700 Ulloa 2021RECEIVED
CALIFORNIA _ STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE FEB 4 JcH22
A PUBLIC DOCUMENT
CITY OF LA QUINTA
Please type or print in ink. _ CITY CI LEK DEPARTM;i
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Ulloa Jose Antonio
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Public Works Deputy Director
► 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)
7 State ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
Multi -County ❑ County of
City of La Quinta Other
3. Type of Statement (check at least one box)
❑■ Annual: The period covered is January 1, 2021, through ] Leaving Office: Date Left
-or-
December 31, 2021. (Check one circle.)
The period covered is I I through ❑ The period covered is January 1, 2021, through the date of
December 31, 2021. -or- leaving office.
Assuming Office: Date assumed ❑ The period covered is �, through
the date of leaving office.
] Candidate: Date of Election
and office sought, if different than Part 1
4. Schedule Summary (must complete) ► Total number of pages including this cover page: j
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- ■ None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta CA 92253
DAYTIME TELEPHONE NUMBER EMAILADDRESS
( 760 ) 777-7026 tulloa@laquintaca.gov
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 is true and correct.
Date Signed 1-10-2022
(monfh, day, year)
Signature
)
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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