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700 Osborne 2016 Leaving Office 12/6/16Dat CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS COVER PAGE RECEIVED Initial Filing Received c)f6cd Atrt 8 '2017 CITY OF LA QUINTA crr CLERK DEPARTMENT NAME OF FILER (LAST) OSBORNE (FIRST) LEE M (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA Division, Board, Department, District, if applicable CITY COUNCIL Your Position COUNCIL MEMBER ► 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 ❑ Multi -County City of LA QUINTA ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3 Type of Statement (Check at least one box) geAnnual: The period covered is January 1, 201& through December 31, 2016. The period covered is _J_____1 , through December 31, 2015. 0 Assuming Office: Date assumed ___I_____J -or- 0 Candidate: Election year Eereaving Office: Date Left %2_ t 60 1c1 (Check one) O The period covered is January 1, 2015, through the date of leaving office. -or- 0 The period covered is through the date of leaving office. and office sought, if different than Part 1. Schedule A-1 := lnvestrnents 0e,'6490,ea Schedule A-2 Investments=:.schedule'attached Schedule 8 `Real Rro "' `�<schedule attached Schedule C: -::Income -loans;'&: usiness;Positions-:schedule atta Sc6eilLile.D=`Jricom..:. fts.., �� ule ` tache l� ,� ens>::=sc ed att i aePa # h =cheddle,E-;)ncbine �f#s...,,>'•:. ,•.,,,1'!>?;.:;.:• .: .....:.::.::..:..: on? -:Aid,t00040bie i»ferewth:00::4 hedule' 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 78-495 CALLE TAMPICO CITY LA QUINTA STATE ZIP CODE CA 92253 DAYTIME TELEPHONE NUMBER ( 760 ) 777-9805 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 tr co' -ct. Date Signed /'� / 7—/ 7 Signature (month, day, year) - 'Fie the originally 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 OR TRUST OSBORNE RINCON, CPA'S Name 79245 CORPORATE CTR DR, 101, LA QUINTA 92253 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS PUBLIC ACCOUNTING FAIR MARKET VALUE IF APPLICABLE, LIST DATE: • $0 - $1,999 • $2,000 - $10,000 / / 15 /____/ 15 • $10,001 - $100,000 • $100,001 - $1,000,000 Ir Over $1,000,000 NATURE OF INVESTMENT • Partnership • Sole Proprietorship ACQUIRED DISPOSED CORPORATION Fl 5 Other YOUR BUSINESS POSITION PRESIDENT ACQUIRED DISPOSED CORPORATION (r YOUR ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST) • $0 - $499 • $10,001 - $100,000 • $500 - $1,000 Fri 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 sheet if necessary.) • None or 0 Names listed below SEE ATTACHED 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME I.Q. THE ENTITY/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, 4[ Assessor's Parcel Numbr or Street Address of Real Property Description City FAIR • • of Business Activity 4[ or Other Precise Location of Real Property MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 / / 15 / / 15 • • NATURE • • $100,001 - $1,000,000 Over $1,000,000 OF INTEREST Property Ownership/Deed of Trust Leasehold • Other ACQUIRED • Stock DISPOSED • Partnership Yrs. remaining Ill Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name LEE M. OSBORNE 1. BUSINESS ENTITY OR TRUST MEREDITH & SIMPSON CONSTRUCTION, INC. Name 83-801 AVENUE 445, INDIO, CA 92201 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 CONSTRUCTION SERVICES FAIR • • MARKET VALUE IF APPLICABLE, LIST DATE: $0 - $1,999 $2,000 $10,000 / 15 / 15 • • (r NATURE • - $10,001 - $100,000 $100,001 - $1,000,000 Over $1,000,000 OF INVESTMENT Partnership ____/ • Sole Proprietorship ACQUIRED DISPOSED CORPORATION (r YOUR Other BUSINESS POSITION PRESIDENT 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME I.Q. THE ENTITY/TRUST) • • • $0 - 5499 $500 - $1,000 $1,001 - $10,000 • $10,001 - $100,000 Ir OVER $100,000 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) al SEE None or • Names listed below ATTACHED 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check • one box: INVESTMENT • REAL PROPERTY Name Assessor's of Business Entity, if Investment, Q Parcel Number or Street Address of Real Property Description City FAIR • • of Business Activity gr or Other Precise Location of Real Property MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 / / 15 /___/ 15 • • NATURE • • sioo,00i - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 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 A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) N. 1. BUSINESS ENTITY OR TRUST IMPERIAL VALLEY AGGREGATE, LLC Name 83801 AVENUE 45, INDIO, CA 92201 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS SAN & GRAVEL 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 Ir Over $1,000,000 NATURE OF INVESTMENT Frj Partnership i Sole Proprietorship • Other YOUR BUSINESS POSITION MEMBER ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TQ THE ENTITY/TRUST) • $0 - $499 • $10,001 - $100,000 • $500 - $1,000 • OVER $100,000 • $1,001 - $10,000 • I. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) • None or Names listed below GIBSON SCHAIFER 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: • INVESTMENT ► 4. INVESTMENTSANDINTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: • INVESTMENT • REAL PROPERTY • • NATURE • • Name of Business Entity, if Investment, 1 Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Rr City or Other Precise Location of Real Property FAIR MARKET VALUE 0 $2,000 - $10,000 $10,001 - $100,000 0 $100,001 - $1,000,000 0 Over $1,000,000 NATURE OF INTEREST 0 Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: / /15 / /15 ACQUIRED DISPOSED 0 Stock 0 Partnership El Leasehold 0 Other Yrs. remaining 0 Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name LEE M. OSBORNE 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 CONSTRUCTION SERVICES FAIR MARKET VALUE IF APPLICABLE, LIST DATE: IN $0 - $1,999 ■ $2,000 - $10,000 /_/ 15 _i____/ 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 IQ THE ENTITY/TRUST) • • • $0 - $499 $500 - $1,000 $1,001 - $10,000 • $10,001 - $100,000 • OVER $100,000 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if 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, gr Assessor's Parcel Number or Street Address of Real Property Description of Business Activity gr 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 • • NATURE • • sioo,001 - $1,000,000 ACQUIRED Over $1,000,000 OF INTEREST Property Ownership/Deed of Trust • Stock Leasehold II Other _____/_____/ DISPOSED • Partnership • 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) I. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 79145 CORPORATE CENTRE DRIVE CITY LA QUINTA, CA 92253 FAIR MARKET VALUE 0-$2,000 - $10,000 ❑ $10,001 - $100,000 0 $100,001 - $1,000,000 Ea Over $1,000,000 IF APPLICABLE, LIST DATE: / /15 ACQUIRED DISPOSED NATURE OF INTEREST 0 Ownership/Deed of Trust 0 Easement ❑ Leasehold Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 0 $0 - $499 0 $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. 0 None OSBORNE RINCON, CPA'S CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION' Name LEE M. OSBORNE I. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 83801 AVENUE 45 CITY INDIO, CA 92201 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ® Over $1,000,000 NATURE OF INTEREST ® Ownership/Deed of Trust ❑ Leasehold IF APPLICABLE, LIST DATE: 15 _/ / 15 ACQUIRED DISPOSED 0 Easement Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 $10,001 - $100,000 ❑ $500 - $1,000 0 $1,001 - $10,000 0 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 MEREDITH AND SIMPSON CONSTRUCTION, INC * 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 ❑ $10,001 - $100,000 0 Guarantor, if applicable ❑ $1,001 - $10,000 ❑ OVER $100,000 NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE % 0 None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $10,001 - $100,000 ❑ Guarantor, if applicable ❑ $1,001 - $10,000 ❑ OVER $100,000 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 LEE M. OSBORNE, CPA, CFE PEDRO T. RINCON, CPA, CVA BRUCE J. LEGAWIEC, CPA ossoRrrE RINCON CERTIFIED PUBLIC ACCOUNTANTS "A PROVEN INVESTMENT FOR YOUR BUSINESS. " 2016 Form 700 Reporting Fees > $10,000 Lee M. Osborne JASON A. SCHNEIDER, CPA CORRY S. HUNTER, CPA GENE SNOOK, CPA AA FARM LABOR CONTRACTOR, LLC ANNA FRANCES ADDISON TRUST ARMANDO'S BAR AND GRILL, INC BLUE AGAVE LANDSCAPE CITRUS PEST CONTROL DISTRICT #2 COACHELLA VALLEY ECONOMIC PARTNERSHIP COLONY PRODUCTS COMPANY INC DESERT CLASSIC CHARITIES DESERT EMPIRE HOMES DESERT VALLEY DATE INC KENNY STRICKLAND, INC LA SPECIALTY PRODUCE CO., INC MICHAEL P. MILLIGAN, MD NAI CONSULTING, INC. 79-245 CORPORATE CENTRE DRIVE, SUITE 1 01 , LA QUINTA, CA 92253 760.777.9805 • FAX 760.777.9482 • WWW.OSBORNERINCON.COM MICHAEL P. MILLIGAN, MD NAI CONSULTING, INC. NORTH SHORE GREENHOUSES, INC PREMIER PHYSICIANS MGMT COMPANY, LLC REDLANDS COUNTRY CLUB SANTA ROSA COUNTRY CLUB SILENT VALLEY CLUB, INC SQUIRES LUMBER COMPANY INC SUN AND SANDS ENTERPRISES LLC THE MADISON CLUB OWNERS ASSOCIATION THE PLANTATION GOLF CLUB, INC. U.S. RESIDENTIAL OPPORTUNITY FUND, LP WORLD GYM OF PALM DESERT, LLC Meredith & Simpson Construction Co., Inc. 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