700: Triplett - 2018 from 01/01 - 12/31Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST)
Triplett Alcadia
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, it applicable
Human Resources Divison
Mae
Your Position
Human Resources Analyst
P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: —
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑x City of La Quinta
Position:
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` CITY OF LA C 04'rA
I nrry ell _RY4OF-PAR
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❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other —
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left I I
December 31, 2018. (Check one circle.)
-or-
The period covered is ----J--J—
December 31, 2018.
❑ Assuming Office: Date assumed . __J�
❑ Candidate: Date of Election
through O The period covered is January 1, 2018, through the date of
-or- leaving office.
O The period covered is 1. ! , 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- ❑x None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
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 NUM13ER EMAILADDRESS
( 760 ) 777-7120 ctriplett@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 penaltyofperjury under the laws of the State of California that the foregoing is true and correct.
0 Date Signed ►� 1 h i Signature
(month, day, year) File the *o.ngfn.Vy"papaNlem h your filing offidaL)
FPPC Form 700 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
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