700: Larson - 2016 from 01/01/ - 12/31CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST)
Larson
STATEMENT OF ECONOMIC INTERESTS
(FIRST)
Tustin
COVER PAGE
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Community Resources
Your Position
Community Resources Manager
► 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
❑x City of La Quinta, CA
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at feast one box)
❑x Annual: The period covered is January 1, 2016, through
December 31, 2016.
-or-
The period covered is _J� , through
December 31, 2016.
❑ Assuming Office: Date assumed—J
❑ Leaving Office: Date Left l�
(Check one)
p The period covered is January 1, 2016, through the date of
leaving office.
-or-
0 The period covered is , through
the date of leaving office.
❑ Candidate: Election year 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-
o 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)
78495 Calle Tampico
CITY
La Quinta
STATE
ZIP CODE
CA 92253
DAYTIME TELEPHONE NUMBER
( 760 ) 777-7085
E-MAIL ADDRESS
tlarson@Ia-quinta.org
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 fo oing is true a d come
Date Signed 02/14/2017 Si9 nature
(month, day, year) (File the o 1 signed statement with your filing official.)
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov