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700: Campos - 2016 Assuming 04/04/2016
CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) Campos STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Initial Filing Received Official Use Only (FIRST) Karla (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable , Finance Your Position Accounting Manager ► 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) ❑ Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left Jl December 31, 2015. (Check one) -or- The period covered is —J—_ , through December 31, 2015. © Assuming Office: Date assumed 04 l 04 / 2016 ® The period covered is January 1, 2015, through the date of leaving office. -or- O The period covered is , through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1 er of pages_tncluding this: cover.;page: Schedule A.1 Investments - schedule. attached Schedule A-2 Investments schedule,attached Schedule B Real PropertySchedulevattached ScheduleC = Iricome, Loan's,:, &'Business Positions schedule attache Schedule'D Income Gifts schedule attached Schedule`E Income Gifts'=,Travel Paymenfs schedule attache d.- 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 ) 777-7073 kcampos@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 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 04/07/2016 Signature A 71r-'' (month, day, year) (File the originally signed statement with your Ring official.) FPPC Form 700 (2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov