700 Fitzpatrick 2016 ElectionSTATEMENT OF ECONOMIC INTERESTS
RECEIVFU
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
- rrr eir ela�la�
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
�7�6F 1A tT Il�XI�
Division, Board, Department, District, if applicable Your Position
/?� �. )OA X4 L, '1C (A1(
► 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
City of Z—A �'uir �/ F-1-
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through
December 31, 2015.
.or -
The period covered is
December 31, 2015.
❑ Assuming Office: Date assumed
Candidate: Election year C fJ1_11
Position:
CITY C F LA OUINTA
CrTY CLERK DEPARTMENT
ONArd CI .L
(MIOf]LEj
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left i
(Check one)
through O The period covered is January 1, 2015, 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 -
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 Agency Address Remminended - Public ❑ocumenf)
41
DAYTIME RLEPHONE NUMBE E-MAIL ADDRESS
I have used all reasonable diligence In p>eparing this statement. I have reviewed this statement and to th�bes! of my kn�dge'lhe 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 fore oing is trile7and correct.
�j �j� �ffi'clial)
DateSigned 'T � U ,6J,1SiImonth, day, year) (File the originally sign
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov