700 Batavick 2019}
1
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink. A PUBLIC DOCUMENT
NAME OF FILER _ (LAST)
1. Office, Agency, or Court
(FIRST)
RECEIVED
Date Initial Filin Pecelved
FErf"2r �° 2RO
CITY OF LA QUINTA
CITY CLERK DEPARTMENT
(MIDDLE)
Agency Name (Do not use acronyms)
c5 a �a
Division, Board, Deparant, District+ if a plicabblnle Your Position II
�IiI�Ir�NPia 1't��lSnr�u Com�n►cSitelD M�tMhPl`
► If filing for multiple positions, list below or on an attachment. oTDo not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Mulll-County
City of
3. T pe of Statement (Check at least one box)
Annual: The period covered is January 1, 2019, through
December 31. 2019.
-or-
The period covered is /1
December 31, 2019.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
[� ❑ Other
❑ Leaving Office: Date Left I 1
(Check one circle)
through 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
4. Schedule Summary (must complete) P- Total number of pages including this cover page:
Schedules attached
Schedule A-1 - Investments — schedule attached
Schedulee A-2 - Investments — schedule attached
Schedule B - Real Properfy — schedule attached
-or- ❑ None - No reportable interests on any schedule
Schedule C - income, Loans, & business Positions -- schedule attached
Schedule D - Income — Gifts — schedule attached
�rs Chedule E - Income — Gifu — Travel Payments — schedule attached
5. Verification
MAILING ADDRESS
6--
have used all reasonable diligence in preparing this statement. I have revlewe&gis staterWnt and to the best of my knawledA 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 &btuam St. znw Signature""'''��'
jrx owy, year) origa�elyslgnedpapersfetementwraiyour}dingolfideLJ
FPPC Form 700 - Cover Page (2029/2020)
advice@fppc.ca.gov - 966-275-3772 - 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 brokerage or financial statements.
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION ef THIS BUSINESS
FAIR MARKET VALUE V
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 Over $1,000,000,
NATSRE OF INVES�heN'f
�• F;4fF* IId1 p �v (Describe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_I 1 19 ��� 19
ACQUIRED DISPOSED
No. NAME OF BUSINESS ENTITY
GENERAL q RIPTION OF THIS BUSAIESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,0 0,000 Over $1,000,000
NATURE OF INVESTMENT tl A li _jZ (� L
A 9-
Stock [Other l 1�1�aS����iJ 4-a
499 Wa� ❑ Partnership O Income Received of $0(- $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 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 O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 19 / / 19
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
MO
g M
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $1o0,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Cl Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1. 1.19 /--J 19
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $10o,001 - $1,o00,000 ❑ 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:
I, /. 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,o00 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:
/ / 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
�0�e SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
'li� 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $o - $1,999
❑ $2,000 - $10,000
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
I ❑ Partnership ❑ Sole Proprietorship ❑ Other
YOUR BUSINESS POSITION
IDENTIFY2. -• • YOUR -• RATA
SHARE OF THE GROSS• • THE ENTITYITRUST)
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
11- 3. LIST THE NAME OF ••-TABLE SINCLE. SOURCE OF
INCOME OF $10,000 OR MORE
❑ None or ❑ Names listed below
0- 4. INVESTMENTS • INTERESTS IN REAL PROPERTYOR
LEASED BY THE BUSINESS ENTITY • TRUST
-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, pi
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity QL
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs remralning
❑ Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
m- 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 t t19
❑ $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
SHARE OF -•SS INCOME IQ THE ENTITY/TRUST)
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
11- 3. LIST THE NAME OF •-TABLE SINGLE SOURCE OF
INCOME OF S10,000 OR MORE if --rt
❑ None or ❑ Names listed below
0- 4. INVESTMENTS • INTERESTS IN REAL PROPERTYOR
LEASED BY THE BUSINESS ENTITY • TRUST
-
Check one box.,
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, QL
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity QL
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 it J9 -j--j19
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. rernoining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 - Schedule A-2 (2019/2020)
advlce@fppc.ra.gov • 866-275-3772 • www.fppc.ca.gov
Page - 9
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S/PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
e $100,001 - $1,000,000 ACQUIRED DISPOSED
�LPJS Over $1,000,000
NATURE OF INTEREST
/
�] Ownership/Deed of Trust ❑ Easement
❑ Leasehold [�
Yrs remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $5w - $1,000 ❑ $1,001 - $10,000
1W$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.
❑ Non �6
Q
4sid 109 hatf N'LiLdboX
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
[1 $1o0,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Ownership/Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,0o0
❑ $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 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,wo ❑ $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
Ej $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
FPPC Form 700 -Schedule B(2019/2020)
advice@fppc.a.gov • 066-275-3772 • www.fppc.a.gov
Page -11
NDNS. SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
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
❑ Loan repayment
❑ Commission or
❑ Other
(Real property, car, boat etc.)
❑ Rental Income, list each source of $10,000 or more
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
❑ Loan repayment
❑ Commission or
❑ Other
(Describe) I I (Describe)
11- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* 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:
(Reel property, car, boat etc.)
❑ Rental Income, list each source of S10,000 or more
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
Street address
CRY
(Describe)
FPPC Form 700 -Schedule C(2019/2020)
advice@fppc.ca.gov • 966-275-3772 • www.fppc.ca.gov
Page -13
D I V SCHEDULE D
Income - Gifts
► 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)
► 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)
—J �! $
Comments:
► 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)
$
No. 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)
FPPC Form 700 -Schedule D (2019/2020)
advlceLDfppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 15
NO SCHEDULE E
Income — Gifts
Travel Payments, Advances,
and Reimbursements
Mark either the gift or income box.
Mark the "501 (c)(3)" box for a travel payment received from a nonprofit 501 (c)(3) organization
or the "Speech" box if you made a speech or participated in a panel. Per Government Code
Section 89506, these payments may not be subject to the gift limit. However, they may result
in a disqualifying conflict of interest.
For gifts of travel, provide the travel destination.
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):--]_/- - ---J--J- AMT: $
(if gam)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
p Other - Provide Description
► If Gift, Provide Travel Destination
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):--J--J- - _.ice AMT.
(If gift)
► MUST CHECK ONE: ❑ Gift or- ❑ Income
O Made a Speech/Participated in a Panel
Q Other - Provide Description
► If Gift, Provide Travel Destination
Comments:
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):-/_/- - __J I_ AMT., 5
(If gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
p Other - Provide Description
► If Gift, Provide Travel Destination
► NAME OF SOURCE (Not an Acronym)
ADDRESS (Business Address Acceptable)
CITY AND STATE
❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE
DATE(S):--I--J- - --J-/- AMT: $
(If gift)
► MUST CHECK ONE: ❑ Gift -or- ❑ Income
O Made a Speech/Participated in a Panel
p Other - Provide Description
► If Gift, Provide Travel Destination
FPPCForm 700- Schedule E (2019/2020)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page -17