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700 Blakeley 2020Please type or print in ink. NAME OF FILER (LAST) STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT (FIRST) (MIDDLE) 1. Office, Agency, or Court Agency Name (Do not use acronyms) a a/ 1,r, � ,L Division, Board, Department, District, i pplicabl Your Position .s�/1( 111'exi ► If filing for multiple Agency: IL64 l vs/&_1 list below or on an attachment. (Do not use acronyms) 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi -County ❑ City of 3. Tye of Statement (Check at least one box) Annual: The period covered Is January 1, 2020, through December 31, 2020. .or - The period covered is I i December 31, 2020. ❑ Assuming Office: Date assumed _ ❑ Candidate: Date of Election Position RECEIVED Date Initial Filing Received F 2 Q 21 zKjf'' CITY OF LA C%JINTA CITY CLERK DEPARTIJENT ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdicli ❑ County of ❑ Other ❑ Leaving Office: Date Left .1. 1� (Check one circle.) through O The period covered is January 1, 2020, through the dale of leaving office. .or- 0 The period covered is through the date of leaving office. and office sought, if different than Part 1. .4. Schedule Summary must com fete ! - Schedules attached �a-a.-•Try - 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 CITY ZIP {� ` {8etsness `DAYTIME TELEPHONE NUMBER EMAIL AQ 1;5 I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledg he information contained herein and in any attached schedules is true and complete. I acknowledge this is a public menl. I certify under penalty of perjury under the laws of the State of California that the Date � Signed i n tur 9 [�_ S g a {Fife 11 r originally signed paperValenrAt wdh your filing off 6a FPPC Form 700 - Cover Page (2020/2021) advice@fppc.ca.gov - 866-275-3772 - 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 BUSIN GENERAL ESCRIPTION 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: ACQUIRRD DISPOSED ► NAME OF SINESS ENTITY GENERAL DE CRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 >6$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: 1/20— /20 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: ACQUIRED DISPOSED Comments: Name P. 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: � /20 /20 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 p Income Received of $500 or More (Report on schedule C) IF APPLICABLE. LIST DATE: /20 1 /20 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 I escn e) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � /20 ) /20 ACQUIRED DISPOSED FPPC Form 700 -Schedule A-1(2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 7 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME ZeLIZ41• OURGE OF I + ADDRESS (Buw?es Addreseceptai�� V BUSSII'NN�E/SS A TIVITY, IF ANY, OF)SOUR E YOUR �GSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ 51,001 - 510,000 AS - $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 Name NAME OF SOURCE OF INCOME DDRESS (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 (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of S10,000 or more (G� • (Describe) F-1 Other �-Q--� ❑ Other (Describe) (Describe) lo- 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: 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 $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 - Schedule C (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -13 CALIFORNIA FORY700 STATEMENT OF ECONOMIC INTERESTS I COVER PAGE -. PUBLIC DOCUMENT Preaw " or orirrt in ffik SAM OF FUR PASn (FW Blakeley harrell 1. Office, Agency; or Court Agency Nam (00 not trse a7mym) rty of La Quinta Dnrisian, Board, Deparlrnent, DsW. I applicable Your PoSftn Community Services COrf MFssion Commissioner ► h filing for UK* positions, fist below or cn an aCtad ent. (E)o Fut use acfon ) I Jurisdiction of Office (chla at hest Craw N.) ❑ Slaw ❑ mm-County _ City of La Quints 3. Type of Statement p wdr at haast ore bm; Pnsilion: ❑ Judge, Re&sd Judge- Pro Tem Judge, or Court CW"Mcm Oa� Junadwtw) ❑ C4XF*j ai AMKW: The period Covered is January t, 2020, I DNh ❑ Leaving 011loe: Date I_eA �+�1 Decanter 31, 2. -or- Decanter (OeclF ore wcle-) The period comed ks lhmugh The period covered Is January 1, 2= through the the of ❑eDember 31. 2020. leaving offii�e. ❑ Auumk j Office: Dace assumed ���� p The period comred is �J through the date of lean Circe. ❑ CandFdatht Ogle of I WOon and orFice sought. if different than Part 1 IIIC 414daW B -flea{ - Wwdule attad+ed ❑ SdWdule E - Incorrre - G+fts - Trawd Paymerars - U;t"le att CW -Or- ❑ ftM - No mpnrta* rrrterests on arty w*drge �1..' I. MMG ADdREss STRf<Lr CITY 51ATf ZIP CODE or 4d hm RdddmVnendaa . POk ( LWL ADDWS$ I nave u5e0 ae reasonable drligcxrCe in preapwng this stalerner«t. I have rey ewed this s e&ffeni and to the Best of my krFmkdge the iflkm aba, QWFL ned heW and in any atlaCNed sdxldules is true and aornpleW I acknowledge tN5 is a public document. I m* Wldel Pwmft of Wiwi under the Wm Of 1114 Sh to of CatiFarnia d0l: ft InIJ is true and wrrerL SWWAAW d&ks sp!Rer rFig-- - FPKFo.m7w-I--PairimWMILI ■ PPGa� * SGFI%•r3T7t+ �+� �n SCHEDULE -1 Investments Stocks, Bonds, and Other Interests FUN. (Ownership Interest is Less Than ID%) Imrest► wts must be iter►rrreh- h rrell Blakeley Do not attach brokerage or FnancW statements. ► NAME OF BUSINESS ENTITY Wells Fargo GENERAL DESCRI"GN OF THIS BUSINESS Investment PorVbho FAIR MARKET VALUE 32.000 - $10.000 ❑ $10.001 - 5100.000 .9100.001 - 91,p00.000 ❑ over 61.o00.004 NATURE OF INVESTMENT i Block ❑ olfref {; ❑ ParsrW&* O Ir*XM ReMFVed Of so - S499 O Income RBmmM of 55W or Morn tarn � s.-.� G1 If APPLICABLE. LIST DATE. o ACQUIRED OISPOSED P MAME OF BUSINESS ENTITY Expert Witness GENERAL DESCRIPTION Of THIS BUSINESS Child Abuse Litigation FAIR MARKET VALUE Q $2.000 - $10.000 $14.on7 #ioq.wo Q $100.00, - S1.U04 ow ❑ Over S1.0W.CK)0 MATURE OF INVESTMENT t� ❑ 9&WWV W O I+WOme Recsnee of so - 34N O kxxne Reaewd of S500 or Mora eReexe art see&j& ca IF APPLICABLE. LIST DATE I In I_n__ ACQUIRED DISPOSED ► NAME OF OUSINESS E14TITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2 aw - si o.wo ❑ $10 001 - ;100.000 ❑ $100.001 - 51.000.0w0 Over 51.0m.ow NIATIJRE OF INVESTMENT ❑ s1oo ❑ Omer ❑ ParM%ysl* C) Income Reoeired of $0 - $499 O IrKmrne ReoeWud of SSW or Mae !Rema oe sd*dL a C; IF APPLICABLE LIST DATE f 120 f fn ACQUIRED DISPOSED cofT ell't13: ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BIIJl$IMESS FAIR MARKET VALUE ❑ $2.004 - 510.000 ❑ 3i 0 001 - $ I N ow ❑ $100.001 . $1.0m.000 ❑ Ovr f 1.000.0w kATURE OF INVESTMENT O ❑ orw P0m1 p Parvwsl,ip o Imurre ReOWN of so - $499 Q Yroome Rm&vW of tKe or M" faegedm ci IF APPLICABLE. LIST DATE. j ap 1 40 AGOIIIRED DISPOSED h NAME OF BUSINESS ENTITY GENERAL DESC THIS U INESS FAIR MARKET VALUE 0 S2.000 - $10.01M ❑ 1.10.001 - 3100A0o ❑ $10n.flol - $1.000-oq0 ❑ Ova 51.004.000 HATLIRE OF INVESTM€N1 ❑ s>0* ❑ 01w 11l ❑ Partnership O INxm Remwee of 50 - 3499 O Iwom Rived 0 $500 or glare rr4worc m so� q IF APPLICABLE. L1ST PATE I 0 1 120 ACQUIRED DISPOSED F NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE [] s2.000 - a1a.OW ❑ a10.041 - 5100 um ❑ $10o 001 - $1.000.000 ❑ 0vw S I-No-0150 NATURE OF INVESTMENT ❑ s� ❑ oar ❑ Pamership C) Inmaia Reoemd d W - 54W O U1czm18 Reomed of $500 or More fhvpX+ ce wwc*, :l IF APPLICABLE. LIST GATE I ap I/ ACQUIRED DISPOSED FPK Fom 700-Sdydds A-112020f2MI a&4-Ffppr.-4-r1r 6 7�5'-IrI2t-WWhW-6p- Paw - 7 SCHEDULE Income, Loans, & Business Positions (Other than C,iflts and Travel Payments) NAME OF SOURCE OF INCOME County of Orange ADDRESS (0uwxw Addreaa A k 555 Anton Blvd, Costa Wsa BUSINESSAi::TIVITY. IF ANY OF SOURCE YOUR SU$INESS POSMON Expert Witness GROSS INCOME RECEIVED No Irx*m - BLywnrss Posrbm Only S50a - $1.000 S1 o0l - $10.am 5j10.001 - $100,0m AVER $100.f100 CONSIDERATION FDR WHICH INCOME VV S RECEIVED ❑ salary U ma's or-9vered dwmshe mrarer3 nw-w {For yeller use SOXOule A-2 I ❑ PWInOnihip lLM Man 10% ownership Fof 10% or greater use SrneOure A-2.) ❑ Sale of fR" Afooftlj r DOW sk6 ❑ Loan rel-r* K p C ID} or p Rented W%omre, for ear srxn or 510 WC or ,na ene ganmy ontier Consultation Hours Nam I Sharrell Blakeley I N"F OF I'MRCE OF INCOME AODRESS {Brr&wmm Add+T55 Acceptabk) BU$INES$ ACTIVITY. IF 4NT. OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED No Irrrnrm - Buwrmm p4&l m Only LJ $Soo 51.0W S1.401 - $10.0m p $10.001 - SI00.0W OVER $100.000 GONSIDERATIoN FOR WHICH INCO ME WAS RECErVEp �] Sa'WY ❑ $owae's or M&� OGMnfic PWWer'6 rnoorne lFcr seK-eF�e0 um Sdmdde A-2.] ❑ Parrwf-hlo;Less than 10% oM'n"g) For 10% or grepW use $dWIa A-2.) ❑ Sale ce P?' pnx" GM. 4". ek.l ❑ Loan nemnvA rx p COMMM ron or ❑ RefflyI AMM. bw 6..h mc.w d Si0.Wo * eft. i ) (oeacrtej 11 ❑ oa1e� famzmwl * You are not required to repoft loans frorn a commercial lending institution, or any indebtedness creaked as part of a retail insWiliment or credit card transaction, made in the lender's regular course of business on to rns available to members of the public without regard to your official status- Personal loans and loans received not in a lender's regular course of business must be discbsed as f flows: NAME OF LENDER - ADDRESS (8uwrw,%5 AdGreW A p OWL 811,1$INE$S ACIIVIT►'. IF ANY. OF LENDER HIGKE$T BALANCE DURING REPORTING PERIOD p $mo - $1.0w 31.001 - s1.0 am p $io.fl01 - sloo-wo U OVER S100.000 INTEREST RATE TERM 5 +rrs/Yearsl % [] Wft SECURITY FOR LOAN ❑ None E] AeFSOrW W&denoe ❑ Real Property ❑ Guwranw ❑ Oalw co fDewft ei WK Fwm 7W - 5dw dale [ tea+ Wzun} ►AV-13