Loading...
David Bischoff - Annual 2012Please type or print In ink. NAME OF FILER Bischoff 1. Office, Agency, or Court STATEMENT OF ECONOMIC INTERESTS David COVER PAGE ,bate RecelVe�r- C) Cil�cia1 Use onty t,e) 'MaRi1�13. John\\, Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Community Development Department Director of Planning and Environmental 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 m City of Gilroy 3. Type of Statement (Check.at least one box) m Annual: The period covered is January 1, 2012, through December 31, 2012. -or- The period covered is —J I through December 31, 2012. Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving office: Date Left —J_ I (Check one) 0 The period covered is January 1, 2012, through the date of leaving office. ❑ Assuming Office: Date assumed I 1 0 The period covered is — I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 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 ► Total number of pages including this cover page: ❑ Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- m None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public DocumenO 7351 Rosanna St. Gilroy CA 95020 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 03/11/2013 (month, day, year) Signature Your WM .) . w FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov