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HomeMy WebLinkAbout2020-07-24 Form 700 - Kelly' STATEMENT OF ECONOMIC INTERESTS date Initial Filing Received CALIFORNIA - Filing,05ciai Use Onl? FAIR POLITICAL PRACTICF3 CO.VNIISSION COVER PAGE n1j. r ECEjCLERK ED A PUBLIC DOCUMEN;A, tH DESFfq DF-- A" Please type or print in ink. 911911 Ilya NAME OF FILER (LAST) (FIRST) I 02(MIDDLE) Kelly Kathleen Marie 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Palm Desert Division, Board, Department, District, if applicable Your Position City Council Counclimember ► If filing 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 Palm Desert Position: ❑ Judge, Retired Judge, Pro Tern Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of 0 Other I Type of Statement (check at tease one box) ❑ Annual: The period covered is January 1, 2019, through ❑ Leaving Offlce: Date Left I I -or- December 31, 2019. (Check one circle.) The period covered is I through O The period covered is January 1, 2019 through the date of December 31, 2019. -or leaving office. ❑ Assuming Office: Date assumed—J_____ 1 O The period covered is �JI through the date of leaving office. 0 Candidate: Date of Election 11/03/2020 and office sought, If d fferent than Part 1 _ 4. Schedule Summary (must complete) 0. Total number of pages including this cover page: Schedules attached ❑ Schedule A-1 - Investments — schedule attached 0 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 & Verification MAILING ADDRESS STREET LITY STATE ZIP CODE 'business erAgencyAddmw Recmnended - PuNk Document) 46- Desert CA 92260 (760 ) 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 Califomia that the foregoing is true and correct. Date Signed 7/24/20 Signature y V64 (Fin Me Form 700 --t ver Page 12019/20201 adviceftpc.ca.gov - W&275-37T2 - www.Ippc.w.gov Page - 5 Ee EO SCHEDULE A-2 ���� r, Investments, Income, and Assets Nt-M of Business Entities/Trusts ry1 ��i Lt• (Ownership Interest is 10% or Greater) 242% 3Ut Address (Etusrr z Address Aomptabk•I — - — Check orhr ❑ Tnnt, go to 2 (?] Busm-ss Entity. complete the box then go to z UENERAL DESMPTION OF THIS BUSINESS FAIR MARKET VALUE +F APPLICABLE. LIST DATE SO - S1,999 S2 000 S19.0w 119 � � — / 19 S1t3 001 S1W.0W ACQUIRED DISPOSED 5100,0D1 - S1-OU0,000 X Over S1,0WgM NATURE OF INVESTMENT ❑ Partnership ❑ Sole Pruptmtonhrp Q Other YOUR BUSINESS POSITION - _-":- -- —_=- _'- SO. $499 SIB 001 S 10O.00o SSW - SUM OVER SIUO,000 Ca S1,001 - S10.0m ib3. LJST THE NAME Of EACH REPORTABLE SINGLE SOURCE OF INCOME OF iri OR MORE Q None or ❑ Names listed below si� 4. INVESTMENTS AND INTERESTS IN ..• HELD LEASED BY THE BUSINESS ENTITY . Check one box ❑ INVESTMENT D REAL PROPERTY Nan* of BuSsnums Entity. it Inve'strr*nt. gf Assessor's Parrxl Number or Street Address of Real Properly Description of Business Actrvsty W City of Oth,er Precase Location of Real Property FAIR MARKET VALUE IF APPLICABLE. LIST DATE ❑ $2.000 $10 000 ❑ $10.001- s100 000 19 ---j---j19 ❑ S100.001 - S1.000.OW ACQUIRED DISPOSED ] Over $1 000.000 NATURE OF INTEREST ' Property Ownership!Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Yrs rOliver wrunwny ❑ Check box rt additonal schedules reporting investments or real property are altached Name Name Address (Business Address Acceptable) Check ane Li Trust. go to 2 ❑ Business Entity. empfeto Me box thon go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE. LIST DATE ❑ 50 51.999 ❑ s2.000 - sto.00a 119 ❑ S10001 - $N}0,000 ACQUIRED DISPOSED ❑ S100 001 S1 000.000 ❑ Over S1.000.GW NATURE OF INVESTMENT 0 Partnersh p F 1 Sole Proprietorship ❑ YOUR BUSINESS POSITION ❑ $tl - $499 ❑ $10.001 - S100,000 ❑ S5w - $1.ow ❑ OVER $100,000 ❑ $taut . slo.noa vw 3 LIST THE NAME OF .- INCOME . ,rr . None or ❑ Names tasted below Check orro box ❑ INVESTMENT ❑ REAL PROPERTY Mum of Business Entty, rf Investment, or Assessor's Paroet Number or Street Address of Real Property Oft" Description of Business Adrwty RE City or Other Precise Location of Rea. Property FAIR MARKET VALUE IF APPLICABLE. LIST DATE ❑ S2,000 S10,000 ❑ 310,001 - $100,000 1 / 19 —j--j 19 ❑ S100,001 - S1,000.000 ACQUIRED DISPOSED ❑ Over S1.000.000 NATURE OF INTEREST ❑ Property Owr*rshiptDeu-d of Trust ❑ Stock ❑ Partnership ❑ Leasehold J...... _ — ❑ Other Yrs. rernaxxrW [�] Check box d additional schedules reportng inveslrrven% or real property are attached Comments: _.-... FPPC Form 700 - Schedule A-2 (2019'2020) advice@fppc.ca.gov 4 866-275-3772 P www.fppc.ca.gov I ` 2020 ,�Ul 24 4' 02 NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptabk) BUSINESS ACTIVITY IF ANY OF SOURCE YOUR BUSINESS POSITION SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) -Y GROSS INCOME RECEIVED ❑ No Inmate - Business Positron Only ❑ 5500 - 51,000 Q S1 001 - $10,000 ❑ $10.00, - 5100,000 1I OVER 5100,0W CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouses or registered domestic partner's Incorne (For self-employed use Schedule A-2.) ❑ Partnership (Less than 10% ownership for 10% or greater use Schcdute A-2.) ❑ Sale of Reran prwwry c rr. bwt- etc I ❑ Loan repayment ❑ Commission or ❑ Rental IMOtne, kit tw-1; saxce of St0.000 rn rttore ' Desube: o Cmer rOrxnbr) NAME OF SOURCE OF INCOME rg. - - -cal ADDRESS (Busrrmss Address Ataptabk) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $SW - 51,ow U 510 001 - $1 W,Oot1 ❑ No Itecornu Bustuerss Positron Only ❑ $1,001 510,000 ❑ OVER SIW.0W CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary ❑ Spouse's or regtstwLd domestic partners income (For self-employed use S0edule A-2 ) ❑ Partnership (Less than 10% ownership For 10% or greater use Se:hedule A•2 ) ❑ Sale of- 0Re4PMWVJ1y, cm Lour ere ) ❑ Loan repayrywnt oCornawsston or ❑Rental Irwome , hr a r!r se u cr of 5 r0-OCO w mrxe ■• (Deu b".. " 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: ADDRESS (Business Addross Acceptable) BUSINESS ACTIVITY IF ANY OF LENDER INTEREST RATE TERM (Manthsftars) -% ❑ Norm SECURITY FOR LOAN ❑ Norm ❑ Personal residence ❑ Real Property. HIGHEST BALANCE DURING REPORTING PERIOD ❑ SSW - $1.0m ❑ $1,001 - 310-ow ❑ Guarantor ,...--. ❑ 510.001 - 5100 (W ❑ OVER $100 OW ❑ Other 0 Comments: suvet ac"ess Zal fo""W) FPPC Form 700 Schedule C (2019.2020) advicWppc.ca.gov • $66-276-3772 • www fppc.ca.gov