Loading...
700: Conrad - 2016 Leaving 07/08/16CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date initial Filing Received Official lice Only NAME OF FILER (LAST) Conrad (FIRST) Rita (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Finance Department Finance Director/Treasurer ► 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 or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of ❑ Other © City of La Quinta 3. Type of Statement (Check at least one box) -7 73 ❑ Annual: The period covered is January 1, 2015, through © Leaving Office: Date Left / 2016 December 31, 2015. (Check one) -or- The period covered is _/_/ , through December 31, 2015. ❑ Assuming Office: Date assumed O The period covered is January 1, 2015, through the date of leaving office. -or- O The period covered is —lam , through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1 L:; Schedule Summary (must cotitplete) .:1 Total nurnber of pages including this cover page: 1 Schedules aftached ❑-`Schedule A -1 --investments= schedule attached ❑ Schedule C - Income, Loans, & Business, Positions - schedule ;attached in Schedule A-2 - Investments Q schedule attached Schedule D - Income - Gifts --schedule attached ❑ Schedule B - Real- Property, -.schedule attached „[] Schedule E Income – Gifts -,Travel"Payments ; schedule attached None • No reportable "interests;:on`any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 78495 Calle Tampico CITY La Quinta STATE ZIP CODE , CA 92253 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 760 ) 777-7054 rconrad@la-quinta.org 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 thisis a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing due and correct. Date Signed 06/26/2016 (month, day, year) Signature (File the originally signed statement with your filing official.) FPPC Form 700 (2015/2016) FPPC Advice Email:.advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov