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700 Nickerson, A (Dudek) - 2019 from 01/01 to 12/31
LeavingOfÀce: 'DWh/hiW &KHFnRQHFluFoH 7KhShuLRg FRYhuhgLV-DQXDu\WKuRXJKWKhgDWhRi leavingof¿ce. 7KhShuLRg FRYhuhgLVWKuRXJK thedateof leavingof¿ce. Annual: 7KhShuLRgFRYhuhgLV-DQXDu\WKuRXJK 'hFhPEhu. 7KhShuLRgFRYhuhgLVWKuRXJK 'hFhPEhu. 67$7(0(172)(&2120,&,1 (5(676 &29(53$*( $38%/,&'2&80(17 Ihaveusedallreasonablediligenceinpreparingthisstatement.Ihavereviewedthisstatementandto thebestofmyknowledgetheinformationcontained hereinandinanyattached schedulesistrueand complete.Iacknowledgethisisapublicdocument. IcertifyunderpenaltyofperjuryunderthelawsoftheStateofCaliforniathattheforegoingistrueandcorrect. DateSigned PRQWKGD\\HDu 3.TypeofStatement&KHFNDWOHDVWRQHER[ 6WDWh-XgJh5hWLuhg-XgJh3uR7hP-XgJhRu&RXuW&RPPLVVLRQhu (StatewideJurisdiction)(StatewideJurisdiction) 0XOWL&RXQW\&RXQW\Ri &LW\Ri2WKhu 2.JurisdictionofOfÀce&KHF NDWOHDVWRQHER[ Candidate: 'DWhRi(OhFWLRQandof¿cesought,ifdifferentthanPart1: AssumingOfÀce: 'DWhDVVXPhg DateInitialFilingReceiYed )LOLQJOcialUseOnly 3OHDVHW\SHRUSULQWLQLQN FAIR POLITICALPRACTICESCOMMISSION CALIFORNIAFORM $JhQF\1DPh'RQRWXVHDFuRQ\PV 'LYLVLRQ%RDug'hSDuWPhQW'LVWuLFWLiDSSOLFDEOh <RXu3RVLWLRQ 1.OfÀce,Agency,orCourt 1$0(2)),/(5/$67 ),567 0 ( 0$,/,1*$''5(66 675((7 &,7< 67$7( =,3&2'( () '$<7,0(7(/(3+21(180%(5 (0$,/$''5(66 %XVlQHVVRu$JHQF\$GGuHVV5HFRPPHQGHG3XeolF'RFXPHQW Signature )loHWKHRulJlQDoo\VlJQHGSDSHustatementwithyour¿lingof¿cial.) 5.VeriÀcation ►If¿lingformultiplepositions,listbeloworonanattachment.'RQRWXVHDFuRQ\PV Agency:Position: -or- -or- 1RQH1RuHSRuWDeoHlQWHuHVWVRQDQ\VFKHGXoH 4.ScheduleSummary(mustcomplete) 6FKHGXOHVDWWDFKHG ScheduleA-1-,QYHVWPHQWV±VFKhgXOhDWWDFKhg ScheduleA-2-,QYHVWPHQWV±VFKhgXOhDWWDFKhg ScheduleB-5HDo3uRSHuW\±VFKhgXOhDWWDFKhg ►7RWDOQXPEHURISDJHVLQFOXGLQJWKLVFRYHUSDJH -or- ScheduleC-,QFRPH/RDQV %XVlQHVV3RVlWlRQV±VFKhg XOhDWWDFKhg ScheduleD-Income–Gifts±VFKhg XOhDWWDFKhg ScheduleE-Income–Gifts–TravelPayments±VFKhgXOhDWWDFKhg &WW&ŽƌŵϳϬϬ-CoverPage;ϮϬϭϵͬϮϬϮϬͿ advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-5 Nickerson Audrey Gale Dudek Planner 78-075 Main Street, Suite G-203 La Quinta CA 92253 760 218-5423 anickerson@dudek.com June 1, 2020 5HDOSURSHUW\FDUERDWHWF5HDOSURSHUW\FDUERDWHWF SCHEDULE C Income,Loans,&Business 3RVLWLRQV (OtherthanGiftsandTraYelPayments) GROSSINCOMERECEIvED NRIQFRPH%XVLQHVV3RVLWLRQ2QO\NRIQFRPH%XVLQHVV3RVLWLRQ2QO\GROSSINCOMERECEIvED Name OvER$100,000 OvER$100,000 $500-$1,000 $500-$1,000$1,001-$10,000 $1,001-$10,000 $10,001-$100,000 $10,001-$100,000 FAIRPOLITICAL PRACTICESCOMMISSION CALIFORNIAFORM ►1.INCOMERECEIVED NAMEOFSOuRCE OFINCOME $''5(66%XVLQHVV$GGUHVV$FFHSWDEOH BuSINESSACTIvITY,IFANY,OFSOuRCE YOuRBuSINESSPOSITION ►1.INCOMERECEIVED NAMEOFSOuRCEOFINCOME $''5(66%XVLQHVV $GGUHVV$FFHSWDEOH BuSINESSACTIvITY,IFANY,OFSOuRCE YOuRBuSINESSPOSITION NAMEOFLENDER* $''5(66%XVLQHVV$GGUHVV$FFHSWDEOH BuSINESSACTIvITY,IFANY,OFLENDER INTERESTRATETERM(Months/Years) %None HIGHESTBALANCE DuRING REPORTINGPERIOD $500-$1,000 $1,001-$10,000 $10,001-$100,000 OvER$100,000 Comments: ►2.LOANSRECEIVEDOROUTSTANDINGDURINGTHEREPORTINGPERIOD YoXarenotreTXiredtoreportloansfromDcommerciallendinginstitXtion,oranyindebtednesscreatedaspartof aretailinstallmentorcreditcardtransaction,madeinthelender’sregXlarcoXrseofbXsinessontermsaYailableto membersofthepXblicwithoXtregardtoyoXroႈcialstatXs.PersonalloansandloansreceiYednotinalender’s UHJXODUFRXUVHRIEXVLQHVVPXVWEHGLVFORVHGDVIROORZV SECuRITYFORLOAN None3HUVRQDOUHVLGHQFH 5HDO3URSHUW\ *XDUDQWRU 2WKHU 6WUHHWDGGUHVV &LW\ 'HVFULEH CONSIDERATIONFORWHICHINCOMEWASRECEIvED 6DODU\SpoXse’sorregistereddomesticpartner’sincome (Forself-employedXseSchedXleA-2.) Partnership(Lessthan10%ownership.For10%orgreaterXse SchedXleA-2.) 6DOHRI 2WKHU CONSIDERATIONFORWHICHINCOMEWASRECEIvED 6DODU\SpoXse’sorregistereddomesticpartner’sincome (Forself-employedXseSchedXleA-2.) Partnership(Lessthan10%ownership.For10%orgreaterXse SchedXleA-2.) 6DOHRI 2WKHU 'HVFULEH'HVFULEH 'HVFULEH'HVFULEH RentalIncome,OLVWHDFKVRXUFHRIRUPRUH RentalIncome,OLVWHDFKVRXUFHRIRUPRUH&RPPLVVLRQRU &RPPLVVLRQRU /RDQUHSD\PHQW /RDQUHSD\PHQW FPPCForm700-ScheduleC;ϮϬϭϵͬϮϬϮϬͿ advice@fppc.ca.gov•866-275-3772•www.fppc.ca.gov Page-13 NAI Consulting Inc. 68955 Adelina Road, Cathedral City, CA 92234 Engineering Nickerson, Audrey