Monday ReganSTATEMENT OF ECONOMIC
=
COVER PAGE
Please type or print in ink.
M AR
MAR 1 4 2 01"
NAME OF FILER (LAST)
(FIRST) I (MIDDLE) I
C �Sarah� t tr �� ``� s �3FF Ii
Regan
Monday
1. Office, Agency, or Court
L -- -- --
Agency Name
City of Rosemead
Division, Board, Department, District, if applicable
Your Position
Parks and Recreation
Recreation Supervision
► If filing for multiple positions, list below or on an attachment.
_
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County
❑ County of
❑ City of Rosemead
❑ 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 --J----J O The period covered is 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:
❑ 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-
El None - No reportable interests on any schedule
5. Verification
MAIMNG ADDRESS STREET CITY STATE LP CODE
(Business a Agency Address Recarrunended - Pub6c Dacumerx)
8838 E Valley Blvd Rosemead CA 91770
unT nmc ¢Lcrnunc numoon bmNlL nuuntaa lur uunny
( 626 ) 569 -2255 mregan @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 f oing is t e a dcorrect
Date Signed 03/14/2013 Signatur
(month. day leer) / / rRiethaAgina7 ysignosta tememwihywrntingoRaal.)
FPPC Form 700 (2012/2013)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 6661275 -3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
9234 Guess Street
CITY
Rosemead
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
$100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust
❑ Leasehold
Yrs. ren rg
IF APPLICABLE, LIST DATE:
-- J -- J - 12 _ /_/ 12
ACQUIRED DISPOSED
❑ Easement
❑
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
Name
Monday Regan
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
❑ Leasehold
Yrs. remaining
IF APPLICABLE, LIST DATE:
-- ___/_J
ACQUIRED DISPOSED
❑ Easement
❑
OtlwJ
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
0$0-$499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you Own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
You are not required to report loans from commercial lending institutions made in the lender's regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% ❑ None
TERM (MonthstYears)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments:
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ swo - $ 1,000 ❑ $1,00l - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700 (2012/2013) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov