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700 Johnson - 2017 from 01/01 - 12/31Please type or print In ink. NAME OF FILER (LAST) JOHNSON 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA Division, Board, Department, District, if applicable HOUSING COMMISSION �1 STATEMENT OF ECONOMIC INTERESTS � Ili Received MAR '2018 COVER PAGE CM of LA QUINTA ELOPMENT (FIRST (MIDM) JOSEPH ARTHUR Your Position COMMISSIONER ► 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 ❑x City of LA QUINTA I Type of Statement (check at least one box) ❑x Annual: The period covered is January 1, 2017, through December 31, 2017. -or- The period covered is JJ December 31, 2017. ❑ Assuming Office: Date assumed ❑ Candidate: Date of Election I I ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left __JJ (Check one) through O The period covered is January 1, 2017, through the date of -or- leaving office. O The period covered is 1 1 through the date of leaving office. and office sought, if different than Part V 4. Schedule Summary (must complete) P. Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 - Investments — schedule attached ® Schedule C - Income, Loans, & Business Positions — schedule attached X 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 -or- 0 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 78495 Calle Tampico LA QUINTA CA 92253 OAY310E TELEPHONE NUMBER E -WAIL 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 t official) FPPC Form 700(2017/2018) 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) P- 1. BUSINESS ENTITY OR TRUST JOE JOHNSON AGENT Name 4420 E Miraloma Ave, Anaheim, CA 92807 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑x Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS REAL ESTATE FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 17 ❑X $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 Name ALIFORNIA FORM 700 AIR POLITICAL PRACTICES COMMISSION Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ 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 17 1/ 17 ❑ $10,001 - $100,000 ACQUIRED DISPOSED 7 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Partnership ❑X Sole Proprietorship ❑ Other ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION AGENT YOUR BUSINESS POSITION SHARE OF THE GROSS INCOME IQ THE ENTITYITRUST) SHARE OF THE GROSS INCOME jQ THE ENTITYITRUST) ❑ $0 - $499 ❑X $10,001 - $100,000 ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 ❑ $1,001 - $10,000 INCOMEOF 1I11 • - MORE _ INCOME OF 11I1 • - MORE ❑ None or lX Names listed below ❑ None or Names listed below PAUL DAVIS TRUST 11 qI• .• LEASED BY THE BUSINESS ENTITY OR TRUST LEASED BY THE BUSINESS ENTITY OR TRUST C1Terk one box Check one box: ❑ INVESTMENT ❑ REAL PROPERTY ❑ 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 17 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ LeaseholdF-1Other Yry. mmaining ❑ Check box if additional schedules reporting investments or real property are attached Comment - 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 17 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yr.. rem9lning ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2017/2018) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION 1. INCOME RECEIVED 11� 1. INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME GOOGLE LLC DESERT JACK LLC ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 1600 AMPHITHEATRE PKWY, GOOGLE CA 94043 14173 GREEN TREE BL J VICTORVILLE 92395 BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY. IF ANY, OF SOURCE VIDEO PRODUCTION RESTAURANT YOUR BUSINESS POSITION YOUR BUSINESS POSITION PRODUCER ASSOCIATE GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑X $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boat, etc,) GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 Q $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑X Spouse's or registered domestic partner's income (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boat, eta) ❑ Loan repayment ❑ Loan repayment Q Commission or ❑ Rental Income, Est each source of $10,000 or more ❑ Commission or ❑ Rental Income, list each source or $10,000 or more (Descnbe) (Describe) ❑ Other ❑ Other (Descnbe) (Describe) 1- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, 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" INTEREST RATE TERM (Months/Years) % ❑ None ADDRESS (Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence ❑ Real Property HIGHEST BALANCE DURING REPORTING PERIOD Street address ❑ $500 - $1,000 City ❑ $1,001 - $10,000 F—] Guarantor F-1 $10,001 - $100,000 ❑ OVER $100,000 ❑ Other (Descnbe) Comments: FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov