Form 700 Vavrinek, Trine, Day & Co, LLP 2016 (Stapleton)Dat
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
RECEIVED
Initial {4AWg »te r8'i7
oncciaf Uaze Orgy
CITY OF LA QUANTA
CITY CLERK DEPARTMENT
NAME Of FILER (LAST)
Stapleton
(FIRST)
Lauryn
(MIDDLE)
C.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Vavrinek, Trine, Day & Co., LLP
Division, Board, Department, District, if applicable
Your Position
Audit Manager
► 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction)
0 Multi -County ❑ County of
❑ City of ❑ Other
3. Type of Statement (check at !east one box)
❑�c Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left
December 31, 2016. (Check one)
The period covered is _1__.---J through
December 31, 2016.
❑ Assuming Office. Date assumed
O The period covered is January 1, 2016, through the date of
leaving office.
-or-
O The period covered is , through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Pari 1.
4. 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
❑ Schedule C - Income, Loans, & Business Positrons — schedule attached
❑ Schedule D - Income — Gifts - schedule attached
0 Schedule E - income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET
(Business arAgency Address Recommended - Public Document]
10681 Foothill Blvd., Suite 300
CITY
Rancho Cucamonga
STATE
ZIP CODE
CA 91730
DAYTIME TELEPHONE NUMBER
( 909 ) 466-4410
E-MAIL ADDRESS
istapieton@vtdcpa.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. l 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 andjcorre
Date Signed 04/26/2017 Signature, abl4.1 �" 4Y,
(month, day, year)
(t=ile the inaiysighed slatln4enl with your nag eider)
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov