Margaret Clark - AnnualSchedule Summary (required) ► Total number of pages including this cover page: 4
Schedules attached
❑ Schedule A-1 - Investments - schedule attached FX1 Schedule C - Income, Loans, 8 Business Positions - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
fx_1 Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gins - Travel Payments - schedule attached
-or- ❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address RacommeMed - Public Dominant)
8838 E. Valley Boulevard Rosemead CA 91770
( 626 )833-6673
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 03/21/2024 10:16 AM Signature Margaret F Clark
(eGnrh, dey yaep (File the oiginady signed Min-staWN14 with yearling WON)
FPPC Form 700 -Cover Page (202312024)
advice@)fppaca.gov • 866-275-3772 • wWv,JPPc.ca.gov
Pant -5
r-.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE ATTACHMENT
EXPANDED STATEMENT LIST
Rivers and Mountains
Southern CA Assn. of
Board Member
Regional Council
DESCRIPTION OF JURISDICTION
State Annual
California
SEE BELOW I Annual
01/01/23 - 12/31/23
01101/23 -12131 /23
Agency: Southern CA Assn. of Governments
Jurisdiction Type: Multi -county
Description: Multi -county Imperial, Los Angeles, Orange, Riverside, San Bernardino, Ventura
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
3111 Prospect Ave
CITY
Rosemead Ca 91770
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ s1o,001 - $100,000
❑X $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑X Ownership/Deed of Trust
❑
IF APPLICABLE, LIST DATE:
/ / 23 -j---j23
ACQUIRED DISPOSED
❑ Easement
Leasehold ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑X $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
Steven &Stephanie Valdez
ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Easement
❑ Leasehold ❑
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $50o - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
You are not required to report loans from a commercial lending institution 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`
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, If applicable
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (MonthwYears)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, 'rf applioable
Comments:
FPK Form 700 - Schedule B (2023/2024)
advice®fppc.a.gov • $$e-275-3772 • www.fppc.a.gov
Page -11
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Milo F. Jamison Bible Fellowship, Inc
ADDRESS (Business Address Acceptable)
P.O. Box 86548 Los Angeles, Ca 90012
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
President
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1.000 ❑ $1,001 - $10,000
0 $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑X Spouses or registered domestic partner's income
(For seg -employed use Schedule A-2.)
❑
Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
❑ Loan repayment
(Real property, car boat, etc)
❑ Commission or ❑ Rental Income, list each source of $10,000 or mare
Milo F. Jamison Bible Fellowship, Inc
(Descnbe)
❑ Other
(Oescnbe)
Name
NAME OF SOURCE OF INCOME
Margaret Clark
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
(Real property, caG boat, efc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or mora
(Describe)
❑ Other
(Oe9cnbe)
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`
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (MonthsNears)
a/o ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property Street adlress
chy
❑ Guarantor
❑ Other
(Descnbe)
FPPC Form 700 - Schedule C (2023/2020)
advice@fppc.".gov • 956-275-3772 • vrww.fppc.ca.lov
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