Moreno, Austrebeto - 2017-2018 Form 700RECEIVED ed
STATEMENT OF ECONOMIC INTERESTSCITY CLERK'S OFFICE
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
moreno austreberto
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
city of el Segundo
Division, Board, Department, District, if applicable
streets
Your Position
streets maintenance supervisor
► 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)
F-1 County of
❑ Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left
December 31, 2017. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2017, through the date of
December 31, 2017. -or- leaving office.
❑ Assuming Office: Date assumed I I O The period covered is —J— I 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 -
El 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 C TY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
150 Illinois st ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 310 ) 524-2899 lamoreno@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.
3-21-2018 �-^�-
Date Signed 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