HomeMy WebLinkAbout2012-02-15 Form 700 - Weber'i"'
U30 Only
STATEMENT OF ECONOMIC INTE%J_R,, '3'0 'ece
ED Cc"'
CITY CLERK'S OFFICE
COVER PAGE PALM DESERT. CA
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) H 12 AUC 15 FM h' WDLE)
Weber Susan Marie
1. Office, Agency, or Court
Agency Name
City of Palm Desert
Division, Board, Department, District, if applicable Your Position
Member of the City Council, City of Palm Desert, California
o. If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (check at least one box)
Position:
11 State El Judge or Court Commissioner (Statewide Jurisdiction)
El Multi -County
[9 City of Palm Desert
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2011, through
December 31, 2011.
-or-
The period covered is
December 31, 2011.
0 Assuming Office: Date assumed
MX Candidate: Election Year
2012
El County of
El Other
El Leaving Office: Date Left I
(Check one)
through 0 The period covered is January 1, 2011, through the date of
leaving office.
0 The period covered is I through
the date of leaving office.
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." lo- Total number of pages including this cover page.
11 Schedule A-1 - Investments - schedule affached nx Schedule C - Income, Loans, & Business Positions - schedule attached
R Schedule A-2 - Investments - schedule attached E] Schedule D - Income - Gifts - sche&e affached
El Schedule B - Real Property- schedule attached [:1 Schedule E - Income - Gifts - Travel Payments - schedule attached
"or-
0 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZR CODE
MusmessorAgencyAddress Recommended PublicDocument)
( 760 ) 340.2213
Palm Desert
E-MAIL ADDRESS
CA 92255
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 affached 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.
Date Signed August 15, 2012 Signature �__ )�
(—th, day, par) (File the onginally signed slatement wO y-r filing Wial)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline. 866/275-3772 www.fppc ca.gov
SCHEDULE A-2
Investmentsy Income, and Assets
of Business Entities/Trusts
(Ownership Interest is 10% or Greater)
Managernent Essentials
Name
Palm Desert CA 92255
Address (Business AaUreSS —ACCeptable)
Check one
0 Trust, 90 to 2 Business Entity, cOmPlete the box. then 90 to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Accountl 19/Consulting
FAIR MARKET VALUE IF APPLICABLE, LIST D�ATE-
so - $1.999
$2.000 - slo,000
$10,001 - $100,000 ACQUIRED DISPOSED
$100,001 - $1,000.000
Over $1,000,000
NATURE OF INVESTMENT
sole Proprietorship [] Partnership E]
Other
YOUR BUSINESS POSITION owner
0$0-$499 $10,001 - $100.000
$500 - $1,000 OVER $100,000
$1,001 - $10.000
Check one box.-
0 INVESTMENT 0 REAL PROPERTY
Name of Business Entity. If Investment, IX
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity gE
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
$2.000 - slo,000
$10.001 - $100,000
$100,001 - $1,000.000 ACQUIRED DISPOSED
Over $1.00o,000
Name
Name
Susan Marie Weber
Address (Business Address Acceptable)
Check one
11 Trust, go to 2 0 Business Entity. COMPIft the box. thp� �� m -3
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
so - $1.999
$2,000 - $10,0oo -JAIL
$10,001 - $100,000 ACQUIRED DISPOSED
$100.001 - $1,000.000
Over $1,000.000
I NATURE OF INVESTMENT
[] Sole Proprietorship 0 Partnership
�OUR BUSINESS POSITION Other
1-1$0-$499 $10,001 - $100.000
E] $500 - $1.000 OVER $100,000
El $1.001 - $10.000
Check one box:
[-] INVESTMENT n REAL PROPERTY
Name of Business Entity, If Investment, g[
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 - $1o,000
$10,001 - $100.000 1-iL —j--j-11
$100.001 - $1.000.000 ACQUIRED DISPOSED
El over $1,000,000
NATURE OFINTEREST
NATURE OF INTEREST
Property Ownership/Deed of Trust E] Stock E] Partnership 0 Property Ownership/Deed of Trust E] Stock E] Partnership
E] Leasehold — El Other
Yr3. remaining E] Leasehold E] Other
Check box If additional schedules reporting Investments or real property I I Yra. remaining
are attached Check box if additional schedules reporting Investments or real properly
are attached
Comments:
FPPC Form 700 (2011/2012) Sch. A-2
FPPC Toll -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
Management Essentials
ADDRESS (Business Address Acceptable)
Palm Desert CA 92255
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Accounting
YOUR BUSINESS POSITION
Accountant
GROSS INCOME RECEIVED
n $500 - $1,000 El $1,001 - $10,000
R $10,001 - $100.000 11 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
nX Salary El spouse's or registered domestic partner's income
[—] Loan repayment 0 Partnership
11 Sale of
(Real property car, boat, etc.)
n commission or n Rental Income, fist each source of $10,000 or more
n Other
(Describe)
Name
I Susan Made Weber I
NAME OF SOURCE OF INCOME
Milan Institute
ADDRESS (Business Address Acceptable)
Palm Desert CA 92211
BUSINESS ACTIVITY, IF ANY, OF SOURCE
School
YOUR BUSINESS POSITION
Accounting Instructor
GROSS INCOME RECEIVED
$500 - $1,000 nX $1,001 - $10,000
$10,001 - $100,000 n OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
0 salary El spouse-s or registered domestic partner's income
[:] Loan repayment [:1 Partnership
11 Sale of
(Real property car, boat, etc )
E] commission or E] Rental Income, hst each source of $10,000 or more
[:] Other (Describe)
11- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
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:
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)
% n None
SECURITY FOR LOAN
[:] None [] Personal residence
[] Real Property
n Guarantor
[:] Other
Street address
city
(De —be)
FPPC Form 700 (2011/2012) Sch. C
FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov