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McCollum, Melissa - 2020-2021 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) MCCOLLUM MELISSA LOUISE 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF EL SEGUNDO Division, Board, Department, District, if applicable Your Position COMMUNITY SERVICES DEPARTMENT RLC ri ed. CITY CLERK'S OFFICE 31 pl1� 2 / C:) Z= qS.p COMMUNITY SERVICES DIRECTOR ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: SOUTHERN CALIFORNIA LIBRARY COOPERATIVE Position ADMINISTRATIVE COUNCIL MEMBER 2. Jurisdiction Of Office (Check at least one box) State X Multi -County LOS ANGELES, VENTURA X City of EL SEGUNDO 3. Type of Statement (Check at least one box) X Annual: The period covered is January 1, 2020, through December 31, 2020. .or - The period covered is —J I through December 31, 2020. ❑ Assuming Office: Date assumed i ❑ Candidate: Date of Election Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) F County of F Other Ll Leaving Office: Date Left (Check one circle.) [ The period covered is January 1, 2020, through the date of -or- leaving office. [ The period covered is through the date of leaving office. and office sought, if different than Part 1 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 5 Schedules attached U Schedule A-1 - Investments - schedule attached ❑ Schedule A-2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached -or- L None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 111 WEST MARIPOSA AVENUE U Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached STATE ZIP CODE EL SEGUNDO CA 90245 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS (310 ) 524-2730 1 MMCCOLLUMaELSEGUNDO.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 3/8/2021 Signature 'Vy(-1Q,(" (�> (month, day, year) (fife the -gin* signed paper st e-rd with yvw Bing official.) FPPC Form 700 - Cover Page (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5 SCHEDULE A-1 Investments FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) Investments must be itemized. MELISSA MCCOLLUM Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY ALPHABETINC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT © Stock ❑ Other (Describe) Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /20 / /20 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY APPLE GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 A $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT j Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � /20 — ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY CURIOSITYSTREAM INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT ffi] Stock ❑ Other ( escnbe) Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY DRAFTKINGS INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE $2,000 - $10,000 00 $10,001 - $100,000 $100,001 - $1,000,000 O Over $1,000,000 NATURE OF INVESTMENT ® Stock ❑ Other (Describe) Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY FARFETCH LTD GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE $2,000 - $10,000 [f $10,001 - $100,000 $100,001 - $1,000,000 Ej Over $1,000,000 NATURE OF INVESTMENT Stock E3 Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY FASTLY INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE $2,000 - $10,000 [; $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Stock Other tuescnoe) Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1 (2020/2021) advice@fppc.ca.gov - 866-275-3772 • www.fppc.ca.gov Page - 7 SCHEDULE A-1 CALIFORNIA FORm Investments 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) MELISSA MCCOLLUM Investments must be itemized. Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY INVITAE CORP GENERAL DESCRIPTION OF THIS BUSINESS GENETICS/HEALTH FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT lW Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY JUMIA TECHNOLOGIES GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 t20 —��2 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY LIFEMD INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY/HEALTH FAIR MARKET VALUE ❑ $2,000 - $10,000 © $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT �i Stock ❑ Other (uescnoe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY MICROSOFT CORP GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 [■J $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � /20 1 120 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY NVIDIA CORP GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 ® $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT FNI Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /20 _J 20 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY ONDAS HLDGS INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT U Stock ❑ Other ( ascribe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 20 / /20 ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1(2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 7 SCHEDULE A-1 CALIFORNIA FORm Investments 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) MELISSA MCCOLLUM Investments must be itemized. Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY PAGERDUTY INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 Q $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY PINTEREST INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 ® $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /20 /20 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY PROGYNY INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY/HEALTH FAIR MARKET VALUE ❑ $2,000 - $10,000 *1 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT F Stock ❑ Other escnbe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1/2_ /20 ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY ROKU INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 ® $10,001 - $100,000 ❑ $100,00, - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Q Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: —/_ /20 / /20 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY SHOPIFY INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 ® $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT EN( Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /20 —J-120 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY SLACK TECHNOLOGIES GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 FW- $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other ( escnbe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 20 /20 ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1(2020/2021) advice@fppc.ca.gov • 966-275-3772 • www.fppc.ca.gov Page-7 SCHEDULE A-1 CALIFORNIA FORm Investments 700 FAIR POLITICAL PRACTICES COMMISSION Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) MELISSA MCCOLLUM Investments must be itemized. Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY TALEND GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 W1 $10,001 - $100,000 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT �l Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule Q IF APPLICABLE, LIST DATE: _1 120 / /20_ ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY TELADOC INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001- $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /20 1 /2 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY TRADE DESK INC GENERAL DESCRIPTION OF THIS BUSINESS TECHNOLOGY FAIR MARKET VALUE ❑ $2,000 - $10,000 $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ■❑ Stock ❑ Other ( escnbe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 [ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _J /20 _� 120 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 LW $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT © Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /20 —J 120 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 EK $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT IN Stock ❑ Other tuescnbe) ❑ Partnership O Income Received of $0 -$499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: t20 1 12.0— ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1(2020/2021) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 7