Palacious, Monserrat - 2020-2021 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT CITY CLERKS OFFICE
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NAME OF FILER (LAST) (FIRST) (MIDDLE)
Palacios Monserrat
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 Senior Administrative Analyst
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
A State
❑ Multi -County
0 City of El Segundo
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left I
December 31, 2020. (Check one circle.)
-or-
The period covered is I through O The period covered is January 1, 2020, through the date of
December 31, 2020. -or-
leaving office.
❑ Assuming Office: Date assumed O The period covered is . 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 3
-or- All None - No reportable interests on any schedule y
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
350 Main St. ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
010 ) 524-2882 mpalacios@elsegundo.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 kis
I certify under penalty of perjury under the laws of the State of California that the fornd c rect.
Date Signed 2/17/20201 Signature
(monm, day, years your
FPPC Form 700 - Cover Page (2020/2021)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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