700 Wahiduzzaman (Bengal Engineering) - 2019 from 01/01 to 12/31STATEMENT OF ECONOMIC INTERESTS
PRACTICES
c IVED
MAY 9 2ON
NAME OF FILER (LAST) (FIRST) {M !�E)� 4;::•' t r
Wahiduzzaman Md.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Bengal Engineering, Inc. Civil Engineer
P. 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
❑x City of La Quinta ❑ Other
3. Type of Statement (Check at least one box)
❑x Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left 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 I O The period covered is 1_, through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. 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- p 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)
360 S. Hope Ave., Suite C-110 Santa Barbara CA 93105
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 805 ) 563-0788 1 and@bengalengineedng.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 5/8/20
(month, day, year)
Signature VS 4 r cta
(File the originally signed pager slat
L _
filing orfidal )
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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