Alan Anderson - Annual 2012Date Received
STATEMENT OF ECONOMIC INTERESTS USe Only
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink. C`ER�SG
NAME OF FILER (LAST) (FIRST)
Anderson
1. Office, Agency, or Court
Agency Name
City of Gilroy
Alan
Michael
Division, Board, Department, District, if applicable Your Position
Fire Department Interim Fire Chief
► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
0 City of Gili
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I I
December 31, 2012. (Check one)
-or-
The period covered is I I through
December 31, 2012.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or "None."
❑ Schedule A -1 - Investments — schedule attached
❑ Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
5. Verification
O The period covered is January 1, 2012, through the date of
leaving office.
O The period covered is I I through
the date of leaving office.
and office sought, if different than Part 1:
► Total number of pages including this cover page: 1
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-or-
E] None - No reportable interests on any schedule
MAILING ADDRESS STREET CITY STATE ZIP CODE
(
Gilroy CA 950
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0380 alan.anderson @cityofgilroy.org
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 foregoing is true and correct.
Date Signed 02/04/2013 Signature
(month, day, year) ( )
FPPC Form 700 (2012/2013)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov