Campbell, Ron - 2017-2018 Form 700�ived
STATEMENT OF ECONOMIC INTERESTS R�ElWu�
PUBLIC COVER PAGE CITY CLERK'S OFFICE
Please type or print in ink. `G7 g s ),
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Campbell
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable
Public Works
Ron
T
Your Position
Wastewater Supervisor
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction Of Office (Check at feast one box)
❑ State
❑ Multi -County
0 City of El Segundo
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is I I through
December 31, 2017.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2017, through the date of
-or-
leaving office.
O 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: 1
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or-
p None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
350 Main Street ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER I E-MAIL ADDRESS
310 ) 524-2754 1rcampbell@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 documen -)
I certify under penalty of perjury under•the laws of the State of California that the for g I e and- od rrect. �
Date Signed Signature
(month, day, year) (File the originally signed sl emenl with your filing oftal.)
FPPC Form 700(2017/2018)
FPPC Advice Email: advlce@fppc.ca.gov
FPPC Toll -Free Helpllne: 866/275-3772 www.fppc.ca.gov