700 Bengal Engineering (Wahiduzzaman) 2020RECEIVED
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE Filing GYrt;,.f Uss
MAR U 2 202+
A PUBLIC DOCUMENT
Please type or print in ink. CITY OF LA CUINTACITY CLERK QFPARTUF
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Wahiduzzaman Md.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta Professional Civil Engineer
Division, Board, Department, District, if applicable Your Position
Bengal Engineering, Inc. 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
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County ❑ County of
® City of La Quinta ❑ other
3. Type of Statement (check at least one box)
® Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left I
December 31, 2020. (Check one circle.)
.or -
The period covered is ___J—
December 31, 2020.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
through O The period covered is January 1, 2020, through the date of
leaving office.
.or-
0 The period covered is I through
the date of leaving office.
and office sought, if different than Part 1:
Schedule Summary (must complete) ► Total number of pages including this cover page:
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- [A None - No reportable interests on any schedule
o. verincatlon
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
360 S. Hope Ave. , Suite C-110 Santa Barbara CA 93105
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 1 and@bengalengineering.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
yourRng Ofrrcial)
FPPC Form 700 - Cover Page (2020/2021)
advice@fppc.ca.gov - 866-2759772 - www.fppc.ca.gov
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