700 Shelton 2021 Assuming Office 07.01.2021RECEIVED
_NIA _ STATEMENT OF ECONOMIC INTERESTS Date Initial Filing Rereivei
COVER PAGE JUL S 2 2021.
A PUBLIC DOCUMENT
CITYIDF iJ►Gt11NTA
Please type or print in ink CITY CLERIC DEPARTMENT
NAME of FILER (LAST) (FIRST) (MIDDLE)
Shelton Sally Anne
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of La Quinta
Division, Board, Department, District, if applicable Your Position
Community Services Commission Commissioner
► If filing for multiple positions, list below or on an attachment (Do not use acronyms)
Agency: Position:
2. Jurisdiction of Office (check at toast one box)
❑ State ❑ Judge, Retied Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ Multi -County 2 County of
La Quinta
0 City of El Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left
December 31, 2020. (Check one arcle.)
-or-
The period covered is
December 31, 2020_
7 Assuming Office: Date assumed
through O The period covered is January 1, 2020, through the date of
-or-
leaving office.
O The period covered is 1. through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1.
K
f-1 Schedule B - Real Property — schedule atlached ❑ Schedule E - Income — Gilts — Travel Payments — schedule attached I
-Or- ❑ None - No reportable interests on any schedule
5. Verification
MAILINGADDRESS STREET CITY STATE ZIP CODE
{&
La Quinta CA 92253
DAME TFIEPHDNE NUMBER EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement I have reviewed this sta
herein and in any attached schedules is true and complete_ I acknowledge this is a pul
I certify under penalty of uMdury under the laws of the State of California that the
Date Signed
and to the best of my Imowledge the information contained
ument.
Ing is true and cor"t.
. �
FPPe corm 700 - Comer Page (zozo/zazi)
aMce@fppc.ca.gw • Wr-275-3772 • www.fppc.ca.gav
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
Vanguard Total Market Index Fund
GENERAL DESCRIPTION OF THIS BUSINESS
_xchange Traded Funa
FAIR MARKET VALUE
❑ $2,000 - $10,000 Q $10,001 - $1o0,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT FU nd
❑ Stock PM Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
O Income Received of $500 or More (Report on sdieduA9 C)
IF APPLICABLE, LIST DA :
01Z) ILO �I �0
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on SdreduAs C)
IF APPLICABLE,, LIST DATE:
i•20 1 120
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 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Sd?edule Q
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
Comments:
No NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $1o0,o00
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on scheduA= 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,o00 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on sd)eduie C)
IF APPLICABLE, LIST DATE:
f120 1 0
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,0o0
❑ $100,001 - $1,00o,00o ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stodk ❑ Other
(uescnce)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on sdreduie C)
IF APPLICABLE, LIST DATE:
ACQUIRED DISPOSED
FPPC Form 700 -Schedule A-1(2020/2021)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ce.gov
Page - 7
SCHEDULE C • - • -
Income, Loans, & Business
Positions Name
(Other than Gifts and Travel Payments) SALLY A. Shelton
NAME OF SOURCE OF INCOME
Airbnb
ADDRESS (Business Addles Acceptable)
888 Brannan Street, San Francisco, CA 94103
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
Host
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 properly, car, boat etc.)
0 Rental Income, Est each sauce of $10,000 or more
(Describe)
(Des-lbe)
NAME OF SOURCE OF INCOME
Premier Properties
ADDRESS (Business Add►ess Acceptable)
78115 Calle Estado, Ste 104, La Quinta, CA 92253
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
Part Time Help
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 properly, car, boat etc)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source of $10,000 a more
(Desoibe)
Other 1099 income
(Describe)
* 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
% ❑ None
TERM (MonthslYears)
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
city
(Describe)
FPPC Form 700 - Schedule C (202012021)
advkeLDfppc.ca.gov - "S-275-3772 • www.fppc.ca.gov
Page - 13