700 Affordable Housing Program (Caha) 2020RECEIVED
STATEMENT
CALIFORNIA _ 1 1
OF ECONOMIC INTERESTS
Date Initial Filing Received
Only
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE
MA,�OOc;.,U,c
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A PUBLIC DOCUMENT
CITY OF LA QDINTA
Please type or print in ink.
CITY CLERK DEPARTMENT
NAME OF FILER (LAST) (FIRST)
(MIDDLE)
Caha oC�r
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
La Quinta Housing Authority
r
Division, Board, Department, District, if applicable
Your Position
Consultant
► 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
— City of La Quinta
❑ Other
3. Type of Statement (Check at least one box)
® Annual: The period covered is January 1, 2020, through
❑ Leaving Office: Date Left
December 31, 2020.
(Check one circle.)
-or-
The period covered is
through O The period covered is January 1, 2020, through the date of
December 31, 2020.
-or-leaving office.
❑ Assuming Office: Date assumed
O The period covered is — through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (must complete) P. Total number of pages including this cover page:
Schedules attached
❑ Schedule A4 - Investments — schedule attached
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule A4 - 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
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
EMAIL ADDRESS
(
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 02/22/2021 Signature :� &
(month, day, year) (Frle Me9kinallysignodpaparstatowntwMywuOngoffida[)
FPPC Form 700 - Cover Page 12020/2021)
advice@fppc.ea.gov - 866-275-3772 - www.fppc.ca.gov
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