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700 Sanchez 2016 ElectionPlease type or print in ink. NAME OF FILER C(LAST) 1. Office, Agency, or Court RECEIVED 5W) Cate Initial Filing Recoive I STATEMENT OF ECONOMIC INTEREST AUG 14'20 COVER PAGE ((CFIRST) :> rAJ7 Agency Name (Do not use acronyms) L c_ Ov l449 CI Jy_ "-nozrc r Division, Board, Department, District, if a cable Your Position ► 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 [�j City of L 1— av')- 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2015, through December 31, 2015. .or - The period covered is --J----J December 31, 2015. ❑ Assuming Office: Date assumed CITY OF LA QUINTA CITY CLERK DEPARTMENT (MIDDLE) ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left —� •' (Check one) through O The period covered is January 1, 2015, through the date of leaving office. .or- 0 The period covered is ----J--J through the date of leaving office. Candidate: Election year . J-0 / v and office sought, if different than Part 1 4. Schedule Summary (must complete) I► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 - Investments - schedule attached 'A Schedule A-2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached .or - El None - No reportable interests on any schedule 5. Verification . ! Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) PCB Oox- �S_3 �� Qoz-l�_ C/O- 7 � 0AYTiME TELEPHONE NUMBER E-MAILADORESS ( � ; - � � I 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 pen It of perjury under the laws of the State of California that the foregoing ' e a ormct. , ,. Date Signed [] _ Signature (month, day, year) [ " ipinaA nod 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 Instructions Cover Page Enter your name, mailing address, and daytime telephone number in the spaces provided. Because the Form 700 is a public document, you may list your business/office address instead of your home address. Part 1. Office, Agency, or Court • Enter the name of the office sought or held, or the agency or court. Consultants must enter the public agency name rather than their private firm's name. (Examples: State Assembly; Board of Supervisors; Office of the Mayor; Department of Finance; Hope County Superior Court) • Indicate the name of your division, board, or district, if applicable. (Examples: Division of Waste Management; Board of Accountancy; District 45). Do not use acronyms. • Enter your position title. (Examples: Director; Chief Counsel; City Council Member; Staff Services Analyst) • If you hold multiple positions (i.e., a city council member who also is a member of a county board or commission), you may be required to file statements with each agency. To simplify your filing obligations, you may complete an expanded statement. • To do this, enter the name of the other agency(ies) with which you are required to file and your position title(s) in the space provided. Do not use acronyms. Attach an additional sheet if necessary. Complete one statement covering the disclosure requirements for all positions. Each copy must contain an original signature. Therefore, before signing the statement, make a copy for each agency. Sign each copy with an original signature and file with each agency. If you assume or leave a position after a filing deadline, you must complete a separate statement. For example, a city council member who assumes a position with a county special district after the April 1 annual filing deadline must file a separate assuming office statement. In subsequent years, the city council member may expand his or her annual filing to include both positions. Example: Scott Baker is a city council member for the City of Lincoln and a board member for the Camp Far West Irrigation District — a multi -county agency that covers Placer and Yuba counties. Scott will complete one Form 700 using full disclosure (as required for the city position) and covering interests in both Placer and Yuba counties (as required for the multi -county position) and list both positions on the Cover Page. Before signing the statement, Scott will make a copy and sign both statements. One statement will be filed with City of Lincoln and the other will be filed with Camp Far West Irrigation District. Both will contain an original signature. Part 2. Jurisdiction of Office Check the box indicating the jurisdiction of your agency and, if applicable, identify the jurisdiction. Judges, judicial candidates, and court commissioners have statewide jurisdiction. All other filers should review the Reference Pamphlet, page 13, to determine their jurisdiction. If your agency is a multi -county office, list each county in which your agency has jurisdiction. • If your agency is not a state office, court, county office, city office, or multi -county office (e.g., school districts, special districts and JPAs), check the "other" box and enter the county or city in which the agency has jurisdiction. Example: This filer is a member of a water district board with jurisdiction in portions of Yuba and Sutter Counties. Part 3. Type of Statement I. Office, Agency, or Court Agency Nan, (Do not use acronyms) Fcadtcr Rher lnrigalion Dislncl Dmson, Boana t, Dopatrnl, Dsuicl, d eppkabi. Your Position N/A Board Mcmbcr • if fagL n Al L,"n Mo ad. vasn Fcureart 106Wrr--r") A9, N/A pwmi !. Jurisdiction of Office (Chrak al leas) one be,) ❑ slate ❑ Judge a Coud C—oussmner Isletewde Junsdictionl ©Mulh,co ly Yuba&Suucr Counties :Ce1-0y ❑ Chy al ❑ Dhm Check at least one box. The period covered by a statement is determined by the type of statement you are filing. If you are completing a 2015 annual statement, do not change the pre-printed dates to reflect 2016. Your annual statement is used for reporting the previous year's economic interests. Economic interests for your annual filing covering January 1, 2016, through December 31, 2016, will be disclosed on your statement filed in 2017. See Reference Pamphlet, page 4. Combining Statements: Certain types of statements may be combined. For example, if you leave office after January 1, but before the deadline for filing your annual statement, you may combine your annual and leaving office statements. File by the earliest deadline. Consult your filing officer or the FPPC. Part 4. Schedule Summary • Complete the Schedule Summary after you have reviewed each schedule to determine if you have reportable interests. • Enter the total number of completed pages including the cover page and either check the box for each schedule you use to disclose interests; or if you have nothing to disclose on any schedule, check the "No reportable interests" box. Please do not attach any blank schedules. Part 5. Verification Complete the verification by signing the statement and entering the date signed. All statements must have an original "wet" signature or be duly authorized by your filing officer to file electronically under Government Code Section 87500.2. Instructions, examples, FAQs, and a reference pamphlet are available to help answer your questions. When you sign your statement, you are stating, under penalty of perjury, that it is true and correct. Only the filer has authority to sign the statement. An unsigned statement is not considered filed and you may be subject to late filing penalties. FPPC Form 700(2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions —1 SCHEDULE A-2 CALIFORNIA FORM Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION i of Business Entities/Trusts (Ownership Interest is 10% or Greater) r ame si� I- BUSINESS ENTITY OR TRUST 1. BUSINESS ENTITY . TRUST - S+rm z Name Name F(-) k2r�7C Tess (Business Address Accepkblej Address (Business Address Acceptable) Check one Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $0 - $1,999 ❑ $2,000 - $10,000 / 15 j J5 ❑ $2,000 - $10,000 �� 15 � / 15 ❑ $10-00, - $100-000 ACQUIRED DISPOSED I ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100-00, - $1,000,000 ❑ $100,001 - $1,000,001) ❑ Over $1,000.000 ❑ Over $1,000,000 NATURE OF INVESTMENT NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION YOUR BUSINESS POSITION • • . •(IRULIRE T1911111ek• a ■ r . .■ ■. ■ SHARE OF • • ME TO OF •SS INCOME r THE ENTITYrMUST) ❑ so- $499 tP $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 • •• a o•. • • •• .•. • INCOME OF $10,000 OR MORE (Atl.d, INCOME OF $10,000 OR MORE (A"—h ❑ None or .❑ Names listed below (.j None or Names listed below Wj IS6421i �[i'? U.fov t'�O�✓YIGr�rvyf 01MjI1-11TTE0k21S­fZ III ..- 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 —j---/15 —jJ 15 F] $100,001 - $1,000,00o ACQUIRED DISPOSED ❑ Over $1,000,000 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: in •- 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 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 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 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 Instructions — Schedule B Interests in Real Property Report interests in real property located in your agency's jurisdiction in which you, your spouse or registered domestic partner, or your dependent children had a direct, indirect, or beneficial interest totaling $2,000 or more any time during the reporting period. See Reference Pamphlet, page 13. Interests in real property include: • An ownership interest (including a beneficial ownership interest) • A deed of trust, easement, or option to acquire property • A leasehold interest (See Reference Pamphlet, page 14.) • A mining lease • An interest in real property held in a retirement account (See Reference Pamphlet, page 15.) • An interest in real property held by a business entity or trust in which you, your spouse or registered domestic partner, and your dependent children together had a 10% or greater ownership interest (Report on Schedule A-2.) • Your spouse's or registered domestic partner's interests in real property that are legally held separately by him or her You are iM required to report: • A residence, such as a home or vacation cabin, used exclusively as a personal residence (However, a residenco`� in which you rent out a room or for which you claim a business deduction may be reportable. If reportable, report the fair market value of the portion claimed as a tax deduction.) Please note: A non -reportable residence can still be grounds for a conflict of interest and may be disqualifying. • Interests in real property held through a blind trust (See Reference Pamphlet, page 16, for exceptions.) To Complete Schedule B: • Report the precise location (e.g., an assessor's parcel number or address) of the real property. • Check the box indicating the fair market value of your interest in the property (regardless of what you owe on the property). • Enter the date acquired or disposed only if you initially acquired or entirely disposed of your interest in the property during the reporting period. • Identify the nature of your interest. If it is a leasehold, disclose the number of years remaining on the lease. • If you received rental income, check the box indicating the gross amount you received. • If you had a 10% or greater interest in real property and received rental income, list the name of the source(s) if your pro rata share of the gross income from any single Reminders • Income and loans already reported on Schedule B are not also required to be reported on Schedule C. • Real property already reported on Schedule A-2, Part 4 is not also required to be reported on Schedule B. • Code filers — do your disclosure categories require disclosure of real property? tenant was $10,000 or more during the reporting period. If you received a total of $10,000 or more from two or more tenants acting in concert (in most cases, this will apply to married couples), disclose the name of each tenant. Otherwise, mark "None." • Loans from a private lender that total $500 or more and are secured by real property may be reportable. 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 are not reportable. When reporting a loan: - Provide the name and address of the lender. - Describe the lender's business activity. - Disclose the interest rate and term of the loan. For variable interest rate loans, disclose the conditions of the loan (e.g., Prime + 2) or the average interest rate paid during the reporting period. The term of a loan is the total number of months or years given for repayment of the loan at the time the loan was established. - Check the box indicating the highest balance of the loan during the reporting period. - Identify a guarantor, if applicable. If you have more than one reportable loan on a single piece of real property, report the additional loan(s) on Schedule C. Example: Joe Nelson is a city planning commissioner. Joe received rental income of $12,000 during the reporting period from a single tenant who rented property Joe owned in the city's jurisdiction. If Joe had received the $12,000 from two or more tenants, the tenants' names would not be required as long as no single tenant paid $10,000 or more. A married couple would be considered a single tenant. ar s�.mmm ❑ amo-am_ ❑ or nam® � o.d,.ior r rr ❑ �� ❑ ❑ ❑n-sa• ❑em-anal ❑am,-amm aw„as � w�,re� mns • r, �.. ,•z ��� rrr, r r r� r.r, rr rt r. rw r� r ❑v so hkmrum ems a.—..r e�rrl 2121 Bbw ftPYrkwy Sommmm s ❑o• is Ye ❑am-rimo aer ❑aPa-aamo ® yam - nmam ❑ awae aatab FPPC Form 700(2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions —12 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) 1, INCOME RECEIVED P. 1. INCOME RECEIVED NAME OF SOURCE OF INCOME a4ai NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) 0 A Ncloo i"1*` 1 t4 ADDRESS (Business Address Acceptable) �J�7i: W100 /�/�(�,u�si.� F41/1 b rt'Le � 2 BUSINESS ACTIVITY, IF ANY, OF SOURCE ~ BUSINESS ACTIVITY. IF ANY. OF SOURCE C UH,, w+a���t.� / 2_t4- 1 bJ k* YOUR BUSINESS POSITION YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 9�$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 1 I� Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) ❑ Other (Describe) GROSS INCOME RECEIVED ❑ $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) * 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' Vs4/+ ADDRESS (Business Address Acceptable) 4_ cntrrx>rn�c Drrl' -3�i]� 1,qkr zuric�, BUSINESS ACTIVITY, IF ANY, OF LENDER 1 L 60LI7 HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1.001 - $10,000 ❑;;;;$....10,001 - $100,000 MOVER $100,000 Comments: INTEREST RATE TERM(Months/Years) ❑ None 3 0 xa! SECURITY FOR LOAN [None ❑ Personal residence ❑ Real Property Street address City ❑ Guarantor ❑ Other (Describe) FPPC Form 700 (2015/2016) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions — Schedule D Income — Gifts A gift is anything of value for which you have not provided equal or greater consideration to the donor. A gift is reportable if its fair market value is $50 or more. In addition, multiple gifts totaling $50 or more received during the reporting period from a single source must be reported. It is the acceptance of a gift, not the ultimate use to which it is put, that imposes your reporting obligation. Except as noted below, you must report a gift even if you never used it or if you gave it away to another person. If the exact amount of a gift is unknown, you must make a good faith estimate of the item's fair market value. Listing the value of a gift as "over $50" or "value unknown" is not adequate disclosure. In addition, if you received a gift through an intermediary, you must disclose the name, address, and business activity of both the donor and the intermediary. You may indicate an intermediary either in the "source" field after the name or in the "comments" section at the bottom of Schedule D. Commonly reportable gifts include: • Tickets/passes to sporting or entertainment events • Tickets/passes to amusement parks • Parking passes not used for official agency business • Food, beverages, and accommodations, including those provided in direct connection with your attendance at a convention, conference, meeting, social event, meal, or like gathering • Rebates/discounts not made in the regular course of business to members of the public without regard to official status • Wedding gifts (See Reference Pamphlet, page 16) • An honorarium received prior to assuming office (You may report an honorarium as income on Schedule C, rather than as a gift on Schedule D, if you provided services of equal or greater value than the payment received. See Reference Pamphlet, page 10, regarding your ability to receive future honoraria.) • Transportation and lodging (See Schedule E.) • Forgiveness of a loan received by you You are not required to disclose: • Gifts that were not used and that, within 30 days after receipt, were returned to the donor or delivered to a charitable organization or government agency without Reminders • Gifts from a single source are subject to a $460 limit. See Reference Pamphlet, page 10. • Code filers — you only need to report gifts from reportable sources. Gift Tracking Mobile Application • FPPC has created a gift tracking app for mobile devices that helps filers track gifts and provides a quick and easy way to upload the information to the Form 700. Visit FPPC's website to download the app. being claimed by you as a charitable contribution for tax purposes • Gifts from your spouse or registered domestic partner, child, parent, grandparent, grandchild, brother, sister, and certain other famly members (See Regulation 18942 for a complete list.). The exception does not apply if the donor was acting as an agent or intermediary for a reportable source who was the true donor. • Gifts of similar value exchanged between you and an individual, other than a lobbyist registered to lobby your state agency, on holidays, birthdays, or similar occasions • Gifts of informational material provided to assist you in the performance of your official duties (e.g., books, pamphlets, reports, calendars, periodicals, or educational seminars) • A monetary bequest or inheritance (However, inherited investments or real property may be reportable on other schedules.) • Personalized plaques or trophies with an individual value of less than $250 • Campaign contributions • Up to two tickets, for your own use, to attend a fundraiser for a campaign committee or candidate, or to a fundraiser for an organization exempt from taxation under Section 501(c)(3) of the Internal Revenue Code. The ticket must be received from the organization or committee holding the fundraiser. • Gifts given to members of your immediate family if the source has an established relationship with the family member and there is no evidence to suggest the donor had a purpose to influence you. (See Regulation 18943.) • Free admission, food, and nominal items (such as a pen, pencil, mouse pad, note pad or similar item) available to all attendees, at the event at which the official makes a speech (as defined in Regulation 18950(b)(2)), so long as the admission is provided by the person who organizes the event. • Any other payment not identified above, that would otherwise meet the definition of gift, where the payment is made by an individual who is not a lobbyist registered to lobby the official's state agency, where it is clear that the gift was made because of an existing personal or business relationship unrelated to the official's position and there is no evidence whatsoever at the time the gift is made to suggest the donor had a purpose to influence you. To Complete Schedule D: • Disclose the full name (not an acronym), address, and, if a business entity, the business activity of the source. • Provide the date (month, day, and year) of receipt, and disclose the fair market value and description of the gift. FPPC Form 700(2015/2016) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov Instructions —16