HomeMy Public PortalAboutForm 700 (Economic Interest Statements, SEI) Ivan Moad 2022 ALIFORNIA FORM700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
A PUBLIC DOCUMENT
Date Initial Filing Received
•z u ,g pnic.a; ±se ;jmy
NAME OF FILER (LAST)
(FIRST) (MIDDLE)
PAT<c.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
CITY OF INDIAN WELLS
Division, Board, Department, District, if applicable Your Position
CITY COUNCIL
COUNCIL MEMBER
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Position
2. Jurisdiction of Office (Check at least one box)
State
❑ Multi -County
❑� City of INDIAN WELLS
Judge, Retired Judge, Pro Tem Judge, or Court Commissioner
(Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
7 Annual: The period covered is January 1, 2021, through 1 Leaving Office: Date Left _/_/
December 31, 2021. (Check one circle.)
-or-
The period covered is through ❑ The period covered is January 1, 2021, through the date of
December 31, 2021. -or- leaving office.
E The period covered is —J—J through
the date of leaving office.
❑ Assuming Office: Date assumed
Candidate: Date of Election 11)0$)2022 and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page: 4/
Schedules attached
Schedule A-1 - Investments - schedule attached Schedule C - Income. Loans. & Business Positions - schedule attached
Lj Schedule A-2 - Investments - schedule attached U Schedule D - Income - Gifts - schedule attached
❑i Schedule E - Income - Gilts - Travel Payments - schedule attached
C Schedule B - Real Property - schedule attached
-or- ❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business
1 h�� . UelL.i
DAYTIME TELEPHONE NUMBER
(
CITY
EMAIL ADDRESS
I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to th est 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 California that the foregoing is true and correct.
Date Signed /LA6 > i 1 i1 .ZD 2
(month, day, year)
Signature
(File the originally signed paper statement with your filing official.)
Print
Clear
FPPC Form 700 - Cover Page (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 5
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Investments must be itemized.
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY
Ford Motor Company
GENERAL DESCRIPTION OF THIS BUSINESS
Automobile manufacturing
FAIR MARKET VALUE
[X $2,000 - $10,000
▪ $100,001 - $1,000,000
NATURE OF INVESTMENT
O Stock 0 Other
0 $10,001 - $100,000
❑ Over $1,000,000
(Describe)
El Partnership 0 Income Received of 50 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
21 / /21
AC- QUIRED DISPOSED
► NAME OF BUSINESS ENTITY
Palantir Technologies
GENERAL DESCRIPTION OF THIS BUSINESS
software mining
FAIR MARKET VALUE
0 $2,000 - 510,000
▪ $100,001 - $1,000,000
$10,001 - 5100,000
El Over 51,000,000
NATURE OF INVESTMENT
0 Stock 0 Other
(Describe)
O Partnership 0 Income Received of 50 - $499
Q Income Received of 5500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
21 / /21
AC- QUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
▪ $2,000 - $10,000 0 510,001 - 5100,000
▪ $100,001 - 51,000,000 0 Over $1,000,000
NATURE OF INVESTMENT
• Stock 0 Other
(Describe)
O Partnership 0 Income Received of $0 - 5499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
21 / /21
AC- QUIRED DISPOSED
Comments:
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Ivan Moad
O. NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
El $2,000 - 510,000
0 $100,001 - 51,000,000
NATURE OF INVESTMENT
0 Stock 0 Other
o $10,001 - 5100,000
O Over 51,000,000
(Describe)
• Partnership 0 Income Received of 50 - 5499
0 Income Received of 5500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
21 / /21
ACQUIRED DISPOSED
I. NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ 52,000 - 510,000
$100,001 - $1,000,000
510,001 - 5100,000
▪ Over 51,000,000
NATURE OF INVESTMENT
0 Stock 0 Other
(Describe)
O Partnership 0 Income Received of 50 - 5499
0 Income Received of 5500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
21 / / 21
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
$2,000 - 510,000
0 $100,001 - 51,000,000
NATURE OF INVESTMENT
• Stock 0 Other
❑ 510.001 - 5100,000
0 Over 51,000,000
(Describe)
O Partnership 0 Income Received of 50 - 5499
0 Income Received of 5500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_—J—J21 / /21
ACQUIRED DISPOSED
FPPC Form 700 - Schedule A-1 (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 7
SCHEDULE B
Interests in Real Property
(Including Rental Income)
O. ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
1915 Leeward Ln
CITY
Newport Beach, Ca 92660
FAIR MARKET VALUE
❑ 52,000 - 510,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000
❑X Over 51,000,000
IF APPLICABLE, LIST DATE:
03/01 /21 / /21
ACQUIRED DISPOSED
NATURE OF INTEREST
❑X Ownership/Deed of Trust ❑ Easement
❑ Leasehold
Yrs. remaining
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - 5499
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ 510,001 - 5100,000 ❑ OVER 5100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
Q None
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
31342 Trigo Trl
CITY
Trabuco Canyon, Ca 92679
FAIR MARKET VALUE
❑ 52,000 - 510,000
❑ $10,001 - 5100,000
❑ $100,001 - 51,000,000
❑X Over 51,000,000
IF APPLICABLE, LIST DATE:
Al2/11'__1./ 21
ACQUIRED DISPOSED
,Tt . , ZoZZ
NATURE OF INTEREST
❑X Ownership/Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - 5499
❑ 510,001 - $100,000 ❑ OVER 5100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of 510,000 or more.
QNone
❑ 5500 - 51,000 ❑ 51,001 - $10,000
* You are not required to report loans from a commercia lending institution 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
INTEREST RATE
% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $10,001 - S100,000
❑ Guarantor, if applicable
❑ $1,001 - $10,000
❑ OVER 5100,000
Comments•
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ 510,001 - 5100,000
❑ Guarantor, if applicable
❑ s1,001 - S10,000
❑ OVER 5100,000
FPPC Form 700 - Schedule B (2021/2022)
advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov
Page - 11
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
77475 Blackfoot Drive
CITY
Indian Wells, Ca 92210
FAIR MARKET VALUE
❑ 52,000 - 510,000
❑ 510,001 - 5100,000
❑X 5100,001 - $1,000,000
❑ Over 51,000,000
NATURE OF INTEREST
❑X Ownership/Deed of Trust
IF APPLICABLE, LIST DATE:
x-/21 / /21
ACQUIRED DISPOSED
❑ Leasehold
Yrs remaining
❑ Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ 50 - $499
❑ 5500 - 51,000 ❑ 51,001 - 510,000
❑ 510,001 - 5100,000
❑ OVER 5100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑X None
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Ivan Moad
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
lk en >1"T,tiSs
FAIR MARKET VALUE
® 52,000 - $10.000
❑ 510.001 - 5100,000
❑ 5100,001 - 51,000,000
❑ Over 51,000,000
IF APPLICABLE, LIST DATE:
21 / /21
ACQUIRED DISPOSED
NATURE OF INTEREST
Ownership/Deed of Trust
❑ Leasehold
Yrs. remaining
❑ Easement
Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - 5499
❑ $500 - 51,000 ❑ 51,001 - $10,000
❑ S10,001 - 5100,000 ❑ OVER 5100,000
SOURCES OF RENTAL INCOME: If you own a 10% of greater
interest, list the name of each tenant that is a single source of
income of S10,000 or more.
None
* You are not required to report loans from a commercia lending institution 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
INTEREST RATE
❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ 5500 - 51,000
o $10,001 - S100,000
❑ Guarantor, if applicable
❑ 51,001 - 510,000
❑ OVER 5100,000
Comments:
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE
% ❑ None
TERM (Months/Years)
HIGHEST BALANCE DURING REPORTING PERIOD
❑ 5500 - 51,000
❑ $10,001 - $100,000
['Guarantor, if applicable
❑ 51,001 - 510,000
❑ OVER $100,000
FPPC Form 700 - Schedule 8 (2021/2022)
advice@fppc.ca.gav • 866-275-3772 • www.fppc.ca.gov
Page - 11