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Baldenegro, Maria - 2019-2020 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS REttlV ived COVER PAGE CITY CLERK'S OFFICE Please type or print in ink. A PUBLIC DOCUMENT cs / U ffvJ NAME OF FILER (LAST) (FIRST) (MIDDLE) BALDENEGRO MARIA 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF EL SEGUNDO Division, Board, Department, District, if applicable Your Position PLANNING AND BUILDING SAFETY DEPARTMENT ASSISTANT PLANNER P. 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) 0 Annual: The period covered is January 1, 2019, through December 31, 2019. .or - The period covered is through December 31, 2019. ❑ Assuming Office: Date assumed I I ❑ Candidate: Date of Election Position ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left I I (Check one circle.) O The period covered is January 1, 2019, 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: 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) 350 MAIN STREET DAYTIME TELEPHONE NUMBER ( 310 ) 524-2341 CITY EL SEGUNDO EMAIL ADDRESS STATE ZIP CODE CA 90245 MBALDENEGRO@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 c3�2 Signature (month, day, year) paper statement with yourlNoq official.) FPPC Form 700 - Cover Page (2019/2020) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5