700 Hallick 2019 from 01/01 to 12/31RECEIVED
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST)
(FIRST)
Hallick Rosemary Burns
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Finance Department Financial Services Analyst
► 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
❑x City of La Quinta
3. Type of Statement (Check at least one box)
x] Annual: The period covered is January 1, 2019, through
December 31, 2019.
.or -
The period covered is —J I through
December 31, 2019.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position
ial Filing Received
FIB' `T 0 !�020
CITY CIF LA QUINTA
CITY CLERK DEPARTMENT
(MIDDLE)
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one circle.)
O The period covered is January 1, 2019, through the date of
-or-
leaving office.
O The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1
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
❑ Schedule A-2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or- ❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta
STATE ZIP CODE
CA 92253
UAYIIME IELEPHONE NUMBER EMAIL ADDRESS
( 760 ) 777-7058 rhallick@laquintaca.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 foreg ing i true and correct.
Date Signed 2/20/2020 Signature
(month, day, year) originally signdpv2Wr,.f with your filing offdaQ
FPPC Form 700 - Cover Page (2019/2020)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 5
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokeraae or financial Statements.
► NAME OF BUSINESS ENTITY
Lowe's Companies, Inc
GENERAL DESCRIPTION OF THIS BUSINESS
Home improvement retail
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
X❑ $100,00, - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
XJ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
, I I Is- �_ ./ 1.9-
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
CVS Health Corp
GENERAL DESCRIPTION OF THIS BUSINESS
Retail pharmacy/healthcare
FAIR MARKET VALUE
Q $2,000 - $10.000 ❑ $10.001 - $100.000
❑ $100,o01 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Q Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I 1 19 03 _/ 07 1499
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
Starbucks
GENERAL DESCRIPTION OF THIS BUSINESS
Retail/food service
FAIR MARKET VALUE
❑ $2,000 - $10,000 Q $10,001 - $100.000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
0 Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ / 19 06 1 28 /19
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
► NAME OF BUSINESS ENTITY
Chevron Corp
GENERAL DESCRIPTION OF THIS BUSINESS
Energy
FAIR MARKET VALUE
X] $2.000 - $10.000 ❑ $10,o01 - $100,000
❑ $10o,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑X Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
19 OT 25 f tom_
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
Royal Dutch Shell
GENERAL DESCRIPTION OF THIS BUSINESS
Energy
FAIR MARKET VALUE
❑ $2,000 - $10,000 Q $10,001 - $100.000
❑ $100,Oo1 - $1,000,000 ❑ Over $1,000.000
NATURE OF INVESTMENT
Q Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� 1 19 19
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I 1 19 19
ACQUIRED DISPOSED
FPPC Form 700 - Schedule A-1 (2019/2020)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 7