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700: Griffin - 2014 Leaving 05/20/2014
STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink RECEIVED dAN FISA�'al5 Official Use Only CITY OF LA QUINTA CITY CLERK DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Griffin Patrick James 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Acting Finance Director / City Treasurer ► 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 City of La Quinta ❑ Other 3. Type of Statement (Check.at least one box) ❑ Annual: The period covered is January 1, 2013, through © Leaving Office: Date Left 05 1 20 1 2014 December 31, 2013. (Check one) -or- The period covered is —J I through ® The period covered is January 1, 2013, through the date of December 31, 2013. leaving office. ❑ Assuming Office: Date assumed I 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: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ 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- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 78-495 Calle Tampico La Quinta CA 92253 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) ( 714 ) 975-4150 I have used all reasonable diligence in preparing this statement. I have reviewed tiand to the best of my knowledge the information contained herein and in any attached schedules is true and complete. I acknowledge this I a public docume . I -certify under penalty of perjury under the laws of the State of California that foregoing i Date Signed 01/16/2015 Signatur NX (month, day, year) (Fi7e the originally sign statement w th your firing offciaL) FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov