700: McCormick - 2016 Leaving 01/15/16CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
Date Incllts} I�,�* y.F
r.1STATEMENT OF ECONOMIC INTERESTS CET' R1 BICE
COVER PAGE
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NAME OF FILER ILAST)
cCo(rr► ick,
1. Office, Agency, or Court
(FIRST) 141411
LA QU1NTA
Agency ame (Do t use acronyms)
k
�.4
Division, Boars Department, District, if applicable Your Position
► 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 or Court Commissioner (Statewide Jurisdiction)
❑ Muifi-CourZty ,. ❑ County of
0 City of dUtttT,"' ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is )�
December 31, 2015.
0 Assuming Office: Date assumed _J_./
❑ Candidate: Election year
through
Leaving Office: Date Left/5 h(p
(Check one)
p The period covered is January 1, 2015, through the date of
leaving office.
-or-
0 The period covered is through
the date of leaving office.
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-
❑ 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
(Businessnor Agency Addressr�Recommendedff-- Public Document) J� f ..
DA / 0 T11 R 5E NUMBER
tle. l , l co 4 Q �•��"+-ct/
E-MAIL ADDRESS
(71;v) 7073
STATE ZIP CODE
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my kn ledge the inform n 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 fo e(Ting is true and correct.
Date Signed
(month, day, year)
Signature
✓e t7]� ✓Twig Wally s gndel1 moot with your filing official.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov