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700: Nesbit- 2013 from 01/01 - 12/31
R E C E I EC 1 10 Date Received CALIFAINIA FORm700 STATEMENT OF ECONOMIC INTER 2L oRri s r>niy FAIR POLITICAL PRACTICES COMMISSION g A PUBLIC DOCUMENT COVER PAGE C,--,,� 0 LA �,i-1-11-, C1 i r �� i-:;J�{-r: Please type or print in ink.(11 NAME OF FILER (LAST) (FIRST) ! I e I MIDDLE). Nesbit Wallace Henry , 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Community Development Department Principal Planner P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Coachella Valley Association of Governments Position: Voting member; AB 939 TWG 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of ©City of City' of La Quints ©Other Coachella Valley Association of Governments 3. Type of Statement (check at feast one box) FO Annual: The period covered is January 1, 2013, through December 31, 2013. -or- The period covered is —J— I through December 31, 2013. ❑ Assuming Office: Date assumed —_J__J ❑ Candidate: Election year ❑ Leaving Office: Date Left __J___1 (Check one) O The period covered is January 1, 2013, through the date of leaving office. O The period covered is —J I through the date of leaving office. and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." o- 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) 78495 Calle Tampico La Quinta DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) ( 760 ) 777-7125 CA 92253 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. certify under penalty of perjury under the laws of the State of California that the foregoing its 1true and /Correct, Date Signed 03/20/2014 Signature (month, day, year) (File the originally signed statement with your filing official.) FPPC Form 700(2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC T611 -Free Helpline: 866/275-3772 www.fppc.ca.gov