Name of Office, Agency, or Court
City of Rosemead
Division, Board, District, if applicable:
Parks & Recreation Department
Your Position:
Parks & 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
City of Rosemead
❑ Multi-County
El Other
Type of Statement (Check at feast one box)
❑ Assuming Office/Initial Date: J —J —
X Annual: The period covered is January 1, 2008,
through December 31, 2008.
-or-
0 The period covered is — /J, through
December 31. 2008.
❑ Leaving Office Date left: _— I
(Check one)
• The period covered is January 1, 2008, through the
date of leaving office.
-or-
O The period covered is —._l __J_ —, through
the date of leaving office.
❑ Candid Election Year
MAR 17 2 -IM9
CITY C'UCI 7WS OFF ICE
DAYTIME TELEPHONE
( 626 ) 569 -2161
OPTIONAL: FAX/ E -MAIL ADDRESS
4. Schedule Summary
► Total number of pages 1
including this cover page: o
► 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 70% ownership)
Schedule A -2 ❑ Yes - schedule attached
Investments Oro% w greeter Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑Yes - schedule attached
Income, Loans & Business Positions tmcome Omer man Gies
and Tmml 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
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
8/09
your
FPPC
Form 700 (2008/2009)
PC www.fppc.M.gov