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700 Hansen, Dianne 2022STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. Date Initial Filing Received Fi • . ial U , :. RECEIVED MAR 0 2: 2023 NAME OF FILER (LAST) (FIRST) (MIDDLE) Hansen Dianne Joy CITY OF LA QP1NTA CITY CLERK DEPARTMENT 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Public Works Your Position Management 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 Multi -County City of 3. Type of Statement (Check at least one box) E Annual: The period covered is January 1, 2022, through December 31, 2022. .or - The period covered is I , through December 31, 2022. Assuming Office: Date assumed 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, 2022, 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: _ Schedule Summary (required) ► Total number of pages including this cover page: 2 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) 78495 Calle Tampico La Quinta CA 92253 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 760 ) 777-7117 dhansena@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 is true and correct. Date Signed 02/01/23 g Dianne Hansen Digitally signed by Dianne Hansen Signature Dale: 2023 02 01 18:49:55-08'00' (month, day, year) (File the originally signed paper statement with your filing official.) FPPC Form 700 - Cover Page (2022/2023) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5 SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE $2.000 - $10,000 $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 NATURE OF INTEREST ■ Ownership/Deed of Trust Leasehold IF APPLICABLE, LIST DATE: � /22 --j--j2Z- ACQUIRED DISPOSED Easement Yrs, remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. None Name Dianne Hansen ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE $2.000 - $10.000 $10,001 - $100,000 _ $100,001 - $1,000,000 Over $1,000,000 NATURE OF INTEREST Ownership/Deed of Trust Leasehold IF APPLICABLE, LIST DATE � /22 --j /22 ACQUIRED DISPOSED Easement Yrs remaining Other IF RENTAL PROPERTY. GROSS INCOME RECEIVED $0 - $499 $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 J OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. None * You are not required to report loans from a commercial lending institution made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1.001 - $10,000 $10,001 - $100,000 OVER $100,000 Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthsNears) % None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1.001 - $10.000 $10,001 - $100,000 OVER $100,000 Guarantor, if applicable FPPC Form 700 -Schedule B (2022/2023) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 11