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Mendoza, Carlos - 2020-2021 FPPC Form 700RECEIVEID773� - STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink CITY' �ILMR,"tidFFICE Z-'/-s A,71 NAME OF FILER (LAST) (FIRST) (MIDDLE( Mendoza Carlos A 1. Office, Agency, or Court Agency Name (Do not use acronyms) El Segundo Police Department Division, Board, Department, District, if applicable Your Position Police Captain ► If fling for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of ILLI City of El Segundo ❑ Other 3. Type of Statement (Check at least one box) [1 Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left I December 31, 2020. (Check one circle.) -or- The period covered is ( ( O The period covered is January 1, 2020, through the date of .through p ry g December 31, 2020. leaving office. - or. ❑ Assuming Office: Date assumed O The period covered is i ) through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 1: 14. Schedule Summary (must complete) ► Total number of pages including this cover page: r Schedules attached r ❑ Schedule A-1 -Investments —schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ' ' ❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached t -or- a None - No reportable interests on any schedule I 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 348 Main St ElSegundo CA 90245 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS (310 ) 524-2251 lcmendoza@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 ' d correct. Date Signed 03/02/2020 Signature (monm, aay, year) (fir the omhlc7 -7r ed paW,4tomig %Ah your filing official) FPPC Form 700 - Cover Page (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5