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Home My Public Portal AboutForm 700 (Economic Interest Statements, SEI) Douglas Hanson 2022 ALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. STATEMENT OF ECONOMIC INTERESTS COVER PAGE A PUBLIC DOCUMENT Date Initial Filing Received O t,cral Uso Only NAME OF FILER (LAST) Hanson (FIRST) Douglas (MIDDLE) I1 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) 7 State I Multi -County MI City of Indian Welts Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) County of Riverside Other 3. Type of Statement (Check at least one box) 7 Annual: The period covered is January 1, 2021, through 71 Leaving Office: Date Left —J-1 December 31, 2021. (Check one circle.) -or- The period covered is through December 31, 2021. HI Assuming Office: Date assumed (_; The period covered is January 1, 2021, through the date of leaving office. -or- 1 The period covered is _/_/ through the date of leaving office. Candidate: Date of Election 11/08/2022 and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 7 Schedules attached • Schedule A-1 - Investments — schedule attached �I Schedule A-2 - Investments — schedule attached ■ Schedule B - Real Property — schedule attached -or- 1 None - No reportable interests on any schedule 5. Ve- rification l- Schedule C - Income, Loans, & Business Positions — schedule attached Schedule D - Income — Gifts — schedule attached (— Schedule E - Income — Gifts — Travel Payments — schedule attached 1 MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 44950 Eldorado Dr CITY Indian Wells STATE ZIP CODE CA 92210 DAYTIME TELEPHONE NUMBER ( EMAIL ADDRESS 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 perjury under the laws of the State of California that the ) 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 AT&T GENERAL DESCRIPTION OF THIS BUSINESS Technology FAIR MARKET VALUE Li $2,000 - $10,000 $100,001 - S1,000,000 $10,001 - $100,000 Over $1,000,000 NATURE OF INVESTMENT al Stock J Other (Describe) Partnership i Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _/_/21 ��21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Barrick Gold GENERAL DESCRIPTION OF THIS BUSINESS Mining FAIR MARKET VALUE • $2,000 - $10,000 $100.001 - $1,000,000 $10,001 - $100,000 7 Over 51,000,000 NATURE OF INVESTMENT Stock - Other (Describe) i Partnership 7 Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _/_/21 AC- QUIRED DISPOSED ► NAME OF BUSINESS ENTITY Byond Meats GENERAL DESCRIPTION OF THIS BUSINESS Nutrition FAIR MARKET VALUE 0 $2,000 - $10,000 f! $10,001 - 5100,000 ❑ 5100,001 - 51,000,000 (—••'. Over $1,000,000 NATURE OF INVESTMENT Stock Other (Descnbe) J Partnership _ Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: J21 — AC- QUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name P. NAME OF BUSINESS ENTITY Comstock RES GENERAL DESCRIPTION OF THIS BUSINESS Real Estate FAIR MARKET VALUE r 52,000 - S10,000 ❑ 5100,001 - 51,000,000 L si0,001 - 5100,000 C Over 51,000,000 NATURE OF INVESTMENT n Stock 1 Other (Describe) Partnership Income Received of 50 - 5499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _J�21 —J-121 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Cushman Wakefield GENERAL DESCRIPTION OF THIS BUSINESS Real Estate FAIR MARKET VALUE (® $2,000 - S10,000 5100,001 - 51,000,000 s10,001 - 5100,000 Over 51,000,000 NATURE OF INVESTMENT El Stock 1 Other (Describe) Partnership _ Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Geopark Limited GENERAL DESCRIPTION OF THIS BUSINESS Mining FAIR MARKET VALUE - $2,000 - 510,000 $100,001 - $1,000,000 510,001 - $100,000 ❑ Over 51,000,000 NATURE OF INVESTMENT • Stock I Other (Describe) • Partnership E Income Received of $0 - $499 L Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ji27 i i ACQUIRED DISPOSED Comments. Print Clear FPPC Form 700 - Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -7 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. I. NAME OF BUSINESS ENTITY Warner Brothers GENERAL DESCRIPTION OF THIS BUSINESS Entertainment FAIR MARKET VALUE 52,000 - $10,000 $100,001 - $1,000,000 $10,001 - $100,000 Over $1,000,000 NATURE OF INVESTMENT it Stock I Other (Describe) Partnership Income Received of SO - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: j�21 _j_j21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE $2,000 - $10,000 $100,001 - $1,000,000 J $10,001 - $100,000 El Over $1,000,000 NATURE OF INVESTMENT Stock Other (Describe) 1 Partnership ] Income Received of SO - $499 Income Received of S500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _11/21 _j_j21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 7 52,000 - $10,000 5100,001 - 51,000,000 NATURE OF INVESTMENT Stock Other ❑ $10,001 - 5100,000 E Over $1,000,000 (Describe) Partnership ❑ Income Received of $0 - $499 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► NAME OF BUSINESS ENTITY Apple GENERAL DESCRIPTION OF THIS BUSINESS Technology FAIR MARKET VALUE K $2,000 - 510,000 $100,001 - $1,000,000 E 510,001 - 5100,000 Over $1,000,000 NATURE OF INVESTMENT Stock lj Other (Descnbe) Partnership ; Income Received of $0 - 5499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: j�21 _j�21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE I! 52,000 - 510,000 5100,001 - 51.000,000 S10,001 - 5100,000 7 Over $1,000,000 NATURE OF INVESTMENT Stock Other (Descnbe) Partnership _ Income Received of SO - $499 Income Received of S500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: jj�_ —1 21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE S2,000 - $10,000 E $100,001 - 51.000,000 NATURE OF INVESTMENT Stock I Other (Descnbe) C Partnership =1 Income Received of 50 - $499 J Income Received of $500 or More (Report on Schedule C) S10,001 - 5100,000 Over 51,000,000 IF APPLICABLE, LIST DATE: _/_/21 ACQUIRED DISPOSED Comments• Print Clear FPPC Form 700 -Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page -7 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 Amgen Inc. GENERAL DESCRIPTION OF THIS BUSINESS Pharma FAIR MARKET VALUE - $2,000 - $10,000 $100,001 - $1,000,000 L] $10,001 - $100,000 1 Over $1,000,000 NATURE OF INVESTMENT Stock ] Other (Describe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Blackstone Inc GENERAL DESCRIPTION OF THIS BUSINESS Investments FAIR MARKET VALUE ▪ 52,000 - $10,000 7 $100,001 - $1,000,000 I $10,001 - $100,000 Over $1,000,000 NATURE OF INVESTMENT MI Stock Other (Describe) ▪ Partnership ] Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED I. NAME OF BUSINESS ENTITY Citigroup GENERAL DESCRIPTION OF THIS BUSINESS Banking FAIR MARKET VALUE El $2,000 - 810,000 ▪ 8100,001 - 81,000,000 0 $10,001 - 8100,000 0 Over 81,000,000 NATURE OF INVESTMENT Stock Other (Describe) Partnership = Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: �_J29— -129_ ACQUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name P. NAME OF BUSINESS ENTITY Caterpillar Inc GENERAL DESCRIPTION OF THIS BUSINESS Equipment Mfg. FAIR MARKET VALUE 7 52,000 - 510,000 5100,001 - $1,000,000 L i 810,001 - $100,000 fI Over $1,000,000 NATURE OF INVESTMENT t' Stock Other (Describe) Partnership i J Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE. LIST DATE: AC- QUIRED DISPOSED ► NAME OF BUSINESS ENTITY Chevron Corp GENERAL DESCRIPTION OF THIS BUSINESS Energy FAIR MARKET VALUE I $2,000 - 510,000 7 $100,001 - $1,000,000 la 810,001 - 8100,000 �l Over $1,000,000 NATURE OF INVESTMENT la Stock "'Other (Descnbe) Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: AC- QUIRED DISPOSED ► NAME OF BUSINESS ENTITY Costco GENERAL DESCRIPTION OF THIS BUSINESS Wholesale Goods FAIR MARKET VALUE $2,000 - S10,000 I 810,001 - 8100,000 L 8100,001 - 81,000,000 [ Over $1,000,000 NATURE OF INVESTMENT i Stock Other (Descnbe) I Partnership - Income Received of $0 - $499 1 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED Comments - Print Clear FPPC Form 700 -Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 7 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 GLPI GENERAL DESCRIPTION OF THIS BUSINESS Gaming and Leisure FAIR MARKET VALUE $2,000 - $10,000 $100,001 - $1,000,000 small - s100,000 Over $1,000.000 NATURE OF INVESTMENT ® Stock Other (Describe) j Partnership _ Income Received of $0 - $499 Income Received of 0500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _J�21 _j 121 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Meta GENERAL DESCRIPTION OF THIS BUSINESS Technology FAIR MARKET VALUE _ J $2,000 - $10,000 $100,001 - 81,000,000 1 810,001 - $100,000 Over 01,000,000 NATURE OF INVESTMENT 1111 Stock Other (Describe) Partnership ❑ Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED _/_/21 DISPOSED ► NAME OF BUSINESS ENTITY Pepsico GENERAL DESCRIPTION OF THIS BUSINESS Soft Drinks Merchandizing FAIR MARKET VALUE 02,000 - 010,000 8100,001 - $1.000,000 I S10,001 - $100,000 Over 01,000,000 NATURE OF INVESTMENT 11 Stock Other (Describe) J Partnership Income Received of 00 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name P. NAME OF BUSINESS ENTITY Johnson & Johnson GENERAL DESCRIPTION OF THIS BUSINESS Pharma FAIR MARKET VALUE $2,000 - S10,000 $100,001 - 01,000,000 $10,001 - $100,000 CI Over 01,000,000 NATURE OF INVESTMENT Im Stock 1 Other (Describe) Partnership I Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 ACQUIRED -J�21 DISPOSED ► NAME OF BUSINESS ENTITY Microsoft GENERAL DESCRIPTION OF THIS BUSINESS Technology FAIR MARKET VALUE 1 $2,000 - S10,000 — $100,001 - $1,000,000 ❑ $10,001 - $100,000 n Over $1,000,000 NATURE OF INVESTMENT Stock fl Other (Describe) L Partnership [ Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED P. NAME OF BUSINESS ENTITY Salesforce GENERAL DESCRIPTION OF THIS BUSINESS 3rd party marketing FAIR MARKET VALUE $2,000 - $10,000 0100,001 - 01,000,000 [� 010,001 - $100,000 Over $1,000,000 NATURE OF INVESTMENT • Stock I Other (Describe) Partnership — Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: �_J21 _J i21 ACQUIRED DISPOSED Comments - Print Clear FPPC Form 700 -Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 7 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 Weimar( Inc GENERAL DESCRIPTION OF THIS BUSINESS Wholesale Marketing Co. FAIR MARKET VALUE J 52,000 - 510,000 __1 $100,001 - 51,000,000 J 510,001 - 5100,000 Over $1,000,000 NATURE OF INVESTMENT * Stock Other (Describe) I Partnership Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _j —_J21 _J_121_ ACQUIRED DISPOSED P. NAME OF BUSINESS ENTITY Warner Brothers GENERAL DESCRIPTION OF THIS BUSINESS Technology FAIR MARKET VALUE �] 52,000 - 510,000 -1 5100,001 - 51,000,000 510,001 - 5100,000 -1 Over 51,000,000 NATURE OF INVESTMENT Stock Other (Describe) Partnership Income Received of 50 - $499 _ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _j y21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Ei 52,000 - 510,000 El 5100,001 - 51,000,000 11 17 $10,001 - 5100,000 Over $1,000,000 NATURE OF INVESTMENT 1 Stock Other -- -- (Describe) J Partnership Income Received of $0 - $499 _ Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: AC- QUIRED DISPOSED CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► NAME OF BUSINESS ENTITY Walt Disney Co. GENERAL DESCRIPTION OF THIS BUSINESS Entertainment FAIR MARKET VALUE L 52,000 - 510,000 5100,001 - $1,000,000 C 510,001 - $100,000 L Over 51,000,000 NATURE OF INVESTMENT Stock ] Other (Describe) Partnership Income Received of $0 - $499 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _i_/21 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 52,000 - 510,000 5100,001 - 51,000.000 $10,001 - 5100,000 F Over 51,000,000 NATURE OF INVESTMENT C Stock j Other (Describe) E Partnership — Income Received of 50 - $499 Income Received of 5500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE 7 $2,000 - S10,000 ,_j 5100,001 - $1,000,000 �] 510,001 - 5100,000 Over $1,000,000 NATURE OF INVESTMENT Stock 1Other (Describe) _I Partnership 7 Income Received of $0 - $499 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _t_t21 _j_/21 ACQUIRED DISPOSED Comments• Print Clear FPPC Form 700 -Schedule A-1 (2021/2022) advice@fppc.ca.gov • 866.275-3772 • www.fppc.ca.gov Page - 7 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) ► 1. BUSINESS ENTITY OR TRUST Douglas H Hanson, Real Estate Broker Name 74991 Joni Dr. Palm Desert Address (Business Address Acceptable) Check one • Trust, go to 2 • Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR - 0 1 7 NATURE ' MARKET VALUE IF APPLICABLE, LIST DATE: 50 - 51,999 52,000 - $10,000 _J_/Z.L. _j-/2.1_ 510,001 - 5100,000 ACQUIRED DISPOSED 5100,001 - $1,000,000 Over 51,000,000 OF INVESTMENT Partnership to Sole Proprietorship IJ Other YOUR BUSINESS POSITION Owner ► 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RAT SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) 50 - $499 510,001 - 5100,000 $500 - $1,000 OVER 5100,000 IN s1,001 - $10,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate shoot it nocossary.t None or ❑ Names listed below ► 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED IlY THE BUSINESS ENTITY OR TRUST Check one box: 17 INVESTMENT ®l REAL PROPERTY 74991 Joni Dr. Palm Desert, CA. 92210 Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Real Estate Broker Description of Business Activity 2 City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: $2,000 - 510,000 ❑ $10,001 - $100,000 x___/21 _/_./21 U $100,001 - $1,000,000 ACQUIRED DISPOSED 1 Over 51,000,000 NATURE OF INTEREST NJ Property Ownership/Deed of Trust I Stock I I Partnership ❑ Leasehold Li Other Yrs. remaining fl Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one Trust, go to 2 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: H$0 - $1,999 $2,000 - $10,000 -/-/ -/_ j ' $10,001 - $100,000 ACQUIRED DISPOSED $100,001 - $1,000,000 r- Over $1,000,000 NATURE OF INVESTMENT I I Partnership J Sole Proprietorship Other YOUR BUSINESS POSITION 2. IDENTIFY THE GROSS INCOME RECEIVED (INCLUDE YOUR PRO RAT SHARE OF THE GROSS INCOME TO THE ENTITY/TRUST) F. $0 - $499 ^. $10,001 - S100,000 I__ $500 - S1,000 I OVER S100,000 J $1,001 - 510,000 ► 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF 510,000 OR MORE (Attach a separate sheet it necessary.t P None or Names listed below 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: _I INVESTMENT 1_ REAL PROPERTY Name of Business Entity, if Investment, or 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: ❑ 52,000 - $10,000 Li $10,001 - $100,000 _i__/21 _i___/21 H $100,001 - $1,000,000 ACQUIRED DISPOSED L 1 Over $1,000,000 NATURE OF INTEREST l _I Property Ownership/Deed of Trust I I Stock __I Partnership J Leasehold Lj Other Yrs. remaining Check box if additional schedules reporting investments or real property are attached Comments. Print Clear FPPC Form 700 - Schedule A-2 (2021/2022) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 9 CALIFORNIA FORM 700 SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 633-042-055 CITY Indian Wells FAIR MARKET VALUE ❑ $2,000 - S10,000 • $10,001 - $100,000 IN $100,001 - 51,000,000 n Over $1,000,000 NATURE OF INTEREST * Ownership/Deed of Trust IF APPLICABLE, LIST DATE: -/-/21 ACQUIRED DISPOSED n Leasehold 7 Easement Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED • 50 - $499 $500 - $1,000 -I $1,001 - $10,000 L $10,001 - $100,000 n OVER $100,000 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. None Basil Starr FAIR POLITICAL PRACTICES COMMISSION Name ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 637-282-031 CITY Palm Desert FAIR MARKET VALUE C 52,000 - 510,000 L $10,001 - 5100,000 • $100,001 - 51,000,000 L. Over $1,000,000 IF APPLICABLE, LIST DATE: _/_/21 / /21 ACQUIRED DISPOSED NATURE OF INTEREST OE Ownership/Deed of Trust 7 Easement L Leasehold Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED L 50 - 5499 $500 - 51,000 ❑ 51,001 - 510,000 a 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 $10,000 or more. L_I None Summer Belden * 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 TERM (Months/Years) % n None HIGHEST BALANCE DURING REPORTING PERIOD F-1 5500 - $1,000 _1 $1,001 - $10,000 ❑ 510,001 - $100,000 l OVER $100,000 0 Guarantor, if applicable NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) 7 None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 1 $1,001 - $10,000 $10,001 - $100,000 ] OVER 5100,000 ❑ Guarantor, if applicable Comments. Print Clear 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 637-392-002 CITY Palm Desert FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ 52,000 - $10,000 E1 $10,001 - S1oo,000 $100,001 - $1,000,000 ACQUIRED DISPOSED n Over 51,000,000 NATURE OF INTEREST n Ownership/Deed of Trust Leasehold E Easement Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 S500 - $1,000 71$1,001 - $10,000 510,001 - 5100,000 f; 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. None Keri Stephens CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE 52,000 - 510,000 I 510,001 - 5100,000 f $100,001 - 51,000,000 Over 31,000,000 NATURE OF INTEREST Ownership/Deed of Trust IF APPLICABLE, LIST DATE: ii21 j_12 ACQUIRED DISPOSED Leasehold Easement Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED 1 s0 - S499 13500 - $1,000 $1,001 - $10,000 510,001 - 5100,000 OVER 3100,000 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. El 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 TERM (Months/Years) None HIGHEST BALANCE DURING REPORTING PERIOD Ssoo - $1,000 ❑ stool - $1o,000 $10,001 - 5100,000 1 OVER $100,000 Guarantor, if applicable NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 1 151,001 - $10,000 $10,001 - $100,000 i1 OVER $100,000 L Guarantor, if applicable Comments• Print Clear 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 624-074-010-8 CITY Palm Desert FAIR MARKET VALUE ❑ $2,000 - $10,000 El $10,001 - $100,000 $100,001 - $1,000,000 ▪ Over $1,000,000 NATURE OF INTEREST E. Ownership/Deed of Trust IF APPLICABLE, LIST DATE: _/_/21 ACQUIRED DISPOSED Easement • Leasehold J Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED U $0 - $499 $500 - $1,000 CI $1,001 - $10,000 $10,001 - $100,000 n OVER $100,000 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. None Pais Properties CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 637-392-001-7 CITY Palm Desert FAIR MARKET VALUE $2,000 - $10,000 $10,001 - $100,000 .$100,001- $1,000,000 [] Over 51,000,000 NATURE OF INTEREST ® Ownership/Deed of Trust IF APPLICABLE, LIST DATE: El Leasehold Yrs. remaining Other ACQUIRED DISPOSED Easement Li IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 El $500 - $1,000 El 51,001 - 510,000 L• 510,001 - 5100,000 C, OVER $100,000 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. ❑ None Scott Winant 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 TERM (Months/Years) OA None HIGHEST BALANCE DURING REPORTING PERIOD 0 5500 - 51,000 • $10,001 - $100,000 ❑ Guarantor, if applicable ❑ $1,001 - $10,000 Li OVER $100,000 NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) n None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - 510,000 510,001 - 5100,000 n OVER 5100,000 ❑ Guarantor, if applicable Comments. Print Clear FPPC Form 700 -Schedule B (2021/2022) advice@fppc.ca.gov • 866.275-3772 • www.fppc.ca.gov Page -11