700: Hanada - 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
RECEIVED
Date Initial Filing Received
M ATh14 17
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
NAME OF FILER (LAST)
Hanada
(FIRST) (MIDDLE)
Burt Takumi
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
design & Development Department Building Official
► 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
❑x City of La Quinta, CA ❑ Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left 1�1
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.
❑ Assuming Office: Date assumed _/_/ 0 The period covered is _1_1 1_____ 1 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:
11 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
❑ Schedule C • Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
78-495 Calle Tampico
CITY
La Quinta
STATE ZIP CODE
CA 92253
DAYTIME TELEPHONE NUMBER
( 760 ) 777-7023
E-MAIL ADDRESS
bhanada@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 foregoing is true and correct.
Date Signed 03/13/2017 Signature
(month, day, year)
1
(File the originally sig
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