John B. Scott Date Ini is Fli eceived
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS RECEIVE° .
FAIR POLITICAL PRACTICES COMMISSION CITY OF ROSEMEAD
A PUBLIC DOCUMENT COVER PAGE
Please type or print in Ink
NAME OF FILER (LAST) (FIRST) CITY ClfgRIC6 OFFICE
Scott John
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
Public works Public Works Superintendent
A 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 bol)
❑State ❑Judge or Court Commissioner(Statewide Jurisdiction)
❑ Multi-County i]County of
Ox City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
O Annual: The period covered is January L 2017, through ❑ Leaving Office: Dale Left_ill
December 31, 2017. (Check one)
or-
The period covered is /_J ,through 0 The period covered is January 1, 2017,through the dale of
December 31, 2017. leaving office.
-or-
❑ Assuming Office: Date assumed 0 The period covered is , through
the date of leaving office.
Q Candidate: Date of Election and office sought, if different than Part t:
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 Poskions-schedule attached
• Schedule A-2- Investments-schedule attached ❑Schedule 0 -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
(Business or Agency Address Recommended-Public Documenp
8838 E. Valley Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 626 ) 5692260 jscott@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 Slate of California that the forego' s true a and / ct.
Date Signed 03-29-18 Signature �c/G `
mom day year) (FJ ns away wed latemenI nth your Meng official)
FPPC Form 700(2017/2018)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov