700 GHD (Tregenza) 2021STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
RECEIVED
Date Initial Filing Received
CITY OF LA QUANTA
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Q S
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Division; Board, Department, District, if applicable
Your Position
► 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 La Quinta
3. Ty a 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 through
December 31, 2021.
.. Assuming Office: Date assumed i . __j
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(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:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-or- None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
Z200 -71A sT _5TPFTT SPuM Nf crv- 61 Sgl,b
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
-Flo D0i 2�C�►�z��' �,t� � �M
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 �� 'vvj ZZ g
Si nature
Imunfh. day, year (Fde 1!
orrGa�.)
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 5