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700 Hallick 2021STATEMENT OF ECONOMIC INTER COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. 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 Finance Your Position Financial Services Analyst ► 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 ❑■ City of La Quinta Position: RECEIVED Date i itial Filimi Re_- M4�gf`4102" - CITY. OF LA QUINTA TY CLERK DEPARTMEP ❑ Judge, Retired Judge, Pro Tern 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, 2021, through ❑ Leaving Office: Date Left December 31, 2021. .or - The period covered is 1. 1 through December 31, 2021. ❑ Assuming Office: Date assumed I I ❑ Candidate: Date of Election (Check one circle.) ❑ The period covered is January 1, 2021, through the date of leaving office. .or- ❑ The period covered is I I 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: 2 Schedules attached # 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 92203 DAYTIME TELEPHONE NUMBER ( 760 ) 777-7058 EMAIL ADDRESS 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. I certify under penalty of perjury under the laws of the State of California that the FPPC Form 700 - Cover Page (2021/2022) advice9Dfppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5 SCHEDULE A-1 Investments FAIR POLITICAL PRACTICES COMMISSI I Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10%) Investments must be itemized. Hallick, Rosemary Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY Lowe's HIW GENERAL DESCRIPTION OF THIS BUSINESS Home Improvement Retail FAIR MARKET VALUE ❑ $2,000 - $10,000 U $10,001 - $100,000 El $100,001 - $1,000,001) ❑ Over $1,000,000 NATURE OF INVESTMENT Stock ❑ Other (Describe) ❑ Partnership ❑ Income Received of $0 - $499 ❑ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /21 /21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2.000 - $10,000 ❑ $10,00, - $100,000 ❑ $1oo,00l - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership ❑ Income Received of $0 - $499 ❑ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE. LIST DATE: 1 /21 _�_ /21 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 uescnoe) ❑ Partnership ❑ Income Received of $0 - $499 ❑ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _) )21 ) )21 ACQUIRED DISPOSED Comments: ► NAME OF BUSINESS ENTITY Royal Dutch Shell GENERAL DESCRIPTION OF THIS BUSINESS Energy FAIR MARKET VALUE $2,000 - $10,000 ❑ $10.001 - $10o,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ■❑ Stock ❑ Other (Describe) ❑ Partnership ❑ Income Received of $0 - $499 ❑ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � /21 1 /21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $1oo,000 ❑ $100,001 - $1,000,o00 ❑ Over $1,000.000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership ❑ Income Received of $0 - $499 ❑ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � /21 1 /21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 ❑ $10,001 - $10o,000 $100,001 - $1,000,000 ❑ Over $1.000,001) NATURE OF INVESTMENT ❑ Stock ❑ Other (uescnoe) ❑ Partnership © Income Received of $0 - $499 ❑ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /21 ) )21 ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 7