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700 Fernandez, Siji 2023STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received COVER PAGE F ECEIV�D A PUBLIC DOCUMENT Please type or print in ink. APR 0 12024 NAME OF FILER (LAST) (FIRST) (MIDDLE) CITY OF Fernandez siji �t ��r ^� DLA 4UINTENT 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Associate Planner ► 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 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 Tern Judge, or Court Commissioner (Statewide Jurisdiction) County of Other _I Leaving Office: Date Left I (Check one circle.) through The period covered is January 1, 2023, through the date •or• of leaving office. _ The period covered is —J 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: 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 EMAIL ADDRESS ( 760 ) 777-7066 ov 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 Form 700 - Cover Page (2023/2024) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5