700 Sylk 2022 ElectionRECEIVED
_NIA _ STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE F,+BOfficial Use O?'v
FAIR POLITICAL PRACTICES COMMISSION UG 0 4 2022
A PUBLIC DOCUMENT CITY OF LA OUINTA
Please type or print in ink. CITY CLERK DEPARTMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
1. Office, Agency, or Court
Agency Uame (Do n t use acron ms
L VW
Division, §0'arif Department, District, if applicable Your Position
► If filing for mulii0l positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
'J State
`I Multi -County
❑ City of L`I�
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 through
December 31, 2021.
77 Assuming Office: Date assumed I I
andidate: Date of Election
Schedule Summary (must complete)
Schedules attached
Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
L— County of
❑ Other
Leaving Office: Date Left I +'
(Check one circle.)
C1 The period covered is January 1, 2021, through the date of
leaving office.
.or -
The period covered is 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
E Schedule B - Real Property — schedule attached
-or- XNone - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY
(Business
nor,
C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
L_I, Schedule E - Income — Gifts — Travel Payments — schedule attached
STATE ZIP CODE
ZI
7-7a �V�7
used all reasonable diligence in preparing this statement. I have reviewed this state4erif and to The t 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 corre
� ►r��I.s � _ _ , 4 c1
Signature
your nung amcia+.7
FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
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