Matt HawkesworthRECEIVED
CITY Data MW
•' STATEMENT OF ECONOMIC INTERESTS FE13,12z0ff
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COVER PAGE
CITY CL RK50FFICE
Please type or print in ink.
S
NAME OF FILER acar)
(FIRST) IMInOIFI
Hawkesworth
Matthew Edward
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board Department, District, fi applicable
Your Position
Administration
Assistant City Manager /Finance Director
w If filing for multiple positions, list below or on an attachment.
(Do not use acronyms)
Agency.
Position:
2. Jurisdiction Of Office (Check at feast one box)
F State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County
❑ County of
[z] City of Rosemead
❑ Other
3. Type of Statement (Check at feast one box)
71 Annual: The period covered is January 1, 2013, through
❑ Leaving Office: Date Left J I
December 31, 2013.
(Check one)
or The period covered is JJ
, through O The period covered is January 1, 2013, through the date of
December 31, 2013
leaving office.
❑ Assuming Office: Date assumed
O The period severed is - — - J_i through
the date of leaving office.
❑ Candidate: Election year and office sought it different than Part 1
4. Schedule Summary
Check applicable schedules or "None."
Total number of pages including this cover page. 2
❑ Schedule A -1 - Investments - schedule attached
F1 Schedule C - Income. Loans. 8 Business Passions - schedule attached
❑ Schedule A -2 - Investments - schedule attached
W] Schedule D • Income- Gifts - schedule attached
❑ Schedule B•Real Property - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments- schedule attached
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❑ None - No reportable interests on any schedule
5. Verification
MAIL NS ADDRESS STREET
CITY STATE ZIP 000E
(MR,Z, w A9enry A.—, PemmmcMd F,.[Prervq
8838 E Valley Blvd Rosemead CA 91770
DAYTIME TELEPROAE NUMBER
EMAIL ADDRESS (OPTIONAL)
( 626 ) 569 -2107
mhawkesworth @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 hue 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 02 /1312014
Signature I Y - 4J,
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FPPC Form ]0012013/2014)
FPPC Advice Email: advice @fppc.ow.gov
FPPC Toll -Free Nelpline: 866 /275 -3772 www.fppc.w.gov
SCHEDULE D
Income — Gifts
* NAME OF SOURCE (NOl an Acronym)
Burke, Williams & Sorensen, LLP
ADDRESS (Business Address Acceptable)
444 South Flower Street, Suite 2400, Los Angeles
BUSINESS ACTIVITY, IF ANY OF SOURCE
City Attorney
DATE (mMEtllyy) VALUE DESCRIPTION OF GIFTS)
09j 25113 a 200.00 Dinner
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JJ— s
* NAME OF SOURCE (Not an Acmnym)
ADDRESS (BUVness Address Aceplable)
BUSINESS ACTIVITY IF ANY OF SOURCE
DATE (mmlddlyO VALUE DESCRIPTION OF GIFTS)
* NAME OF SOURCE (Nat an Acmnym)
ADDRESS (BUVness Address Aceptable)
BUSINESS ACTIVITY, IF ANY OF SOURCE
DATE (mMddlyy) VALUE DESCRIPTION OF GIFTS)
��— E
Comments:
CALIFORNIA FORM 700
TAIR POLITICAL PFACncr_s 'OLnbnsslOe
NAME OF SOURCE (Not an Acronym)
ADDRESS (Buvnaa,t Address Aceptable)
BUSINESS ACTIVITY IF ANY OF SOURCE
DATE (mm /ddtyy) VALUE DESCRIPTION OF GIFTS)
s
Jam— s
W NAME OF SOURCE (Not an Acmnym)
ADDRESS (Business Address Acceptab le)
BUSINESS ACTIVITY IF ANY OF SOURCE
DATE (mMddlyy) VALUE
NAME OF SOURCE (Not an Acmnym)
ADDRESS (Busmen, Addresa Acceptable)
DESCRIPTION OF GIFTS)
BUSINESS ACTIVITY IF ANY, OF SOURCE
DATE (mMddlyy) VALUE DESCRIPTION OF GIFT(S)
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FPPC Form ]0) (2013/2014) Sch.D
FPPC Advice Email: advice@fppc.n.gov
FPPC Toll -Free Helpline: 966/275.3772 wwv,Uppc.ra.gov