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700: Wiatrak - 2018 from 01/01 - 12/31REGE14`>=D CALIFORNIA.- STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMMISSION COVER PAGE �4_ CITY OF LA QUINTA Please type or print in ink. A PUBLIC DOCUMENT CITY CLERIC DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Wiatrak James G 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Building Division Building Official ► 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) Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left—J December 31, 2018. (Check one circle.) -or- The period covered is 5 1 28 1 2018 through O The period covered is January 1, 2018, through the date of December 31, 2018. -or-leaving office. ❑ Assuming Office: Date assumed 1 O The period covered is through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 1 4. Schedule Summary (must complete) im. Total number of pages including this cover page: } , Schedules attached I ❑ 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- ❑x None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 78495 Calle Tampico La Quinta CA 92253 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 760 ) 777-7023 �jwiatrak@laquintaca.gov 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 th ing is true and correct. Date Signed 2/19/2019 Signature (month, day, year) (File the onVnally signed paper statement with your filing oflkial.) FPPC Form 700(2018/2019) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov Page - 5