HomeMy WebLinkAbout2025-11-04 Form 804Agency Report of:
New Positions A Public Document •
1. Agency Name (Also Include, Division, Department, or Region (if applicable)) ❑ Amendment
City of Palm Desert
Agency Contact Date of Original Filing:
(month, day. year)
Anthony Mejia
Phone Number lEmail
760-346-0611 amejia@palmdesert.gov
2. New Position Information
Position Title/Classification Assigned Category OR Disclosure Requirement Assuming/Start Date
and Job Summary (Optional)
3. Verification
/ have read and understand FPPC Regulations 18700.3 and 18734. I have yen fled that the disclosure assignment(s) set forth above, is
in ccordance with its ' ns.
M Anthony Mejia City Clerk 11/4/2025
Si nature Name Title (month, day, year)
Comme : (U ace or an attachment for any additional in(ormation.)
FPPC Form 804 (2116)
FPPC Toll -Free Helpline: 866/ASK-FPPC (866/275-3772)