Herbert, Mark - 2018-2019 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS RECEIVED `.
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE CITY CLERK'S OFFICE
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Herbert Mark Edward
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
El Segundo Public Library
Division, Board, Department, District, if applicable Your Position
Senior Librarian
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County ❑ County of
❑x City of ElSegundo ❑ Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left �—
December 31, 2018. (Check one circle.)
-or-
The period covered is 1 ( through O The period covered is January 1, 2018, through the date of
December 31, 2018. -or- leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is I 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 C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or- Z None - No reportable interests on any schedule
5. Verification
ua, ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
111 W. Mariposa Avenue ElSegundo CA 90245
I I TELEPHONE NUMBER EMAIL ADDRESS
( 310 ) 524-2732 1 mherbert@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 February 27, 2019
(month, day, year)
Signature
(File the originally signed paper statement with your filing omcial.)
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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