Beverly Mabb-Morten - Annual (Parks Commissioner) CITY OF ROSEMEAD
CALIFORNIA FORM
70.0 STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
FuinalULal3fb.02O
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
CITY CLERICS OFFICE
Please type or print in ink. A PUBLIC DOCUMENT BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
(A1( ,bio v 014-&n
1. Office, Agency, or Court
A e cy Name (Do noy acronyms) �•
V4 use 2C.Gr.rct on Cow\ at()SS 6 L.:bv ,vidss(
Division, Board, Department, District, if applicable Your Position
I. 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 Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County ❑County of
t City of Ti`c i Pac 0 Other
3. Type of Statement (Check at least one box)
[a4nnual: The period covered is January 1, 2019,through [zr Leaving Office: Date Left I ZO C 4:)
December 31, 2019. (Check one circle.)
-or-
The period covered is ,through l� The period covered is January 1, 2019,through the date of
December 31, 2019. -or-leaving office.
0 Assuming Office: Date assumed —1 0 The period covered is—J_I ,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
�chedule A-1 -Investments–schedule attached ❑ Schedule C -Income, Loans, 8 Business Positions–schedule attached
❑ Schedule A-2-Investments–schedule attached ❑ Schedule D -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 ) 9i d
MAILING ADDRESS STREET 4ITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( ) `-
nowledge 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.
r
/ v 1 Signatuf'/
Date Signed 4' ,/ /iiIIi Alf _/` Al '
/ (month,day,year) (File the o/nallysigned paper statement with your tiling official.)
FPPC Form 700-Cover Page(2019/2020)
advIce@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
Page-5
SCHEDULE A-1 700
CALIFORNIA FORM
Investments FAIR,POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
P. NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY
fr.g4eAr9iri 5c ?cive✓ t'Vi'OY)
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE FAIR MARKET VALUE
6]$2,000-$10,000 0$10,001 -$100,000 [vr$2,000-$10,000 0$10,001 -$100,000
❑$100,001 -$1,000,000 ❑ Over$1,000,000 D$100,001 -$1,000,000 ❑ Over$1,000,000
NATURE OF INVESTMENT NATURE OF INVESTMENT
rzr Stock ❑Other ❑ Stock ❑Other
(Describe) (Describe)
'Partnershipncome Received of$0-$499 ❑ Partnership 04come Received of$0-$499
0 Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
_J—lam —J-1_19._ _i____/ 19 —J_1.9.
ACQUIRED DISPOSED ACQUIRED DISPOSED
► NAME OF BUSINE,SS ENTITY ► NAME OF BUSINESS ENTITY
C°alu kdnl
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS
FAd$MARKET VALUE FAIR MARKET VALUE
2, 000-$10,000 0$10,001 -$100,000 2/$2,000-$10,000 0$10,001 -$100,000
❑ $100,001 -$1,000,000 ❑ Over$1,000,000 ❑$100,001 -$1,000,000 ❑ Over$1,000,000
NAT RE OF INVESTMENT NATURE OF INVESTMENT
[Stock ❑Other ❑ Stock ❑Other _
(Describe) (Describe)
Er Partnership l4ncome Received of$0-$499 0 Partnership GYKorne Received of$0-$499
O Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
__j_/ 19 —J_____/ 19 • _j_i1_L _J—Ji 2
ACQUIRED DISPOSED ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY ► NAME OF BUSINESS ENTITY
P-14 f 1J
D
GENERAL DESCRIPTION OF THIS BUSINESS GENERAL SCRIPTION OF THIS BUSINESS
FAI MARKET VALUE FAI MARKET VALUE
2'$2,000-$10,000 0 $10,001 -$100,000 2$2,000-$10,000 0$10,001 -$100,000
❑ $100,001 -$1,000,000 ❑ Over$1,000,000 ❑$100,001 -$1,000,000 ❑ Over$1,000,000
NA URE OF INVESTMENT NATURE OF INVESTMENT CR_g 1/
)
g- tock ❑Other [v]'Stock ❑Other /` I
(Describe) (Describe)
❑ Partnership Income Received of$0-$499 ❑ Partnership Income Received of$0-$499
o Income Received of$500 or More(Report on Schedule C) 0 Income Received of$500 or More(Report on Schedule C)
IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED ACQUIRED DISPOSED
Comments:
FPPC Form 700-Schedule A-1(2019/2020)
advice@fppc.ca.gov•S66-275-3772•www.fppc.ca.gov
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