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Form 700 Hermann Design Group (Hermann) 2018RECEIVED STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. late ImIAN,129�' CITY OF LA QUINTA Cm' CLERK DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Hermann, III Eugene Christopher 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of La Quinta Division, Board, Department, District, if applicable Your Position ► 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 ❑ Mufti -County ® 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, 2017, through ❑ Leaving office: Date Left I I -or- December 31, 2017. (Check one) The period covered is —J— I through O The period covered is January 1, 2017, through the date of December 31, 2017. -or- leaving office. ❑ Assuming Office: Date assumed O The period covered is —J I through the date of leaving office. ❑ Candidate: Date of Election and office sought, 9 different than Part 1 4. Schedule Summary (must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positrons — schedule attached ❑x Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — GiRs — schedule attached ❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached .or- ❑ None - No reportable interests on a!,y schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Reca wwxfed - Pudic Document) 77899 Wolf Road, Suite 102 Palm Desert CA 92211 DAYTiM; ,ELEPliCNENUMB ER E-MAIL ADDRESS — ( 760 ) 777-9131 x101 chds@hdg-inc.com I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my kn a the information contained herein and in any attached schedules is true and complete. I acknowledge this is a public =Joeu I certify under penalty of perjury under the laws of the State of California that the fore In a an c Date Signed October 26, 20� $ Signature (month, do year) (Flo Bie awn y s s1'e mpof Wh your ISrg offew..) FPPC Form 700(2017/2018) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) lll� 1. BUSINESS ENTITY OR TRUST Nameer Hmann Design Grou-p, Inc. 77899 Wolf Road, Suite 102, Palm Desert, CA 92211 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: ❑ $o - $1,999 ❑ $2,000 - $10,000 17 --j--j17 ❑ $1o,001 - $1o0,000 ACQUIRED DISPOSED ® $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT S CDr�i}ratlon ❑ Partnership ❑ Sole Proprietorship ® p hAr YOUR BUSINESS POSITION CEO/President - • • • - • . SHARE OF THE GROSS• • THE ENTITY/TRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 © OVER $100,000 ❑ $1,001 - $10,000 I� 3. LIST THE NAME OF •RTABLE SINGLE SOURCE OF INCOMEOF $10,000 OR • ❑ None or ® Names listed below Alta Planning + Design City of La Quinta Rodger and 'Alasha Srnith Linda and John MacDonald 0� 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY .. LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY N/A 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: ❑ $2,000 - $10,000 0 $10,001 - $100,000 17 / 17 P$100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yes. remalrvng ❑ Check box if additional schedules reporting investments or real property are attached Comments:. CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Eugene C. Hermann, III ll� 1. BUSINESS ENTITY OR TRUST E. Chris Hermann and Kristin Moore Hermann Revocable 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 / 17 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,o01 - $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,o00 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 11� 3. LIST THE NAME OF .RTABLE SINGLE SOURCE OF INCOMEOF $10,000 OR • 0 None or ❑ Names listed below 1� 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT Q REAL PROPERTY 50905 Calle Quito, La Quinta, CA 92253 (Purchase 7/16) Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property 54700 Avenida Carranza, La Quinta, CA 92253 (Purchase 2/1 1 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 / 17 17 ❑ $10o,0o1 - $1,o00,o00 ACQUIRED DISPOSED X❑ Over $1,000,000 (Combined) NATURE OF INTEREST g] Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 70012017/2018) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPCToll-Free Helpline:866/275-3772 www.fppc.ca.gov