700 Proctor 2017 from 01/01 - 12/31STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
NAME OFF ER (LAST) (FIR T)
C-1�� IC" �q P,
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
a )I -C -r 9i- LA-
Division, Board, Department, District, if applicable Your Position
PSA k_r_k -1NG- ('5518-1**1J
► 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
'City of L—A
3. Type 'of Statement (Check at least one box)
Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is
December 31, 2017.
❑ Assuming office: Date assumed
❑ Candidate: Date of Election
RECEIVED
A'RR:
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
(MIDDLE)
C-0 m_W-k l D sko���
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving office: Date Left ----JJ
(Check one)
through O The period covered is January 1, 2017, 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 C - Income, Loans, & Business Positions — schedule attached
❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
.or -
9 None - No reportable interests on any schedule
5. Verification - , coq y L VVI i7�C,p A\_kN j � lCA I -2-M
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 415^) 35 _z__> D
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 fo goi tr e an rre
Date Signed �� L, 2— Signa A
(month, day, year) (File! c originally signed statement with your filing official.)
FPPC Form 700 (2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov