700 NAI Consulting (Gruehl) 2021RECEIVED
STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received
CALIFORNIA • - Filing Ofrcral Use Onl;
COVER PAGE MAR 2 2 20??
A PUBLIC DOCUMENT
Please type or print in ink. CITY. OF LA QUINTA
NAME OF FILER (LAST) (FIRST) (MIDDLE) f
Gruehl Lorissa Ann
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Your Position
Contract Project Manager
► 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
iiiii City of La Quinta
3. Type of Statement (Check at feast one box)
❑■ Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is —
December 31, 2021.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Schedule Summary (must complete)
Schedules attached
Position
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(Check one circle.)
through ❑ The period covered is January 1, 2021, through the date of
leaving office.
.or -
El The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1.
► Total number of pages including this cover page:
■❑ 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
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
68955 Adelina Road
DAYTIME TELEPHONE NLIMEER
( 760 ) 323-5344
❑■ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY STATE ZIP CODE
Cathedral City CA 92234
EMAIL ADDRESS
Igruehl@naiconsulting.com
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 (2022/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5
SCHEDULE A-1
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%)
Investments must be itemized. Lorissa Ann Gruehl
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY
NAI Consulting, Inc.
GENERAL DESCRIPTION OF THIS BUSINESS
Civil Engineering Firm
FAIR MARKET VALUE
❑ $2,000 - $10,000 W $10,001 - $100.000
❑ $100.001 - $1,000,000 Over $1.000,000
NATURE OF INVESTMENT Share Holder
Stock ENJ 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
(Describe)
❑ Partnership —1-Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
//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
( escrioe)
❑ 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
Comments:
► 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 ❑ Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE
1 )21 _J /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
(Describe)
❑ Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/21 /21
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,00, - $1.000,000 ❑ Over $1.000.000
NATURE OF INVESTMENT
❑ Stock ❑ Other
t0escnbej
❑ Partnership ❑ Income Received of $0 - $499
Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE.
1 /21 1 /21
ACQUIRED DISPOSED
FPPC Form 700 - Schedule A-1 (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 7
SCHEDULE C CALIFORNIA FORM
Income, Loans, & Business FAIR POLITICAL
Positions Name
(Other than Gifts and Travel Payments) Lorissa Ann Gruehl
NAME OF SOURCE OF INCOME
NAI Consulting, Inc.
ADDRESS (Business Address Acceptable)
68955 Adelina Road, Cathedral City, CA 92234
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Civil Engineering Project Manager
YOUR BUSINESS POSITION
Senior Engineer
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,mo
❑ $10,001 - $100,000 El 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)
NAME OF SOURCE OF INCOME
Intense Cycles USA, Inc.
ADDRESS (Business Address Acceptable)
42380 Rio Nedo Rd, Temecula, CA 92590
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Inside Sales
YOUR BUSINESS POSITION
Rider Experience Representative
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
j� $10,001 - $100,000 ❑ OVER $100.000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ■J 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
❑ Commission or
(Real property, car, boat, etc)
❑ Rental Income, list each source of $10,000 or more
fp"cnbe)
❑ Other I ❑ Other
(Describe) (Describe)
LOANSOR OUTSTANDING DURING THE REPORTING••
* 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
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (MonthsNears)
»l ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property .-
Street address
❑ Guarantor
❑ Other
City
(Describe)
FPPC Form 700 - Schedule C (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page -13