700 Libolt 2021 Leaving Office 04/26/2021STATEMENT OF ECONOMIC INTERESTS I;,;!VE?CALIFORNIA FORm7OO t -
_ POLITICAL ._, COMMISSION COVER PAGE
MAY 1 8 2021
A PUBLIC DOCUMENT ,4�,
Please type or print in ink CITY OF LA QUINTA
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Libolt Taylor E
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Ecard, Department, District, if applicable Your Position
Planning Commission Planning Commissioner
► 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)
❑ Slate ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County ❑ County of
® City of La Quinta ❑ Other
3. Type of Statement (check at least one box)
❑ Annual: The period covered is January 1, 2020, through 99 Leaving Office: Date Left 41 261 2021
December 31, 2020. (Check one circle.)
.or -
The period covered is
December 31, 2020.
❑ Assuming Office: Date assumed J 1,
❑ Candidate: Date of Election
through
p The period covered is January 1, 2020, through the date of
leaving office.
.or-
49 The period covered is J. 1 12021 through
the date of leaving office.
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 Positions — schedule attached
❑ Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached
ql 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
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico
DAYTIME TELEPHONE NUMBER
(760 ) 777-7035
C TY
La Quinta
EMAIL
STATE ZIP CODE
CA 92253
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 05/07/2021 Signature`
(month, day, year) (File the originally signed paper slalement Mh your fifing official)
FPPC Form 700 - Cover Page (2020/2021)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
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SCHEDULE C CALIFORNIA FORM700
Income, Loans, & Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Taylor Libolt
NAME OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME
City of La Quinta
Lift to Rise
ADDRESS (Business Address Acceptable)
ADDRESS (Business Address Acceptable)
78-495 Calle Tampico, La Quinta, CA 92253
73-710 Fred Waring Drive, Suite 100, Palm Desert
BUSINESS ACTIVITY. IF ANY, OF SOURCE
I
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
Planning Commissioner
Regional Affordable Housing Planner
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
® $500 - $1,000 ❑ $1,001 - $10,000
❑ $50o - $1,o00 ❑ $1,001 - $10.000
❑ $10,0cl - $100,C00 ❑ OVER $100,000
a $10,001 - $100.000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partrer's income
® Salary ❑ Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2,)
i
(Far self-employed use Schedule A-2.)
❑ Partnership (Less than 10% ownership. For 10% or greater use
❑ Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
Schedule A-2.)
❑ Sale of
❑ Sale of
(Real property car, boat, etc)
(Real property, car, boat, etc)
❑ Loan repayment
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
(Describe)
(�icriAe)
'
Other Meeting Stipend
❑ other
(Describe)
(Describe)
LOANSOR OUTSTANDING DURING THE REPCRTFING■■
* 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'
INTEREST RATE TERM (Months/Years)
94 ❑ None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY. IF ANY. OF LENDER
❑ None ❑ Personal residence
❑ Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $5o0 - S1,000
Cily
❑ $1,0c1 - $10,000
❑ Guarantor
❑ $10,001 - $100,000
❑ OVER $100,000
❑ Other
(Describe)
Comments:
FPPC Form 700 -Schedule C(2020/2021)
advice@fppc.ca.gov • 866.275-3772 • www.fppc.ca.gov
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