Mendoza, Carlos - 2018-2019 FPPC Form 700STATEMENT OF ECONOMIC INTEREST I tial i t.I
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Please type or print in ink.
COVER PAGE
A PUBLIC DOCUMENT
CITY
NAME OF FILER (LAST) (FIRST) . (MIUMC)
hApnrin7a Carlos Anthony
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
PI Spniinrin Police Department
Division, Board, Department, District, if applicable Your Position
Field Operations Bureau Police Captain
► 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
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018, through
December 31, 2018.
-or-
The period covered is —
December 31, 2018.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other —
❑ Leaving Office: Date Left I I
(Check one circle.)
through O The period covered is January 1, 2018, through the date of
-or- leaving office.
O The period covered is �_J through
the date of leaving office.
and office sought, if different than Part 1:
ICE
Li0n^
4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1
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- 0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
348 Main Street
( 310 ) 524-2251
CITY
ElSegundo
EMAIL
STATE ZIP CODE
CA 90245
cmendoza@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 foregoin is rue correct.
Date Signed February, 14, 2019 Signature
(month, day, year) (File the originally signed paper statement with your filing official.)
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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