700 Blum - 2016 from 01/01 - 12/31 Leaving Office: Date Left //
(Check one)
The period covered is January 1, 2016, through the date of
leaving office.
The period covered is //, through
the date of leaving office.
Annual: The period covered is January 1, 2016, through
December 31, 2016.
The period covered is //, through
December 31, 2016.
StAtement Of eCOnOmiC intereStS
COver PAge
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
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
(month, day, year)
3. type of Statement (Check at least one box)
State Judge or Court Commissioner (Statewide Jurisdiction)
Multi-County County of
City of Other
2. Jurisdiction of Office (Check at least one box)
Candidate: Election year and office sought, if different than Part 1:
Assuming Office: Date assumed //
Date Initial Filing Received
Official Use Only
Please type or print in ink.
700
FAIr POLITICAL PrACTICES COMMISSION
CALIFORNIA FORM
Agency Name (Do not use acronyms)
Division, board, Department, District, if applicable Your Position
1. Office, Agency, or Court
nAme Of fiLer (LASt) (firSt) (miDDLe)
MAiLiNg ADDrESS STrEET CiTY STATE ZiP CODE
( )
DAYTiME TELEPhONE NuMbEr E-MAiL ADDrESS
(Business or Agency Address Recommended - Public Document)
Signature
(File the originally signed statement with your filing official.)
5. verification
A PuBLIC DOCuMENT
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
-or-
-or-
None - No reportable interests on any schedule
4. Schedule Summary (must complete)
Schedules attached
Schedule A-1 - Investments – schedule attached
Schedule A-2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
► Total number of pages including this cover page:
-or-
Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule D - Income – Gifts – schedule attached
Schedule e - Income – Gifts – Travel Payments – schedule attached
Blum Frank
City of La Quinta
Planning Commissioner
8 La Quinta
2
8
47840 Via Livorno La Quinta CA 92253-7112
760 701-9146 blummerf@yahoo.com
01/06/2017 09:43 AM
8
Filed Date: 01/06/2017 09:43 AM
SAN: FPPC
Electronic Submission
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BuSINESS ACTIvITY, IF ANY, OF LENDER
IF APPLICABLE, LIST DATE:
// //
ACQuIRED DISPOSED
IF APPLICABLE, LIST DATE:
// //
ACQuIRED DISPOSED
16 1616 16
SChEDuLE B
Interests in real Property
(Including Rental Income)
Name
► ASSESSOR’S PARCEL NuMBER OR STREET ADDRESS
► ASSESSOR’S PARCEL NuMBER OR STREET ADDRESS
CITY CITY
INTEREST RATE TERM (Months/Years)
% None
SOuRCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
SOuRCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
NATuRE OF INTEREST
Ownership/Deed of Trust Easement
Leasehold
Yrs. remaining Other
NATuRE OF INTEREST
Ownership/Deed of Trust Easement
Leasehold
Yrs. remaining Other
Comments:
FAIR MARKET vALuE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
FAIR MARKET vALuE
$2,000 - $10,000
$10,001 - $100,000
$100,001 - $1,000,000
Over $1,000,000
IF RENTAL PROPERTY, GROSS INCOME RECEIvED
OvER $100,000
$500 - $1,000 $0 - $499 $1,001 - $10,000
$10,001 - $100,000
IF RENTAL PROPERTY, GROSS INCOME RECEIvED
OvER $100,000
$500 - $1,000 $0 - $499 $1,001 - $10,000
$10,001 - $100,000
HIGHEST BALANCE DuRING REPORTING PERIOD
Guarantor, if applicable
OvER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
FPPC Form 700 (2016/2017) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
700
FAIr POLITICAL PrACTICES COMMISSION
CALIFORNIA FORM
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BuSINESS ACTIvITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
% None
Guarantor, if applicable
HIGHEST BALANCE DuRING REPORTING PERIOD
OvER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
* You are not required to report loans from commercial lending institutions made in the lender’s regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender’s regular course of business must be disclosed as follows:
None None
Frank Blum
47840 Via Livorno
La Quinta, ca 92253
8
16 16
8
8
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