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700 David Evans & Assoc - 2019 from 01/01 to 12/31
STATEMENT OF ECONOMIC INTERESTS Date Irk"'�- CALIFORNIAPing� U=� - COVER PAGE MAY 2 2 202&.,1 Please type or print in ink. A PUBLIC DOCUMENT CITY OF LA QLIINTA NAME of FILER (LAST) (RRST) David Evans and Associates Inc 1. Office, Agency, or Court Agency Name (Do not use acronyms) 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: — Position: 2. Jurisdiction of Office (Check at least one box) ❑ state ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (statewide Jurisdiction) ❑ Multi -County ❑ County of ©city of -a Quinta ❑ Other 3. Type of Statement (check at least one box) © Annual: The period covered is January 1, 2019, through ❑ Leaving Office: Date Left .1. 1 December 31, 2019. (Check one circle.) -or- The period covered is — I __J through O The period covered is January 1, 2019, through the date of December 31, 2019. -or- leaving office. ❑ Assuming Office: Date assumed ---J---J O The period covered is 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. Schedules attached ❑ Schedule A-1 - Investments — schedule attached © Schedule C - Income, Loans, & Business Positrons — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Grfts — schedule attached ❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — GiRs — Travel Payments — schedule attached -or- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE LP CODE (Business orAgwWAddrew Recwwwnded - Pubic Doaunent) 2100 5W Rives Parkway Portland t 97201 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 503 )223-5053 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 Stale of California that the foregoing is true qnd correct. % I J�* Date Signed (ll o Signature�q (month, day, year) (Fie ft ateWent -0 Y. we offl-W.) FPPC Farts 700 - Cover Pace (2019/2020) adwlce@fppc.ca.gov • 866-275-9772 • www.fppc ca.Qov Pap-5 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) 78495 Calle Tampico BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION CDnsultaw 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 (Real property, car, boat eta) ❑ Commission or ❑ Rental Income, list each source of $10,000 or moue 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, Hat each source of $10,000 or more (Describe) (Desdlbe) ®other Prof- landscape Arctlitecturai Design Servic ❑ other (Describe) (Desatbe) OR PORTING 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: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $5oo - $1,000 ❑ $1,001 - $10,000 ❑ $10,00, - $100,0W ❑ OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) .% ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property — Street address M ❑ Guarantor ❑ Omer (Describe) FPPC Form 700 - Schedule C (2019/2020) advk*@fppc.co.gov • N6-27S-3772 • wwwvfppc.ce.gov Page -13