Poursabhian, Siavosh - 2020-2021 FPPC Form 700eived
STATEMENT OF ECONOMIC INTEREST§EC�Vtdl 1
CALIFORNIA FORm7OO COVER PAGE
FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT CITY CLERK'S OFFICE
Please type or print in ink. Y.F/z vo I
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Poursabahian Siavosh
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of El Segundo
Division, Board, Department, District, if applicable
Your Position
Development Services Department Division Manager
► 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
FE1 City of El Segundo
3. Type of Statement (Check at least one box)
P Annual: The period covered is January 1, 2020, through
December 31, 2020.
.or -
The period covered is 001 202
December 31, 2020.
❑ Assuming Office: Date assumed
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, 2020, through the date of
leaving office.
.or-
_ O The period covered is _ through
the date of leaving office,
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. 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- MNone - 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 STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
350 Main Street ElSegundo CA 90245
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
(310 ) 5242339 spoursabahian@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 03/05/2021 Signature
(mont , day, year)
signed paper sts;emeni with your filing
FPPC Farm 700 - Cover Page (2020/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5