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700 Mills 2021RECEIVED CITY OF LA QUINTA Please type or print in ink. vITY CLERK DEPARTM><N NAME OF FILER (LAST) (FIRST) (MIDDLE) MILLS W. RICHARD STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA Division, Board, Department, District, if applicable FINANCIAL ADVISORY COMMISSION Your Position MEMBER ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: 2. Jurisdiction Of Office (Check at least one box) ❑ State ❑ Multi -County City of LA QUINTA 3. Type of Statement (Check at least one box) 91 ,Annual: The period covered is January 1, 2021, through December 31, 2021. .or - The period covered is December 31, 2021. ❑ Assuming Office: Date assumed ❑ Candidate: Date of Election Position: ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left I I (Check one circle.) through ❑ The period covered is January 1, 2021, through the date of leaving office. .or- ❑ 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) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 - Investments — schedule attached [] Schedule A-2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached ,-or- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 0. Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached STATE ZIP CODE LA QUINTA CA 92253 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 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. Date'Signed Signature (month, day, year) (File the originally signed paper statement with your filing official.) FPPC Form 700 -Cover Page (2021/2022) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) ► I RIISINFSS FNTITY CIR TRUST W. RICHARD MILLS & CO., INC. Name 81-600 TIBURON DRIVE, LA QUINTA, CA 92253 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 r Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS TAX AND FINANCIAL CONSULTING FAIR MARKET VALUE IF APPLICABLE, LIST DATE. $0 - $1,999 $2,000 - $10,000 J2 $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT CORPORATION ❑ Partnership ❑ Sole Proprietorship ❑■ i 'ler YOUR BUSINESS POSITION PRESIDENT SHARE OF •SS INCOME 10 THE ENTITY/TRUST) ❑$0 - $499 LJ $10,001 - $100,000 . $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 li- 3LIST THE NAME OF •RTABLE SINGLE SOURCE OF INCOMEOF $10,000 • ' MORE (Attach a separate sheet it necessary.) ❑ None or W, Names listed below SEE NON-DISCLSURE STATEMENT ATTACHED PROPERTY10- 4. INVESTMENTS AND INTERESTS IN REAL .. LEASED BY Check one b6x.. INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, Q Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Q City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: 0. $2,000 - $10,000 $10,001 - $100,000 1 121 --j--j21 $100,001 - $1,000.000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST Property Ownership/Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs ramalnm Check box if additional schedules reporting investments or real property are, attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION RichardName W. Mills 11- 1. BUSINESS ENTITY OR 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 /21 --j--j21 $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100-001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Cher YOUR BUSINESS POSITION SHARE OF •SS INCOME TO THE ENTITYITRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10.000 lo- 3. LIST THE NAME OF •RTABLE SINGLE SOURCE OF INCOMEOF I III • - MORE None or I Names listed below 11� 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY .. LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Q 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 rannl nning ❑ Check box if additional schedules reporting investments or real property are attached Comments: FPPC Form 700 -Schedule A-2 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 9 It- SCHEDULE C CALIFORNIA FORM Income, Loans, & Business ' Positions Name (Other than Gifts and Travel Payments) W. Richard Mills NAME OF SOURCE OF INCOME W. RICHARD MILLS & CO., INC. ADDRESS (Business Address Acceptable) 81-600 TIBURON DRIVE, LA QUINTA, CA 92253 BUSINESS ACTIVITY, IF ANY, OF SOURCE TAX AND FINANCIAL CONSULTING YOUR BUSINESS POSITION PRESIDENT GROSS INCOME RECEIVED No Income - Business Position Only ❑ $500 - $1,000 $1,001 - $10,000 0 $10,00, - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED QSalary 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 ❑ Other (Describe) (Describe) NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED J 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 ❑ Other (Describe) (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* INTEREST RATE TERM (MonthsNears) 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: % ❑ None SECURITY FOR LOAN ❑ None Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other city (Describe) FPPC Form 700 -Schedule C (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov `` �Pag�e`-13 (W`_ W. RICHARD MILLS CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS NON -DISCLOSURE STATEMENT There are two sources of income over $10,000 which is not being disclosed. The position with the City of La Quinta is Disclosure Category 2 (limited disclosure within the jurisdiction). The jurisdiction is the territory of the City of La Quinta, plus within 2 miles of its borders. The legal basis for non -disclosure is that, as a California Certified Public Accountant, even with an inactive license, I must comply with the ethical standards of the California State Board of Accountancy. To disclose the clients names would compromise that requirement. Under penalty of perjury, of the laws of the State of California, I have not made and will not make, participate in making, or in any way attempt to use an official position to influence a governmental decision in violation of Section 87100. In the event I am faced with a potential conflict of interest involving the undisclosed clients, I will disclose the potential conflict to the City of La Quinta legal counsel and recuse myself from participating in the matter. Date W. Richard Mills