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700: Johnson - Leaving 09/11/2015CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. Date Init1 l ng Received STATEMENT OF ECONOMIC INTERESTS RECL CITY CLERKSj OFFICE COVER PAGE NAME OF FILER (LAST) Johnson (FIRST) Les -ti trt r " ' (MIDDLE) ITV OF LA °UINTA 1. Office, Agency, or Court CALIFORNIA Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Community Development Department Your Position Community Development Director ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Coachella Valley Association of Governments Position: Technical Planning Subcommittee Member 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -County © City of La Quinta ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ 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 --1_ J , through December 31, 2015. ❑ Assuming Office: Date assumed J_/ ❑ Candidate: Election year © Leaving Office: Date Left 09 1 11 1 2015 (Check one) * The period covered is January 1, 2015, through the date of leaving office. -or- O The period covered is , through the date of leaving office. and office sought, if different than Part 1 Schedule Summary:: (mush complete) ,Schedules:`attached. ` ❑,Schedule A-1 - Investments — schedule attached . ❑. Schedule A-2 = Investments — schedule attached. ❑. Schedule B Property -.schedule attached ► Total number -of pagesincluding this cover page: one No :reportable' interests: on any:sch'edule ❑' Schedule C. - Income, Loans, ,&' Business Positions-= schedule attached ❑Schedule'D` - Income - Gifts = schedule attached ❑ Schedule E'- Income - G,fts.-,Travel Payments — schedule: attached 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 78495 Calle Tampico CITY La Quinta STATE ZIP CODE CA 92253 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 760 ) 777-7000 smaysels©Ia-quinta.org 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 documen certify under penalty of perjury under the laws of the State of California that the foregoin, ue and correct. Date Signed 02/26/2016 Signat - (month, day, year) le 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