HomeMy WebLinkAbout2018-08-09 Form 700 - Pineda[jots In'timi-Fit.rig Re,�-v=_d
STATEMENT OF ECONOMIC INTERESTS 1�r.;-
, "tC-EIVED
CITY CLERK'S OFFICE
COVER PAGE PALM DESERT. ['�
Please type or print in ink.
NAME OF FILER (LAST) JFIRST) Z01111 MF9 AM 9; 18
A -/I e 8 ' 0� Ca r los YA, /W C_/' i�'
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
('-"' ; 4-Y cozan'.1 1PiejjAe_r_ le
Division, Board, Department, District, if applicable Your Position
I,, if filing for multiple positions, I st below or on an attachment (Do not use acronyms)
Agency; _., IL,ZA Position
2. Jurisdiction of Office (check at least one box)
L. State E] Judge of Court Commissioner (Stalewide Jurisdiction)
E; Mu.111-County
ril 9 .. - I --- M
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2017, through
December 31, 2017.
.Or -
The pe,'.od cove,ed is I I through
December 31, 2017.
[I Assuming Office: Date assumed - - / I
County of
Other —
D Leaving Office: Date Left 1.
(Check one)
0 The period covered is January 1 2017. through the date of
-or- leaving office.
C The period covered is —
I-e date of leaving office
Kcandidate- Date of Election rV011 1157� ;?0/6 and office sought, if different tha, Part I
4. Scbedule Summary (must complete) P. Total number of pages including this cover page:
Schedules affached
Schedule A-1 - Investments - schedule attached
Schedule A-2 - Investments - schedule attached
E] Schedule B - Real Properly - schedule attached
.or -
El None - No reportable interests on any schedule
through
%Schedule C - Income Loans, & Business Positions - schedule attached
D Schedule D - Income - Gifts - schedule attached
0 Schedule E - Income - Gifts - Travel Payments - schedule attached
5. Verification
MAILING ADDRESS
'STREET __ITY STATE ZPCODE
(Business or Agency Address Rectmmended - Pathc Documewi
( & 1 -
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 th,s is a public document.
I cerflfy under penalty of perjury under the laws of the State of California that the foregoing Is
Dale Signed '_q,�qusfj I golg Signature
( �. day. yvar;
and correct.
Vw Ohng offimf)
FPPC Form 700 (2017/2028)
FPPC AdVice Emal I: advice@fppc.ca.gov
FPPC Tall -Free Helpline: 866/275-3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
. Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
e-'A L-c� /-c( 14v I z,14eel—
ADDRESS (Business Address AureptabL-)
4*/M&6e,1�A_91Z4C9
BUSINESS ACTIVITY, IF ANY, OF SOURCE
4 e *11
YOUR BUSIOESS POSItION
51vl-e-
GROSS INCOME RECEIVED E] No Income - Business Position Only
$500 - $1.000 $1,001 - sio,000
$10 001 - $100.000 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse's or registered domestic partner's income
0( (For self-employed use Schedule A-2 )
Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2)
F Sale of
(Rearpropedy. car boa etc)
E] Loan repayment
DCommission or F1 Rental Income, bv each source or sio 000 or mpm
Other
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY� OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED E] No Income - Business Position Only
[:] $500 - $1,000 [:] $1,001 - $10,000
El sio 0ol - $100,00o F1 OVER $100,OOD
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse's or registered domestic partner's income
(For self-employed use Schedule A-2.)
0 Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
Sale of
(Real property, car. beet, erc)
Loan repayment
[] Comm'ssion or F1 Rental Income, kst each source or sio, 000 at mom
Pescniw)
Other
fDe-nbe) I I (De —be)
1- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD -1 - - I
You are not required to report loans from commercial lending institutions, 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:
NAMI� OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
F1 S500 - $1.000
S1.001 - S10,000
smool - $100,000
OVER SlaO.000
Comments:
INTERES- RA�E TERM (Months/Years)
:�._ [:] None
SECURITY FOR LOAN
[] None E] Personal residence
Real Prcperty
Street &ddMS$
C3 Guarantor
F1 Other
city
tDownbe)
FPPC Form 700 (2017/2018) Sch. C
FPPC Advice Email: advlceLWfppc.ca.gov
FPPC Tall -Free Helpline: 866/275-3772 www.fppc.ca.gov