700 Gomez 2018 ElectionCALIFORNIA FORM 700STATEMENT OF • •
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENTCOVER
Please type or print in ink. I
NAME OF FILER ILA RSTj
1. Office, Agency, or Court
Agency Name (Do not use acronyms) C4-
Division, Board, Departure t, Di rict, if app ble Your Position
OU VLu I
► If filing for multiple positions, listt Blow or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -Count
City of Cn fa) [��.
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 f
December 31, 2017.
❑ Assuming Office: Date assumed
'Candidate: Date of Election 201
Position:
RECEIVED
Date Initial Filing Received
9
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
(MIDDLE)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left f ?
(Check one)
through O The period covered is January 1, 2017, through the date of
leaving office.
.or-
0 The period covered is f 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-
XNone - 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
(Bess or
KXf'o Gl 120
WE � E-MAILAD P,E55(
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and the best of my kniwiedge'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 c re
Date Signed V k�+' � Signature
month, day, year File the ooginOyir& sV er filing official.
FPPC Form 700(2017/2018)
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