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700: Campos - 2016 Leaving 07/10/2016
CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS COVER PAGE RECEIVED at Initial Filing Received OfMUse TZ016 CITY OF LA QUINTA CL•.RK DEPARTMENT NAME OF FILER (LAST) Campos (FIRST) Karla Lizzet 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 07 / 10 / 2016 December 31, 2015. (Check one) -or- The period covered is —_L through 0 The period covered is January 1, 2015, through the date of leaving office. -or- * The period covered is 04 / 04 1 2016 , through the date of leaving office. December 31, 2015. ❑ Assuming Office: Date assumed ❑ Candidate: Election year and office sought, if different than Part 1 chedule Summary (must: complete) ; �,.Total.nunihoi%of'pages Including this coverpage:° ehedules=attached Schedule A -:1': -:`Investments.- schedule attached? _❑ Schedule A=2=-:Investments=;schedule attached.;;_ ❑ Schedule B;- Real Property',schedule attached °. one No;repoltable;interestsFon',any:schedule., l_Schhedule'C �'Income; Loans,-'& Business Poslfions - schedule:attached `! ;Schedule D = income =Gifts = schedule'attached_ Schedule E -•,Income Gifts - TravehPayments.- schedule attached 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE DAYTIME TELEPHONE NUMBER ( ) E-MAIL ADDRESS 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 08/02/2016 Signature (month, day, year) (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