700 Fuson, Jacob 2023STATEMENT OF ECONOMIC INTERESTS Date Filing
i l Fil i Ugse Only
COVER PAGE RECEIVED
A PUBLIC DOCUMENT
Please type or print in ink. MAR n A ,n2A
NAME OF FILER (LAST) (FIRST) (MIDDLE) 41
L� 'f
FUSON JACOB PAUL CRY OF LA QUINTA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable
BUILDING
Your Position
DEPUTY BUILDING OFFICIAL
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
10 City of LA QUINTA
3. Type of Statement (Check at least one box)
■ Annual: The period covered is January 1, 2023, through
December 31, 2023.
.or -
The period covered is I I
December 31. 2023.
Assuming Office: Date assumed
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, 2023, 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:
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- (J 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
E NUMBER
EMAIL ADDRESS
(760 ) 777-7000 I JFUSON(cDLAQUINTACA.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
mm your nong omaat.)
FPPC Form 700 - Cover Page (2023/2024)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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