HomeMy WebLinkAbout2012-12-10 Form 700 - KroonenDate Received
STATEMENT OF ECONOMIC INTERESTkECEIVED Official U nly
CITY c 0
LERK'S OFFICE
A Public Document PALM DESER -,, CA
Please type or print in ink COVER PAGE 202 DEC 10 PH 2: 28
NAME (LAST)
Kroonen
MAILING ADDRESS STREET
(May be business address)
(FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
William -- -_ R __ _
CITY ZIP CODE OPTIONAL: FAX / E-MAIL ADDRESS
PAIM DESERT, CA 92260
1. Full Name of Office Sought or Held,
Agency or Court:
City of Palm Desert
Division, Board, District, if applicable:
City Council
Position:
Mayor Pro Tempore
If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: —
Position Title:
2. Jurisdiction of Office (Check one box)
El State
F-1 County of
Fri Citv of Palm Desert
nMulti-County
n Other
13. Type of Statement (Check at least one box)
n Assuming Office/initial Date:
n Annual: The period covered is January 1, 2001,
through December 31, 2001.
-or-
0 The period covered is through
December 31, 2001.
Leaving Office Date Left: 12 1 13 / 12
(Check one)
0 The period covered is January 1, 2001. tbrough
the date of leaving office-
-or-
6 The period covered is 01 / 011.1 / 12 , through
the date of leaving office.
4. Schedule Summary
(Check applicable schedules or "No reportable interests.")
During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1
[] Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2
F-1 Yes - schedule attached
Investments (Greater than 10% Ownership)
Schedule B
F-1 Yes - schedule attached
Real Property
Schedule C
F Yes - schedule attached
Income & Business Positions (income Other than Loans, Gifts, and Travel)
Schedule D
!7 Yes - schedule attached
Income - Loans
Schedule E
Yes - schedule attached
Income - Gifts
Schedule F
L Yes - schedule attached
Income - Travel Payments
.or -
I -w R] No reportable interests on any schedule
Total number of pages completed including this
cover page: 1
5. Verification
I have used all reasonable d:!,gence 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 certify under
penalty of perjury under the �aws of the State of Ca ifornia
that the forego ng is Nrue and correct -
Date Signed 12/13/12
ifronth day year)
S3gnature - ilh4
'�d 12 V
�FiTe gle orgirtally'signeid statement Vith �yo�ur
Candidate
FPPC Form 700 (2001/2002)
FPPC Toll -Free Helpline: 866/ASK-FPPC
Form 700 Leaving Office 12/13/12
AgeneV
Coachella Valley Assn. Of Govts.
Riverside Co. Transportation Cmsn.
Jacqueline Cochran Regional Airport Cmsn
Position
Committee Member
Board Member Alternate
Board Member
Coachella Valley Mountains Conservancy Board Member