700 Berumen, Alfred 2022STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE OEMVE❑
A PUBLIC DOCUMENT
Please type or print in ink. MAR 8 8 2023 [
NAME OF FILER (LAST) (FIRST) (MIDDLE)
CITY OF LA CUINTA CITY Berumen Alfred Jason Y CLERK DEPARTMENT
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Your Position
Public Works Management Analyst
P. 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
llllt City of La Quinta
3. Type of Statement (Check at least one box)
■ Annual: The period covered is January 1, 2022, through
December 31, 2022.
.or -
The period covered is
December 31, 2022.
Assuming Office: Date assumed i
Candidate: Date of Election
Position:
Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
County of
Other
Leaving Office: Date Left
(Check one circle.)
through _ The period covered is January 1, 2022, through the date of
leaving office.
.or -
The period covered is through
the date of leaving office.
and office sought, if different than Part 1
4. 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- * None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78-495 Calle Tampico La Quinta Ca 92253
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 760 ) 777-7000 aberumen@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 03-28-2023
(month, day year)
Signature Alfred Berumen
Digitally signed by
Dale, 2023 03 2e
(File the onginally 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
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