Anderson, Carol Lynn - 2017-2018 Form 700STATEMENT OF ECONOMIC INTERESTS R��iM�Officialcial Usn aMy�,i
FAIR POLITICAL PRACTICES COMMISSION CITY CLERK'S OFFICE
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Anderson Carol Lynn
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable Your Position
Fire Department Sr. Management 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)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County
❑x City of El Segundo
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is through
December 31, 2017.
❑ Assuming Office: Date assumed I I
❑ Candidate: Date of Election
❑ County of
❑ Other _
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2017, through the date of
leaving office.
.or-
0 The period covered is I I 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:
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
.or-
❑x None - No reportable interests on any schedule
❑ 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)
314 Main Street ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 310 ) 524-2395 icanderson@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 correct.
�1
Date Signed 03/12/18 Signature
(month, day, year) (File the originally signed statement with your filing official.)
FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov