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700 Way 2022STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Please type or print in ink. Date Initial Filing Received In ' lECETVEV MAR 17 2023 i NAME OF FILER (LAST) (FIRST) (MIDDLE) CITY OF LA QUINTA Way Ellen Sanders CITY CLERK DEPARTMENT 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 Commissioner ► It tiling 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, 2022, through December 31, 2022. -or- The period covered is _—J+. , through December 31, 2022, ❑ 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 (Check one circle.) ❑ The period covered is January 1, 2022, through the date of leaving office. .or - El The period covered is through the date of leaving office. and office sought, if different than Part 1 Schedule Summary (required) ► Total number of pages including this cover page: 3 Schedules attached ❑ Schedule A-1 - Investments - schedule attached 1-1—l"S'ehedule C - Income, Loans, & Business Positions - schedule attached ZSchedule 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 (Business or Agency Address Recommended - Public Document) 78495 Calle Tampico, La Quinta, CA 92253 DAYTIME TELEPHONE NUMBER ( CITY LMAI L AUUKt55 STATE ZIP CODE 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 foregoloa-iw*ue and co Date Signed March 17, 2023 Signature (month, day, year) -Cover Page (2022/2023) advice@fppc.ca.gov - 866-275-3772 - www.fppc.ca.gov Page - 5 SCHEDULE A-2 CALIFORNIA FORM7001 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION Name of Business Entities/Trusts Ellen Sanders Way (Ownership Interest is 10% or Greater) 0- 1- BUSINESS ENTITY OR TRUST Prime Time International Name 47110 Washington Street, #103 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 / /22 --1--j22 $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 None, spouse 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 op. 3. LIST THE NAME OF . • • INCOME OF 510,000 OR MORE (Attach a sepa rate sheet if necessary.) ❑ None or ��j Names listed below Prime Time International PROPERTYm� 4. INVESTMENTS AND INTERESTS IN REAL HELD OR 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 --J_/22 --j--/22 $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: No real property owned in La Quinta, office building is .0- 1. 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 /.22 _� ,22 $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 10 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA SHARE OF -•SS INCOME TO THE ENTITY/TRUST) E5OO ❑ $10,001 - $100,000 OVER $100,000 0,000 lo- 3. LIST THE NAME OF ••-TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet if necessiry.) None or Names listed below PROPERTYli� 4. INVESTMENTS AND INTERESTS IN REAL OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, Q 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 --j-J22 -/--j2Z- $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 leased FPPC Form 700 -Schedule A-2 (2022/2023) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 9 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME Prime Time International ADDRESS (Business Address Acceptable) 47110 Washington Street, #103 BUSINESS ACTIVITY, IF ANY, OF SOURCE Produce farming and marketing company. YOUR BUSINESS POSITION None - Spouse of partner GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 LJ 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, etc) ❑ Rental Income, list each source of $10,000 or more (Describe) Name Ellen Sanders Way 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 of $10,000 or more ❑ Other (Describe) I I (Describe) to- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * 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: (Describe) 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) "i ❑ 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