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Maria DeLeon - Annual 2011 CALlFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT -------_.-._~.~ '.;~'" STATEMENT OF ECONOMIC INTERESTS COVER PAGE / /" (" ,'bate Recei~:\ Of~ u,,) Onl; ': ',' '\ I:', " / ;"" , ! FfB 2012 CiTY ClERKS OffiCE ~RI.RW~ ~rl (MIDDLE) Oel Rosario ., i, Please type or print in ink. NAME OF FILER (LAST) De Leon (FIRST) Maria 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Recreation Department -~ .... Your Position Director ~ If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) DState D Multi-County [2g City of Gilroy D Judge or Court Commissioner (Statewide Jurisdiction) D County of D Other 3. Type of Statement (Check at least one box) ~ Annual: The period covered is January 1, 2011, through December 31, 2011. -or- D Leaving Office: Date Left ~~ (Check one) o The period covered is January 1, 2011, through the date of leaving office. The period covered is ~----.1 , through December 31, 2011. D Assuming Office: Date assumed ----.1----.1 o The period covered is ~~ the date of leaving office. Office sought, if different than Part 1: , through D Candidate: Election Year 4. Schedule Summary Check applicable schedules or "None." D Schedule A-1 - Investments - schedule attached [g] Schedule A-2 - Investments - schedule attached D Schedule 8 - Real Property - schedule attached ~ Total number of pages including this cover page: 2 D Schedule C - Income, Loans, & Business Positions - schedule attached D Schedule 0 - Income - Gifts - schedule attached D Schedule E . Income - Gifts - Travel Payments - schedule attached -or. D None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE 7351 Rosanna Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) ( 408 ) 846-0274 maria.deleon@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 for oing is tru Date Signed 02/06/2012 (month, day, year) Signature FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov j . . SCHEDULE A-2 Investments, Income, and Assets of Business EntitieslTrusts (Ownership Interest is 10% or Greater) . 1. BUSINESS ENTITY OR TRUST California Overhead Door Name 51 McCloskey Rd., Hollister, CA 95023 Address (Business Address Acceptable) Check one D Trust, go to 2 D Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY Garage Door Company FAIR MARKET VALUE 0$0 - $1,999 o $2,000 - $10,000 [g] $10,001 - $100,000 0$100,001 - $1,000,000 DOver $1,000,000 NATURE OF INVESTMENT [g] Sole Proprietorship 0 Partnership IF APPLICABLE, LIST DATE: ---1---1-1L ACQUIRED ---1---1-1L DISPOSED o Other YOUR BUSINESS POSITION Husbands Business CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Maria De Leon . 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one D Trust, go to 2 D Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE 0$0 - $1,999 0$2,000 - $10,000 0$10,001 - $100,000 0$10:),001 - $1,000,000 DOver $1,000,000 NATURE OF INVESTMENT o Sole Proprietorship 0 Partnership YOUR BUSINESS POSITION IF APPLICABLE, LIST DATE: ---1---1-1L ACQUIRED ---1---1-1L DISPOSED o Other o $0 - $499 0$500 - $1,000 0$1,001 - $10,000 . 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separate sheet ,I necessary) ~ 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST Check one box: o INVESTMENT o REAL PROPERTY Name of Business Entity. if Investment, QL Assessor's Parcel Number or Street Address of Real Property Description of Business Activity QL City or Other Precise Location of Real Property FAIR MARKET VALUE o $2,000 - $10,000 0$10,001 - $100,000 0$100,001 - $1,000,000 DOver $1,000.000 NATURE OF INTEREST o Property Ownership/Deed of Trust IF APPLICABLE, LIST DATE: ---1---1---1.L ---1---1-1L ACQUIRED DISPOSED o Stock o Partnership o Leasehold Yrs. remaining o Other o Check box if additional schedules reporting investments or real property are attached Comments: o $0 - $499 0$500 - $1,000 0$1,001 - $10,000 ~ 3. LIST THE NAME OF EACH REPORTABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Attach a separats sheet ,I necsssary) · 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD BY THE BUSINESS ENTITY OR TRUST Check one box: o INVESTMENT o REAL PROPERTY Name of Business Entity, if Investment, QL Assessor's Parcel Number or Street Address of Real Property Description of Business Activity QL City or Other Precise Location of Real Property FAIR MARKET VALUE o $2,000 - $10,000 0$10,001 - $100,000 o $100,001 - $1,000,000 DOver $1,000,000 NATURE OF INTEREST o Property Ownership/Deed of Trust o Leasehold Yrs. remaining IF APPLICABLE. LIST DATE: ---1---1-1L ---1---1-1L ACQUIRED DISPOSED o Stock o Partnership o Other o Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2011/2012) Sch. A-2 FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov