700 Willdan Engineering (Stein) 2021STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
Stein Ron
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
(MIDDLE)
Your Position
Consultant
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
Ilrll City of City of La Quinta
3. Type of Statement (Check at least one box)
01 Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is
December 31, 2021.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Schedule Summary (must complete)
Schedules attached
Position:
DatR� FpieceN
Use Only
FEB 0 9 2022
CITY OF LA QUINTA
ITY CLE~
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one circle.)
through ❑ The period covered is January 1, 2021, through the date of
-or-
leaving office.
❑ The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
► Total number of pages including this cover page: 1
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- E�xNone - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Guts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
13191 Crossroads Parkway North #405 City of Industry CA 91746
DAYTIME TELEPHONE NUMBER EMAILADDRESS
( rstein@willdan.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 penalty of perjury under the laws of the State of California that the foregoing is true and c.
Date Signed February 8, 2022 Signature }
month, day, year) (File the originally signed papersfafemenf with your filing olfuaO
FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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