700: Maysels - 2014 from 01/01 - 12/31Please type or print in ink.
RECEIVED, ate Receivrod
STATEMENT OF ECONOMIC INTERE61W C! " �C'8 GFflC-S°°i>
COVER PAGE
2015 M 29 AM 8: t12
NAME OF FILER (LAST) (FIRST) (MIDD E
MAYSELS SUSAN CITY OF L�t-'t�t�;), lI TA
2��i !e
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable Your Position
CITY CLERK'S OFFICE CITY CLERK
P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: SEE ATTACHED
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑✓ City of LA QUINTA
'
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
✓❑ Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left — I
December 31, 2013. (Check one)
-or-
The period covered is 01 101 I 2014 through O The period covered is January 1, 2013, through the date of
December 31, 201%1. &' leaving office.
❑ Assuming Office: Date assumed I 1 O The period covered is I through
the date of leaving office.
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
and office sought, if different than Part 1:
► Total number of pages including this cover page:
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑✓ _ Schedule D - Income - Gifts - 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)
79495 CALLE TAMPICO LA'QUINTA CA 92253
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL)
( 760 ) 777-7123 SMAYSELS@LA-QUINTA.ORG
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 01/29/2015
(month, day, year)
Signature
(File the originally signed statementtip your filing official.)
FPPC Form 700(2013/2014)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE D
Income — G.Ifts
P. NAME OF SOURCE (Not an Acronym)
LEAGUE OF CALIFORNIA CITIES
ADDRESS (Business Address Acceptable)
1400 K STREET, SACRAMENTO, CA 95814
BUSINESS ACTIVITY, IF ANY, OF SOURCE
EDUCATION & ADVOCACY FOR CITIES
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
01 / 23 / 14 $ 14.43 LUNCH AT MEETING
04 / 03 / 14 $ 33.98 LUNCH AT MEETING
06 / 19 / 14 $ 15.10 LUNCH AT MEETING
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)
$
—��— $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
__J__J$
__J__J$
__J__J— $
Comments:
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)
$
—/ $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
FPPC Form 700 (2013/2014) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
FORM 700 - SUSAN MAYSELS
JANUARY 1, 2014 through DECEMBER 31, 2014
ITEM 2. JURISDICTION OF OFFICE
JURISDICTION POISITION
CITY CLERK
CITY OF LA QUINTA
SUCCESSOR AGENCY TO THE DISSOLVED LA QUINTA REDEVELOPMENT AGENCY SECRETARY
LA QUINTA HOUSING AUTHORITY SECRETARY
LA QUINTA FINANCING AUTHORITY SECRETARY
LA QUINTA OVERSIGHT BOARD MEMBER