Margaret ClarkFM Form 700 (2013/2014)
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RECEIVED
CRY OF ROSEMEAD
• 1 1 STATEMENT OF ECONOMIC INTERESTS
FEB E 5 2014
.•
COVER PAGE
Orry CLEWS OFFICE
Picase We or print in ink
try•
xAIE OE Fllf0. AM
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Clark, Margaret F.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable
your Position
City Cound ndember
• If filing for multiple positions, list below or on an attachment.
(DO rcr use aaronyms)
Agency
Position:
2. Jurisdiction of Office (Check at heart one 60)1
F� Stale
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Mulg -County
❑ Courtly of
0 City of Rosemead
❑ Other
3. Type of Statement (check at least one box)
[y{ Annual: The paned covered is January 1, 2013, through
i] Leaving Office: Date Leg _JJ
December 31, 2013.
(Check one)
-er-
The Covered is _JJ
, through O The period Covered is January 1, 2013, through the date of
Decemmber 31, 2013.
December
leaving othce .
❑ Assuming Office: Date assumed
O The period covered is J --J through
the date of leaving office.
❑ Candidate: EItcllon year and office sought, a deferent than Part 1:
4. Schedule Summary
3
Check applicable schedules or °None.^
► Total number of pages including this cover page:
F1 Schedule M1 • Irrvestmerds - schedule adached
is Schedule C - Income, Loans, 8 Business Positions - sctretlule attached
❑ Schedule A-2 - Investments - schedule attached
® Schedule D - Inopm , - Gifts - schedule attached
❑ Schedule B - Heal Property - schedule attached
❑ Schedule E - Income - Gilts - Timul Paym ols - schedule attached
-or.
❑ None - No reportable interests on any schedule
5. Verification
MAILING A00.'iESS STREET
CITY STATE LP GORE
(Brest vAg2'2y AMren' Rftimnlndel - R0k dannand
3109 Prospect Ave. Rosemead, CA 91770
DAYTIME TEIEPRONE NUMBER
EY L ADDRESS ((rF`hWQ
( 626 ) 833 -6673
darkeeesc@yahco.com
I have used all reasonable diligence in preparing this statement.
I have reviewed this statement and to the best at my knowledge the information contained
herein and in any attached schedules is We and Complete. I acknowledge this is a pudic document.
I cerofy under penally of perjury under the laws of the State of California that the rereading Is we and correct.
Dam Signed 02/16/2014
Signature
/row err wal
I "n'wh w.+aaean.m wwrMaRml
FM Form 700 (2013/2014)
FPPC Advice Email: advice @fppcce.90v
FPPC Tdl -Free Help fine: 966/2753712 w mvfppc.ce.9ov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
3, [Ole rellpWStilp T,)C
ADDRESS (Business Address Acceples
3f49 Ver� �P. C sNweleSCA
SUSwESSACTIVITYIr ANY 1 CURG 0O S
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑$500 -$1000 W $1 001
❑$'Door- $100000 ❑ OVER $Too 000
CONSIDERATION FOR MICH INCOME WAS RECEIVED
]] Salary fWS,dub, 's or registered d0brouic partner's income
E] Loan repayment ❑ Partnership
L Sale or - -.
,V'tPGar,, oar . boar em(
E] Commisse, Or E] Reolal IHou —, list eaeb source O V.. or more
❑ Omer
jCALIFoRNIA FORM 700
POLICAL PRACTICES COMMISSION
NAME OF SOURCE OF INCOME
ADDRESS (euslness Address Acceptance)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑$500 -$l coo El $1 001 - $10000
[-1 $10001 - $100000 ❑ OVER $100. ooD
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
E] Salary E] Spouse's or registered domestic partner's Inwme
[] Loan repayment ❑ Partnership
Sale P1 _.
� 1 (Real papertY m, Dael, elU
L ] CPmm6SOn e U Reolal Income. LN -i mina ,, $ lO WO nr mine
]] Other
' You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, 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' INTEREST RATE TERM (MOnmsNears)
ADDRESS RUeinese Address Acceptable)
BUSINESS ACTIVITY IF ANY OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
El $500 - 51 D00
F-1 $1 001 - $t0 O00
[] sic— - $100,000
❑ OVER $100000
b L' None
SECURITY FOR LOAN
El None E] Personal assitlence
L] Real Property
E] Guarantor
L] Omer
Ye-si
Comments: _.. _-
FPPC Form ]00(2013/2014) Sch. C
FPPC Advice Email: advice @fppcca.gov
FPPC Toll Free Helpline: 866/225 -3222 www 1 ppa.ca.go r
SCHEDULE D
income – Gifts
NAME OF SOURCE (NN an AslMym)
r ,Ulan\ a„," $rcAS "p
ADDRESS BPfineaa Ancre. A.PBvv)
i14N S Flower �- l.�5���. �
BUSINESS 1ACTIIVVITY IF ANY, OF SOURCE
M I \fM
CAT
mM00lyy) VALUE DESCRIPTION OF GIFT(S)
SjL-a2,13 A 85 ou D e r C- cP
JJ— a
JJ— r
a NAME OF SOURCE (Nat an Acmnym)
iAC. F Cal For a Ciies
AOOR (BUSness Adcvts, Asrepfa 10
yOU Ij• SITee� Scc ran7elTfOCH
BUSINESS ACTIVITY IF ANY OF SOURCE
F}�[Par. C cr- c(tes unAl t�w.lr reSldcr`h
DATE (mMtltl y) VALUE DESCRIPTION OF GIFTS)
JJyl2QL3 a 2G.9b' 13r i)�_
�J X47.8'7 r3e 04—f
dkAtl 1`t lch
NAME OF SOURCE (N, an A[mnyM)
ADDRESS (Buvness ApU2ss AGreplade)
BUSINESS ACTIVITY IF ANY OF SOURCE
DATE (MMUNyy) VALUE DESCRIPTION OF GIFT(S)
�--J— ` —
—ice— r
JJ— a--
Comments:
NAME OF SOURCE INw an Acmnym)
)) )c \In fn, uln n of
ADDRESS few.. AEdess Act le)
`7 I.u; alma Avc so. 0iJuvik Ck _
BUSINESS ACTIVITY, IF ANT OF SOURCE
OPTE (mMtlNyy) VALUE DESCRIPTION OF GIFT(S)
JJ 3a 7O. oo Z"r /°`sszs
a
Jam_ a
NAME OF SOURCE (Not an Acmnym)
ADDRESS ( B vnae5b5 AII reU [ epkru YIKCR
eadl
�L.�, Ay"In,brv- CIF _
BUSINESS ACTIVITY, IF ANT. OF SOURCE
DATE(MmiddfYy) VALUE DESCRIPTION OF GIFT(S)
10j,221Z13r 0 r. lllj-h {aoS r
J —J— a
_ —JJ— s
W NAME OF SOURCE (Not an Anonym)
(BUV— A. A— Itade)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mMtlNyy) VALUE DESCRIPTION OF GIFT(S)
f. —.
FPPC Form 700 (2013/2014) Sch. D
FPPC Advice Email: advice @Fppc.ca.8ov
FPPCToll -Free Helpline:866 /275 -37]2 wwwAmtc.w.Bov