Farias, Jazmin - 2019-2020 FPPC Form 700 -signedCALIFORNIA FORm7OO STATEMENT OF ECONOMIC INTERESTk(: "*171118ived
COMMISSIONFAIR POLITICAL PRACTICES COVER PAGE
CITY CLERK'S OFFICE
Please type or print in ink. A PUBLIC DOCUMENT 6'gel.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Farias Jazmin
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable Your Position
Planning & Building Safety License/Permit Tech
► 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 ElSegundo
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2019, through
December 31, 2019.
.or -
The period covered is _ 09 16 2019_ 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 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: 0
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
5. Verification
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE
(Business or Agency Address Recommended - Public Document)
350 Main St ElSegundo CA
DAYTIME TELEPHONE NUMBER. EAIL ADDRESS
( 310 ) 524-2380 ]p�erMitSmits@elsegundo.org
ZIP CODE
90245
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 03/12/2020
(month, day, year)
Signature —
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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