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Bermudez, Jaime - 2019-2020 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS Dato Initial R eceivCALIFORNIA FORm7OO POLITICALFAIR COVER PAGE Please type or print in ink. A PUBLIC DOCUMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Bermudez Jaime 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of El Segundo Police Department Division, Board, Department, District, if applicable Your Position 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 Police Department Position' ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left I I December 31, 2019. (Check one circle.) -or- The period covered is December 31, 2019. ❑ Assuming Office: Date assumed ❑ Candidate: Date of Election through 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 Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached -or- S] 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 ZIP CODE (Business or Agency Address Recommended - Public Document) 348 Main Street ElSegundo CA 90245 DAYTIME TELEPHONE NUMBER ( 310 )524-2250 EMAIL ADDRESS ibermudez@elsegundo.org 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 und7penerjury under the laws of the State of California that the foregoing is true and correct.Date Signed 2' Signature amwZU, V'0A (month, day, year) (File the orgrna gnedpapersfata f wilh your filing official.) FPPC Form 700 - Cover Page (2019/2020) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page-5