700 Triplett 2021STATEMENT OF ECONOMIC INTERESTS Date Initial ECE ng Received
COVER PAGE Filing Official Use Only
MAR 17 2022
A PUBLIC DOCUMENT
Please type or print in ink. CITY OF LA QUINTA
nir./ ni crni/ nDOADTAA=N
NAME OF FILER (LAST) (FIRST) (MIDDLE)
TRIPLETT ALCADIA MAE
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable
HUMAN RESOURCES DIVISION
Your Position
HUMAN RESOURCES ANALYST
► 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
Position:
Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
Multi -County County of
■I City of LA QUINTA Other
3. Type of Statement (Check at least one box)
7 Annual: The period covered is January 1, 2021, through Leaving Office: Date Left I I
December 31, 2021. (Check one circle.)
-or-
The period covered is I I through
December 31, 2021:
Assuming Office: Date assumed
Candidate: Date of Election
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.
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
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
78495 CALLE TAMPICO
DAYTIME TELEPHONE NUMBER
( 760 ) 777-7120
Schedule C - Income, Loans, & Business Positions — schedule attached
Schedule D - Income — Gifts — schedule attached
Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY STATE ZIP CODE
LA QUINTA CA 92253
EMAIL ADDRESS
ctriplett@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 js1rjj"nd correct.
Date Signed } �`J� Signature
O. day�yeari
Sing
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 5