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700 Duzman 2016CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) Duzman STATEMENT OF ECONOMIC INTERESTS RECEIVEp Date Initial Filing Received COVER PAGE CITY OF LA t7.q'' `t A CITY CLERK D27? ; (FIRST) (MIDDLE) Noam I• 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Deputy City Attorney ► 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 City of La Quinta ❑ Other 3. Type of Statement (Check at least one box) X Annual: The period covered is January 1, 2016, through December 31, 2016. The period covered is through December 31, 2016. ❑ Assuming Office: Date assumed r -or- 0 Leaving Office: Date Left __I (Check one) The period covered is January 1, 2016, through the date of leaving office. -or- The period covered is J , through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 • Investments - schedule attached ❑ Schedule A-2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- E] None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY (Business or Agency Address Recommended - Public Document) 611 Anton Blvd., Ste. 1400 Costa Mesa STATE ZIP CODE CA 92626 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 714 ) 641-5100 nduzman@rutan.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 California that the foregoing is true d- rree �1' (month, day, year) (File the originally signed stet oil with your filing official) Date Signed Signature FPPC Form 700 (2016/2017) PPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Noam I. Duzman ► 1. INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INCOME RUTAN & TUCKER, LLP ADDRESS (Business Address Acceptable) NAME OF SOURCE OF INCOME Giant Consulting ADDRESS (Business Address Acceptable) 611 Anton Blvd., Ste. 1400, Costa Mesa, CA 92626 616 S El Camino Real #G-16, San Clemente 92672 BUSINESS ACTIVITY, IF ANY, OF SOURCE Law Firm YOUR BUSINESS POSITION Partner GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $10,001 - $100,000 ❑ No Income - Business Position Only ❑ $1,001 - $10,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ® Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of ❑ Loan repayment ❑ Commission or (Real property, car, boat, etc) ❑ Rental Income, list each source of $10,000 or more (Describe) ❑ Other — (Descnbe) BUSINESS ACTIVITY, IF ANY, OF SOURCE Psychotherapy YOUR BUSINESS POSITION None GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 IX $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary 2 Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boat, etc) ❑ Loan repayment E Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) ❑ Other (Describe) P. 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 INTEREST RATE % ❑ None TERM (Months/Years) SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Stree! ,ofd's City ❑ Guarantor E Other (Describe) Comments: FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov