700: McMillen (Tall Man Group) - 2016 from 01/01 to 12/31ate Initial FTC4W#,Rived
CALIFO- . - 1 1 STATEMENT OF ECONOMIC INTERESTS crucial use Oofy
FAIR POLITICAL PRACTICES COMMISSION OCT 2 9 2018
COVER PAGE
Please type or print in ink. CITY OF LA QUINTA
NAME OF FILER (LAST) (FIRST)
MCMILLEN JON
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable Your Position
CONSULTANT
► 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County ❑ County of
❑x City of LA QUINTA ❑ Other .
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left 1
-or-
December 31, 2016. (Check one)
The period covered is I I through O The period covered is January 1, 2016, through the date of
December 31, 2016. leaving office.
-or-
❑ Assuming Office: Date assumed 1 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1
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-
0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
9548 VISTA ALETA
DAYTIME TELEPHONE NUMBER
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY
VALLEY CENTER
STATE ZIP CODE
CA 92082
( 760 ) 212-2322 JONMCMILLEN@TALLMANGROUP.NET
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.
Date Signed Signature
(month, day, year) (File the originally signed statement with your filing official.)
FPPC Form 700(2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov