700 Fitzpatrick - 2015 from 01/01 - 12./31CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink. •
Date Initial Filing Received
STATEMENT OF ECONOMIC INTERESTS ECEIVEDOfcialuse Only
CITY OF LA QUINTA
COVER PAGE CALIFORNIA
NAME OF FILER (LAST)
Fitzpatrick
(FIRST)
Kathleen
v IIl:li —t ft (M OL.
Elizabeth
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta, Planning Commission
Commissioner
Division, Board, Department, District, if applicable
Your Position
I. 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
0 Multi -County
City of
La Quinta
0 Judge or Court Commissioner (Statewide Jurisdiction)
0 County of
0 Other
3. Type of Statement (Check at least one box)
2 Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is // , through
December 31, 2015.
0 Assuming Office: Date assumed /1
❑ Candidate: Election year
❑ Leaving Office: Date Left / /
(Check one)
O The period covered is January 1, 2015, through the date of
leaving office.
-or-
O The period covered is — 1 , 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_coverpage:
_
-Schedules= attached--
-- -- ❑ Schedule4-1: Investmentsschedule
_ _❑.Schedule A-2 -:Investments-=uschedule
❑ Schedule: B -.Real Property:-. schedule
-or
1
1 _
1_
:attached::
attached:-:: __:
_attached....
❑Schedule C'--lncoine,loansi & Business Positions=-"schedule=attached '-
❑Schedule D:- Income_- Gifts:-- schedule attached.::
❑.Schedule_E - Income -_Gifts--_.Travel_Payments,.--schedule attached
` : None - No reportable interests on any_schedule
5. Verification 78495 Calle Tampico, La Quinta CA 92253
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
STATE
ZIP CODE
DAYTIME TELEPHONE NUMBER
( 760 ) 393-2919
E-MAIL ADDRESS
carmelabungalow@gmail.com
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 pen I�ty of perjury under the laws of the State of California that the foregiti� FIs and correct.
Date Signed a
(month, day, year)
Signature
(File the originly si ed statement with your riling official)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov