700 Evans 2015CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
ved
STATEMENT OF ECONOMIC INTERESTS
CIT FIC d
COVER PAGE
7016 0. 731''3 5:77
NAME OF FILER (LAST)
BENDER (EVANS)
(FIRST)
Linda
(MIDDLE)
gate OF LA QUINTA
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta, California
Division, Board, Department, District, if applicable
Your Position
Mayor
N. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: See Attachment for other positions/agencies
Position.
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
City of La Quinta
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑✓ Annual: The period covered is January 1, 2015, through
December 31, 2015.
The period covered is , through
December 31, 2015.
❑ Assuming Office: Date assumed
-or-
Leaving Office: Date Left
(Check one)
p The period covered is January 1, 2015, through the date of
leaving office.
-or-
0 The period covered is , through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1
4. ;Schedule Summary (must complete) :►,Total number. ofpagesincluding this coverpage:
$che°dules` attached,.
Schedule A-1 =,Investments.=`schedule. attached •
Schedule A-2 =-Investments.=;schedule attached
i Schedule: B' : Real Property 7i schedule attached,..
tine:=.No:reportabie'interests on any schedule.
✓❑
Schedule C - Income, Loans, &Business Positions -'schedule attached
j Schedule D - Income .- Gifts -schedule attached
Schedule":E .Income.- Gifts - Travel'Payments — schedule. attached
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
78-495 Calle Tampico
CITY
La Quinta
STATE
ZIP CODE
CA 92253
DAYTIME TELEPHONE NUMBER
(
E-MAIL ADDRESS
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 foregoig is true and cor •ct.
Date Signed 03/30/2016
Signature
(month, day, year) (File the originally signed statement with your filing official.)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
California Form 700 — STATEMENT OF ECONOMIC INTERESTS — ATTACHMENT
Annual Statement: January 1, 2015 through December 31, 2015
NAME: Linda Bender (EVANS)
AGENCY: City of La Quinta, California
POSITION: Mayor
1. Office, Agency, or Court
Agency
City of La Quinta, California
Coachella VaIIey Association of Governments
Coachella VaIIey Association of Governments
Coachella VaIIey Association of Governments
Coachella Vafley Association of Governments
Coachella Valiey Association of Governments
Southerr California Association of Governments
Greater Paim Springs Convention & Visitors Bureau
Joint Water Policy Advisory Committee
Linda Bender /EVANS)
Position
Mayor
General Assembly / Executive Committee
Member, Conservation Commission
Chair, Energy & Environmental Commission
Member, CV Electric PIug-In Vehicle Committee
Alternate Member, Homelessness Committee
Delegate Member—City of La Quinta Mayor
Chair, Joint Powers Authority Board of Directors
Member — City of La Quinta Mayor
OdA,
Date
► 1. INCOME RECEIVED
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
► 1. INCOME RECEIVED
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Linda Bender (EVANS)
NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME
Greater Palm Springs Convention & Visitors Bureau
ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable)
70100 Highway 111, Rancho Mirage, CA 92270
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Hospitality & Tourism Agency
YOUR BUSINESS POSITION
Chair, Joint Powers Authority Board of Directors
GROSS INCOME RECEIVED
✓❑ $500 - $1,000
❑ $10,001 - $100,000
❑ $1,001 - $10,000
❑ 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, list each source of $10,000 or more
(Describe)
❑✓ Other Committee Stipend on Board
❑ Other
(Describe)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000
❑ $10,001 - $100,000
❑ $1,001 - $10,000
❑ 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, list each source of $10,000 or more
(Describe)
(Describe)
► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from commercial lending institutions, 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
D $1,001 - $10,000
❑ $10,001 - $100,000
0 OVER $100,000
INTEREST RATE TERM (Months/Years)
❑ None
SECURITY FOR LOAN
❑ None p Personal residence
❑ Real Property
Street address
City
❑ Guarantor
0 Other
(Describe)
Comments'
FPPC Form 700 (2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
► 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
► 1. INCOME RECEIVED
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Linda Bender (EVANS)
NAME OF SOURCE OF INCOME
Tenet Healthsystem Medical, Inc. City of La Quinta
ADDRESS (Business Address Acceptable)
1445 Ross Avenue, Suite 1400, Dallas, TX 75202
ADDRESS (Business Address Acceptable)
78-495 Calle Tampico, La Quinta, CA 92253
BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE
Salary - Job: JFK Memorial Hospital
YOUR BUSINESS POSITION
Chief Development Officer
GROSS INCOME RECEIVED
❑ $500 - $1,000
❑ $10,001 - $100,000
❑ $1,001 - $10,000
❑✓ 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, list each source of $10,000 or more
(Describe)
❑ Other
(Describe)
Salary - Elected Official
YOUR BUSINESS POSITION
Mayor
GROSS INCOME RECEIVED
❑ $500 - $1,000
❑✓ $10,001 - $100,000
❑ $1,001 - $10,000
❑ 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
0 Commission or
❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other
(Descdbe)
► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from commercial lending institutions, 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
0 $1,001 - $10,000
0 $10,001 - $100,000
❑ OVER $100,000
INTEREST RATE TERM (Months/Years)
Ok
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
City
❑ Guarantor
❑ Other
(Describe)
Comments"
FPPC Form 700 (2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
j.
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
► 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
Home Depot USA, Inc.
ADDRESS (Business Address Acceptable)
2455 Paces Ferry Road, Atlanta, GA 30339
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Salary - Job: Rancho Mirage Home Depot Store
YOUR BUSINESS POSITION
Tim Bender - Spouse - Sales Associate
GROSS INCOME RECEIVED
❑ $500 - $1,000
❑✓ $10,001 - $100,000
❑ $1,001 - $10,000
❑ 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, list each source of $10,000 or more
(Describe)
❑ Other
(Describe)
► 1. INCOME RECEIVED
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Linda Bender (EVANS)
NAME OF SOURCE OF INCOME
Coachella Valley Association of Governments
ADDRESS (Business Address Acceptable)
73710 Fred Waring, Ste 119, Palm Desert, CA 92260
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Regional Planning Agency for Coachella Valley Govt:
YOUR BUSINESS POSITION
Board/Commission/Committee Member
GROSS INCOME RECEIVED
❑✓ $500 - $1,000
❑ $10,001 - $100,000
❑ $1,001 - $10,000
❑ 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, list each source of $10,000 or more
(Describe)
❑✓ Other Committee Stipends
(Describe)
► 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from commercial lending institutions, 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
INTEREST RATE TERM (Months/Years)
❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
City
❑ Guarantor
❑ Other
(Describe)
Comments'
FPPC Form 700 (2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
r
SCHEDULE D
Income — Gifts
► NAME OF SOURCE (Not an Acronym)
Todd Spector - The Chateau at Lake La Quinta
ADDRESS (Business Address Acceptable)
78120 Caleo Bay, La Quinta, CA 92253
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Hotel
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
06L____/ / 15 $ 300.00 2 tix - Las Vegas Show
$
____/_/—
$
_/____/—
► NAME OF SOURCE (Not an Acronym)
City of Indian Wells
ADDRESS (Business Address Acceptable)
44950 Eldorado Dr., Indian Wells, CA 92210
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Local Government
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
03/ 11 / 15 $ 148.00 2 tix - Tennis Event
$
___/_/—
$
_t____/
► NAME OF SOURCE (Not an Acronym)
Alex Haagen - Empire Polo Club
ADDRESS (Business Address Acceptable)
81800 Avenue 51, Indio, CA 92201
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Polo Club & Event Center
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
01/ 31 / 15 $ 90.00 2 tix - BBQ Event
03/ 07 / 15 $ 300.00 2 tix - RWB Event
_1_—
—J— $
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Linda Bender (EVANS)
► NAME OF SOURCE (Not an Acronym)
Lee Osborne - Council Member & CPA
ADDRESS (Business Address Acceptable)
79245 Corporate Center Dr. #101, La Quinta, CA 922f.
BUSINESS ACTIVITY, IF ANY, OF SOURCE
CPA Firm & Council Member - LQ
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
03/ 14 / 15 $ 250.00 2 tix-B&G Charity Event
$
_/_J
$
___/_/
► NAME OF SOURCE (Not an Acronym)
Tim Miller - Riverside County Fair & Festival Director
ADDRESS (Business Address Acceptable)
82503 Highway 111, Indio, CA 92201
BUSINESS ACTIVITY, IF ANY, OF SOURCE
County Entity - Event Planning
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
O9/ 06 / 15 $ 218.00 2 tix - concert
09/ 11 / 15 $ 218.00 2 tix -concert
$
____/_/
► NAME OF SOURCE (Not an Acronym)
Jason Poirier
ADDRESS (Business Address Acceptable)
51396 Avenida Velasco, La Quinta, CA 92253
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Penske Truck Rental & Friend
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
02/ 20 / 15 $ 300.00 2 tix - dinner event
$
_1_—
—J— $
Comments'
FPPC Form 700 (2015/2016) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov
'VA
SCHEDULE D
Income — Gifts
► NAME OF SOURCE (Not an Acronym)
Petra Wong, MD
ADDRESS (Business Address Acceptable)
3801 Katella Ave. Ste 300, Los Alamitos, CA 90720
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Physician & Friend
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
04/ 24 / 15 $ 300.00 1 Tix Stagecoach
$
_l—_J
J—/— $
► NAME OF SOURCE (Not an Acronym)
Jeff Mangus
ADDRESS (Business Address Acceptable)
86030 62nd Avenue, Thermal, CA 92274
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Chamber Member - New Business in Area
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
06/ 27 / 15 $ 450.00 Intro -BMW Driving Exp.
_J—/— $
$
_JJ
► NAME OF SOURCE (Not an Acronym)
California Desert Association of Realtors
ADDRESS (Business Address Acceptable)
44475 Monterey Ave., Palm Desert, CA 92260
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Officers & Directors Dinner - Realtor Group
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
01/ 09 / 15 $ 100.00 2 tix- dinner event
$
—/—
/ / s
Comments.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Linda Bender (EVANS)
► NAME OF SOURCE (Not an Acronym)
Cole Burr - Burrtec Waste & Recycling & EDCO
ADDRESS (Business Address Acceptable)
9890 Cherry Avenue, Fontana, CA 92335
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Waste & Recycling Company
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
03/ 22 / 15 $ 300.00 2 Tix - NASCAR Race
J—/— $
Jam— $
► NAME OF SOURCE (Not an Acronym)
Helene Leclair - Desert Oasis Healthcare
ADDRESS (Business Address Acceptable)
275 N. El Cielo Rd., Palm Springs, CA 92262
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Medical Group - related to JFK hospital job
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
01/_____/ / 15 $ 300.00 1 tix-Desert Town Hall
$
_/J—
$
_lJ_
► NAME OF SOURCE (Not an Acronym)
Wendy Jonathan - Desert Sands School Board Dir
ADDRESS (Business Address Acceptable)
73301 Fred Waring, Ste. 200, Palm Desert, CA 92260
BUSINESS ACTIVITY, IF ANY, OF SOURCE
School Board & CPA Firm
DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S)
03/ 24 / 15 $ $0.00 1 tix-Fashion Week eve
$
_JJ—
_1—J— $
FPPC Form 700 (2015/2016) Sch. D
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov