Shilling Form 700 2018.2019Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS Date Initial F I eceivc�
COVER PAGE
A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST) �\�'% A(MIII
E)
Shilling Mona Frances rr
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable
City Clerk's Office
Your Position
Deputy City Clerk II
► 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)
❑ State
❑ Multi -County
❑x City of El Segundo
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018, through
December 31, 2018.
-or-
The period covered is
December 31, 2018.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
i I
through
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other —
❑ Leaving Office: Date Left
(Check one circle.)
Q The period covered is January 1, 2018, through the date of
-or- leaving office.
O The period covered is through
the date of leaving office.
and office sought, if different than Part 1
4. Schedule Summary (must complete) Ili -Total number of pages including this cover page: L
Schedules attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- ❑ None - No reportable interests on any schedule
❑x Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
350 Main Street ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 310 ) 524-2307 mshiIling@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 document.
I certify under penalty of perjury under the laws of the State of California that the foregoing is true and cArect.
Date Signed ��' 7 y7
(month, day, year)
Signature
FPPC Form 700(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
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SCHEDULE C • -
Income, Loans, & Business
Positions Name
(Other than Gifts and Travel Payments) Mona Shilling
NAME OF SOURCE OF INCOME
Vacco Industries Inc.
ADDRESS (Business Address Acceptable)
10350 Vacco Street
BUSINESS ACTIVITY, IF ANY, OF SOURCE
South El Monte, CA 91733
YOUR BUSINESS POSITION
Project Engineer
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,00, - $100,000 ❑X OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑X 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, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
NAME OF SOURCE OF INCOME
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 domesf pariner'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, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other I I ❑ Other
(Describe) (Describe)
* 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' INTEREST RATE TERM (MonthsNears)
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: —
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
City
❑ Guarantor
❑ Other
(Describe)
FPPC Form 700(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
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