700: Mendez - 2018 from 01/01 - 12/31EIVIED
STATEMENT OF ECONOMIC INTERESTS Date Filing Rei
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE \�v MAR 2V5 2019
Please type or print in ink. A PUBLIC DOCUMENT I CITY OF LA OUINTA
rl'ry ri malt nPPAPTMI
NAME OF FILER (LAST) (FIRST)
}
Mendez Martha Beatriz
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Community Resources
Your Position
Public Safety Manager
► 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi -County _ ❑ County of
❑x City of City of La Quinta
❑ Other
3. Type of Statement (Check at least one box)
❑R Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left _ I
-or-
December 31, 2018. (Check one circle.)
The period covered is through O The period covered is January 1, 2018, through the date of
December 31, 2018. -or-leaving office.
❑ Assuming Office: Date assumed O The period covered is I— I through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1
4. Schedule Summary (must complete) ► Total number of pages including this cover page: 5
Schedules attached
❑ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑x Schedule B - Real Property - schedule attached
-or- ❑ None - No reportable interests on any schedule
❑x Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
�. veiui�ativn
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta CA 92253
WMI i INC i rLtrnurvt nuMtltK EMAIL ADDRESS
( 760 ) 777-7161 mmendez@la;luintaca.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 foregoing is true and correct.
Date Signed 3/20/2019
(month, day, year)
Signature
your filing official.)
FPPC Form 700(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page - 5
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
606262014
CITY
Indio, 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
IF APPLICABLE, LIST DATE:
__ J—_J18_ —l_l_M
ACQUIRED DISPOSED
❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,00o ❑X $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.
❑X None
Name
Martha Mendez
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
III 606255001
CITY
Indio, 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
, o,,,a,, ,11 IV
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑X $1,001 - $10,000
❑ $10.001 - $100.000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: It 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.
❑X None
I I —
* You are not required to report loans from a commercial lending institution 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 (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
Comments:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
❑ None
TERM (Months/Years)
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 (2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page -11
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
608150005
CITY
Indio, 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
Zia. i 11-uny
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑X $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.
0 None
Name
Martha Mendez
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
608181026
CITY
Indio, CA
FAIR MARKET VALUE
❑ $2,000 - $10,000
❑ $10,001 - $100,0o0
❑X $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INTEREST
❑X Ownership/Deed of Trust
❑ Leasehold
... ,c,ncn,iiy
IF APPLICABLE, LIST DATE
ACQUIRED DISPOSED
❑ Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑X $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME. If you own a 10% or greater
merest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑X None
* You are not required to report loans from a commercial lending institution 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 (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
Comments:
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,0ol - $1o,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page -11
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
606272022
CITY
Indio, 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
0 Ownership/Deed of Trust
[] Leasehold
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
❑ Easement
1
rrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑X $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.
❑X None
Name
Martha Mendez
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
600110018
CITY
Indio, CA
FAIR MARKET VALUE
IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
-/-/ 8
❑X $100,001 - $1.000,000
ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑X Ownership/Deed of Trust
❑ Easement
❑ Leasehold
U
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑X $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 narne of each tenant that is a single source of
income of $10,000 or more.
❑X None
* You are not required to report loans from a commercial lending institution 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 (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
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(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page -11
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Coachella Valley Housing Coalition
ADDRESS (Business Address Acceptable)
45701 Monroe Street, Suite G
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
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
❑ 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, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other
Name
I Martha Mendez I
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
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 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) I I (Describe)
LOANSOR OUTSTANDING DURING THE REPORTING•D
* You are not required to report loans from a commercial lending institution, 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,o00
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (MonthsiYears)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
city
(Describe)
FPPC Form 700(2018/2019)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
Page -13