700: Nickerson - 2013 from 01/01 to 12/31STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
RECEIN!ED
2014 FEBjaLRQve9 9 B
OfPical Use only
C11 it Cf' Lf, Q IIIi- A
CITY CLERK'S .OFFICE
Please type or print in Ink
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Nickerson, Jr. Lloyd
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta Contract Project Manager
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)
❑ Muff? -County
Q City of La-Quinta,
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2013, through
December 31, 2013.
-or-
The period covered is —J_1 through
December 31, 2013.
❑ County of
❑ Other —
❑ Leaving Officer Date Left _1. 1
(Check one)
O The period covered is January 1, 2013, through the date of
leaving office.
❑ Assuming Office: Date assumed _1—J 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." o,.Total number of pages including this cover page. 3
e
❑ Schedule-A-1---invesLments - schedule attached m Schedulo-C - Income; Loans, & Business Positions - schedule attached-
[] Schedule M2 - Investments - schedule attached ❑ Schedule D - income - lifts - schedule attached
❑ Schedule B -.Real Property -schedule allached ❑ Schedule E - Income - Guts - Travel Payments - schedule attached
-or.
❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business arAg=7Address Recommended - Pift Document)
68-955 Adelina Road Cathedral City CA 92234
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS tOPTIONAL)
( 760 ) 323-5344
nnickerson@naiconsulting.com . _
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-publicdocument.
1 certify under penalty of perjury under the taws of the State of California that the foregoing is true and correct.
Date Signed a' ` to - I LA Signature
(maaA day year) (elheodBnaQPsl9iredsl�emenrtmlhyoiv�mgaf6dat)
FPPC Form 700 (2013/2014)
FPPC Advice. Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov