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700 Pacheco 2021STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) PACHECO OLGA JANNETH 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA Division, Board, Department, District, if applicable HOUSING COMMISSION Your Position COMMISSIONER ► 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 Position: RECEIVED Date Initial Filing Received 0 CITY OF LA QUINTA TY CI-ERK aEPARTMEP Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) Multi -County _ County of ■ City of LA QUINTA Other 3. Type of Statement (Check at least one box) ■ Annual: The period covered is January 1, 2021, through Leaving Office: Date Left December 31, 2021. (Check one circle.) -or- The period covered is I I through December 31, 2021. Assuming Office: Date assumed Candidate: Date of Election The period covered is January 1, 2021, through the date of leaving office. .or - The period covered is I through the date of leaving office. and office sought, if different than Part 1 Schedule Summary (must complete) ► Total number of pages including this cover page: 2 Schedules attached Schedule A-1 - Investments — schedule attached ■ Schedule C - Income, Loans, 8 Business Positions — schedule attached Schedule A-2 - Investments — schedule attached Schedule D - Income — Gifts — schedule attached Schedule B - Real Property — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached -il None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY (Business or Agency Address Recommended - Public Document) STATE ZIP CODE 78495 CALLE TAMPICO LA QUINTA CA 92253 DAYTIME TELEPHONE NUMBER JEOMAIL ADDRESS ( 760 ) 777-7035 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 3 - /22 Signature • Fnaafh, dazyear —� ) FPPC Form 700 - Cover Page (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME KPANESE'S TRANSPORT ADDRESS (Business Address Acceptable) 51340 CALLE HUENEME, LA QUINTA, CA 92253 BUSINESS ACTIVITY, IF ANY, OF SOURCE SOIL TRANSPORTATION 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 $10,000 or more Name OLGA JANNETH PACHECO NAME OF SOURCE OF INCOME FREELANCE ADDRESS (Business Address Acceptable) 51340 CALLE HUENEME, LA QUINTA, CA 92253 BUSINESS ACTIVITY, IF ANY, OF SOURCE INTERPRETING SERVICE YOUR BUSINESS POSITION INTERPRETER 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 $10,000 or more (Describe) (Describe) Other Other (Describe) (Describe) LOANS2. OR OUTSTANDING DURING THE REPORTING•D * 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) N/A None ADDRESS (Business Address Acceptable) SECURITY FOR LOAN BUSINESS ACTIVITY, IF ANY, OF LENDER 1 None Personal residence Real Property . Street address HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1.001 - $10,000 $10,001 - $100,000 OVER $100,000 Comments: Guarantor Other City (Describe) FPPC Form 700 - Schedule C (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -13