700: Scott - 2016 from 01/01 - 12/31CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
nitial Filing Received
F
R 6thIVED
NAME OF FILER (LAST)
SCOTT
(FIRST)
ANGELA
(MIDDLE)
7Joi7
CI CITLX OF LA QUINTA
1. Office, Agency, or Court
T
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable Your Position
COMMUNITY RESOURCES
HUMAN RESOURCES ANALYST
P. 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
❑ Other
ID City of LA QUINTA
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left
December 31, 2016, (Check one)
-or-
The period covered is _�� , through 0 The period covered is January 1, 2016, through the date of
December 31, 2016. -or- leaving office.
p The period covered is , through
the date of leaving office.
❑ Assuming Office: Date assumed
❑ 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-
J 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 ) 777-7156
E-MAIL ADDRESS
ascott@la-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,;, egoing is true and correct.
00//itt•VII
Date Signed
Signature
(month, day, year) _ (File the origina y 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