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700 Quazi (Converse Consultants) - 2019 form 01/01 to 12/31STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. A PUBLIC DOCUMENT RECEIVED I llltl Vi ,{ .c}II ,y 12-2 •rvt CITY OF LA QUINTA CITY CLERK DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Quazi, Hashmi 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Consultant Division, Board, Department, District, if applicable Your Position Design & Development Division ► 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 ® City of La Quinta 3. Type of Statement (check at feast one box) ❑x Annual: The period covered is January 1, 2019, through December 31, 2019. -or- 4. The period covered is I + through December 31, 2019. ❑ Assuming Office: Date assumed ❑ Candidate: Date of Election Position: ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other -_ ❑ Leaving Office: Date Left r r (Check one circle.) 0 The period covered is January 1, 2019, through the date of -or- leaving office. 0 The period covered is I—J 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 atfached ❑ 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 (Badness or Agency Address Recommended - Public Document) 717 S. Myrtle Ave. Monrovia, CA 91016 DAME TELEPHONE NUMBER EMAIL ADDRESS ( 626 ) 930-1200 hquazi@converseconsultants.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 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 I.-ts�� 5ignature (month, day, year) (File the originally signed pWstatemenl w#h your fling orficW ) FPPC Form 700 - Cover Page (2019/2020) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ce.gov Page - 5