700 Evans 2016 ElectionRECENW
STATEMENT OF ECONOMIC INTERESTS AUG 14 B*
COVER PAGE C1VOFlAclUINTA
_— FaKUEPARSMI
Please type or print in ink.
NAME OF FILER (LAST] (FIRST) (MIDDLE)
EVANS �6ewb' LINDA Marie
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta, California
Division, Board, Department, District, if applicable
Your Position
Mayor
P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
See attachment for other positions/agencies Agency:position:
.. -
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi -County -
0 City of City of La Quinta, CA
3. Type of Statement (Check at least one box)
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of . -
❑ Other —
❑ Annual: The period covered is January 1, 2015, through ❑ Leaving Office: Date Left —1
December 31, 2015. (Check one)
-or- The period covered is through
O The period covered is January 1, 2015, through the date of
1_ _l .,
December 31, 2015. or -
leaving office.
-
❑ Assuming Office: Date assumed - r _ O The period covered is _J_ I through
the date of leaving office,
❑✓ Candidate: Election year 2016 and office sought, if different than Part 1. Same -Mayor
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑ Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
.or -
El None - No reportable interests on any schedule
❑✓ Schedule C - Income, Loans, & Business Positions — schedule attached
0 Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODC
(Business or Agency Address Recommended - Public Document)
78-495 Calle Tampico La Quinta CA 92253
DAYTIME TELEPHONE NUMBER F-M[AIL ADDRESS
( 1
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 a and Torre t.
08/09/2016
Date Signed Signature
(month, day, year) (File the originally signed statement with your (ling official.)
FPPC Form 700(2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
California Form 700 — STATEMENT OF ECONOMIC INTERESTS — ATTACHMENT
1. Office, Agency, or Court
Agency
City of La Quinta, California
Coachella Valley Association of Governments
Coachella Valley Association of Governments
Coachella Valley Association of Governments
Coachella Valley Association of Governments
Coachella Valley Association of Governments
Southern California Association of Governments
Greater Palm Springs Convention & Visitors Bureau
Joint Water Policy Advisory Committee
C
Linda Bender (EVANS)
Position
Mayor
General Assembly/ Executive Committee
Member, Conservation Commission
Chair, Energy & Environmental Commission
Member, CV Electric Plug -In Vehicle Committee
Alternate Member, Homelessness Committee
Delegate Member — City of La Quinta Mayor
Chair, Joint Powers Authority Board of Directors
Member— City of La Quinta Mayor
Date
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Tenet Healthsystem Medical, Inc.
ADDRESS (Business Address Acceptable)
1445 Ross Avenue, Suite 1400, Dallas, TX 75202
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Salary - Job: JFK Memorial Hospital
YOUR BUSINESS POSITION
Chief Development Officer
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 rOgistared domestic pnrlller'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, boar, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
CALIFORNIA FORM 700
FAIR POLITICAL, PRACTICES COMMISSION
Name
Linda Bender (EVANS)_
NAME OF SOURCE OF INCOME
City of La Quinta
ADDRESS (Business Address Acceptable)
78-495 Calle Tampico, La Quinta, CA 92253
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Salary - Elected Official
YOUR BUSINESS POSITION
Mayor
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 Schedute A•2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2,)
❑ Sale of -
(Reel property, car, Noel, efc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10.000 or more
(Describe) (Describe)
Other ❑ ❑ Other -_ (Describe) (Describe)102, 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"
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 (MonthsNears)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor —
❑ Other
s1raa7 nddoss
City
(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
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Home Depot USA, Inc.
ADDRESS (Business Address Acceptable)
2455 Paces Ferry Road, Atlanta, GA 30339
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Salary - Job: Rancho Mirage Home Depot Store
YOUR BUSINESS POSITION
Tim Bender - Spouse - Sales Associate
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑V $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑✓ Spouse's or registered domestic partner's income
(Far 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 or $10,000 or more
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
I Linda Bender (EVANS)
NAME OF SOURCE OF INCOME
Coachella Valley Association of Governments
ADDRESS (Business Address Acceptable)
73710 Fred Waring, Ste 119, Palm Desert, CA 92260_
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Regional Planning Agency for Coachella Valley Govt:
YOUR BUSINESS POSITION
Board/Commission/Committee Member
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
(Reel property, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
(Describe) (Describe)
❑ Other ❑✓ Other Committee Stipends
(Describe) {DascdOa}
•. r •- • . ••• • •.
* 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
Sfnivf r, ddrtas
city
(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
0
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Greater Palm Springs Convention & Visitors Bureau
ADDRESS (Business Address Acceptable)
70100 Highway 111, Rancho Mirage, CA 92270
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Hospitality & Tourism Agency
YOUR BUSINESS POSITION
Chair, Joint Powers Authority Board of Directors
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 parlrler'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
CALIFORNIA FORM 700
FAIR POLITICAL PRA(rICES COMMISSION
Name
Linda Bender (EVANS)
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1.001 - $10,000
❑ $10.001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ S170LISO'a or registered domestic partner's income
(For selr-emp[Dyed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
(Real properly, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe) (Describe)
Q Other Committee Stipend on Board ❑ Other
{t?•scrlbaJ (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
❑ $10,00, - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months{Years)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street uddrass
Clfy
❑ Guarantor
❑ Other —
(Descrlbe)
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
SCHEDULED FAIN PULI I IUAL YNAU III:FS COMMISSION
Income
No. NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
,:PToClWar �, rdM��c� �g
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
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z�c�
► NAME OF SODURCE (Not an Acronym)
ADDRESS (Business R dress Acceptable)
it,.? bz D� - ZZfJ [
BBUSI>NE`SSjS ACTIVITY, IF ANY,
,OOF/SOURCE e �
PQ
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
00r a Z TLC;LA 1
► NAME OF SOURCE (Not an Acronym)
O-F Wkl-6
ADDRESS (Business Address Acceptable)
N Al hrzz
BUSINESS ACTIVITY, IF ANY, OF SOURCE e/}- d772i0
�- I' iO V e"72�\i Yvt�i�9- 7
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
c:
fz � $--��'WAl 5
.CAI
��— $
Comments:
► NAME OF SOURCE (Not an Acronym)
_ftL&--A1 AWAJ1?0&—77f6_uvr1y67 Z.K
ADDRESS (Bu�sin]ess Address
^7Acceptable) A, AV h
BUSINESS ACTIVITY, IF ANY, OF SOURCE
'C..+
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
A-
GY'� .
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable) (i
IH ZZ�`o 565La-M rl_
BUSINESS ACTIVITY, IF ANY, OF SOURCE
&166 FAS�a c�
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
rub
1 tiL
!�) $
► NAME OF SOURCE (Not an Acronym)
IQ— wm
ADDRESS (Business Address Acceptable)
SLI k.&c A- /W67, Sl� 7300
BUSINESS ACTIVITY, IF ANY, OF SOURCELer5 A(_A/U( —(05r
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
i7I,"/
FPPC Form 700 (2015/2016) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
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SCHEDULE D
Income — Gifts
► NAME OF SOURCE (Not an Acronym)
rltu
��—
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
�'/),dA 7 6W1_?T_Y•—IQI,63\i f'Gf47VNf�uc7
DATE (mmlddlyy) VALUE DESCRIPTION OF GIFT(S)
O r s ,� —
z-
n��
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
��— $
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
$ —
$
Comments:
Name
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddtyy) VALUE f DESCRIPTION OF GIFT(S)
$ -
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE (mm/ddtyy) VALUE DESCRIPTION OF GIFT(S)
$
/—/ $
FPPC Form 700 (2015/2026) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov