700 Converse Consultants (Quazi) 2021EOEIVED
STATEMENT OF ECONOMIC INTERESTS Date nitlaI Filing Received
CALIFORNIA • ' ' ' Filing Official Use Only
COVER PAGE FEB 10 2022
A PUBLIC DOCUMENT
Please type or print in ink. CITY OF LA QUINTA
NAME OF FILER (LAST) (FIRST) (MIDDLE) 18
Quazi Hashmi S
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Your Position
Design & Development Division 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
# City of La Quinta
3. Type of Statement (Check at least one box)
I0I Annual: The period covered is January 1, 2021, through
December 31, 2021.
.or -
The period covered is I
December 31, 2021.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Schedule Summary (must complete)
Schedules attached
Position:
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one circle.)
through ❑ The period covered is January 1, 2021, through the date of
-or-
leaving office.
❑ The period covered is / through
the date of leaving office.
- and office sought, if different than Part 1:
► Total number of pages including this cover page:
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-or- [l None - No reportable interests on any schedule
5. Verification
❑ 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
(Bus(ness or Agency Address Recommended - Public Document)
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( hquazi@converseconsultants.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 a
Signature
{ )
FPPC Form 700 - Cover Page (2022/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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