Margaret Clark - Annual RECEIVED
•
OFPr'et:W AD
STATEMENT OF ECONOMIC INTERESTS Date nitial Filing Received
CALIFORNIA FORM 700 F' o ici u e Tly2
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
�1f CL ��;�OF
Please type or print in ink. • A PUBLIC DOCUMENT ®Y;
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Clark Margaret F •
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Rosemead •
Division, Board, Department, District, if applicable Your Position
Council Member
► 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 ❑Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County ❑County of
❑x City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2019,through ❑ Leaving Office: Date Left -
December 31, 2019. (Check one circle.)
-or-
The period covered is ,through 0 The period covered is January 1,2019,through the date of
December 31, 2019. -or-leaving office.
❑ Assuming Office: Date assumed 0 The period covered is ,through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 -Investments—schedule attached ❑x Schedule C-Income, Loans, &Business Positions—schedule attached
❑ Schedule A-2-Investments—schedule attached 0 Schedule D-Income—Gifts—schedule attached
❑ Schedule B-Real Property—schedule attached ❑ Schedule E-Income—Gifts—Travel Payments—schedule attached
-or- El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 Valley Boulevard Rosemead CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
(
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 true and correct.
Date Signed 3/02/2020 Signature /'�
(month,day,year) (File a originally signed paper statement with your filing official.)
FPPC Form 700-Cover Page(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-5
SCHEDULE C CAUFORNIA FORM 700
Income, Loans, & Business FAIR POIJTICALPRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Margaret Clark
> 1.INCOME RECBVED > 1.INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Bible Fellowship, Inc
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable) •
3149 Verdugo Rd.Los Angeles,CA 90065
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE •
YOUR BUSINESS POSITION • YOUR BUSINESS POSITION
GROSS INCOME RECEIVED 0 No.Income-Business Position Only GROSS INCOME RECEIVED 0 No Income-Business Position Only
p $500-$1,000 0$1,001 -$10,000 ❑$500-$1,000 ❑$1,001 -$10,000
0$10,001 -$100,000 ❑OVER$100,000 ❑$10,001 -$100,000 ❑OVER$100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED CONSIDERATION FOR WHICH INCOME WAS RECEIVED
El Salary X❑Spouse's or registered domestic partner's income ❑Salary ❑Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.) (For self-employed use Schedule A-2.)
❑Partnership(Less than 10%ownership.For 10%or greater use ❑Partnership(Less than 10%ownership.For 10%or greater use
Schdule A-2.) Schdule A-2.)
❑Sale of ❑Sale of
(Real property,car;boat,etc.) (Real property,car,boat,etc.)
❑Loan repayment ❑Loan repayment
❑Commission or ❑Rental Income,list each source of$10,000 or more ❑Commission or ❑Rental Income,list each source of$10,000 or more
(Describe) (Describe)
❑Other ❑Other
(Describe) (Describe)
> 2.LOAN RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD •
* You are not required to report loans from a commercial lending institution, or any indebtedness created as part
of a retail installment or credit card transaction, 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* INTEREST RATE TERM (Months/Years)
0 None
ADDRESS(Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY,OF LENDER 0 None ❑ Personal residence
Real Property street adaress
HIGHEST BALANCE DURING REPORTING PERIOD
❑$500-$1,000
• City
❑$1,001 -$10,000
El$10,001 -$100,000 El Guarantor
❑OVER$100,000
❑Other
(Describe)
Comments
FPPC Form 700-Schedule C(201912020)
advice@fppc.ca.gov•866.275.3772•www.fppc.ca.gov
Page 3 of 4
CALIFORNIA FORM 700
SCHEDULE D FAIR POLITICAL PRACTICES COMMISSION'
Income — Gifts Name
Margaret Clark
► NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE(Not an Acronym)
League of California Cities
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
1400 K St. Sacramento, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Advocacy for cities and their residents03 •
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
03/28/2019 $ 44 lunch $
06/13/2019 $ 46 lunch $
$ $
NAME OF SOURCE(Not an Acronym) • I. NAME OF SOURCE(Not an Acronym)
ADDRESS(Business Address Acceptable) ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$ $
$ $
$_ — $
I. NAME OF SOURCE(Not an Acronym) ► NAME OF SOURCE(Not an Acronym)
ADDRESS(Business Address Acceptable) ADDRESS(Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) DATE(mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$ $
$ — $
$ $
Comments:
FPPC Form 700-Schedule D(201912020)
advice@fppc.ca.gov•866.275.3772•www.fppc.ca.gov
Page 4 of 4