700 Chapman Assuming Office 06.21.2022RECEIVED
STATEMENT OF ECONOMIC INTERESTS =
COVER PAGE JUL 2 4 2027
A PUBLIC DOCUMENT
CITY OF LA WINTA
Please type or print in ink. CRY OAK i7EPARTNEW
NAME OF FILER (LAST) (FIRST) (MIDDLE)
CHAPMAN CAPRI
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable Your Position
HOUSING COMMISSION COMMISSIONER
► 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)
Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is I I through
December 31, 2021.
■ Assuming Office: Date assumed 6 I 21 i 2022
Candidate: Date of Election
Position
Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
County of
Other
Leaving Office: Date Left
(Check one circle.)
The period covered is January 1, 2021, through the date of
leaving office.
.or -
The period covered is I 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 A-2 - Investments - schedule attached
Schedule B - Real Property - schedule attached
-or- Y 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
(Business or Agency Address Recommended - Public Document)
78495 CALLE TAMPICO LA QUINTA CA 92253
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 760 ) 777-7046
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 t fore�ir is true and ctz
Date Signed % - o2-b �— Signatu '_
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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