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Monday Regan3. Type of Statement (Check at toast one box) © Annual: The period covered is January 1, 2013, through ❑ Leaving Once: Date Left J___l December 31, 2013 (Check one) -or. The Period covered is J__J ,through O The period covered is January 1, 2073, through the date of December 31, 2013, leaving office. ❑ Assuming Office: Date assumed __J ------ J O The period covered is I through the date of leaving office. ❑ Candidate: Election year and office sought if different than Part 1: 4. Schedule Summary RECEIVED ► Total number of pages including this cover page: ❑ Schedule A-1 - Investments - schedule attached CITYOf; Imfilwo 1) EMN ' •' •" � � STATEMENT OF ECONOMIC INTERESTS MAR -2 72614 i ' • • COVER PAGE 'Or. ❑ None - No CT' CLEgN'8 OFPICE Please type or print in ink. BY: NAME OF FILER Boolin (FIRST) (MIDDLE) Regan Monday Sarah DAYTIME TELEPHONE NUMBER 1. Office, Agency, or Court EMAIL ADDRESS IOPTIONALI ( 626 1 569 -2255 Agency Name (Do not use acronyms) 1 have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information Contained City of Rosemead 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. Division, Board, Department, District if applicable Your Position Date Signed Parks and Recreation Recreation Supervisor Hi1e"irreo�amarvnvneo slelemeel niyaerMnv omuaJ � If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of sE City of Rosemead ❑ Other 3. Type of Statement (Check at toast one box) © Annual: The period covered is January 1, 2013, through ❑ Leaving Once: Date Left J___l December 31, 2013 (Check one) -or. The Period covered is J__J ,through O The period covered is January 1, 2073, through the date of December 31, 2013, leaving office. ❑ Assuming Office: Date assumed __J ------ J O The period covered is I 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 E] 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. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (BUncess wAgmry Adtlrau Rewmmwgep . PuMR Document) 8838 E Valley Blvd Rosemead CA 91770 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS IOPTIONALI ( 626 1 569 -2255 1 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. 03/26/2014 Date Signed Signature tmnrm oan mr) Hi1e"irreo�amarvnvneo slelemeel niyaerMnv omuaJ FPPC Form 700(2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPP[ Toll -Free Helpline: 866 /275 -3772 www.fppu.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) le ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 9234 Guess Street CITY Rosemead FAIR MARKET VALUE IF APPLICABLE. LIST DATE: F-1 $2poo - $101000 IF APPLICABLE. LIST DATE ❑ $2,000 - $10,000 ❑ $in nor - $100000 ❑ $To,001 - $Too, 000 13 $100001 - $1000000 ACQUIRED DISPOSED ❑ Over $1,000 000 NATURE OF INTEREST NATURE OF INTEREST ❑ Easement ❑ mosehole Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ vrs, lamer, User IF RENTAL PROPERTY GROSS INCOME RECEIVED 11 $o -u99 ❑$500 -$t coo ❑$1001- $10,000 ❑ $10001 - $100,000 ❑ OVER $too 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 CALIFORNIA FORM (00 FAIR POLITICAL PRACTICES CODDISSION ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE. LIST DATE ❑ $2,000 - $10,000 ❑ $To,001 - $Too, 000 —� 1= �� 13 ❑ $100,001 -$1 000.000 ACQUIRED DISPOSED ❑ over s1 0ot 000 NATURE OF INTEREST ❑ Ownersmp/Deed of Coal ❑ Easement ❑ mosehole ❑ IF RENTAL PROPERTY GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1 000 ❑ $1,001 $10000 ❑ $10,001 - $100000 ❑ OVER $100000 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 RmPess Redress Acceptable) BUSINESS ACTIVITY, IF ANY OF LENDER INTEREST RATE TERM (MonthslYears) b ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑$500 -$1000 El $1 001 - $'0,000 ❑ $10 001 - $100,000 ❑ OVER $100000 ❑ Grai nroc d applicable Comments: NAME OF LENDER' ADDRESS (auslness Aeeress ReCepraOle) BUSINESS ACTIVITY, IF ANY OF LENDER INTEREST RATE TERM (MOntmEmals) H ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑$500 -$+000 ❑$1 00+- $to,000 ❑ $10,00+ - $100 000 ❑ OVER $+011,000 ❑ Guamnmr It appli,able FPPC Form 200(2013/2014) Sch. B FPPC Advice Email: advice @fppc.T .gov FPPC Tall -Free Helpline:866 /225 -3222 www.fppc.ca.gov