700 Triplett 2020RECEIVED
CALIFORNIA .-
STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE MAR 2 4 2021
A PUBLIC DOCUMENT
Please type or print in ink. CITY OF LA C)!INTA
CITY CLERK DEPARTMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Triplett Alcadia Mae
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Human Resources Division Human Resources 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
❑ Multi -County
❑■ City of La Quinta
3. Type of Statement (Check at least one box)
0] Annual: The period covered is January 1, 2020, through
December 31, 2020.
.or -
The period covered is —J I through
December 31, 2020.
❑ Assuming Office: Date assumed J J
❑ Candidate: Date of Election
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I t
(Check one circle.)
O The period covered is January 1, 2020, through the date of
leaving office.
.or-
0 The period covered is —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 attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- ❑■ None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta CA 92253
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
(760 ) 777-7120 ctriplett@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 foregoing is true (ndcrreqL,
Date Signed 03/24/2021 Signature
(month, day, year)
� v
FPPC Form 700 -Cover Page(2o20/2021)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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