700 Long - 2015 from 01/01 - 12/31CALIFORNIA FORM
11
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATE:EN, OF ECONOMIC INTERESTS "°` IIIIOGI r l is Ig IZCI CIVGU�
Ofrcial Use Only
RECEIVED
COVER PAGE CITY OF LA QUINTA
CALIFORNIA
NAME OF FILER (LAST)
Long
(FIRST)
Everett
2016owf4arRd28 E'f1:28
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Housing Commission
Division, Board, Department, District, if applicable
Your Position
Commissioner
► 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
❑ Multi -County
La Quinta
® City of
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
0 Other
3. Type of Statement (Check at least one box)
O Annual: The period covered is January 1, 2015, through 0 Leaving Office: Date Left / /
December 31, 2015. (Check one)
-or-
The period covered is through
December 31, 2015.
0 Assuming Office: Date assumed —J—J
O 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.
O Candidate: Election year 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 L. 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
(Business or Agency Address Recommended - Public Document)
CITY
La Quinta
STATE
ZIP CODE
CA 92253
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 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 true . nd co
3/25/2016
Date Signed Signat
(month, day, year) (File e origin signed statement wdh your filing official)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov