Jean Scott( 626 ) 569 -2220 1 jeanscott @cityofrosemead.org
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true andyoqucL
Date Signed 21`09/2012 Signature
(month, day: year)
FPPC Form 700 (201112012)
FPPC Toll -Free Helpline: 6661275 -3772 www.fppc.ca.gov
CALIFORNIA FORM 700 STATEMENT
OF ECONOMIC INTERE
TS f [ Date R G ea
FAIR POLITICA� PRACTICES COMMISSION
4
PU BLIC D O C UMENT
COVER PAGE
L
Cff ! C -- -! ' -- E k , 01, F_ ICE
Please type or print in ink.
By
NAME OF FILER (LAST)
(FIRST)
Scott
Jean S.
1. Office, Agency, or Court
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable
Your Position
Pa and Recreation
Assistant Parks and Recreation Director
► If fling for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (check at least one box)
❑ Stale
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Mufli- County
❑ County of
R City of Rosemead
❑ Other
3. Type of Statement (check at least one box)
❑X Annual: The period covered is January 1, 2011, through
❑ Leaving Office: Date Left --- J—/
December 31, 2011.
(Check one)
-or-
The period covered is —/--J
, through O The period coverer is January 1, 2011, through the dale of
December 31, 2011,
leaving office.
❑ Assuming Office: Date assumed —J
O The period covered is _ J___J , through
the date of leaving office.
❑ Candidate: Election Year Office sought, 4 different than Pad 1:
4. Schedule Summary
Check applicable schedules or "Nonce."
► Total number of pages including this cover page:
❑x Schedule A -1 - Investments- schedule attached
❑ Schedule C - Intone, Loans & Business Positions- schedule attached
❑ Schedule A -2 - Investments- schedule attached
❑ Schedule D - Income - Giles - schedule attached
❑ Schedule B - Real Property - schedule attached
❑ Schedule E - Income - Giles - Travel Payments - schedule attached
-or-
El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(flimir saAgmcyAd&/ Recmmmended - Public Dxummo
8838 Vallev Blvd
Rosemead CA 91770
( 626 ) 569 -2220 1 jeanscott @cityofrosemead.org
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true andyoqucL
Date Signed 21`09/2012 Signature
(month, day: year)
FPPC Form 700 (201112012)
FPPC Toll -Free Helpline: 6661275 -3772 www.fppc.ca.gov
SCHEDULE A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
ICMA -RC
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Retirement Investment Fund
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑X $100,001 - $1,000,DD0 ❑ Over $1,0D0,000
NATURE OF INVESTMENT
❑ Stock ❑X Other Stock and Bond Funds
IDnscnbel
❑ Partnership ® Income Received of $0 - $499
0 Income Received of $500 or More (Report on SchI C)
IF APPLICABLE, LIST DATE.
J —J 11 —JJ 11
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,D00
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
( Deschbe)
❑ Partnership O Income Received of $0 - $499
O InI Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J--j 11 __j --- J 11
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
( Descdbe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Jean S. Scott
ENTITY
CAL -PERS
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
California Public Employee Retirement System
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
x❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other Unknown Investments
Describe)
❑ Partnership ® Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Desc be)
❑ Partnership O Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schevole G)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10.000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,D00,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE
ACQUIRED DISPOSED
FPPC Form 700 (201112012) Sch. A -1
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov