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700: Rhodes (David Evans & Assoc) - 2018 from 01/01 to 12/31
RECEIVED STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. CITY OF LA QUINTA :ITY CLERK DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) David Evans and Associates Inc - Kim S. Rhodes 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position Consultant ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -County © City of La Quinta Position ❑ 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 Office: Date Left I I December 31, 2017. (Check one) -or- The period covered is I I through O The period covered is January 1, 2017, through the date of December 31, 2017. -or- leaving office ❑ Assuming Office: Date assumed O The period covered is —J _J_ , 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: Schedules attached ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule 8 - Real Property — schedule attached -or- El None - No reportable interests on any schedule 7 Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Veriification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 2100 SW River Parkway Portland OR 97201 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (503 ) 223-6663 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. . /21% - Date Signed 1 1 d5— Z01 e (month, day, year) (Fite with your filing official) 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 (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME City of La Quinta ADDRESS (Business Address Acceptable) 78495 Calle Tampico BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION Consultant 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 Path .courro of $10,000 or more (Describe) ® Other Professional Landscape Architectural Deisgn Services. (Describe) Name 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 310,000 or more. ❑ Other (Describe) (Dcscribc) * 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) 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: % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other City (Dcscribc) FPPC Form 700 (2017/2028) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov