Form 700 Converse Consultants 2018 Quazi, HashmikECLIVED f Vr T
CALIFORNIA FORm ' ' STATEMENT OF ECONOMIC INTERESTS Date t#i r�r>�ed
FAIR POLITICPL PF;,-"T1CFS COMMISSION COVER PAGE CITY OF LA OUINTA
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK DEPARTMENT
NAME OF FILER (LAtU_.5 (FlRsrl i I a (MIDDLE)
1. Office, Agency, or
Agency Name (Do not use acronyms) )
_fi t + i, i t ` z , Y'l CG . _ <<_ . s t
Division, jBoard, geparl n!, District, if applicable { Your Position
► If filing for mulij ju' positions, list below or an an attachment. (Do not use acronyms)
Agency: _ Position:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi -County
[City of . _ 1 -0,_ I _�' ) ,
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other —
3. Type of Staternent (Check at least one box)
[� Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left _ J_J
.or -
December 31, 2018. (Check one circle.)
The period covered is _J I through O The period covered is January 1, 2018, through the date of
December 31, 2018. -or-leaving office.
❑ Assuming Office: Date assumed —J_J 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 A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
- I
❑ Schedule C • Income, loans, 8 Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Giks - Travel Payments - schedule attached
-Or- NJ None - No reportable interests on any schedule
5. Verification 4
MAILING ADDRESS STREET CITY STATE LP 000E
(az,siness or Agency Address Recommended - PoW aocvmont)
-J 'S �.Lf. YY1Inn
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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 correcL ti
"- —
Date Signed _ 711012019-
(monlh, day, y* (Fla the o nalfysignedpapers(afameM v*h your ft olficW.)
FPPC Form 700(201812019)
FPPC Advice Email: advlce@fppc.ca.gov
FPPCToll-Free Helpline: 966/275-3772 www.fppc.a.gov
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