Monday Reagan CEIVED
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date I�IIxw.Reoeipgslp
PAIR v COMMISSION ttJJnn trona)
ALPUBLICA DOCUMENT COVER PAGE _._
Please type or print in ink. CITY CLERKS OFFICE
NAME OF FILER GAST) FIRST)
Regan Monday Sarah
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City Rosemead
Division, Board, Department, District, if applicable Your Position
Parks and Recreation Recreation Supervisor
v 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)
❑Multi-County ❑County of
O City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
Ox Annual: The period covered is January 1, 2016,through ❑ Leaving Office: Date Left JJ
December 31,2016. (Check one)
or-
The period covered is J_/ , Through O The period covered is January 1, 2016,through the date of
December 31, 2016. or leaving office.
❑ Assuming Office: Date assumed O The period covered is JJ ,through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1'.
4. Schedule Summary (must complete) e. Total number of pages including this cover page:
Schedules attached
O Schedule A-1 -Investments-schedule attached 0 Schedule C-Income, Loans, 8 Business Positions-schedule attached
O Schedule A-2-Investments-schedule attached ❑Schedule 0-Income-Gifts-schedule attached
7 Schedule B-Peal Property-schedule attached ❑Schedule E-Income-Gifts-Travel Payments-schedule attached
-or-
❑ None• No reportable interests on any schedule
5. Verification
MAILING ADDRESS S-REET PIP STATE ZIP CODE
(Business Of Agency Address Recommended-Purim Document)
8838 E Valley Blvd Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 569-2255
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 allached 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 fore oing rya jnd correct.
Date Signed 03/09/2017 Signature
(montA,day year° tie Ilre supinely signed stammers Mp wW n ng ode()
FPPC Form 700(2016/2017)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
CALIFORNIA FORM 700
SCHEDULE B FAIR POLITICAL PRACTICES corn Mlssiro
Interests in Real Property Name
(Including Rental Income) Monday Regan
F ASSESSORS PARCEL NUMBER OR STREET ADDRESS • ASSESSORS PARCEL NUMBER OR STREET ADDRESS
9234 Guess Street
CITY CITY
Rosemead
FAIR MARKET VALUE IF APPLICABLE. LIST DATE: FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
❑$2,000-$10,000 ❑ $2,000-$10,000
❑$10,001 -$100,000 16 i6 ❑ $l cool -stoo,000 �J 16 _/_/ 16
0$100,001 -$1,000.000 ACQUIRED DISPOSED ❑$100,001 -E1,000p00 ACQUIRED DISPOSED
❑over$1.000 000 ❑over$1,000,000
NATURE OF INTEREST NATURE OF INTEREST
❑% Ownership/Deed of Trust ❑ Easement ❑ Ownership/Deed of Trust ❑ Easement
E Leasehold ❑ ❑ Leasehold 0
Yrs remalnlre Other era remaining Other
IF RENTAL PROPERTY,GROSS INCOME RECEIVED IF RENTAL PROPERTY GROSS INCOME RECEIVED
❑$0-$499 ❑$500-$1,000 ❑$1,001 -$10,000 0 SO-$499 ❑ $500-$1,000 ❑ $1,001 -$10000
❑$m001 -$mo,000 ❑ OVER$100,000 ❑$10001 -S10o000 ❑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 510,000 or more. income of$10,000 or more.
❑ None E 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(Months/Years)
% ❑ None % ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500-$1,000 ❑ $1,001 -$10,000 ❑$500-$1,000 ❑$1,001 -$10,000
❑$10om -sioa0o0 ❑ OVER$100,000 ❑ $10 001 -$100000 ❑ OVER$100000
❑ Guarantor. R applicable ❑ Guarantor. it applicable
Comments:
FPPC Form 700(2016/2017)Sch.B
FPPC Advice Email:advice@fppc.w.gov
FPPC Toll-Free Helpline:866/275-3222 www.fppc.ca.gov