700 Interwest Group (Beehler) 2020RECEIVED
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME DF FILER BLAST) (FIRST) (MIDDLE)
K6_r1j
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C� LA via � rA
Division, Board, Department, District, 9 applicable Your Position
s If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Clete Iniflai Fil,ng Received
CITY OF LA 0.1INTA
CITY CLERK DEPARTMENT
Agency, Position;
2. Jurisdiction of Office (check at feast one box)
❑ State ❑ Judge, Retired Judge, Pro Tom Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Mufti -County ❑ County of
N-City of t-/-4 ❑ Other
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left
December 31, 2020. (Check one circle.)
-or.
The period covered is �� through O The period covered is January 1, 2020, through the date of
December 31, 2020, •or -
leaving office.
❑ Assuming Office: Date assumed r O The period covered is f 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 includingr this cover page:
' Schedules attached
❑ Schedule A•i • irrvestrrrenls -schedule attached ❑
Schedule C - Income, Loans. & Business Positions - srhadule attached '
' ❑ Schedule A-2 - fnveslmeafs -schedule attached ❑ Schedule D - fnco►ne - Gifts - schedule attached '
' ❑ Schedule B . Reai Pr
operty rty —schedule attached El Schedule E - lnCorne — GrRs -Travel Payments - schedule attar-fretf �
-41- 'jg None - No reportable interests on any schedule
5. Verification
HARING ADDRESS STREET CITY STATE ZJP CODE
(8osvwess orAgemy Address Recommended - PAt aoawa&v)
/ �
DAYTINTE TELEPHONE NUMBER AAIL ADDRESS
( !��LQ�'
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 Callfomia that the fvregoi s true and k 1.
Date Signed 3 d Z3_ 7S Z( Signature
math, day,r
ID ! (
FPPC Form 7D0 -Cavm Page(2020/2021)
a"'E!@rPPc.ca.eov * W&275 3772 • www.fppc,ca.gov
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