HomeMy Public PortalAboutPfeiffer 700 form - 2018CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
STATEMENT OF ECONOMIC INTE
COVER PAGE
A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST)
Pfeiffer Andreanna
; -OF QEAUMVNT
CITY Cithk
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Beaumont
Division, Board, Department, District, if applicable Your Position
City Clerk
N. If filing 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 or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County ❑ County of
0 City of Beaumont ❑ Other
3. Type of Statement (Check at !east one box)
❑ Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left 12 / 18 l 2018
December 31, 2018. (Check one circle.)
-or-
The period covered is , through 0 The period covered is January 1, 2018, through the date of
December 31, 2018. .or. leaving office.
❑ Assuming Office: Date assumed 0 The period covered is —J , through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
d
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- x❑ None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income — Gifts — schedule attached
D Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
CITY
STATE
ZIP CODE
DAYTIME TELEPHONE NUMBER
(
EMAIL ADDRESS
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 _ tq11 7< 9
(month, day, year)
Signature
'•��_t�r1�f
(File the originally signed paperfiling official.)
FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page - 5
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Date Initial Filing Received
Official Use Only
NAME OF FILER (LAST) (FIRST)
Pfeiffer Andreanna
(MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Beaumont Parking Authority
Division, Board, Department, District, if applicable
Your Position
Secretary
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Beaumont Public Improvement Authority Position: Secretary
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County D County of
❑x City of Beaumont ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is _1 / , through
December 31, 2017.
❑x Assuming Office: Date assumed 05 15 1 2018
❑ Leaving Office: Date Left
(Check one)
O The period covered is January 1, 2017, through the date of
leaving office.
-or-
O The period covered is .J-1 , 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
D Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or-
D 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
(Business or Agency Address Recommended - Public Document)
550 E 6th St
CITY
Beaumont
STATE ZIP CODE
Ca 92223
DAYTIME TELEPHONE NUMBER
( 951 ) 769-8520
E-MAIL ADDRESS
APfeiffer@BeaumontCa.gov
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 _
/
214/1")
Signature C 1i
(month, day, year) (File the originally signed s
ent wit
:fling official.)
( FPPC Form 700 (2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov