700 Chapman 2024 Leaving Office 06/30/2024RECEIVED
Please type or print in ink.
NAME �L(,LAST)
1. Office, Agency, or Court
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
(FIRST)
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable Your Position
Datez Initial Filinc R ceived
CITY OF LA QUINTA
CITY CLERK DEPARTME
(MIDDLE)
Houma f nmmTSSTnN COMMTSSTONRR
► 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)
Position:
n State n Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County ❑ County of
City of kc, (�s 6 G"_ ❑ Other
I Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2023, through Leaving Office: Date Left 12024 30 1
-or-
December 31, 2023. (Check one circle.)
The period covered is _I I through L The period covered is January 1, 2023, through the date
December 31, 2023. -or- of leaving office.
❑ Assuming Office: Date assumed The period covered is 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
n 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
n Schedule B - Real Property — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached
-Or-J4 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
ADDRESS
(M)
1 have used all reasonable diligence in preparing this statement. I have reviewed this statement and to
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 th
Form 700 - Cover Page (2023/2024)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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