HomeMy WebLinkAboutForm 700 - 2020 - Mahlke, Jennifer (Leaving Office)STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
CALIFORNIA FORm7OO
Filing Official Use Only
POLITICALFAIR " COVER PAGE Filed Date: 02/18/2021 05:54 PM
Please type or print in ink. A PUBLIC DOCUMENT SAN: FPPC
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Mahlke Jennifer L
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Diamond Bar
Division, Board, Department, District, if applicable Your Position
City Council Member
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: SEE ATTACHED LIST Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
x❑ City of Diamond Bar
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2019, through
December 31, 2019.
-or-
The period covered is I through
December 31, 2019.
❑ Assuming Office: Date assumed I
❑ Candidate: Date of Election
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
n (.nunty of
❑ Other
❑x Leaving Office: Date Left 12 / 01 / 2020
(Check one circle.)
Q The period covered is January 1, 2019, through the date of
-or-
leaving office.
® The period covered is 01 / 28 / 2020 through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) P. Total number of pages including this cover page: 2
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- x❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
STATE ZIP CODE
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
02/18/2021 05:54 PM
(month, day, year)
Signature
(File the originally signed paper statement with your filing official.)
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE ATTACHMENT fie'
Jennifer Mahlke
EXPANDED STATEMENT LIST