Berkman, Kenneth - 2017-2018 Form 700STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
Gate Initial 1 it 11, ved
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NAME OF FILER (LAST) (FIRST) G:\7 01Uujq • - "
Berkman Kenneth , bn
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Seugndo
Division, Board, Department, District, if applicable Your Position
Public Works Director
► 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
Position
❑ 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, 2017, through ❑ Leaving Office: Date Left
December 31, 2017. (Check one)
-or- 5 22 2017 O The period covered is January 1, 2017, through the date of
The period covered is through
December 31, 2017. -or-
El 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 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)
350 Main Street ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 310 ) 524.2356 1 kberkman@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.
Date Signed - - -- Signature
� (month, day,
(File the originally signed statement with your c.,n7 official.)
FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov