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700 Pena 2018 ElectionRECEIVED Please type or print in ink. NAME OF FILER (LAST) PENA 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) JOHN COVER PAGE Your Position CITY 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 feast one box) ❑ State ❑ Multi -County ❑X City of LA QUINTA Date lnitlal Filing Received AW" L91818 4 CITY OF LA QUINTA CITY CLERK DEPARTMENT (MIDDLE) J ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2017, through ❑ Leaving Ofrice: Date Left December 31, 2017. (Check one) .or - The period covered is ---J---J December 31, 2017. ❑ Assuming Office: Date assumed l ❑X Candidate: Date of Election 11 /06/2018 through O The period covered is January 1, 2017, through the date of -or- leaving office. O The period covered is —J—J through the date of leaving office. and office sought, if different than Part 1. CITY COUNCIL 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached X 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 ❑X 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) 78495 CALLE TAMPICO LA QUINTA CA 92253 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 760 ) 777-7030 IJPENAgLAQUINTACA.GOV 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 foregoi g e and ect. Date Signed � Signature ,Ming ol.W.) 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-1 CALIFORNIA _ Investments FAIR POLITICAL Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) JOHN PENA Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY PLATINUM STRATEGIES GROUP, INC. GENERAL DESCRIPTION OF THIS BUSINESS CONSULTING FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑X $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT X❑ Stock ❑ Other (Describe) ❑ Partnership Q Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 17 / 17 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership Q Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 117 / 17 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership Q Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —i— 1 17 i 17 ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 17 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership Q Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: �. 17 _/ 17 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership Q Income Received of $0 - $499 Q Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 17 —�— / 17 ACQUIRED DISPOSED FPPC Form 700 (2017/2018) Sch. A-1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline:866/275-3772 www.fppc.ca.gov SCHEDULE A-2 7ALIFORNIA•- 1 1 Investments, Income, and Assets AIR POLITICAL PRACTICES CWPMSSIC),' of Business Entities/Trusts Name (Ownership Interest is 10% or Greater) John Pena I- 13USINESS ENTITY OTRUST 1 1. BUSINESS ENTITY OR TRUST R PRESIDIO, INC. JOHN PENA & ASSOCIATES Name Name PO BOX 671, LA QUINTA, CA 92247 51405 CALLE HUENEME, LA QUINTA, CA 92253 Address (Business Address Acceptable) 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 90 to 2 GENERAL DESCRIPTION OF THIS BUSINESS FOOD SERVICE FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 / 16 16 ❑ $10,o01 - s100,000 ACQUIRED DISPOSED © $100,001 - $1,000.000 ❑ Over $1.000.000 NATURE OF INVESTMENT S CORP ❑ Partnership ❑ Sole Proprietorship YOUR BUSINESS POSITION aggaw ❑ $0 - $499 ❑ $io,00i - $10o,000 ❑ $500 - $1,000 © OVER $100,000 ❑ $1,001 - $10,000 I None or k Names listed below THE PALMS GOLF CLUB GENERAL DESCRIPTION OF THIS BUSINESS CONSULTING FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $o - $1,999 ❑ $2,000 - $10,000 1 16 __/__j16 ® $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1.000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership © Sole Proprietorship ❑ Other YOUR BUSINESS POSITION PRINCIPAL ❑ $0 - $499 © $10,001 - $100,000 ❑ $Soo - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 • INCOMEOF ■ r l OR ❑ None or K) Names listed below SEE ATTACHED 7 . 7- -,.- . •• 03. . •- LEASED BY THE BUSINESS ENTITY .- TRUSI LEASED BY THE BUSINESS ENTITY OR Check one box: Check one box-, ❑ INVESTMENT © REAL PROPERTY ❑ INVESTMENT © REAL PROPERTY DESERT CITIES CATERING EMERALD PRESIDIO, INC Name of Business Entity if In•c•slrnent, or Name of Business Entity, if Investment, or Assessor's Parcel Nurnher or Str jLddress of Real Property Assessors Parcel Number or Street Address of Real Property 57000 PALMS DRIVE, LA QUINTA, CA 74710 HWY. 111, PALM DESERT, CA Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10.000 ® $10.001 - $100.000 ❑ $1oo,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership © Leasehold ❑ Other ❑ Check box tf additional schedules reporting investments or real property are attached Comment - FAIR MARKET VALUE IF APPLICABLE, LIST DATE: © $2,000 - $10,000 ❑ $10,001 - sloo,000 09 / 01 , 16 �� 16 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership Leasehold ❑ Other .r. r•-Terric.� ❑ Check bay, if additional schedules reporting investments or real property are attached FPPC Form 700 (2016/2017) Sch. A-2 FPPC Advice Email: advice@fppc.ce.gov FPPC Toll -Free Melpline: g66/275-3772 www.fppc.ca.gov SCHEDULE A-2 CALIFORNIA FORm Attachment Name Jahn Pena BUSINESS ENTITY OR TRUST: JOHN PENA & ASSOCIATES SELAN LAW FIRM ENGLANDER KNABE ALLEN & ASSOCIATES TERRY ROSS ENTERPRISES MSM ASSOCIATES SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 51910 AVENIDA NAVARRO CITY LA QUINTA, CA FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑X $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST X❑ Ownership/Deed of Trust Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: -i-J17 _j_ 17 ACQUIRED DISPOSED ❑ Easement F Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑X $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 MARK MORAN ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY 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 Yrs remaining IF APPLICABLE, LIST DATE: I/ 17 _j_/ 17 ACQUIRED DISPOSED ❑ Easement El 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 * 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 (MonthslYears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: 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 FPPC Form 700 (2017/2018) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov NAME OF SOURCE OF INCOME DESERT CITIES CATERING ADDRESS (Business Address Acceptable) PO BOX 671 LA QUINTA, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE CATERING/FOOD SERVICE YOUR BUSINESS POSITION OWNER SCHEDULE C CALIFORNIA FORM700 Income, Loans, & Business FAIR PM.ITICAL. PRACTICES CCF..%IISSIOP Positions Name (Other than Gifts and Travel Payments) John Pena 11� 1. INCOME RECEIVED NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) 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 ) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION 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 1D% ownership For 10% or greater use Schedule A-2) ❑ Sale of ❑ Sale of (Real properly, car,, foal etc) ❑ Loan repayment ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Commission or ❑ Rental Income, Hsi each source of $10.000 or more (Describe) IDv r lbe) ❑ Other ❑ Other (Oescrlbe) (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' INTEREST RATE TERM (Months/Years) % ❑ None ADDRESS (Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER ❑ None ❑ Personal residence ❑ Real Property Serest rddress HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 city ❑ $1,Do1 - $1o,000 ❑ Guarantor ❑ $10,001 - $10D,000 ❑ OVER $100,000 ❑ Other (Describe) Comments: FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpllne: 866/275-3772 www.fppc.ca.gov SCHEDULE C • - Income, Loans, & Business Positions Name (Other than Gifts and Travel Payments) JOHN PENA 1. INCOME RECEIVED 1, INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME GROUND BREAKING COMMUNICATION ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 21500 NORDHOFF ST. CHATSWORTH, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE COMMUNICATIONS YOUR BUSINESS POSITION YOUR BUSINESS POSITION AREA MANAGER GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑X $10,001 - $100,000 ❑ 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.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boal, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) 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 S10,0W or more ❑ Other (Des -be) +G srrih,rl * 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 (MonthsfYears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City ;17e:,t•,rh� i 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