700 HR Green (York) 2022Please type or print in ink.
Date Initial Filing Received
Filing Official Use Only
RECEIVED
t
NAME OF FILER (LAST) (FIRST) (MIDDLE) J
YORK TINA MARIE 017Y OF LA QUINTA
CITY CLEAR nRltaetta, ADram
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF LA QUINTA
Division, Board, Department, District, if applicable
ENGINEERING DEPARTMENT
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
JAN 3 6
Your Position
CIVIL PLAN CHECK DIRECTOR
► 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
Position: .
Judge, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
__ Multi -County - County of
■ City of LA QUINTA Other
3. Type of Statement (Check at least one box)
■ Annual: The period covered is January 1, 2022, through Leaving Office: Date Left I
December 31, 2022. (Check one circle.)
.or -
The period covered is +—
December 31, 2022.
Assuming Office: Date assumed I
Candidate: Date of Election
through The period covered is January 1, 2022, through the date of
leaving office.
.or -
The period covered is J I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (required) ► Total number of pages including this cover page: 2
Schedules attached
Schedule A-1 - Investments - schedule attached ■ Schedule C - Income, Loans, & Business Positions - schedule attached
Schedule A-2 - Investments - schedule attached Schedule D - Income - Gifts - schedule attached
Schedule B - Real Property - schedule attached Schedule E - Income - Gifts - Travel Payments - schedule attached
-or- None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
1260 CORONA POINTE COURT, STE 305
CITY STATE ZIP CODE
CORONA CA 92879
EMAIL ADDRESS
( 1 TYORK@HRGREEN.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 foregoing is true and correct.
Date Signed 1/26/2023 Signature Tina M York CrtC=US E=tby Twgwn
9 C=ll6 E=lyork�ftrgreen com CN=Tna M VorF
9 9 We 2023 01 261618 41-M'00
(month, day, year) (File the originally signed paper statement with your filing official)
FPPC Form 700 - Cover Page (2022/2023)
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
HR GREEN PACIFIC, INC
ADDRESS (Business Address Acceptable)
1260 Corona Pointe Ct, Ste 305/Corona, CA 92879
BUSINESS ACTIVITY, IF ANY, OF SOURCE
MUNICIPAL CONSULTING
YOUR BUSINESS POSITION
CIVIL PLAN REVIEW DIRECTOR
GROSS INCOME RECEIVED No Income - Business Position Only
$500 - $1,000 $1,001 - $10.000
$10,001 - $100,000 0 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
Other
(Describe)
(Describe)
Name
NAME OF SOURCE OF INCOME
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
(Real property, car, boat, etc)
Loan repayment
Commission or Rental Income, list each source of $10,000 or more
Other
(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' INTEREST RATE TERM (MonthsNears)
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:
None
SECURITY FOR LOAN
None Personal residence
Real Property
Guarantor
Other
Street address
City
(Describe)
FPPC Form 700 - Schedule C (2022/2023)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page -13