700 Mendez 2019 from 01/01 to 12/31STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
COVER PAGE
Please type or Print in ink. A PUBLIC DOCUMENT
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Mendez Rutkowski Martha Beatriz
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Community Resources 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
❑ Multi -County
❑x City of La Quinta
3. Type of Statement (check at least one box)
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑x Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left
-or-
December 31, 2019. (Check one, circle.)
The period covered is !. through O The period covered is January 1, 2019, through the date of
December 31, 2019. -or- leaving office.
❑ Assuming Office: Date assumed I_ 1 O The period covered is _1_1— . 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: 3
Schedules attached
❑ Schedule A-1 - Investments — schedule attached
❑x Schedule A-2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
-Or- ❑ None - No reportable interests on any schedule
e it— _ r._—ie
Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
v. •61111WILIV11
MAILING ADDRESS STP.EE? CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico, La Quinta, CA 92253
DAYTIME TELEPHONE NUMBER E7�MI AADDRESS —
( 760 ) 777-7161 mmendez@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 foregoing is true and correct.
Date Signed 04/01/2020
g Signature
(month, day, year) (File the originally signed paper
FPPC Form 700 - Cover Page (2019/20201
advice@fppc.ca.gov • 866-275-3772 - www.fppc.ca.gav
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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)
Name
Martha Mendez Rutkowski
NAME OF SOURCE OF INCOME
Rene Sabala
ADDRESS (Business Address Acceptable)
45480 Desert Eagle Ct.
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Consulting
YOUR BUSINESS POSITION
N/A
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1.000 ❑X $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.)
❑ Padnership (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 - I I ❑X Other non -employment compensation
(Describe)
(Describe)
* 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 - $10,000
❑ $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
city
(Describe)
FPPC Form 700 - Schedule C (2019/2oZo)
advice@fppc.ca.gov • 866.275.377Z • rvww.fppc,ca.;ev
Page -13