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700 Mills 2017 Assuming Office 01.03.2017CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS COVER PAGE NAME OF FILER (LAST) (FIRST) MILLS w. RE IVSD Date initial Filing Received OfTiciel Use Only JAN 19 2017 CITY OF LA QUINTA TY CLDIV DSPAQTMFNT RICHARD 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA Division, Board, Department, District, if applicable INVESTMENT ADVISORY BOARD Your Position BOARD MEMBER o. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -County E] City of LA QUINTA ❑ 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, 2016, through ❑ Leaving Office: Date Left December 31, 2016. (Check one) -or- The period covered is / / , through December 31, 2016. ❑. Assuming Office: Date assumed 01 / 03 / 2017 O The period covered is January 1, 2016, through the date of leaving office. -or- O The period covered is / the date .of leaving office., , through ❑ Candidate: Election year and office sought, if different than Part 1 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached LI Schedule A-1 - Investments — schedule attached ❑x Schedule A-2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached -or- ❑ None - No reportable interests on any schedule 4 Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached NMI 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY LA QUINTA STATE ZIP CODE CA 92253 DAYTIME TELEPHONE NUMBER ( E-MAIL ADDRESS dmillshome@wrmcpas.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 3(4 4 !\ts (month, day, year) Signature (File the originally signed statement wth your filing official.) FPPC Form 700 (2016/2017) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov ► 1. BUSINESS ENTITY OR TRUST SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) W. RICHARD MILLS & CO., INC. Name 81-600 TIBURON DRIVE, LA QUINTA, CA 92253 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS TAX AND FINANCIAL CONSULTING FAIR MARKET VALUE IF APPLICABLE, LIST DATE: • $0 - $1,999 • $2,000 - $10,000 / / 16. .____/_ / 16 © sio,00i - $100,000 ACQUIRED DISPOSED • $100,001 - $1,000,000 • Over $1,000,000 NATURE OF INVESTMENT CORPORATION NI Partnership • Sole Proprietorship • Other YOUR BUSINESS POSITION PRESIDENT FAIR MARKET VALUE IF APPLICABLE, LIST DATE: • $0 - $1,999 $10,000 / 16 16 • $2,000 - ______/_/ • sio,00i - $100,000 ACQUIRED DISPOSED • $100,001 - $1,000,000 • Over $1,000,000 NATURE OF INVESTMENT • Partnership • Sole Proprietorship ❑ ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) El $0 - $499 © $10,001 - $100,000 • $500 - $1,000 • OVER $100,000 • $1,001 - $10,000 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) II None or © Names listed below SEE NONDISCLOSURE STATEMENT ATTACHED P. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) • None or ❑ Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD 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 gr City or Other Precise Location of Real Property FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 0 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Leasehold Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached IF APPLICABLE, LIST DATE: 16 ACQUIRED /16 DISPOSED Stock 1 _ J Partnership ❑ Other CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one 0 Trust, go to 2 0 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: • $0 - $1,999 $10,000 / 16 16 • $2,000 - ______/_/ • sio,00i - $100,000 ACQUIRED DISPOSED • $100,001 - $1,000,000 • Over $1,000,000 NATURE OF INVESTMENT • Partnership • Sole Proprietorship ❑ Other YOUR BUSINESS POSITION ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) • $0 - $499 • $10,001 - $100,000 • $500 - $1,000 ❑ OVER $100,000 • $1,001 - $10,000 P. 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.) • None or ❑ Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: a INVESTMENT • REAL PROPERTY Name of Business Entity, if Investment, gf Assessor's Parcel Number or Street Address of Real Property Description of Business Activity ar City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: • $2,000 - $10,000 $100,000 /16 / 16 • $10,001 - _/ _J • $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' FPPC Form 700 (2016/2017) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► 1. INCOME RECEIVED ► 1. INCOME RECEIVED NAME OF SOURCE OF INCOME W. RICHARD MILLS & CO., INC. ADDRESS (Business Address Acceptable) 81-600 TIBURON DRIVE, LA QUINTA, CA 92253 BUSINESS ACTIVITY, IF ANY, OF SOURCE TAX AND FINANCIAL CONSULTING YOUR BUSINESS POSITION PRESIDENT GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑X $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑X 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 n Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) ❑ Other (Describe) 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 Oply ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - 8100,000 ❑ 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 810,000 or more (Describe) ❑ Other (Describe) P. 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * You are not required to report loans from commercial lending institutions, 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 ❑ $1,00i - 810,000 ❑ $10,001 - 8100,000 ❑ OVER $100,000 Comments' INTEREST RATE ' ❑ None TERM (Months/Years) SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address City ❑ Guarantor ❑ Other (Describe) FPPC Form 700 (2016/2017) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov W. RICHARD MILLS CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS NON -DISCLOSURE STATEMENT There are two sources of income over $10,000 which is not being disclosed. The position with the City of La Quinta is Disclosure Category 2 (limited disclosure within the jurisdiction). The jurisdiction is the territory of the City of La Quinta, plus within 2 miles of its borders. The legal basis for non -disclosure is that, as a California Certified Public Accountant, even with an inactive license, I must comply with the ethical standards of the California State Board of Accountancy. To disclose the client's names would compromise that requirement. Under penalty of perjury of the laws of the State of California, I have not made and will not make, participate in making, or in any way attempt to use an official position to influence a governmental decision in violation of Section 87100. In the event I am faced with a potential conflict of interest involving the undisclosed clients, I will disclose the potential conflict to the City of La Quinta's legal counsel and recuse myself from parti- cipating in the matter. Date J ( `-( \S, �Cit7 W. Richard Mills