700 Lagunas, Dana 2022 Leaving Office 02.03.2023STATEMENT OF ECONOMIC INTERESTS Date Initial Fili use Only
FiliCOVER PAGE RECEIVE❑
A PUBLIC DOCUMENT
Please type or print in ink. 3
NAME OF FILER (LAST) (FIRST) (MIDDLE)
!—^9'Da CITY OF LA OUINTA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
C' 4- o �- La
06M �_ Coordiha MY
Division, Board, Department, District, if applicable
Your Position
► 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, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
Multi -County
County of _
_ ✓City of L ok GIG ,n}-vk
Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2022, through
Leaving Office: Date Left I I �' 3
December 31, 2022.
(Check one circle.)
-or-
The period covered is
through The period covered is January 1, 2022, through the date of
December 31, 2022.
leaving office.
.or.
- Assuming Office: Date assumed ?__ ?
The period covered is J I through
the date of leaving office.
Candidate: Date of Election and office sought, if different than Part 1.
Schedule Summary (required) ► 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- v No►le - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER
CITY
EMAIL ADDRESS
STATE ZIP CODE
( )
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.
ur filing official J
FPPC Form 700 - Cover Page (2022/2023)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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