Farias, Jazmin - 2020-2021 FPPC Form 700CALIFORNIA - STATEMENT OF ECONOMIC INTERESTS RE.GEIV, nq v-
FAIR -,m7OO COVER PAGE C�-� CLERK'S OFFICE
A PUBLIC DOCUMENT
Please type or print in ink. I
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
Developmental Services
Your Position
License Permit Specialist I
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at feast one box)
❑ State
❑ Multi -County
�i City of El Segundo
3. Type of Statement (Check at least one box)
m Annual: The period covered is January 1, 2020, through
December 31, 2020.
.or -
The period covered is 1� 31 2020 , through
December 31, 2020.
❑ 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.)
O The period covered is January 1, 2020, through the date of
leaving office,
.or-
0 The period covered is 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: 1
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- ❑I■ 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)
350 Main St ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
(310 ) 524-2380 permits@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 02/11/2021 Signature
(month, day, year)
offic4l)
FPPC Form 700 - Cover Page (2020/2021)
advice@fppc.ca.gov - 966-275-3772 - www.fppc.ca.gov
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