Pickens, Cynthia - 2018-2019 FPPC Form 700 - LeavingSTATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE
Please type Or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Pickens
1. Office, Agency, or Court
Cynthia ( Sindee)
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable Your Position
Library Librarian it
► 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
x❑ City of ElSegundo
3. Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2018, through
-or-
December 31, 2018.
The period covered is
December 31. 2018.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
■•
Leaving Office: Date Left 12 r 30 I 2019
(Check one circle.)
through • The period covered is January 1, 2018, through the date of
-or- leaving office.
O The period covered is —J I through
the date of leaving office.
and office sought, if different than Part 1:
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
-of- ❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
111 W. Mariposa ElSegundo CA 90245
310 ) 524-2771 ( spickens@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 12/30/2019
(month, day, year)
Signature
yourfilingomcial)
FPPC Form 700 (2019/2019)
FPPC Advice Email: advice@fppc.m.gov
FPPC Toll -Free Helpline: 866/2754772 www.fppc.w.gov
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