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700 Fitzpatrick 2017 Leaving Office: Date Left // (Check one) The period covered is January 1, 2017, through the date of leaving office. The period covered is //, through the date of leaving office. Annual: The period covered is January 1, 2017, through December 31, 2017. The period covered is //, through December 31, 2017. StAtement Of eCOnOmiC intereStS COver PAge FPPC Form 700 (2017/2018) 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: Date of Election 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 Fitzpatrick Kathleen City of La Quinta City Council Member SEE ATTACHED LIST 8 La Quinta 8 12 06 2016 4 8 8 78495 Calle Tampico La Quinta CA 92253-2839 760 777-7123 01/08/2018 01:01 PM Electronic Submission Filed Date: 01/08/2018 01:01 PM SAN: FPPC COVER PAGE ATTACHMENT CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Kathleen Fitzpatrick Name STATEMENT OF ECONOMIC INTERESTS EXPANDED STATEMENT LIST Period CoveredType of StatementJurisdictionPosition or TitleDivision, Board, Department, DistrictAgency Name 01/03/17 - 12/31/17AnnualState California Alternate Board Member Coachella Valley Mountains Conservancy SChEDuLE D Income – Gifts Comments: Name FPPC Form 700 (2017/2018) Sch. D 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 SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF SOuRCE DATE (mm/dd/yy) vALuE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF SOuRCE DATE (mm/dd/yy) vALuE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF SOuRCE DATE (mm/dd/yy) vALuE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF SOuRCE DATE (mm/dd/yy) vALuE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF SOuRCE DATE (mm/dd/yy) vALuE DESCRIPTION OF GIFT(S) // $ // $ // $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BuSINESS ACTIvITY, IF ANY, OF SOuRCE DATE (mm/dd/yy) vALuE DESCRIPTION OF GIFT(S) // $ // $ // $ Kathleen Fitzpatrick Burrtec 53600 Polk Street, Coachella CA 09 14 17 42.01 party Rutan &Tucker Costa Mesa California 09 14 17 134.00 dinner Friends of the Desert Mountains 51500 Hwy 74, Palm Desert CA 11 03 17 125.00 dinner Martha's Village and Kitchen 83791 Date Ave., Indio Ca 11 23 17 80 entry tickets for 5K race SChEDuLE E Income – Gifts Travel Payments, Advances, and Reimbursements Name Comments: FPPC Form 700 (2017/2018) Sch. E 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 • Mark either the gift or income box. • Mark the “501(c)(3)” box for a travel payment received from a nonprofit 501(c)(3) organization or the “Speech” box if you made a speech or participated in a panel. These payments are not subject to the gift limit, but may result in a disqualifying conflict of interest. • For gifts of travel, provide the travel destination. DATE(S): // - // AMT: $ (If gift) DATE(S): // - // AMT: $ (If gift) ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE 501 (c)(3) or DESCRIBE BuSINESS ACTIvITY, IF ANY, OF SOuRCE ► MuST CHECK ONE: Made a Speech/Participated in a Panel Other - Provide Description Gift -or- Income ► If Gift, Provide Travel Destination ► MuST CHECK ONE: Made a Speech/Participated in a Panel Other - Provide Description Gift -or- Income ► If Gift, Provide Travel Destination ► MuST CHECK ONE: Made a Speech/Participated in a Panel Other - Provide Description Gift -or- Income ► If Gift, Provide Travel Destination ► MuST CHECK ONE: Made a Speech/Participated in a Panel Other - Provide Description Gift -or- Income ► If Gift, Provide Travel Destination DATE(S): // - // AMT: $ (If gift) DATE(S): // - // AMT: $ (If gift) Kathleen Fitzpatrick Robert Green Company 3551 Fortuna Ranch Road, Encinitas, California 01 17 17 01 18 17 129.50 8 San Diego California