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700 Caldwell 2017CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTSFAIR POLITICAL PRACTICES COMMISSION Date initial Flung Received A PUBLIC DOCUMENT COVER PAGE Filed Date: 01/04/2018 12:02 PM Please type or print in ink. SAN: FPPC NAME OF FILER (LAST) (FIRST) (MIDDLE) Caldwell Mary A. 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Planning Commissioner ► 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, 2017, through December 31, 2017. .or - The period covered is 01 J8 I 2017 December 31, 2017. ❑ Assuming Office: Date assumed I I ❑ Candidate: Date of Election Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left (Check one) through O The period covered is January 1, 2017, through the date of -or- leaving office. O The period covered is through the date of leaving office. and office sought, if different than Part 1. 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1 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 92253-2839 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 760 ) 777-7123 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 01/04/2018 12:02 PM Signaturp Electronic Submission (month, day, year) . (File the originally signed slalement with your filing official.) FPPC Form 700 (2017/2018) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov