Kevin Frey - Annual (Human Resources Analyst) RECEIVED
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Date i iai ilfitgSgtttl d
Filing Official Use Only
CITY
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAR 1;'5 2021
A PUBLIC DOCUMENT
CLERK'S OFFICE
Please type or print in ink. BY:
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agcy, or Court
Agency Name (Do not use acronyms)
City of Rosemead
Division, Board, Department, District, if applicable Your Position
a/M0110itY\ ICVNAVVirk Human Resources Analyst
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 Tem Judge,or Court Commissioner
(Statewide Jurisdiction)
❑Multi-County 0 County of
City of Rosemead ❑Other
3. Type of Statement (Check at least one box)
❑� Annual: The period covered is January 1,2020,through ❑ Leaving Office: Date Left
December 31,2020. (Check one circle.)
-or-
The period covered is n / /267.0 ,through 0 The period covered is January 1,2020, through the date of
December 31,2020. leaving office.
-or-
Assuming Office: Date assumed 0 The period covered is I 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: 1
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
0 Schedule B-Real Property—schedule attached 0 Schedule E-Income—Gifts—Travel Payments—schedule attached
-or- U None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
8838 E.Valley Blvd. Rosemead CA 91770
DAYTIME TELEPHONE NUMBER \EMAIL ADDRESS
( 626 ) 569-2164 kfrey@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 State of California that the foregoing is true and correct.
Date Signed 03/11/2021 Signature Illh
(month,day,year) (File the originally ed.•.e a ement with your filing official.)
FPPC Form 700-Cover Page(2020/2021)
advi -^ . -.ca.gov•866-275-3772•www.fppc.ca.gov
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