700 Fitzpatrick 2016 Assuming Office 12/06/2016CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
RECEIVED
Date 'nit j se g Ot2s Io0
JinY LU
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
NAME OF FILER (LAST)
(FIRST)
r aP/1164 /C i� ✓
1. Office, Agency, or Court
(MIDDLE)
Agency Name (Do not use acronyms)
cx-
Division, Board, Department, District, if applicable Your Position
U/ / / coai(ieii t'_ COOA-r-/!
► 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
❑ Multi -County
City of
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2015, through
December 31, 2015.
The period covered is through
December 31, 2015.
Assuming Office: Date assumed /4
-or-
0 Candidate: Election year
❑ Leaving Office: Date Left
(Check one)
p The period covered is January 1, 2015, through the date of
leaving office.
-or-
0 The period covered is through
the date of leaving office.
and office sought, if different than Part 1
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-
None - No reportable interests on any schedule
0 Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5: Verification
5--
(Business or Agency Address Recommended - Public Document)
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MAILING ADDRESS STREETCITY
STATE
ZIP CODE
DAYTIME TELEPHONE NUMBER
(
have used all reasonable diligence in preparing this statement. I have reviewed thisstatement and to the best of m know g 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 foregoi g is true and corre
E-fL EDDRESS
d e
Date Signed
.5--xa/%
(month, day, year)
Signature
ile the originally signed statement with yo i `g official.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov