700: Ambriz - 2018 from 01/01 - 12/31RECEIVf13
STATEMENT OF ECONOMIC INTERESTS ,itial Filing Received
t� Z 9` 2019
COVER PAGE
rTY OF LA QUINTA
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERF( Q<.PARTMI
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ambriz, Jr. Robert
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Facilities Dept., Parks Division Parks Superintendent
► 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
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2018, through
-or-
December 31, 2018.
The period covered is I I through
December 31, 2018.
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I
(Check one circle.)
O The period covered is January 1, 2018, through the date of
-or- leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is I I through
the date of leaving office.
❑ Candidate: Date of Election 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- 0 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 NUMBER I EMAIL ADDRESS
( 760 ) 777-7091
rambrizj@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 the foregoing is true and correct.
Date Signed 02-26-19
(month, day, year)
Signature��
(File the origin fined aper statement with your filing official.)
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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