David Chung - Annual 2011CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS °at ecelved "sc COMMISSION
FAIR POLITICAL PRACTICES
A PUBLIC ?R 2012
DOCUMENT COVER PAGE Y CLERKS 0 �A
Please type or print in ink. uwa� Sao
NAME OF FILER (LAST) (FIRST) (MIDDLE)
CHUNG DAVID
1. Office, Agency, or Court
Agency Name
CITY OF GILROY
Division, Board, Department, District, if applicable Your Position
COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PLAN CHECK ENGINEER
► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
rx-1 City of GILROY
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other _
3. Type of Statement (Check at least one box)
Q Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left II
December 31, 2011. (Check one)
-or-
The period covered is I through O The period covered is January 1, 2011, through the date of
December 31, 2011. leaving office.
❑ Assuming Office: Date assumed —J 1
O The period covered is I I through
the date of leaving office.
❑ Candidate: Election Year
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
► Total number of pages including this cover page:
❑ Schedule A -1 - Investments - schedule attached
❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached
❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property - schedule attached
❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
0 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
E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0258
1 DAVID.CHUNG @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 4/2/2012
Signature zc
(month, day, year)
(Fil e originally signed statement your t t aL)
FPPC For 700 (201112012)
FPPC Toll -Free Helpline: 8 72 www.fppc.ca.gov