700 Mendez 2021STATEMENT OF ECONOMIC INTE
COVER PAGE
A PUBLIC DOCUMENT
Please type or print in ink.
NAML OF FILER (LAST) IFIRSTI
IMIDDLEj
Mendez Rutkowski Martha Beatriz
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Community Resources
Public Safety Manager
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
Position:
RECEIVED
Gate Initial Fling Received
MAR`2 4 21122
CITY OF LA QUINTA
2. Jurisdiction of Office (Check at least one box)
[ ]State Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
�...._.] Multi -County County of
lal City of City of La Quint@ Other
3. Type of Statement (Check at least one box)
[■l Annual: The period covered is January 1, 2021, through Leaving Office: Date Left _
-or-
December 31, 2021. (Check one circle.)
The period covered is
December 31, 2021.
Assuming Office: Date assumed
Candidate: Date of Election
through ` The period covered is January 1, 2021, through the date of
-or-
leaving office.
` The period covered is 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: 3
Schedules attached
[ I Schedule A-1 - Investments — schedule attached
111111 Schedule A-2 - Investments — schedule attached
Schedule B - Real Property — schedule attached
Schedule C - Income, Loans, & Business Positions — schedule attached
Schedule D - Income — Gifts — schedule attached
Schedule E - Income — Gifts — Travel Payments — schedule attached
-or- _ None - No reportable interests on any schedule
5. Verification
MAILINU AUUKLby STREET
(Business or Agency Address Recommended - Public Document)
78495 Calle Tampico
( 760 ) 777-7161
CITY
La Quinta
ZIP CODE
CA 92253
mmendez@laquintaca.gov
I have useu au reasonaoie 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 03/16/2022
(month, (fay,, year)
Signature
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov • 866.275-3772 • www.fppc.ca.gov
Page-5
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Coachella Valley Housing Coalition
ADDRESS (Business Address Acceptable)
45701 Monroe Street, Suite G
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED No Income - Business Position Only
$500 - $1,000
ro-1 $10,001 - $1001000 Lj OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary FIR 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.)
U Sale of
(Real property, car, boat, etc.)
Loan repayment
Commission or Rental Income, list each source or S10,000 or more
Name
Martha Mendez Rutkowski
NAME OF SOURCE OF INCOME
Rene Sabala
ADDRESS (Business Address Acceptable)
45480 Desert Eagle Ct.
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Consulting
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 1l $1,001 - $10,000
❑ $10,001 - $100,0o0 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
n Salary n 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.)
LI Sale of
(Real property car. boat, etc)
Ll Loan repayment
11 Commission or ❑ Rental Income, list each source or S10,000 or more
I.._._.f Other I ]� Other non-emplo_yi-nent compensation
(Describe) ! (Describe)
* 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 (MonthslYears)
% None
SECURITY FOR LOAN
❑ None 7.11 Personal residence
L Real Property
I I Guarantor
U Other
Street address
City
(Describe)
FPPC Form 700 - Schedule C (202112022)
advice@fppc.ca.gov • 966-275-3772 • www.fppc.ca.gov
Page -13
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