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700 HR Green Pacific (York) 2020RECEWED _NIA _ STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Received mAR 0+8 Zo2 FAIR POLITICAL PRACTICES COMMISSION COVER PAGE 1 A PUBLIC DOCUMENT CITY OF LA QUINTA Please type or print in ink. CITY CLERIC DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) YORK TINA MARIE 1. Office, Agency, or Court Agency Name (Do not use acronyms) y CITY OF LA QUINTS Division, Board, Department, District, if applicable Your Position ENGINEERING DEPARTMENT DEVELOPMENT SERVICES MANAGER ► 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 ❑ Multi -County r' City of LA QUINTA 3. Type 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 through December 31, 2020. ❑ Assuming Office: Date assumed —1— I ❑ Candidate: Date of Election ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left 1. 1 (Check one circle.) O The period covered is January 1, 2020, 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) 0. Total number of pages including this cover page: 2 Schedules attached ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule A-2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached El 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 (Business or Agency Address Recommended - PuWic Document) 1260 CORONA POINTE COURT, STE 305 DAYTIME TELEPHONE NUMBER ( CITY CORONA CA EMAIL ADDRESS TYORK@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 foregoing is true and correct. ZIP CODE Date Signed 3/1 /2021 Signature (—, day, yea 92879 FPP"rr700 -Cover Page (2020/2021) advice@fppc.ca.gov •-275-3772 • www.fppc.ca.gov Page - 5 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME HR GREEN PACIFIC, INC. ADDRESS (Business Address Acceptable) 1260 Corona Pointe Ct, Ste 305/Corona,CA 92879 BUSINESS ACTIVITY, IF ANY, OF SOURCE MUNICIPAL CONSULTING YOUR BUSINESS POSITION CIVIL PLAN REVIEW GROUP LEADER GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100.000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED E] 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 (Real property, car, boat, etc.) ❑ Rental Income, list each source of $10,000 or more (Describe) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name TINA •R 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 (Real property, car, boat etc.) ❑ Rental Income, list each source of $10,000 or more (Describe) Other ❑ Other (Describe) ❑ (Describe) 0- 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 (MonthslYears) % ❑ 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