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700 Willdan Engineering (Stein) 2020STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. Date InKCRIWjj:lteceived Filing Official Use Only FEB 2' 2021 NAME OF FILER (LAST) (FIRST) (MIDDLE) CITY CLERK DEPARTMENT 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 P. 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 ® City of La Quinta Position: ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) �j Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left I I December 31, 2020. (Check one circle.) -or- The period covered is _J I through O The period covered is January 1, 2020, through the date of December 31, 2020. -or-leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is I I through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 1: Schedule Summary (must complete) ► 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- Cl None - No reportable interests on any schedule ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recorrvnended - Pubtk Document) 13191 Crossroads Parkway North #405 City of Industry CA 91746 DA TWE TELEPHONE NUMBER EMAiLADDRESS ( 1 rstein@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. Date Signed February 22, 2021 Signature (monm, ay, year) (Elio the w*n* slgrred Paper statement with yocvWag offal e FPPC Form 700 - Cover Page (2020/2021) advice@fppc.ca.gov • 866-275.3772 • www.fppc.ca.gov Page - 5