700 Casto 2019RECEIVED
STATEMENT OF ECONOMIC INTERESTS I ate Initial Filing Received
F
COVER PAGE
CITY OF LA QUINTA
Please type or print in ink. A PUBLIC DOCUMENT CITY CLERK DEPARTMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
CNsr0 �i �)ii�►I'-1
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
I —r k-i �Ip €r U irk -
Division, Board, joepartment, District, if applicable
i13 l -4
Your Position
I G(C7�
► 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 Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County
❑ County of
O-City of Ld 1 rj T- IQ
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2019, through
❑ Leaving Office: Date Left I i
December 31, 2019.
(Check one circle.)
-or-
The period covered is through
O The period covered is January 1, 2019, through the date of
December 31, 2019.
-or- leaving office.
❑ Assuming Office: Date assumed T! f.
O The period covered is I I through
the date of leaving office.
❑ Candidate: Date of Election and office sought,
if different than Part 1:
0 4. 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- None - No reportable interests on any schedule
;
5. Verification
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
STATE ZIP CODE
-1 ~ (:!,
L- W-
DAYTIME TELEPHONE NUM13ER
EMA0. ADD
I have used all reasonable diligence in preparing this statement. I have reviewe6his statement and to the bk 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 3y ��� _ Signature
(month. day, year)
(F*)16aright signed rstaiwwr with your riling otriclad)
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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