700 Fitzpatrck - 2016 Leaving 11/22/2016CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
ate Initial Filing Received
DECIse O' 2016
NAME OF FILER (LAST) (FIRST)
FITZPATRICK
KATHLEEN
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
(MIDDLE)
E
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
PLANNING COMMISSIONER
Division, Board, Department, District, if applicable
PLANNING COMMISSION
Your Position
I. 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
9 Multi -County
❑City of I A ()UINTA
9 Judge or Court Commissioner (Statewide Jurisdiction)
9 County of
9 Other
3. Type of Statement (Check at least one box)
9 Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is , through
December 31, 2015.
0 Assuming Office: Date assumed
9 Candidate: Election year
PrCeaving Office: Date Left 1 1 / 22 1 2016
(Check one)
Q4fe period covered is January 1, 2015, through the date of
leaving office.
-or-
0 The period covered is -J-1 , 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-
f None - No reportable interests on any schedule
9 Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
5: Verification v/BZ (-i- 470/ la n4
MAILING ADDRESS REET 1 CITY
(Business or Agency Address Recommended - Public Document)
614
STATE
ZIP CODE )
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
(76.6) '13 / 9 Citr/,le6I 7 .604
I have used all reasonable diligence in preparing this statement. l have reviewed this statement and to the best of my kno dge 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 foregoin is true'and correct.
Date Signed / - month,
Signature
month, day, year) (File the riginally signe atement with your filing official)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov