700: Nickerson, J - 2017 from 01/01 to 12/311
Please type or print In ink.
NAME OF FILER (LAST)
Nickerson
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
STATEMENT OF ECONOMIC INTERESTS
(FIRST)
Joshua
COVER PAGE
Your Position
Contract Project Manager
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency,
2. Jurisdiction of Office (check at least one box)
❑ state
❑ Multi -County
❑x City of La Quinta
3. Type of Statement (check at least one box)
Position:
i
V
Date Initial Filing Received r
ONlc;al Use Only � 1 A i
(MIDDLE)
Richard
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑X Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left —
December 31, 2017, (Check one)
-or.
The period covered is through O The period covered is January 1, 2017, through the date of
December 31, 2017,or-
leaving office.
-
❑ Assuming Office: Date assumed _. 1 J O The period covered is through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1
4, Schedule Summary (must complete) o. Total number of pages including this cover page: 2
Schedules attached
❑ Schedule A-1 - Investments — schedule attached ❑x 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 -
0 None - No reportable interests on any schedule ,
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
68955 Adelina Road Cathedral City CA 92234
DAYTIME FEL-7NONE NUMBER E-MAILADDRESS
( 760 ) 323-5344 jnickerson@naiconsulting.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 foregoing is true and correct.
06/19/2018
Date Signed Signature /_
(month, day, year) . ? (File the udginallysigned statement with your filing oRuel.J
FPPC Form 700 (2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
NAI Consulting
ADDRESS (Business Address Acceptable)
68955 Adelina Rd, Cathedral City, CA 92234
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Civil Engineering Project Management
YOUR BUSINESS POSITION
Senior Engineer
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $10o,000 ❑X OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑X Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2,)
❑ Sale of
(Real property, car, boat, sic.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
(Describe)
CALIFORNIA FORM 700
I -AIR POLITICAL PRAC-ICFS COMMISSION
Name
Joshua Nickerson
NAME OF SOURCE OF INCOME
The Altum Group
ADDRESS (Business Address Acceptable)
73710 Fred Waring Dr, Palm Desert, CA 92260
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Civil Engineering
YOUR BUSINESS POSITION
Environmental Planner
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑X $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑X Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
(Real property, car, boaf, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
(Describe)
❑ Other ❑ Other
(Describe) (Describe)
LOANSOR OUTSTANDING DURING THE REPORTING
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, 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:
NAME OF LENDER"
INTEREST RATE TERM (Months)Years)
�/c ❑ None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER
❑ None ❑ Personal residence
❑ Real Property
HIGHEST BALANCE DURING REPORTING PERIOD
Street address
❑ $500 - $1,000
City
❑ $1,001 - $10,000
❑ Guarantor
❑ $10,001 - $100,000
❑ OVER $100,000
❑ Other
(Describe)
Comments:
FPPC Form 700 (2017/2018) 5th. C
FPPC Advice Email: advlce@fppc.ca,gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ce.gov