Hentzen, Christopher - 2019-2020 FPPC Form 700STATEMENT OF ECONOMIC INTERESTS RECEPVED, eiv,-_d
Please type or print in ink.
NAME OF FILER (LAST)
COVER PAGE
A PUBLIC DOCUMENT
(FIRST)
Hentzen Christopher
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Citv of El Segundo
CITY CLERK'S OFFICE
3/z12_�z� @ 9 'S,3i;iiq
(MIDDLE)
Division, Board, Department, District, if applicable Your Position
Recreation and Parks Department Park Maintenance Superintendent
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
xi City of ElSegundo
3. Type of Statement (Check at least one box)
x❑ Annual: The period covered is January 1, 2019, through
December 31, 2019.
-or-
The period covered is
December 31, 2019.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one circle.)
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- p None - No reportable interests on any schedule
T 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)
350 Main ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 310 ) 524-2716 1 chentzen@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 ue and correct.
Date Signed 2/26/2020 Signature
(month, day, year) (9 theodginallysignedpaper ment th rfFng
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • e66-275-3772 • www.fppc.ca.gov
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