700 Affordable Housing Program (Caha) 2021STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
DateFiFmQ E4lui� Pece ived
Filing Official Use Only
FEB 18 2022 �Cry
CITY OF LA QUINTA
NAME OF FILER (LAST) (FIRST) (MIDDLE) LT r Y C LLTSTi utrHn inGiI
CAHA BECKY
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
LA QUINTA HOUSING AUTHORITY
Division, Board, Department, District, if applicable
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
_, City of
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is I I through
December 31, 2021.
❑ Assuming Office: Date assumed
U Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I
(Check one circle.)
❑ 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:
Schedule Summary (must complete) ► Total number of pages including this cover page:
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 — Gilts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Pubk Document)
DAYTIME TELEPHONE NUMBER EMAIL 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 is true and correct.
Date Signed 2/8/2022 Signature &"'/
]
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fopc.ca.gov
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