700 Davidson 2018 from 01/01 - 12/31STATEMENT OF ECONOMIC INTERESTS
POLITICALFAIR " ' ' ' COVER PAGE
Please type or Print in ink. A PUBLIC DOCUMENT
RECEIVED , n
MAR:r 3 2019—'' /
CITY OF LA QUINTA
CITY CLERIC DEPARTMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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1. Office, Agency, or Court
Agency Na a (Do not use acronyms)
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Division. Board, Department, District, if applicable
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
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County
❑ County of
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&rcity of /_W Q i���" �"�
❑ Other
3. Type of Statement (Check at least one box)
�i Annual: The period covered is January 1, 2018, through
❑ Leaving Office: Date LeftI I
December 31, 2018.
(Check one circle.)
-or-
The period covered is i I through
O The period covered is January 1, 2018, through the date of
December 31, 2018.
-or- leaving office.
❑ Assuming Office: Date assumed
O The period covered is 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 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- RL None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business orAF
Address Recommended - Public Document)
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CITY STATE ZIP CODE
49 QWAI�� C1_*1_1 d7 ��'< 'r'53
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. J have reviewed this statement
herein and in any attached schedules is true and complete. I acknowledge this is a public do
I certify under penalty of perjury under the laws of the State of California that the fore
Date Signed r3 Signatur
fmonlh, day, year)
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best of my knowledge the information contained
is
(File the originally signed paper 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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