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700 Hermann Design Group (Hermann) 2021STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. RECEIVED Date Initial Filing Received Filing Official Use Only MAR 31 2022 at CITY OF LA QUINTA NAME OF FILER (LAST) (FIRST) (MIDDLE) - HERMANNIII EUGENE CHRISTOPHER 1. Office, Agency, or Court Agency Name (Do not use acronyms) CITY OF LA QUINTA 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 _ Multi -County ■ 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 I I through 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 1. 1 (Check one circle.) 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 Schedule Summary (must complete) ► 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 -or- _ None - No reportable interests on any schedule Schedule C - Income, Loans, & Business Positions — schedule attached Schedule D - Income — Gifts — schedule attached Schedule E - Income — Gifts — Travel Payments — schedule attached 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 77899 WOLF ROAD, SUITE 102 PALM DESERT CA 92211 DAYTIME TELEPHONE NUMBER EMAIL ADDRESS ( 760 ) 777-9131 CHRIS@HDG-INC.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 ). FP PC 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) mo. 1. BUSINESS ENTITY OR TRUST HERMANN DESIGN GROUP, INC. Name 77899 WOLF ROAD, SUITE 102, PALM DESERT, CA 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: s0 - $1,999 $2.000 - $10.000 /21 /21 $10,001 - $100,000 ACQUIRED DISPOSED ■ sl0o,00l - sl,000,000 Over 51,000,000 NATURE OF INVESTMENT S CORPORATION Partnership Sole Proprietorship ■ Other YOUR BUSINESS POSITION CEO/PRESIDENT SHARE OF •SS INCOME TO THE ENTITYITRUST) $0 - $499 $10,001 - $100,000 $500 - $1,000 ■ OVER $100,000 $1.001 - $10,000 ll� 3. LIST THE NAME OF ••RTABLE SINGLE SOURCE OF INCOMEOF $10,000 OR • None or IN Names listed below City of La Quinta Discovery Builders The Madison Club HOA Fedderly & Associates Tradition Community HOA Dave Godber Greg/Monica Solis Hideaway HOA ll� 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY .. LEASED 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 or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10,000 $10,001 - $100,000 /21 ��21 $100,001 - $1,000,000 ACQUIRED DISPOSED Over $1,000,000 NATURE OF INTEREST Property Ownership/Deed of Trust Stock Partnership Leasehold Other Yrs remaining Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Eugene C. Hermann ll� 1. BUSINESS ENTITY OR TRUST E. Chris Hermann/Kristin Moore Hermann Revocable TU Name 78365 Highway 11, PMB 332, La Quinta, CA 92253 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 $10,001 - $100,000 ACQUIRED DISPOSED $100.001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Partnership Sole Proprietorship Other YOUR BUSINESS POSITION •Y TAE GROSS• . • • • SHARE OF •SS INCOME TO THE ENTITYJTRUST) ■ $0 - $499 _ $10,001 - $100,000 $500 - $1,000 OVER $100.000 $1,001 - $10,000 Ili- 3. LIST THE NAME OF ••RTABLE SINGLE SOURCE OF INCOMEOF $10,000 OR MORE ■ None or Names listed below ll� 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY .. LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: INVESTMENT ■ REAL PROPERTY 50905 Calle Quito, La Quinta, CA 92253 Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - $10.000 $10,001 - $100,000 /21 --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 remaining 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