700: Perez - 2018 Leaving Office 10/18/2018RECE-K ED " (I
Please type or print in ink.
NAME OF FILER (LAST)
PEREZ
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)
GABRIEL
COVER PAGE
Dateo ila , gMeived
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CITY OF LA QUINTA
CITY CLERK DEPARTMENT
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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
❑ Multi -County
❑■ City of La QUinta
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2016, through
December 31, 2016.
-or-
The period covered is J�
December 31, 2016.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
(MIDDLE)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
VLeaving Office: Date Left I I Is
(Check one)
through O The period covered is January 1, 2016, through the date of
-or-
leaving office.
O 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 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- None - No reportable interests on any schedule
5. VeIL ' l 6L 16_ 'STREET
�tD [ —STATEC1��1 /1 l A 9 — �.�
ZIP CODE
f8usiaess or Agency Address Recommended - Public Document)
DrA-Y�TIME TELEPHONE NUMBER E-MAILADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this sta4lr d 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 t and correct.
Date Signed `Ol �S Signature _
(mon day, year) (File the originally g rxth your filing official)
FPPC Form 700 (2016/2017)
PC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov