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
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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