Form 700 Willdan Engineering (Munoz) 2018Please type or print in ink.
NAME OF FILER (LAST)
Munoz
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
Offival Use Only
COVER PAGE
(FIRST) (MIS.
Vanessa
Your Position
Consultant
P. 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
❑ Multi -County
❑x City of La Quinta
3. Type of Statement (Check at least one box)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑x Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left 1 f
December 31, 2017. (Check one)
-or-
The period covered is --J—J through O The perod covered is January 1, 2017, through the date of
December 31, 2017. •or -
leaving office.
❑ Assuming Office: Date assumed O The period covered is l through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1
4. Schedule Summary (must complete) P. Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, 8 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-
p None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET C TY STATE ZIP CODE
(Business orAgentyAddtftt Retammended - Publk Ddculneld)
13191 Crossroads Parkway North #405 City of Industry CA 91746
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS
( 562 ) 368-4848 lvmupcz@wilidan.com
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 Califomia that the foregoing is true nd corral.
Date Signed August 13, 2018 Signature
(monft day, year) (File ffK odglnaMyQ++ A>tfdrem N+fn yourflhnp alEom.f
FPPC For 0 (2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free. Helpline: 866/275-3772 www.fppc.ca.gov