File with: Seattle City Clerk
PO BOX 94728
Seattle, WA 98124-4728
Questions: (206) 684-8500
(206) 615-1248
polly.grow@seattle.gov

Deadlines:

SEEC FORM

F-1

SEEC
DOLLAR
CODE

(7/18)

Incumbent elected and appointed officials -- by April 15.
Candidates and others -- within two weeks of becoming a
candidate or being newly appointed to a position.

SEND REPORT TO Seattle City Clerk

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)

AMOUNT
$0
-$999
$1,000
-$4,999
$5,000
-$9,999
$10,000
-$24,999
$25,000
-$99,999
$100,000
-$199,999
$200,000
-$999,999
$1,000,000 -- $4,999,999
$5,000,000 or more

PERSONAL
FINANCIAL
AFFAIRS
STATEMENT

"immediate family" means: (a) a spouse or domestic partner, or (b) a parent, parent of a spouse or domestic partner, child, child of spouse or domestic
partner, sibling, uncle, aunt, cousin, niece or nephew, if that person either resides with or is a dependent on the Covered Individual's most recently filed
federal income tax return. SMC 4.16.080
Last Name

First

Mosqueda

Middle Initial

Teresa

Names of immediate family members. If there is no
reportable information to disclose for dependent children, or
other dependents living in your household, do not identify
them. Do identify your spouse or domestic partner.

C

Mailing Address (Use PO Box or Work Address) *

Manuel Valdes, Husband
Camila Valdes-Mosqueda, Child

2833 SW Nevada Street Unit B
City

County

Zip + 4

King

Seattle

98126
Office Held or Sought

Filing Status (Check only one box.)

Office title:

An elected or appointed official filing annual report
Final report as an elected official. Term expired:

Position number:

year

Candidate running in an election: month

Term begins:

Newly appointed to an elective office

1
Show Self (S)
Spouse (SP/DP)
Dependent (D)

City Councilmember
Pos. 8
ends:

2017

2011

List each employer, or other source of income (pension, social security, legal judgment, etc.) from which you or an
immediate family member, received compensation, in any form, of $2,400 or more during the period. Include stock
options received during the reporting period that had a value of more than $2,400.
(Report interest and dividends in Item 3.)
Amount: (Use Code)
Name and Address of Employer or Source of Compensation
Occupation or How Compensation Was Earned
INCOME

S
______

City of Seattle, PO Box 94669 Seattle, WA 98124

City Councilmember

( 6)

SP
______

Associated Press, 1000 Denny Way Suite 501, Seattle WA 98109

Reporter

( 5)

______
______

2

Check Here

)

(

)

if continued on attached sheet

REAL ESTATE

List street address, assessor’s parcel number, or legal description AND county for each parcel of Washington
real estate with value of over $12,000 in which you or an immediate family member held a personal financial
interest during the reporting period. (Show partnership, company, etc. real estate on F-1 supplement.)

Property Sold or Interest Divested

Assessed
Name and Address of Purchaser
Value
(Use 1-9 Code)

All Other Property Entirely or Partially Owned

Nature and Amount (Use Code) of Payment or
Consideration Received

(

)

(

)

(

)

(

)

Property Purchased or Interest Acquired

2833 SW Nevada Street Unit B, Seattle WA
98126

Check here

(

Creditor’s Name/Address

( 7)
( )
(
(

)
)

Payment Terms

Security Given

(eg. 20 yrs at 4.3%)
Homebridge, 115 NE
30
yrs at 3.5% 10% down
100th Street, Suite 110

Mortgage Amount - (Use Code)
Original
Current

( 7)
( )

( 7)
( )

(
(

(
(

)
)

)
)

if continued on attached sheet

CONTINUE ON NEXT PAGE

 3
A.

List bank and savings accounts, insurance policies, stock, bonds and other
intangible property (including but not limited to stock options) held during the
reporting period.
Income Amount
Asset Value
Type of Account or Description of Asset
(Use 1-9 Code)
(Use 1-9
Code)
Name and address of each bank or financial institution in which you
or an immediate family member had an account over $24,000 at any
( )
time during the report period.
( )
ASSETS / INVESTMENTS - INTEREST / DIVIDENDS

B.

Name and address of each insurance company where you or an
immediate family member had a policy with a cash or loan value over
$24,000 during the period.

C.

Name and address of each company, association, government
agency, etc. in which you or an immediate family member, owned or
had a financial interest worth over $2,400. Include stocks, bonds,
ownership, retirement plan, IRA, notes, stock options, and other
intangible property. If you or your immediate family member had
decision making authority regarding individual assets/investments list
each asset or investment, the value and any income amount.
EXAMPLE: If you self-directed an investment account identify each
stock or other asset in that account. Stock shall be reported by
market value at the time of reporting.

Lincoln Financial, Life
Insurance

( 6)

(

American Funds IRA/SEP

(2 )

(0)

(

)

(

)

(

)

(

)

American Funds 403B

( 2)

if continued on attached sheet.
List each creditor you or an immediate family member owed $2,400 or more any time during the
CREDITORS
period. Don’t include retail charge accounts, credit cards, or mortgages or real estate reported
in Item 2.
Terms of Payment
Creditor’s Name and Address
Security Given
WSECU, PO Box WSECU
(eg. 6 years at 5.25%)

0)

(0 )

Check here

4

Olympia, WA 98507

Check here

5
6

5 years, $357.05 a month

previous car

if continued on attached sheet.

AMOUNT
(USE 1-9 CODE)
original

current

( 4)

(

4)

(

(

)

)

Enter Dollar Amount
NET WORTH

98,000.00

Enter your estimated net worth.

$ ______________________

All filers answer questions A thru D below. If the answer is YES to any of these questions, the F-1 Supplement must also be completed as

part of this report. If all answers are NO and you are a candidate or an appointee to a vacant elective office filing your initial report, no F-1
Supplement is required.
Incumbent elected officials filing an annual financial affairs report also must answer question E. An F-1 Supplement is required of these
officeholders unless all answers to questions A thru E are NO.
A.

At any time during the reporting period were you and/or an immediate family member (1) an officer, director, general partner or trustee of any corporation, company, union,
association, joint venture or other entity or (2) a partner or member of any limited partnership, limited liability partnership, limited liability company or similar entity including
but not limited to a professional limited liability company? _____
n If yes, complete Supplement, Part A.

B.

Did you and/or an immediate family member have an ownership of 10% or more in any company, corporation, partnership, joint venture or other business at any time during
the reporting period? _____
n If yes, complete Supplement, Part A.

C.

Did you and/or an immediate family member own a business at any time during the reporting period? ____
n If yes, complete Supplement, Part A.

D.

Did you and/or an immediate family member prepare, promote or oppose state legislation, rules, rates or standards for compensation or deferred compensation (other than
pay for a currently-held public office) at any time during the reporting period? _____
n If yes, complete Supplement, Part B.

E.

Only for Persons Filing Annual Report. Regarding the receipt of items not provided or paid for by your governmental agency during the previous calendar year: 1) Did
you, and/or an immediate family member accept a gift of food or beverages costing over $50 per occasion? ____
n or 2) Did any source other than your governmental agency
provide or pay in whole or in part for you and/or an immediate family member to travel or to attend a seminar or other training? ____
n If yes to either or both questions,
complete Supplement, Part C.

ALL FILERS EXCEPT CANDIDATES. Check the appropriate box.


■

I hold a local elected office. I have read and am familiar with SMC
2.04.300 regarding the use of public facilities in campaigns.

Contact Telephone: (206

247-0917
) ________________________*

Email: Teresa.Mosqueda@seattle.gov
Email:

(work)*
(Home) Optional

CERTIFICATION: I certify under penalty of perjury that the information contained in this report is true and correct to the best of my
knowledge.

4/13/2020
Date
Signature
*CANDIDATES: Do not use public agency addresses or telephone numbers for contact information.

Report Not Acceptable Without Filer’s Signature

 Teresa Mosqueda 
SEEC F1 Additional Page 
Term in Office: 2017-2021 
Filed April 14, 2020 for 2019  
 
Section 3: Assists/Investments 
Subsection C: Added asset value using SEEC codes ( 1 – 9 ) 
 
NOTE: None of these investments produced any income amount for me or my spouse for the 
2019 filing year. All of these have a ( 0 ) Income Amount associated  
 
 

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) 

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Certification: Electronic Signature Included due to COVID19 

 

April 14, 2020 
__________________  
             Date   
 

 
 

          
_____________________________________ 
 
 
 
Signature