700 Hansen - 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
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)ate initiar FiEintl Received ,
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NAME OF FILER (LAST)
Hansen
(FIRST)
John
R.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Planning Commission Commissiioner
► 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
La Quinta
❑X City of
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑X Annual: The period covered is January 1, 2016, through
December 31, 2016.
The period covered is // , through
December 31, 2016.
0 Assuming Office: Date assumed
-or-
O Candidate: Election year
0 Leaving Office: Date Left
(Check one)
o 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.
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-
❑x 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)
CITY
La Quinta
STATE
ZIP CODE
CA 92253
DAYTIME TELEPHONE NUMBER
E -'NAIL ADDRESS
john@johnhansendesign.com
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 foregoi l -true and correct.
3/31/2017
Date Signed Signature
(month, day, year) (File the originally 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