700 Ulloa 2019 Assuming Office 02/18/2020RECEIVED
STATEMENT OF ECONOMIC INTERESTS 1):: Initial Filing Received
COVER PAGE ?Gza
Please type or print in ink. A PUBLIC DOCUMENT CITY CIFLA QUINTA
CITY CLERK DEPARTMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ulloa Jose Jr, Antonio
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Public Works
Your Position
Facilities Deputy Director
P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑x City of La Quinta
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2019, through
December 31, 2019.
-or-
The period covered is i
December 31, 2019.
❑x Assuming Office: Date assumed 02 1 18 1 2020
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I--J
(Check one circle.)
through O The period covered is January 1, 2019, through the date of
-or-
leaving office.
O The period covered is I through
the date of leaving office.
and office sought, if different than Part 1
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
-or- Fxl None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta CA 92253
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 760 ) 777-7026 tulloa@laquintaca.gov
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 O L_ Z G Z C) 2 C./ Signature
(month, day, year)
originally signed paper statement with your filing official.)
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • 566-275-3772 - www.fppc.ca.gov
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