Margaret Clark - Annual (Councilmember) RECEIVED
70'O STATEMENT OF ECONOMIC INTERESTS Date IBIt # °ifs'" J
CALIFORNIA FORM Filing Official Use Only
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAE 9UV
. A PUBLIC DOCUMENT
Please type or print in ink. CITY CI,EI3K'pi9FP6GE
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
Councilmember
► 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)
0 State ❑Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County CA 0 County of CA
•
❑City of Rosemead 0 Other
3. Type of Statement (Check at least one box)
lg Annual: The period covered is January 1,2020,through ❑ Leaving Office: Date Left
December 31,2020. (Check one circle.)
-or-
The period covered is I I ,through 0 The period covered is January 1,2020,through the date of
December 31, 2020. -or-leaving office.
❑ Assuming Office: Date assumed—J— i 0 The period covered is—J—J ,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 0 Schedule C-Income, Loans, &Business Positions–schedule attached
0 Schedule A-2-Investments–schedule attached ❑ Schedule D-Income–Gifts–schedule attached
El Schedule B-Real Property–schedule attached .❑ Schedule E-Income–Gifts–Travel Payments–schedule attached
-or- D None - No reportable interests on any schedule •
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP.CODE
(Business or Agency Address Recommended-Public Document)
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 March 9, 2021 Signature )�k_
(month,day,year) (Fileth ginaiysignedpaperstatementwdhyourfilingotficial.)
FPPC Form 700-Cover Page(2020/2021)
advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov
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