Changiz Rezaei, Hamid - 2019-2020 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS RCCEEIVEDi,g7
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Please type or print in ink.
COVER PAGE
A PUBLIC DOCUMENT
CITY CLERK'S OFFICE
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Changiz Rezaei Seyed Hamid
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable
Planning & Building Safety
Your Position
Plan Check Engineer
► 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
❑ Multi -County
❑R City of ElSegundo
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of _
❑ Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left
December 31, 2019. (Check one circle.)
.or -
The period covered is I I through
December 31, 2019.
❑ Assuming Office: Date assumed .— l.�
❑ Candidate: Date of Election
0 The period covered is January 1, 2019, through the date of
-or-
leaving office.
0 The period covered is t_ —. 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: 1
Schedules attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- X None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
5. Verification
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
350 Main St.,Planning&Building Safety City of El Segundo
STATE ZIP CODE
CA 90245
310 ) 524-2371 1 hrezaei@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.
1
Date Signed 02/26/2020 Signature
(month, day, year) i the originally signed paper statement with your filing official.)
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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