700 Wright - 2017 from 01/01 - 12/31STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
�) 1? -7 9�°(3
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
G� 1 &
Division, Board,'Dephirtment, DistricL if appllca le Your
ur Position
► If filing for multiple positions, list below or on an att hment. (Do not use acronyms)
Agency: Position:
D160milor
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
�ity of�A�INTA
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2016, through
December 31, 2016.
.or -
The period covered is t !
December 31, 2016.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
RECEIVED
Date Initial Filing Received
A Pie, I4f) 1
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
(MIDDLE)
VJA,R�
GDM � ► 55 i � � �..
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left __J__J
(Check one)
through 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
ar-
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 CITY STATE ZIP CODE
(Business or gency Address Recommended - Public Document)
' d ! J j
TA eA
121 %EN
AAYTIM T EPHONE NUMBER E-MAILA46RES5
( � 40(.-7 0 Q 1Pik
rIUAJ.J�-
I have used all reasonable diligence in preparing this statement. I have reviewed this statement a best of m�ytRlfowled a the information contained
9
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 14 - 261 Or Signature A—
(month, day, year) fe
originally signed statement with your Cling official.)
FPPC Form 700(2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov