Form 700 Affordable Housing Program (Caha) 2017Please type or print in ink.
NAME OF FILER (LAST)
CAHA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
LA QUINTA HOUSING AUTHORITY
Division, Board, Department, District, if applicable
STATEMENT OF ECONOMIC INTERESTS
(FIRST)
BECKY
COVER PAGE
Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Mufti -County
z City of LA QUINTA
3. Type of Statement (check at least one box)
❑x Annual: The period covered is January, 1, 26 f2/, throuyh
December 31,29'I_-
-or-
The period covered is
December 31, 2017.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
(MIDDLE)
❑ 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, 2017, through the date of
-or-
leaving office.
O The period covered is I I 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 C - Income, Loans, & Business Positions — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule D - Income -- Gifts — schedule attached
❑ Schedule B -Rea! Property —schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
.or-
0 None - No reportable interests on any schedule
TVerification
MAILINGADDRESS STREET
CITY STATE LP CODE
(Business or Agency Address Recommended - Public Document)
9812 CONTINENTAL DRIVE
HUNTINGTON BEACH CA 92646
DAYTIME TELEPHONE NUMBER
E-MAILADDRESS
( 760 ) 900-9668
ICAHABECKY@GMAIL.COM
I have used all reasonable.dillger+se-in %#ktsit wr; fit
l kave,rek ved,#A statewant and dolhe hest of my-kr &AWge the inkxmation contained
herein and in any attached schedules is true and complete, I acknowledge this is a public document.
I certify unqor penalty of perjury under the laws of the State of California that the foregoing is true and correct.
8/7/2018
Date Signed
Signature
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FPPC Form 700 (201712018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov