Monday Regan - Leaving (Recreation Supervisor) CALIFORNIA FORM700 STATEMENT OF ECONOMIC INTERESTS Date , ipd
COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION DEC ®� I�O�o
A PUBLIC DOCUMENT
Please type or print in ink. CITY CLERICS OFFICE
NAME OF FILER (LAST) (FIRST) B JDDLE)
REGAN MONDAY S
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 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
❑✓ City of ROSEMEAD ❑✓ Other
•
.3. Type of Statement (Check at least one box)
ElAnnual: The period covered is January 1, 2019, through XI Leaving Office: Date Left OC1/
IO1 / 2O/0
December 31, 2019. (Check one circle.)
•
-or-
The period covered is I I , through 0 The period covered is January 1, 2019, through the date of
December 31, 2019. leaving office.
-or-
El Assuming Office: Date assumed 0 The period covered is —1 , 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 ❑ Schedule C-Income, Loans, &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- LSI None - No reportable interests on any schedule
5. Verification •
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 EAST VALLEY BLVD.ROSEMEAD,CA 91770
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 626 ) 569-2100 Mr-ea co ►®oc o—Tf-Mswl-eal 0r
haveused reasonable diligence in preparing this statement. I have reviewed this statemtert and to the best of my'knowled a the information contained
Ise all g p p g g d�.
herein and in any attached schedules is true and complete. I acknowledgethis is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is t an rrect.
Date Signed /2626 Signature
(month,d y,year) (File the origin. ned paper statemen •.'. o r riling official.)
FPPC Form 700-Cover Page(2019/2020)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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