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CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS r, rCf� 21
FAI R POLITICAL A COMMISSION
A PUBLIC DOCUMENT COVER PAGE CITY CLERKS GPFICE
BY:
Please type or pnnt in ink.
NAME OF FILER (UST) (FIRST) (MIDDLE)
Regan Monday
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department,District, if applicable Your Position
Parks and Recreation Recreation Supervisor
Iry 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 0 Judge or Court Commissioner(Statewide Jurisdiction)
0 Multi-County 0 County of
71 Coy of Rosemead j Other
3. Type of Statement (Check at least one box)
lZ Annual: The period covered is January 1, 2015,through 0 Leaving Office: Date Left
December 31,2015. (Check one)
or-
The period covered is through 0 The period covered is January 1.2015,through the date of
December 31.2015. leaving office.
-or-
0 Assuming Office: Date assumed O The period covered is_1_1 through
the date of leaving office.
0 Candidate: Election year and office sought, if different than Pad 1:
4. Schedule Summary(must complete) ► Total number of pages including this cover page:
Schedules attached
0 Schedule A-1 •Investments-schedule attached 0 Schedule C-Income, Loans, 8 caginess Positions-schedule attached
❑ Schedule A-2•Investments-schedule attached 0 Schedule D•Income-Gifts-schedule attached
[r]Schedule B•Real Property-schedule attached 0 Schedule E-Income-Gifts-Travel Payments-schedule attached
-or-
0 None- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
Access orAgencyAddress Re commended-Public Document/
8838 East.Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2100
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 nd correct.
Date Signed 2. o Signature
(mwP.Say year) File tyKrigle Jr veiled el e YourMna JTelM)
FPPC Form 700(2015/2016)
FPPC Advice Email:adviceefppc.ca.gov
FPPC Toll-Free Nelpline:866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION
Interests in Real Property
(Including Rental Income)
• ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS • ASSESSORS PARCEL NUMBER OR STREET ADDRESS
CITY CITY
05"e vt,eRD CA " 11-1
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FAIR MARKET VALUE IF APPLICABLE,LIST DATE: FAIR MARKET VALUE IF APPLICABLE,LIST DATE.
❑$2,000-$10,000 ❑52,000-$10,000
❑y 0,001-$100000 115 / If5 ❑ $10001-$100.0o0 J /15 / /15
Q.$100001 -$1 000000 ACQUIRED DISPOSED ❑$100,001 -$1000000 ACQUIRED DISPOSED
❑ Over 51000,000 ❑ Over$1,000,000
NATURE OF INTEREST NATURE OF INTEREST
❑OwnershIpMeed of Trust ❑ Easement ❑DwnershlplDeed of Trust ❑ Easement
❑ Leasehold ❑ ❑ Leasehold ❑
Yrs.ren.alnng Other Yrs.remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED IF RENTAL PROPERTY GROSS INCOME RECEIVED
❑$0-$49 9$500-$1,000 9 51001 -$10000 9 50-5499 9$600-$1000 9$1001 -510000
❑$10001 -$100000 ❑OVER 5100,000 ❑$10,001 -$100,000 ❑OVER$100000
SOURCES OF RENTAL INCOME. If you own a 10% Or greater SOURCES OF RENTAL INCOME. If you own a 10% or greater
interest, list the name of each tenant that is a single Source Of interest, list the name of each tenant that is a single source of
income of$10,000 or more. income of 510,000 or more,
❑None ❑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* NAME OF LENDER*
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY,IF ANY, OF LENDER BUSINESS ACTIVITY,IF ANY OF LENDER
INTEREST RATE TERM(Months/Years) INTEREST RATE TERM(MOMhsrtears)
% ❑ None % ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
9 5600-51.000 9 51,001-$10,000 ❑$soo-51,000 9 51001 .510000
❑$10,001-$100,000 ❑OVER 5100,000 ❑$10,001-$100,000 ❑OVER$100,000
❑Guarantor,if applicable ❑ Guarantor,if applicable
Comments:
FPPC Form 70013015/2016)Sch.
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov