700 Mast 2021 Assuming Office 10.19.2021RECEIVED
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Mast Shelley Joy
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Your Position
CITY OF LA QWNTA
CITY CLERK DEPARTMENT
Financial Advisory Commissioner
► If filing for multiple itions, list below or on an attachment. (Do not use acronyms)
Agency:
b� a n:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
!� City of La Quinta
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2020, through
December 31, 2020.
-or-
The period covered is
December 31, 2020.
21
Assuming Office: Date assumed 11 I —
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left r r
(Check one circle.)
through O The period covered is January 1, 2020, through the date of
leaving office.
-or-
0 The period covered is I I through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
ni4z
IrF
'4. Schedule Summary (must complete) P. Total number of pages including this cover page:
Schedules attached
❑ Schedule A 1- Investments — schedule attached ❑ Schedule C - Income, Loans; 8 Business Pbsiilim — schedule attached
' ❑ Schedule A-2 - thm0nents — sdthdule attached ❑ Schedule D - Income — Gdts — schedule attached
' ❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income - Gifts — Travel Payments — schedule attached
0
-or ® None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business orAgencyAditw Recormnended - Public DommenQ
52243
TELEPHONE NUMBER
(760 )
STATE ZIP CODE
La Quinta CA 92253
EMAIL ADDRESS
ShelleyMast@gmaii.
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 is true d rre
Date Signed 10/21 /2021 Signature '
(monm, day, yeaq 701 ie origin iy sgned paper sta your filing official.)
FPPC Form 700 - Cover Page (2020/2021)
advice@tppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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