HomeMy WebLinkAboutCameranesi, JenanPUBLIC INTEGRITY DISCLOSURE REPORT
Name (Print last, first, middle initial)
E-mail Address
GIB ?�%�lvSa , �+� A n►
me-C&
Position/Title
Address
3aoo E —iAH Q\2tTZ. CAI -I yl"� L,&A,��j ?Atrn SMtaG+.S , C4 a2.
Work Phone
Re tatus
If New Official, Date of Election or
��(oO)`ib�-io:24�
N w Offici
Appointment:
(mm/dd/yy)
Annua
Update
Reportable Information — Every official shall disclose each and all of his/her interests,
wherein he/she serves as a voting member of a board of directors of a non-profit entity without
compensation, as an attorney or accountant for such an entity who provides pro bono services,
or as the trustee of a charitable trust.
Organization:
Type of organization:
Position:
No
(include the address, city and state where the
longer
the organization is located)
held:
1
❑ Voting Board member
N P,
❑ Attorney
❑ Accountant
2
❑ Voting Board member
❑ Attorney
❑ Accountant
3
❑ Voting Board Member
❑ Attorney
❑ Accountant
4
❑ Voting Board Member
❑ Attorney
❑ Accountant
5
❑ Voting Board member
❑ Attorney
❑ Accountant
6
❑ Voting Board Member
❑ Attorney
❑ Accountan
Check here if additional pages attached.
Reportable Information — Every official shall disclose each and all of his/her rented or leased
interests in real property located in the City of Palm Springs. This disclosure shall include
leases executed with the Agua Caliente Band of Cahuilla Indians in relation to real property
that you own. ,
Property Address:
Type of Property:
Term of Rental
No
Agreement/
longer
Lease:
held:
1
Home/Residence
N
Business/Commercial
Investment/Other
2
Home/Residence
Business/Commercial
Investment/Other
3
Home/Residence
Business/Commercial
Investment/Other
4
Home/Residence
Business/Commercial
Investment/Other
5
Home/Residence
Business/Commercial
Investment/Other
6
Home/Residence
Business/Commercial
Investment/Other
Check here if additional pages attached.
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of Duclosing Party a e
On the basis of information contained in this report, I conclude that the filer is in compliance
with Palm Springs Municipal Code Section 2.60, except as noted in the "comments" box below.
Comments:
Signature and Title of Agency's Final Reviewing Official
Version: 712812025