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Form 700 HR Green Pacific Inc 2018 (Wentz)STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received Official Use Only COVER PAGE Please type or print In Ink. A PUBLIC DOCUMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) Wentz Wentz Andrew 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA Divlslon, Board, Department, District, if applicable Your Position PROFESSIONAL SERVICES CONSULTANT ► 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 Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other _ _ . 3. Type of Statement (Check at least one box) x❑ Annual: The period covered is January 1, 2018, through ❑ Leaving Office: Date Left -or- December 31, 2018. (Check one circle.) The period covered is I through O The period covered is January 1, 2018, through the date of December 31, 2018. -Or- leaving office. ❑ Assuming Office: Date assumed -____J — — — J O The period covered is I I through the date of leaving office. ❑ Candidate: Date of Election and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: :i Schedules attached ? xl Schedule A-1 - Investments — schedule attached X❑ 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 Crry STATE ZIP CODE (Business orAgemyAddrass Recwwended - Public Document) 1260 Corona Pointe Court, #305 Corona CA 92879 DAYTIME 790.n i t NUMBER EMAIL ADDRESS ( 855 ) 900-4742 gwentz@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 foregoilf is true and correcL Date Signed 5/30/2019 /month, day, year) Signature yavr A7 U oNdw) FPPC Form 700(2018/2019) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov pave - 5 SCHEDULE A-1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Investments must be itemized. Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY CHARLES SCHWAB GENERAL DESCRIPTION OF THIS BUSINESS RETIREMENT ACCOUNTS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 X❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT © Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule Q IF APPLICABLE, LIST DATE: � . Is I 1 18 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY HR GREEN INC. GENERAL DESCRIPTION OF THIS BUSINESS 401 K FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 Q $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT © Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 18 8 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY HR GREEN INC. GENERAL DESCRIPTION OF THIS BUSINESS Engineering & Management Consulting FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100.000 K❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT © Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: � . 18 ( 18 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name - ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,00, - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,00, - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on schedule C) IF APPLICABLE, LIST DATE: I /. 18 /—J 18 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100.000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 /.18 ACQUIRED DISPOSED FPPC Form 700(2018/2019) FPPC Advice Email: advlce@fppc.ca.gov FPPC Toll -Free Helpllne: 866/275-3772 www.fppc.ca.gov Paea - 7 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME HR GREEN CALIFORNIA, INC. ADDRESS (Business Address Acceptable) 1260 Corona Pointe Cte., #305, Corona, CA 92879 BUSINESS ACTIVITY, IF ANY, OF SOURCE Engineering & Management Consulting YOUR BUSINESS POSITION Vice President GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $5oo - $1.000 ❑ $1,00, - $10,000 ❑ $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 ❑ Loan repayment ❑ Commission or ❑ Other (Real property, car, boat, etc.) ❑ Rental Income, list each source of $10,000 or more inc., ,r�] (Describe) Name GEORGE A. WENTZ 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 ❑ Loan repayment ❑ Commission or ❑ Other (Reel property, car, boat, aft.) ❑ Rental Income, Ilsf each source of $10,000 or more (e ) * 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 ❑ $10.01)1 - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (MonthslYears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Sheet address ❑ Guarantor ❑ Other City (Deserihe) FPPC Form 700(2018/2019) FPPC Advice Email: advicetDfppc.ca.gov FPPCToll-Free Helpline: 866/275-3772 www.fppc.ca.gov P"A..-13