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700 Batavick 2019} 1 STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. A PUBLIC DOCUMENT NAME OF FILER _ (LAST) 1. Office, Agency, or Court (FIRST) RECEIVED Date Initial Filin Pecelved FErf"2r �° 2RO CITY OF LA QUINTA CITY CLERK DEPARTMENT (MIDDLE) Agency Name (Do not use acronyms) c5 a �a Division, Board, Deparant, District+ if a plicabblnle Your Position II �IiI�Ir�NPia 1't��lSnr�u Com�n►cSitelD M�tMhPl` ► If filing for multiple positions, list below or on an attachment. oTDo not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Mulll-County City of 3. T pe of Statement (Check at least one box) Annual: The period covered is January 1, 2019, through December 31. 2019. -or- The period covered is /1 December 31, 2019. ❑ Assuming Office: Date assumed ❑ Candidate: Date of Election Position: ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of [� ❑ Other ❑ Leaving Office: Date Left I 1 (Check one circle) through O The period covered is January 1, 2019, through the date of -or- leaving office. O 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) P- Total number of pages including this cover page: Schedules attached Schedule A-1 - Investments — schedule attached Schedulee A-2 - Investments — schedule attached Schedule B - Real Properfy — schedule attached -or- ❑ None - No reportable interests on any schedule Schedule C - income, Loans, & business Positions -- schedule attached Schedule D - Income — Gifts — schedule attached �rs Chedule E - Income — Gifu — Travel Payments — schedule attached 5. Verification MAILING ADDRESS 6-- have used all reasonable diligence in preparing this statement. I have revlewe&gis staterWnt and to the best of my knawledA 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 &btuam St. znw Signature""'''��' jrx owy, year) origa�elyslgnedpapersfetementwraiyour}dingolfideLJ FPPC Form 700 - Cover Page (2029/2020) advice@fppc.ca.gov - 966-275-3772 - www.fppc.ca.gov Page - 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 GENERAL DESCRIPTION ef THIS BUSINESS FAIR MARKET VALUE V ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 Over $1,000,000, NATSRE OF INVES�heN'f �• F;4fF* IId1 p �v (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _I 1 19 ��� 19 ACQUIRED DISPOSED No. NAME OF BUSINESS ENTITY GENERAL q RIPTION OF THIS BUSAIESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,0 0,000 Over $1,000,000 NATURE OF INVESTMENT tl A li _jZ (� L A 9- Stock [Other l 1�1�aS����iJ 4-a 499 Wa� ❑ Partnership O Income Received of $0(- $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 1 19 19 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 19 / / 19 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION MO g M ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $1o0,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership Cl Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1. 1.19 /--J 19 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $10o,001 - $1,o00,000 ❑ 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, /. 19- )/. 19 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,o00 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: / / 19 19 ACQUIRED DISPOSED FPPC Form 700 - Schedule A-1(2019/2020) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 7 �0�e SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) 'li� 1. BUSINESS ENTITY OR 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: ❑ $o - $1,999 ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT I ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION IDENTIFY2. -• • YOUR -• RATA SHARE OF THE GROSS• • THE ENTITYITRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 11- 3. LIST THE NAME OF ••-TABLE SINCLE. SOURCE OF INCOME OF $10,000 OR MORE ❑ None or ❑ Names listed below 0- 4. INVESTMENTS • INTERESTS IN REAL PROPERTYOR LEASED BY THE BUSINESS ENTITY • TRUST - Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, pi Assessor's Parcel Number or Street Address of Real Property Description of Business Activity QL City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs remralning ❑ Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION m- 1. BUSINESS ENTITY OR 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 t t19 ❑ $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 IQ THE ENTITY/TRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 11- 3. LIST THE NAME OF •-TABLE SINGLE SOURCE OF INCOME OF S10,000 OR MORE if --rt ❑ None or ❑ Names listed below 0- 4. INVESTMENTS • INTERESTS IN REAL PROPERTYOR LEASED BY THE BUSINESS ENTITY • TRUST - Check one box., ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, QL Assessor's Parcel Number or Street Address of Real Property Description of Business Activity QL City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 it J9 -j--j19 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. rernoining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 - Schedule A-2 (2019/2020) advlce@fppc.ra.gov • 866-275-3772 • www.fppc.ca.gov Page - 9 SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S/PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 e $100,001 - $1,000,000 ACQUIRED DISPOSED �LPJS Over $1,000,000 NATURE OF INTEREST / �] Ownership/Deed of Trust ❑ Easement ❑ Leasehold [� Yrs remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $5w - $1,000 ❑ $1,001 - $10,000 1W$10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ Non �6 Q 4sid 109 hatf N'LiLdboX ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 [1 $1o0,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST ❑ Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,0o0 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None * You are not required to report loans from a commercial lending institution 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 INTEREST RATE TERM (Months(Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,wo ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER" ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD Ej $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 -Schedule B(2019/2020) advice@fppc.a.gov • 066-275-3772 • www.fppc.a.gov Page -11 NDNS. SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) 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 (Real property, car, boat etc.) ❑ Rental Income, list each source of $10,000 or more 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 (Describe) I I (Describe) 11- 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: (Reel property, car, boat etc.) ❑ Rental Income, list each source of S10,000 or more 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 TERM (MonthsNears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address CRY (Describe) FPPC Form 700 -Schedule C(2019/2020) advice@fppc.ca.gov • 966-275-3772 • www.fppc.ca.gov Page -13 D I V SCHEDULE D Income - Gifts ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY. IF ANY. OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) —J �! $ Comments: ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) $ No. NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) $ $ ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE (mm/dd/yy) VALUE DESCRIPTION OF GIFT(S) FPPC Form 700 -Schedule D (2019/2020) advlceLDfppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 15 NO SCHEDULE E Income — Gifts Travel Payments, Advances, and Reimbursements Mark either the gift or income box. Mark the "501 (c)(3)" box for a travel payment received from a nonprofit 501 (c)(3) organization or the "Speech" box if you made a speech or participated in a panel. Per Government Code Section 89506, these payments may not be subject to the gift limit. However, they may result in a disqualifying conflict of interest. For gifts of travel, provide the travel destination. ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):--]_/- - ---J--J- AMT: $ (if gam) ► MUST CHECK ONE: ❑ Gift -or- ❑ Income O Made a Speech/Participated in a Panel p Other - Provide Description ► If Gift, Provide Travel Destination ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):--J--J- - _.ice AMT. (If gift) ► MUST CHECK ONE: ❑ Gift or- ❑ Income O Made a Speech/Participated in a Panel Q Other - Provide Description ► If Gift, Provide Travel Destination Comments: ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):-/_/- - __J I_ AMT., 5 (If gift) ► MUST CHECK ONE: ❑ Gift -or- ❑ Income O Made a Speech/Participated in a Panel p Other - Provide Description ► If Gift, Provide Travel Destination ► NAME OF SOURCE (Not an Acronym) ADDRESS (Business Address Acceptable) CITY AND STATE ❑ 501 (c)(3) or DESCRIBE BUSINESS ACTIVITY, IF ANY, OF SOURCE DATE(S):--I--J- - --J-/- AMT: $ (If gift) ► MUST CHECK ONE: ❑ Gift -or- ❑ Income O Made a Speech/Participated in a Panel p Other - Provide Description ► If Gift, Provide Travel Destination FPPCForm 700- Schedule E (2019/2020) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -17