HomeMy WebLinkAbout2014-08-13 Form 700 - RowanSTATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Rowan Lori Saleen
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Palm Desert Candidate for City Council
Division, Board, Department, District, if applicable
Your Position
City Council
22 M
o. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) MW XI rn
M9 -
.71
Agency: Position: 0
2. Jurisdiction of Office (Check at least one box)
n State
El Judge or Court Commissioner (Statewide Jurisdiction)
El Multi -County
[] County of
Rj City Of Palm Desert
El Other
3. Type of Statement (Check at least one box)
F1 Annual: The period covered is January 1, 2013, through El Leaving Office: Date Left I I
December 31, 2013.
(Check one)
-or-
The period covered is I I
through 0 The period covered is January 1, 2013, through the date of
December 31, 2013.
leaving office.
El Assuming Office: Date assumed I 1
0 The period covered is I I through
the date of leaving office.
2014
W Candidate: Election year
and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
io- Total number of pages including this cover page:
n Schedule A-1 - Investments — schedule attached
Schedule C - Income, Loans, & Business Positions — schedule attached
0 Schedule A-2 - Investments — schedule attached
Schedule D - Income — Gffls — schedule attached
El Schedule B - Real Property — schedule affached
El 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)
CITY STATE ZIP CODE
Palm Desert CA 92260
DAYTIME TELEPHONE NUMBER
E-MAIL ADDRESS (OPTIONAL)
(
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 this is a public document.
I certify under penalty of pedury under the laws of the State of California that the fo g Is tru and co
10, August, 2014 :
Date Signed Signature
(maM, day, year) (Fie ft ongtnally svned statement wh your fiiing OffiCkl)
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice@fppc.ca.gov
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SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
0- 1. 13USINESS ENTITY OR TRUST
Saleen Rowan Insurance
Name
Palm Desert 92260
Address (Business Address Acceptable)
Check one
[:1 Trust, go to 2 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
Insurance and Financial Services
FAIR MARKET VALUE IF APPLICABLE, LIST DATE -
El so $1,999 1 q
F1 $2,000 $10,000 0 1 01/ li, J--J-j 3
ga $10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000,000
Over $1,000,000
NATURE OF INVESTMENT
P Pa:rtnership W] Sole Proprietorship E] Other
rs'i'
Agent and Owner
BU
YOUR BUSINESS POSITION
1- 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RATA
SHARE OF THE GROSS INCOME IQ THE ENTITY/TRUST)
$0 - $499 $10,001 - $100,000
El s5oo - si,000 OVER $100,000
El $1.001 - $10,000
1- 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE si—t
L] None
State Farm Insurance Company
11- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
Check one box:
F]INVESTMENT REAL PROPERTY
0 IA
Name of' Business Entity, if Investment, g[
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity gi
City or Other Precise Locafion of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
n $2,000 - $10,000
El $10,00, - $100,000 13 J3
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OF INTEREST
Property Ownership/Deed of Trust Stock [j Partnership
Leasehold Yrs remaining [j Other
Check box if additional schedules reporting investments or real property
are attached
CALIFORNIA FORm 700
FAIR POLITICAL PRACTICHS COMMISSION
P- 1. BUSINESS ENTITY OR TRUST
Name
Address (Business Address Acceptable)
Check one
[:1 Trust, go to 2 [1 Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
so-$1,999
$2,000 - $10,000 l 1.13
$10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000.000
Over $1,000,000
NATURE OF INVESTMENT
E] Partnership [] Sole Proprietorship Other
YOUR BUSINESS POSITION
"PIWA"A
SHARE OF THE GROSS INCOME TO THE ENTITYITRUST)
[:1 $0 - $499 El sio,00l - $100,000
[-1 $500 - $1,000 OVER $100,000
El $1,001 - $10,000
o- 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE
None
m- 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR
LEASED BY THE BUSINESS ENTITY OR TRUST
ox.,
E]INVESTMENT F] REAL PROPERTY
Name of Business Entity, if Investment Q[
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity gr
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE.
$2,000 , $10 000
$10.001 $100,000 1,13 /13
$100,001 - $1,000,000 ACQUIRED DISPOSED
Over $1,000,000
NATURE OFINTEREST
Property Ownership/Deed of Trust Stock Partnership
Leasehold Yrs. remai ning [j Other
Check box if additional schedules reporting investments or real prop"
are attached
Comments: FPPC Form 700 (2013/2014) Sch. A-2
FPPC Advice Email: advice@fppc.ca.gov