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700 Guerrero 2023 Assuming Office 01.17.2023RECEIVED STATEMENT OF ECONOMIC INTERESTS Date IIFnYmg C� cial Use Cnly ed COVER PAGE FEB 16 2023 A PUBLIC DOCUMENT CITY OF LA OUINTA Please type or print in ink. CITY CLERK DEPARTMENT NAME OF FILER (LAST) (FIRST) (MIDDLE) L V) e. 1yt. 1. Office, Agency, or Court Agency Name (Do not use acronyms) �'.t.'r-�- Division, Boar , Department, District, if applicable Your Position ► If filing for multiple pasi ' ns, list below or on an attachment, (Do not use acronyms) C7� , Agency: Position: 2. Jurisdiction of Office (check at feast one box) - State Judge, Retired Judge, Pro Tern Judge, or Court Com6ssionec,;-- (Statewide Jurisdiction) �a CQ Multi -County County of jeCity of L-Q- a Vt •vl �y _ Other 3. Type of Statement (check at least one box) Annual: The period covered is January 1, 2022, through December 31, 2022. .or - The period covered is -1 , through December 31, 2022. ✓ Assuming Office: Date assumed C' ✓ .Z'� Candidate: Date of Election Leaving Office: Date Left . _' I (Check one circle.) The period covered is January 1, 2022, through the date of leaving office. .or - The period covered is through the date of leaving office, and office sought, if different than Part 1 4. Schedule Summary (required) ► Total number of pages including this cover page: Schedules attached Schedule A-1 - Investments - schedule attached X Schedule C - Income, Loans, & 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 .or- _ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) I z - DAYTIME TELEPHONE NUMBER EMAILACIDRES5 ,-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. c_. Signed — S �� C Signature (month, day, year) (File the originally signed papersimtro t with your filing ulfldal.J FPPC Form 700 - Cover Page (2022/2023) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5 VZ SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) 1. BUSINESS ENTITY OR TRUST 111 Name -z-Z.53 Address (Business Address Acce table.) Check one Trust, go to 2 XBusiness 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 -/-J22 � /22 $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 Over $1,000.000 NATURE OF INVESTMENT Partnership Sole Proprietorship - ter y YOUR BUSINESS POSITION L ,t2}1�. hrLt�'r ' oat�ru-c 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITYITRUST) $0 - $499 $10.001 - $100,000 $500 - $1,000 OVER $100,000 $1,001 - $10,000 1� 3. LIST THE NAME OF -•RTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE jAracti a separate sheer if necessary,) X None or Names listed below ■ INTERESTS IN REAL PROPERTY■ OR LEASED BY THE BUSINESS ENTITY OR Check one box: INVESTMENT REAL PROPERTY Name of Business Entity, If Investment, gL 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 /22 ---J--J22 $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: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Guerrero, O1. BUSINESS ENTITY OTRUST R 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 1� 2- IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITY/TRUST) $0 - $499 $10,001 - $100,000 $500 - $1,000 OVER $100,000 $1,001 - $10,000 1� 3. LIST THE NAME OF ••RTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Att,rh a eparat, shert if necessary.) None or Names listed below ■ INTERESTS IN REAL PROPERTY■ OR LEASED BY THE BUSINESS ENTITY OR 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 - $100,000 122 --j-j22 $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 FPPC Form 700 -Schedule A-2 (2022/2023) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 9 SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS r 2V6-i 0 AVe-MCLC,, Qa::L l -P-A n CITY FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 x $100,001 - $1.000,000 Over $1.000,000 NATURE OF INTEREST xOwnership/Deed of Trust Leasehold IF APPLICABLE, LIST DATE --j /22 ��22 ACQUIRED DISPOSED Easement Yrs remaining Other IF RENTAL PROPERTY. GROSS INCOME RECEIVED $0 - $499 $500 - $1,000 $1,001 - $10.000 $10,001 - $100,000 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more None Name Guerrero, Elisa I ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 $100,001 - $1.000,000 Over $1,000,000 NATURE OF INTEREST Ownership/Deed of Trust ' Leasehold IF APPLICABLE, LIST DATE: --j--j2-2- ---/--j2.2_ ACQUIRED DISPOSED Easement Yrs remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 $500 - $1,000 $1.001 - $10,000 $10,001 - $100,000 OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. None * You are not required to report loans from a commercial lending institution 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 INTEREST RATE TERM (Months/Years) 96 None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1.000 ; $1,001 - $10,000 $10.001 - $100,000 OVER $100,000 Guarantor, if applicable NAME OF LENDER" ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % I None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100.000 OVER $100,000 Guarantor, if applicable Comments: FPPC Form 700 - Schedule 8 (2022/2023) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -11 SCHEDULE C CALIFORNIA FORM Income, Loans, & Business ' Positions Name (Other than Gifts and Travel Payments) Guerrero, Elisa NAME OF SOURCE OF INCOME ADDRESS (Business Address Acce ble) ki -18 VU S Kk-E'( vv,S} ,� to I LCIL (�Vwti tit, BUSINESS ACTIVITY, IF ANY, OF SOURCE P-�ill �S i � C_ &xLe-.S YOUR BUSINESS POSITION l C 1•• L10e.r CL GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1.000 $1,001 - $10,000 X $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.) 11 Sale of (Real property, car, boat, etc) Loan repayment Commission or !! Rental Income, list each source or S10,000 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 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 or 810,000 or more Other toescabul (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 TERM (MonthsNears) % None SECURITY FOR LOAN None Personal residence Real Property Guarantor Other Street address City (Describe) FPPC Form 700 - Schedule C (2022/2023) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -13