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Form 700 Affordable Housing Program (Caha) 2018STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Official Use Only COVER PAGE Please type or print in ink. A PUBLIC DOCUMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) CAHA BECKY 1. Office, Agency, or Court Agency Name (Do not use acronyms) LA QUINTA HOUSING AUTHORITY Division, Board, Department, District, if applicable Your Position CONSULTANT ► 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 X City of LA QUINTA 3. Type of Statement (Check at least one box) x❑ Annual: The period covered is January 1, 2018, through -or- December 31, 2018. The period covered is I I through December 31, 2018. ❑ Assuming Office: Date assumed I ❑ Candidate: Date of Election Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left — I (Check one circle,) O The period covered is January 1, 2018, through the date of -or- leaving office. O The period covered is I 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: Schedules attached ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached -or- FRI None - No reportable interests on any schedule 5. Veritication MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 9812 CONTINENTAL DRIVE ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached HUNTINGTON BEACH STATE ZIP CODE CA 92646 LAY IIMt 11zLLI'HUNL NUMbLK EMAILADDRESS ( 760 ) 900-9668 1 CAHABECKY@GMAIL.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 and correct. Date Signed 5/29/2019 Signatures (month, day, year) (File th ginallysigned paper statement with your filing official.) FPPC Form 700 (2018/2019) FPPC Advice Email: advice@fppc.ca.gov FPPC Tall -Free Helpline: 866/275-3772 www.fppc.ca.gov Page - 5