700 Shelton 2021STATEMENT OF ECONOMIC INTERESTS oal�H'i . f eke
COVER PAGE
A PUBLIC DOCUMENT 4AN 2 5 2022
Please type or print in ink 1 CITY OF LA Q U I NTA
NAME OF FILER (LAST)
Shelta
1. Office, Agency, or Court
(FIRST)
(MIDDLE)
Anne
Agency Name (Do not use acronyms)
City of La Quinta Commissioner
Division, Board, Department, District, if applicable Your Position
► 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
❑ MultFCounty
*City of La Quinta
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2021, through
December 31, 2021.
-or-
The period covered is through
December 31. 2021.
Lil Assuming Office: Date assumed
❑ Candidate: Date of Election
4. Schedule Summary (must complete)
Schedules attached
Position:
C Jude, Retired Judge, Pro Tern Judge, or Court Commissioner
(Statewide Jurisdiction)
County of
C Other
❑ Leaving Office: Date Left I I
(Check one circle.)
❑ The period covered is January 1, 2021, through the date of
-0r-
leaving office.
❑ The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1.
► Total number of pages including this cover page:
'_I Schedule Art - 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
3
Schedule C - Income, Loans, & Business PosNons — schedule attached
❑ Schedule D - Income — GiRs — schedule attached
❑ Schedule E - Income — Gilts — Travel Payments — schedule attached
MAILINGADDRESS STREET CITY STATE ZIP CODE
(Business orAgo" Addess Recommended- Pubk Document)
52315 Quinta CA 92253
unY I IML I tttmUNt NUMMIK EMAIL ADDRESS
( 760 )
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 documeje
Signed
Z?922 Signature
v FPPC Form 700 - Cover Page (202112022)
advice@fppc.ca.gov • 966-275-3772 • 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 BUSINESS ENTITY
Vanguard Total Market Index Fund
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2.000 - $10.000 ❑ $10,001 - $1o0,0o0
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership I Income Received of $0 - $499
Income Received of $500 or More (Report on schedule q
IF APPLICABL L T D E:
/221
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,ow ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_/ r11 1 1
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
1_1 $2,000 - $10,000 ❑ $10,001 - $100,000
Ll $100-001 - $1.000-000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(uescnbe)
❑ Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
21 1 t,21
ACQUIRED DISPOSED
Comments:
Name
► NAME OF BUSINESS ENTITY
Sally Anne Shelton
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $1o,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1. /21 1. /21
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2.000 - $10,000 ❑ $10,001 - $1o0,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 )21 1 /21
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
(Uescnbe)
❑ Partnership ❑ Income Received of $0 - $499
❑ Income Received of $500 or More (Report on schedule C)
IF APPLICABLE, LIST DATE:
1../21 )121
ACQUIRED DISPOSED
FPPC Form 700 -Schedule A-1 (2021/2022)
advice@fppc.ce.gw • 966.275-3772 • www.fppc.ca.gov
Page - 7
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Airbnb
ADDRESS (Business Address Acceptable)
888 Brannan Street, San Francisco, CA 94103
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1.000 rO $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
(Real property, car, boat eta)
* Rental Income, list each source of $10,000 ar more
(Deste)
(Des —be)
I Name
Sally Anne Shelton
NAME OF SOURCE OF INCOME
Premier Properties
ADDRESS (Business Address Acceptable)
78115 Calle Estado, Ste 104, La Qinta, CA 92253
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
Part Time Help
GROSS INCOME RECEIVED No Income - Business Position Only
❑ $5W - $1,000 W $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
Conunission or
(Real property, car, boat, eta)
Rental Income, list each source of $10,000 or more
(fie)
Other 1099 income
(D--q)
* 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 (Months(Years)
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
coy
(De —be)
FPPC Form 700 - Schedule C (2071/2022)
adviceLWfppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page -13