700 Hallick 2020RECEIVED
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
Filing Official Use Only
COVER PAGE FEB 2 3 2021
A PUBLIC DOCUMENT
Please type or print in ink.
CITY OF LA OUINTA
NAME OF FILER (LAST) (FIRST) (MIDDLE)
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 Financial Services Analyst
P. 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
[MI City of La Quinta
3. Type of Statement (Check at least one box)
!❑ Annual: The period covered is January 1, 2020, through
December 31, 2020.
-or-
The period covered is r through
December 31, 2020.
❑ Assuming Office: Date assumed I I
❑ Candidate: Date of Election
Position:
❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left _ J 1_ —
(Check one circle.)
O The period covered is January 1, 2020, through the date of
leaving office.
.or-
0 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: 2-
Schedules attached
IJ Schedule A-1 - Investments - schedule attached
❑ Schedule A-2 - Investments - schedule attached
❑ Schedule B - Real Property - schedule attached
-or- ❑ None - No reportable interests on any schedule
5. Verification
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico La Quinta CA 92253
DAYTIME TELEPHONE NUMBER EMAILADDRESS
(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. J�
I certify under penalty of perjury under the laws of the State of California that the foregoinr,I'i true and correct.
Date Signed 2/22/2021 Signature
(month, day, year) (Fr a the odgWWffy signed
FPPC Form 700 - Cover Page (2020/2021)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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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
Lowe's Companies, Inc
GENERAL DESCRIPTION OF THIS BUSINESS
Home improvement retailer
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,00o
Q $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:
20 /20
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,00, - $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:
/ /20 1 12-0--
ACQUIRED DISPOSED
No. 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
scnoe)
❑ Partnership O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ /20 120
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS ENTITY
Royal Dutch Shell
GENERAL DESCRIPTION OF THIS BUSINESS
Energy
FAIR MARKET VALUE
0 $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000.000 ❑ Over $1,000,000
NATURE OF INVESTMENT
01 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 /20 /20
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:
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:
/ /20 1 /20
ACQUIRED DISPOSED
FPPC Form 700 - Schedule A-1(2020/2021)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 7