Matthew HawkesworthSTATEMENT OF ECONOMIC INT
COVER PAGE
Please type or print in ink.
Hawkesworth
Matthew
1. Office, Agency, or Court
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MAR 13 2013
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Agency Name
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Administration Asst. City Manager /Finance Director
► If filing for multiple positions, list below or on an attachment.
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
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❑ Judge or Court Commissioner (Statewide Jurisdiction)
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❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left
December 31, 2012. (Check one)
.or.
The period covered is ,through O The period covered is January 1, 2012, through the date of
December 31, 2012. leaving office.
❑ Assuming Office: Date assumed O The period covered is ___J – — – J through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page: 1
❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
None - No reportable interests on any schedule
5. Verificatio
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address RK=mewed - Pudic Document)
8838 Valley Blvd Rosemead CA 91770
DAYrIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 626 1 569 -2107
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 and correct.
Date Signed 03/13/2013 Signature
(mmtk day. year)
(Fi,� Ilie Origina11y5�neV sfelemenf wi(A your0ling odiclal,)
FPPC Form 700 (201212013)
FPPC Advice Email: advice0fppc.ca.gov
FPPC Toll -Free Helplina: 866/275 -3772 www.fppc.ca.gov