700 Franklin 2016 Leaving Office 12/6/16CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
RECEIVED
Date IiIing.7RZOiitfed
Official Use Only
CITY OF LA QUINTA
CITY DEPARTMENT
NAME OF FILER (LAST) V�,�
IQS�r>KL I
(FIRST) (MIDDLLL4
((2t5' NIJ
1. Office, Agency, or Court
Agency Name„ (Do not use acronyms)
COY c2F- iv 4- Quitt114-
Your Position
C. /Tr'
Division, Board, Department, District, if applicable
&cr. a hvi4r+.t3 tIQ-
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
10� Multi-CountyMu�0 County of
Ari dy of �'�' l 0 Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2015, through
December 31, 2015.
The period covered is , through
-or-
December 31, 2015.
0 Assuming Office: Date assumed —J—J
Leaving Office: Date Left 161 / (De'/ 00/6
(Check one)
O The period covered is January 1, 2015, through the date of
leaving office.
-or-
O The period covered is , through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments – schedule attached
-YASchedule A-2 - Investments – schedule attached
Igf Schedule B - Real Property – schedule attached
-or
❑ None - No reportable interests on any schedule
❑ Schedule C - Income, Loans, & Business Positions – schedule attached
Schedule D - Income – Gifts – schedule attached
❑ Schedule E - Income – Gifts – Travel Payments – schedule attached
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recorown ded - Public Document)
I 0 b `Ccn c.sro )
CITY
Q -*m £a.,WS
STATE
ZIP CODE
DAYTIME TELEPHONE NUMBER
(1110 J °t 7,A
E-MAIL ADDRESS
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 the foregoing is true and correct.
Date Signed 01 /9 / /Q
(month, day, year)
Signature
(File the wig lially signed statement with your filing official.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
► 1. BUSINESS ENTITY( ORa�TRUST �
Lk D ' rnAM4 by'1�
Name 1)
g/®'D 4446:S`iOT;1 14-triv-rft
Address (Business Address Acceptable)
Check one
0 Trust, go to 2 Business Entity, complete the box, then go to 2
DESCRIPTIONOF THI BUSINESS
GENERAL tox 7/1r /
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$0 - $1,999
$2,000 - $10,000 / / 15 /_/ 15
$10,001 - $100,000 ACQUIRED DISPOSED
• $100,001 - $1,000,000
• Over $1,000,000 jI��4
NATURE OF INVESTMENT /,,,� ga-i4- ! .
•
Partnership ID Sole Proprietorship �`-r�%"
`� Other
YOUR BUSINESS POSITION Y iUr". ' (Pad l'
► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
• $0 - $499 • $10,001 - $100,000
• $500 - $1,000 I♦ OVER $100,000
• $1,001 - $10,000
► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE ;Attach a separate sheer .r necessary.,
• None or • Names listed below
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
• INVESTMENT • REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity of
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
II $2,000 - $10,000
• $10,001 - $100,000 / / 15 / / 15
• Sioo,00i - $1,000,000 ACQUIRED DISPOSED
• Over $1,000,000
NATURE OF INTEREST
• Property Ownership/Deed of Trust • Stock • Partnership
• Leasehold II Other
Yrs. remaining
D Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Nam
t2157 -v fikoktild
1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
0 Trust, go to 2 0 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
• $0 - $1,999
• $2,000 - $10,000 / / 15 /_/ 15
• sio,00i - $100,000 ACQUIRED DISPOSED
• $100,001 - $1,000,000
• Over $1,000,000
NATURE OF INVESTMENT
Partnership • Sole Proprietorship •
Other
YOUR BUSINESS POSITION
2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST)
• $0 - $499 • $10,001 - $100,000
• $500 - $1,000 • OVER $100,000
• $1,001 - $10,000
3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF 510.000 OR MORE tar cn a separate sneer ,r necessary.,
• None or • Names listed below
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
• INVESTMENT • REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
• $2,000 - $10,000
• $10,001 - $100,000 / / 15 / / 15
• sioo,00i - $1,000,000 ACQUIRED DISPOSED
• Over 51,000,000
NATURE OF INTEREST
• Property Ownership/Deed of Trust • Stock • Partnership
• Leasehold • Other
Yrs. remaining
• Check box if additional schedules reporting investments or real property
are attached
Comments'
FPPC Form 700 (2015/2016) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE B
Interests in Real Property
(Including Rental Income)
ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
404? l 2 *(10 11Z61{.�
CITY
Lii- QkA)r1*- CAL (19,9,5- 3
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
• $2,000 - $10,000
■ $10,001 - $100,000 ___/ / 15 / 15
K$100,001_ $1,000,000 ACQUIRED DISPOSED
• Over $1,000,000
NATURE OF INTEREST
Ownership/Deed of Trust • Easement
Ni Leasehold •
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
• $0 - $499 • $500 - $1,000 $1,001 - $10,000
• $10,001 - $100,000 • OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
None
• None
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Rlsre�-�,
NUMBER OR STREET ADDRESS
O. ASSESSOR'S iv
6iliV AO4- ay "`/ T
CITY
AA- Ql.i TA- C- 4104 S
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
• $2,000 - $10,000
• $10,001 - $100,000 / / 15 ____/_/ 15
°i $100,001 - $1,000,000 ACQUIRED DISPOSED
• Over $1,000,000
NAT OF INTEREST
Ownership/Deed of Trust NI Easement
• Leasehold E
Yrs. remaining Other,`,
IF RENTAL PROPERTY, GROSS INCOME RECEIVED lry / A.-
• $0 - $499 NI $500 - $1,000 • $1,001 - $10,000
.
• $10,001 - $100,000 • OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
• None
* You are not required to report loans from commercial lending institutions made in the lender's regular course of
business on terms available to members of the public without regard to your official status. Personal loans and
loans received not in a lender's regular course of business must be disclosed as follows:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments'
FPPC Form 700 (2015/2016) Sch. B
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE D
Income — Gifts
► NAM OF SOURCE (14t an Ac nym)
a--01-42 5 (�{,6-(�L+
ADD ESS (Business Address Acceptable) )4- ftl ta54 , 4-
C'/ 1�rva) SND . --iii Atog-1S7',16? C
BUSINESS ACTIVITY, IF ANY, OF SOURCE
/»R7, -
DATE (mm/dd/yy) VALUE !/ DESCRIPTION OF GIFT(S)
D/D6-; $/ .YoI/d�
_i_, $
_____i_/_ $
_/_/
► NAM OF SOURCE (Not an Acronym)
RRi
ADD ESS (Business Address Acceptable) >tiy►l `� ail
CS %5 Card, 'iG J r (_ ,
BUSINESS ACTIVITY, IF ANY, OF SOURCE rf';L0400
DATE (mmldd/yy) VALUE DESCRIPTION OF GIFT(S)
IP l�Pl� 76- � th
z
_/_/ $
—/ $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
-1 $
_/_/ $
___I_I $
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$
__/____i
$
_f_/_
$
_/_/
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$
_/_/
$
—1
_J— $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
_/—/ $
_/_/ $
___L—J— $
Comments-
FPPC Form 700 (2015/2016) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov