700 Hansen 2019 from 01/01 to 12/31CALIFORNIA_ STATEMENT OF ECONOMIC INTERESTS - ,
• RECEIVED
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT MAR 3 2020
NAME OF FILER (LAST) (FIRST) I p
CPAT
Hansen Dianne CITY i LERat D"'"�
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Public Works Management Analyst
► 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, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County
❑x City of La Quinta
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2019, through
December 31, 2019.
.or -
The period covered is ��� through
December 31, 2019.
❑ Assuming Office: Date assumed �.
❑ Candidate: Date of Election
❑ County of
❑ Other —
❑ Leaving Office: Date Left J I
(Check one circle.)
Q The period covered is January 1, 2019, through the date of
-or- leaving office.
Q 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 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- 0 None - No reportable interests on any schedule
5. Verification
MAILINGADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta CA 92253
DAYTIME TELEPHONE NUMBER EMAILADDRESS
( 760 ) 777-7117 dhansen@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 for oing is true and correct.
Date Signed 0 Signature
(month, day, year) (File the originally signed paper statement with your tiling official.)
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • 866-275-3772 - www.fppc.ca.gov
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