700 Way 2021Please type or print in ink.
NAME OF FILER (LAST)
Way
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable
Financial Advisory Commission
STATEMENT OF ECONOMIC INTERE
COVER PAGE
A PUBLIC DOCUMENT
(FIRST) (MIDDLE)
Ellen Sanders
Commissioner
Your Position
► 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
3. Type of Statement (Check at least one box)
p■J Annual: The period covered is January 1, 2021, through
December 31, 2021.
.or -
The period covered is through
December 31, 2021.
❑ Assuming Office: Date assumed
❑ Candidate: Date of Election
Position
Daft Nii& WIRRec
Filing Official Use Only
MAR 31 2022
CITY OF LA QUINTA
❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left I I
(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: J
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
MAILING ADDRESS STREET CITY
(Business or Agency Address Recommended - Public Document)
La Quinta, CA 92253
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
UAYIWt ILLLMUNt NUMBER EMAILADDRESS
(
ZIP CODE
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
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FPPC Form 700 -Cover Page (2021/2022)
advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov
Page - 5
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
100- 1. BUSINESS ENTITY OR TRUST
Prime Time International
Name
47110 Washington Street, #103
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$0 - $1,999
$2,000 - $10,000 /21 _1 /21
❑ $10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
Over $1,000,000
NATURE OF INVESTMENT
a Partnership ❑ Sole Proprietorship ]
Other
YOUR BUSINESS POSITION None, spouse of partner
• -• 10• •
$0 - $499 ❑ $10,001 - $100,000
$500 - $1,000❑ OVER $100,000
❑ $1,001 - $10,000
1� 3. LIST THE NAME •F'EACH REPORTABLE SINGLE SOURCEOF
INCOME OF $10,000 OR MORE (Altach a separate sl-t if nec-iry)
None or a Names listed below
Prime Time International
• INTERESTS IN REAL PROPERTYHELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
J $2,000 - $10,000
$10,001 - $100,000 _/21 121
$100,001 - $1,000,000 ACQUIRED DISPOSED
J Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Ellen Sanders
10- 1. BUSINESS ENTITY . TRUST
-
Name
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$0 - $1,999
$2,000 - $10,000 /21 --j--j21
$10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship
Other
YOUR BUSINESS POSITION
SHARE OF -•SS INCOME TO THE ENTITY/TRUST)
$0 - $499 ❑ $10,001 - $100,000
$500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
03. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF
INCOMEOF tt OR MORE
None or i Names listed below
4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD .-
LEASED BY THE BUSINESS ENTITY . TRUST
-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, Q
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE. LIST DATE:
$2,000 - $10,000
$10,001 - $100,000 /21 /21
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership/Deed of Trust ❑ Stock ] Partnership
❑ Leasehold ❑ Other
Yrs. remaining
Check box if additional schedules reporting investments or real property
are attached
Comments: No real property owned in the City, office building is leased.
FPPC Form 700 - Schedule A-2 (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 9
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Prime Time International
ADDRESS (Business Address Acceptable)
47110 Washington Street, #103
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Produce farming and marketing company.
YOUR BUSINESS POSITION
None - Spouse of partner
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 10. OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
P Salary 0 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
NAME OF SOURCE OF INCOME
Ellen Sanders Way
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ 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
❑ Loan repayment
❑ Commission or
(Real property, car, boat, etc.)
❑ Rental Income, list each source of $10,000 or more
(Describe)
❑ Other ` I ❑ Other
(Describe) I l (Describe)
i� 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* 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
% ❑ None
TERM (MonthsNears)
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
city
(Describe)
FPPC Form 700 -Schedule C (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • wwwlppc.ca.gov
Page -13