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700 Molko - 2015 Assuming 10/06/2015y `r' 4QANNW Date Initial Filing STATEMENT OF ECONOMIC INTERESTS Received Official Use Only COVER PAGE. Please type or print in ink NAME OF FILER (LAST) (FIRST) (MIDDLE) Molko Michelle 1. Office, Agency, or Court 0 Agency Name (Do not use acronyms) City of La Quinta _ Division, Board, Department, District, if applicable Your Position Assistant City Attorney 0> -A ioo If filing for multiple positions, list below or on an attachment. (Do not use acronyms) .s tx! Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -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, 2014, through ❑ Leaving Office: Date Left 1 1, 1 December 31, 2014. -or- The period covered is I I through December 31, 2014. Assuming Office: Date assumed 10 1 06 ) 2015 (Check one) O The period covered is January 1, 2014, through the date of leaving office. O The period covered is — the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: Schedule Summary Check applicable schedules or "None." ❑ Schedule A-1 - Investments - schedule attached ❑ Schedule A-2 - Investments - schedule attached ❑ Schedule B - Real Property - schedule attached ► Total number of pages including this cover page: 2 through © Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business crAgencyAddress Recommended - Public Document) 611 Anton Blvd., #1400 Costa Mesa CA 92626 DAYTIME TELEPHONE NUMBER E-MAILADDRESS ( 714 ) 641-5100 mmolko@rutan.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 t�e and �orrect. A Date Signed -4 ZalS Signature 0 (month, day, year) (File the originally signed statement with y filing official.) FFUPC Form 700 (2014/2015) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 0 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Rutan & Tucker, LLP ADDRESS (Business Address Acceptable) 611 Anton Blvd., #1500, Costa Mesa, CA 92626 BUSINESS ACTIVITY, IF ANY, OF SOURCE Law Firm YOUR BUSINESS POSITION Associate GROSS INCOME RECEIVED ❑ $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 (Describe) Name Michelle Molko NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $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 (Describe) ❑ Other F-] Other (Describe) (Describe) to. 2. LOANS RECEI I VIED 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' Robert Molko ADDRESS (Business Address Acceptable) 3729 Blue Key, Corona Del Mar, CA 92625 BUSINESS ACTIVITY, IF ANY, OF LENDER n/a HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 OVER $100,000 Comments: INTEREST RATE TERM (Months)Years) 2.50 oro ❑ None 5 years SECURITY FOR LOAN ❑ None ❑ Personal residence 4942 COrkwood Z Real Property Street address Irvine, CA city ❑ Guarantor ❑ Other (Describe) FPPC Form 700 (2014/2015) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov