700 Wright - 2016 from 01/01 - 12/31CALIFORNIA FORM 700
FAIR POLITICAL PRACIICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERE
COVER PAGE
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_girt OF LA QUINTA
LERK DEPARTMENT
NAME OF FILER (LAST)
(FIRST) M
(MIDDLE)
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
G. I erg ' t -NQ y)(Jill f tJr1)A Corn fin if')/LJ
Division, Board, Department, District, if applicable Your Position
NI Ik tom m lel
► If filing for multiple positions,list below or on an attachment. (Do not
.use
e ,acronyms)
Agency: G J 117-6(-120-e‘G�1 1!) NiDi17 r ( Position. a74424-1 f \
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi-CountyL ❑ County of ._
City of f \►N'r ❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left __/_/
December 31, 2016. (Check one)
-or-
The period covered is _/_ through
December 31, 2016.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
o The period covered is January 1, 2016, through the date of
leaving office.
-or-
O The period covered is , through
the date of leaving office.
and office sought, if different than Part 1:
14. Schedule Summary (must complete)
' Schedules attached
-or-
► Total number of pages including this cover page• -
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
one - 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 Agency Address Recommended - Public Document)
3S thni-Tin
CITY STATE
CA
ZIP CODE
G1 .2L '1
DAYTIME TELEPN.' NUMBER E•MAkL ADDRESS
rho LID • 7viin02.114,
1
Vaa
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my kno
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
Signature
the information contained
(month, day, year) (File the o nally 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