Matt HawkesworthSTATEMENT OF ECONOMIC
Please type or print in ink
COVER PAGE
A Public Document
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NOV 0 8 2M
CITY CLERK'S
NAME (LAST) (FIRST) (MIDDLE)
Hawkesworth Matthew Edward 626 569 -2107
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: FAX/ E -MAIL ADDRESS
(May use business address)
8838 E. Valley Blvd Rosemead CA 91770
1 . Office, Agency, or Court
Name of Office, Agency, or Court:
City Manager's Office
Division, Board, District, if applicable:
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
Q City of Rosemead
❑ Multi- County
❑ Other
3. Type of Statement (Check at least one box)
N Assuming Office /Initial Date: 10 j ) 0 7
❑ Annual: The period covered is January 1, 2006,
through December 31, 2006.
-or-
0 The period covered is __J /, through
December 31, 2006.
❑ Leaving Office Date Left: ---/ ---J
(Check one)
• The period covered is January 1, 2006, through
the date of leaving office.
-or-
O The period covered is --I J_, through
the date of leaving office.
❑ Candidate
4. Schedule Summary
• Total number of pages
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 10% Ownersh(p)
Schedule A -2 ❑ Yes - schedule attached
Investments (ta% or greater Ownership)
Schedule B ❑ Yes - schedule attached
Real Property
Schedule C ❑ Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D ❑ Yes - schedule attached
Income - Gifts
Schedule E ❑ Yes - schedule attached
Income - Travel Payments
-or-
0 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 underthe laws of the State
of California that the foregoing is true and correct.
Date Signed H
(month, day, year)
Signature
FPPC Form 700 (200612007)
FPPC Toll -Free Helpline: 866 /ASK -FPPC