David Bischoff - Annual 2011• ' • ' 700 STATEMENT OF ECONOMIC INTERESTS ` OateplPcW
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) IMIODLE)`
Bischoff David John
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Community Development Department Director of Planning and Enviornmental Services
► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi -County
❑x City of City of Gilroy
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
0 Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left — I
December 31, 2011. (Check one)
-or-
The period covered is —J I through O The period covered is January 1, 2011, through the date of
December 31, 2011, leaving office.
❑ Assuming Office: Date assumed —J t O The period covered is I I through
the date of leaving office.
❑ 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
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-
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
7351 Rosanna St. Gilroy CA 95020
DAYTIME TELEPHONE NUMBER I E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0253
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 March 13, 2012 Signature
(month, day, year)
LA-, FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov