700: Nesbit - 2016 Leaving 02/12/2016CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
RECEIVED
DatFErBiatF2ingal ceived
Official Use Only
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
NAME OF FILER (LAST) '
r\') e'5104;*
1. Office, Agency, or Court
(FIRST)
JaUti.ce:
(MIDDLE)
Agency Name (Do not use acronyms)
6/r7 ter, G.4 Qu/Nr✓l
Division, Board, 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)
❑ Multi -County ❑ County of
City of L,'' Qul"T4 ❑ 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 _J_/ , through
December 31, 2015.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
eaving Office: Date Left DZ. i 2-4) /6
(Check one)
p The period covered is January 1, 2015, 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'
4. Schedule Summary (must .complete) ► Total number of pagesincluding this cover page:
Schedules attached
❑ Schedule A-1 - Investments.— schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property - schedule attached
-or-
111- 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
(Business or Agency Address Recommended - Public Document)
CITY
STATE
ZIP CODE
DAYTIME TELEPHONE NUMBER
( )
E-MAIL 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 schedulesis true and complete. I acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of Califomia that the foregoing is true and correct.
Date Signed
2/(0/( G
(month, day, year)
Signature
(File the originally signed statement 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