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700 Flores, Carlos 2021RECEIVED STATEMENT OF ECONOMIC INTERESTS : Date Initial Filing Received CALIFORNIA OFAIR POLITICAL PRACTICES , COVER PAGE F�b� 1 `6 262 t' A PUBLIC DOCUMENT CITY. OF LA QUINTA Please type or print in ink. lGITY CLERK DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Flores Carlos Alfredo 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Planning Department Senior Planner ► 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 ■ City of La Quinta 3. Type of Statement (check at least one box) El Annual: The period covered is January 1, 2021, through December 31, 2021. .or - The period covered is J I through December 31. 2021. Assuming Office: Date assumed Candidate: Date of Election Schedule Summary (must complete) Schedules attached Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) County of Other Leaving Office: Date Left —Ii (Check one circle.) The period covered is January 1, 2021, through the date of leaving office. .or - 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: 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 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 CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) CA DAYTIME TELEPHONE NUMBER EMAILADDRESS ( cflores@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 February 16, 2022 Signature (month, day . ear) ( statement w1h your $inp X50al.) FPPC Form 700 - Cover Page (2021/2022) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5