HomeMy WebLinkAbout2016-08-17 Form 700 - DoranSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST!
I. Office, Agency, or Court
Agency !Name (Do not uyW acron
n
Department, District, if app (cable Your Position
w If filing for multiple positions, list below or on an attachment (Do not use acronyms)
Date Irtrtlat4�r ived
CITY CLERK'S OFFICE
PALM DESERT Ct,
2016 AUG 17
Agency:
Position:
2. Jurisdiction Of Office (Check at least one box)
❑ State
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ multizouQty
❑ County of _
City of 1
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1 2015. through
❑ Leaving Office: Date Left — I _J
December 31, 2015.
(Check one)
-or•
The period covered is through
O The period covered is January 1, 2015, through the date of
December 31, 2015.
leaving office.
❑ Assuming Office: Date assumed
-or-
O The period covered is J_ I through
Candidate: Election
the date of leaving office.
year and office sought,
if different than Pali 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A 1 - Investments - schedule attached
❑ Schedule C - income, Loans, & Business Positions - schedule attached
❑ Schedule A-2 - Investments -- schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Pubic Docrmrenli
STATE ZIP CODE
(�
E`-MiAILADDRESS`,.
I have used all reasonable diligence in preparing this statement I have reviewed
herein and in any attached schedules is true and complete. I acknowledge this is a public ment
I certify under penalty of perjury under the laws of the State of
)
FPPC Form 700 (2015/20161
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov