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700 Deckard (Del Pego) 2021CALIFORNIA FORm7OO STATEMENT OF ECONOMIC INTERESTS Date FAIR POLITICAL PRACTICIES CO COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST} (FIR91r) [7AIDDLEj Del Pego Nickolas Ramon 1. Office, Agency, or Court Agency Name (Do not use acronyms) Deckard Technologies, Inc. Division, Board, Department, District, if applicable Your Position Chief Executive Officer ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) I ,,',:R eVED MAR 17 2022 CITY OF LA QUINTA TY CLERK DEPARTMEP Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of K7 City of La Quinta ❑ Other 3. Type of Statement (Check at least one box) 1 Annual: The period covered is January 1, 2021, through ❑ Leaving Office: Date Left—1. 1 December 31, 2021. (Check one circle.) -or- The period covered is _J—J through ❑ The period covered is January 1, 2021, through the date of December 31, 2021 leaving office. ❑ Assuming Office: Date assumed I— 1 -or- ❑ The period covered is _J— I through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 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- D None - No reportable interests on any schedule .. .o. uwouvn MALINGADDRESS STREET (Business or Agency A.dd= Rwarrmended - Pubk Documerd) 1620 5th Ave, Suite 400 DAYTIME TELEPHONE NUMBER ( 858 ) 248-9492 CITY San ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - income — Gifts — Travel Payments — schedule attached nrd @deckard.com STATE ZIP CODE CA 92101 I have used all reasonable diligence in preparing this statement I have reviewed this statement and 10 the best of my knoMedge 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 rr7the laws of the State of California that t;; FPPC Form 700 - Cover Page (20Z1/2022) advice@fppc.ca.gov • 666-275-3772 • w wfppc.ca.gov Page-5