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Monday Regan RECEIVED Date MmNIGRAIrKISROI AD CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS -- - - - - FAIR POLITICAL PRACTICES COMMISSION _.. A PUBLIC DOCUMENT COVER PAGE CITU CLERK'S OFFICE Hesse type or print in ink. B". NAME OF FILER ILASTI (FIRST) ---- Regan Monday Sarah 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 If fillrg for multiple positions, list below or on an attachment. (Do not use acronyms) Agency Position: 2. Jurisdiction of Office (Check at least one box) Li State ❑Judge or Court Commissioner(Statewide Jurisdiction) ❑Multi-County Li County of 0 City of Rosemead ❑Other 3. Type of Statement (Check at least one box) O Annual: The period covered is January 1, 2017, through El Leaving Office: Date Left December 31.2017. (Check one) Dec period covered is through 0 The period covered is January 1, 2017,through the dale of �� December 31, 2017. leaving office. -ory ❑ Assuming Office: Date assumed O The period covered is__I ,through the date of leaving office. ❑ Candidate: Dale of Election and office sought, if different Ihan Part I 4. Schedule Summary (must complete) • Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 -Investments—schedule attached ❑Schedule C-Income, Loans, 8 Business PosRions—schedule attached ❑ Schedule A-2-Investments—schedule attached ❑Schedule D-Income— Gifts—schedule attached I] 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 ADORFSS CTREET CITY STATE CP CODE layslmn'or Agency Address Reewmended.%sue Uccument) 8838 E Valley Blvd Rosemead CA 91770 DAYTIME TF I EN IONE NUMBER EMAIL ADDRESS ( 626 ) 569-2255 mregan@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 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 and correct. i > 03/12/2018 Date Signed Signature �_7 9 npnlR day.yaeQ � eitFlAe ongAvllyeJgneae{elert2rTMA your nFngohGal) FPPC Form 700(2017/2018) FPPC Advice Email:advice@(ppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov CALIFORNIA FORM 700 SCHEDULE B FAIR POLITICAL PRACTICES COMMISSION Interests in Real Property Name (Including Rental Income) Monday Regan le ASSESSOR'S PARCEL NUMBER OR STRIAE-ADDRESS le ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 9234 Guess Street CITY CITY Rosemead CA 91770 FAIR MARKET VALUE IF APPLICABL E. LIST DATE FAIR MARKET VALUE IF APPLICABLE, LIST DATE'. ❑$2,000-$10,000 ❑ $2,000-$10,000 ❑$10,001 -$100000 f_/ 17 /_r17 ❑ SIC 001-5100,000 l / 17 I / 17 ❑% $100.001 -$1000000 ACQUIRED DISPOSED u5100.001 -$100C 000 ACQUIRED DISPOSED ❑ Over$1.000 000 ❑ over$1,000,000 NATURE OF INTEREST NATURE OF INTEREST QX Ownership/Deed of Trus: ❑ Easement ❑ Ownershiwoeed of Trust ❑ Easement ❑ Leasehold ❑ ❑ Leasehold El Y s.Sena nir9 Other yrs remaining Dther IF RENTAL PROPERTY,GROSS INCOME RECEIVED IF RENTAL.PROPERTY. GROSS INCOME RECEIVED Oso-$499 E$500-$1000 ❑ $1:50l -810000 E$0-$499 EL$500-51.000 ❑stool -$10,000 $10,001 -$100,000 ❑ OVER$100,000 ❑$".0,001 -$100.000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME If you own a 10% or greater SOURCES OF RENTAL INCOME. If you Own a 10%/v 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$10,000 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(Baseless Address Acceptable) ADDRESS(ausncse Address Acceptable) BUSINESS ACTIVITY IF ANY. OF LENDER BUSINESS ACTIVITY, IF ANY OF LENDER INTEREST RATE TERM(Months/Years) INTERFST RATE TERM(Months/Years, % ❑ None m ❑ None HIGHEST BAI ANCE DURING REPORTING PERIOD HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500-$1000 ❑$1001 -$10000 ❑$500-51.000 ❑$1.001 -51ooco ❑ $10,001 -$100,000 ❑ OVER $100.000 ❑$10.001-s100000 9 OVER 5100,000 ❑ Guarantor, if applicable 9 Guarantor ''appl.able Comments: FPPC Form 700(2017/2018)Sch.B FPPC Advice Email:advice@fppc.ca.gov FPPC Toll-Free Helpline:866/275-3772 www.tppc-ca.gov