700: Culver (EsGil Corporation) - 2017 from 01/01 to 12/31Please type or print in ink.
NAME OF FILER (LAST)
CULVER
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable
STATEMENT OF ECONOMIC INTERESTS
(FIRST)
KURT
COVER PAGE
A.
RECEIVEC+
Date I11itial Filing Receive
MAR 21 2019
CITY OF LA Q'310 E fr
fqp$ 011
Your Position
PLANS EXAMINER - CONSULTANT
► 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 +
December 31, 2017.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left 1 I
(Check one)
through O The period covered is January 1, 2017, through the date of
-or-
leaving office.
O The period covered is through
the date of leaving office.
and office sought, if different than Part 1
4. Schedule Summary (must complete) Po. Total number of pages including this cover page: 2
Schedules attached
❑ Schedule A-1 - Investments — schedule attached ❑x Schedule C - Income, Loans, & Business Positions — schedule attached
❑ 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 -
El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
9320 CHESAPEAKE DR #208 SAN DIEGO CA 92123
DAYTIME TELEPHONE NUMBER E-VA.IL ADDRESS
( 858 ) 560-1468 �mail@esgil.com
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 3`4 /IV Signature
(month, day, year) t rte the ingm.11yned statement with your riling orfldaL)
FPPC Form 700(2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions Name
(Other than Gifts and Travel Payments) KURT CULVER
1- INCOME RECEIVED 10- 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
ESGIL—A SAFEBUILT COMPANY
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
9320 CHESAPEAKE DR #208 SAN DIEGO 92123
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
CONTRACT BUILDING DEPT PLAN REVIEW
YOUR BUSINESS POSITION YOUR BUSINESS POSITION
OPERATIONS MANAGER
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑X OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑X Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
❑ Pannership (Less than 10% ownership. For 10% or greater use
Schodule A-2.)
❑ Sale of
(Real property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $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.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
(Describe)
(Describe)
* 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"
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months/Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
City
(Describe)
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