Form 700 Willdan Engineering (Stein) 2019STATEMENT OF ECONOMIC INTERESTS
COMMISSIONFAIR POLITICAL PRACTICES COVER PAGE
Pease type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST)
Stein Ron
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
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 feast one box)
❑ State
❑ Multi -County
❑x City of La Quinta
3. Type of Statement (check at feast one box)
❑R Annual: The period covered is January 1, 2018, through
-or-
December 31, 2018.
The period covered is ! through
December 31, 2018.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
ate InitiR`,,.a ceived
0
JUL 242019'
CITY of IA QUINTA
CITY 0t8W IDEPARTMENI
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I 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) (o. Total number of pages including this cover page: 1
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- Z None - No reportable interests on any schedule
5. veriticatllon
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
13191 Crossroads Pkwy N #405 City of Industry CA 91746
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 562 ) 908-6200 rsteinpa willdan.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.
y
Date Signed Jul11 2019 Signature � �-
(month, day, yead (FNe the odginally signed paper statement with your filing official.)
FPPC Form 700(2019/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
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