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Maria DeLeon - Annual 2012Date ReL' reed CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS ' - -. DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) De Leon Maria Del Rosario 1. Office, Agency, or Court Agency Name O The period covered is I I through City of Gilroy the date of leaving office. Division, Board, Department, District, if applicable Your Position Recreation Department Director ► If filing for multiple positions, list below or on an attachment. ❑ Schedule A -1 - Investments – schedule attached Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ Schedule B - Real Property – schedule attached ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑ City of Gilroy ❑ Other 3. Type of Statement (Check at least one box) CITY STATE ZIP CODE [71 Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left _J —I December 31, 2012. (Check one) -or- The period covered is I I through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed 1 O The period covered is I 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." o. Total number of pages including this cover page: 2 ❑ Schedule A -1 - Investments – schedule attached ❑ Schedule C - Income, Loans, & Business Positions – schedule attached Q 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- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agen Address Recommended - Public Document) �� 3q S6 1-. 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 current. I certify under penalty of perjury under the laws of the State of California that the f re oing is t correct. Date Signed 02/04/2013 Signature (month, day year) (File the origin igned sta ant with your filing official.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities /Trusts (Ownership Interest is 10% or Greater) 0- 1. BUSINESS ENTITY OR TRUST California Overhead Door Name 51 McCloskey Rd., Hollister, CA 95023 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 usiness Entity, complete the box, then go to 2 GENER/AL� DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST TE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 -/-1 12 -/_/ 12 ❑✓ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ® Sole Proprietorship ❑ Cher Husband's business YOUR BUSINESS POSITION GROSS 1� 2. IDENTIFY THE • • (INCLUDEYO RORATA SHARE OF •• SS INCOME TO THE ENTITY/TRUST) ❑ $0 - $499 Ig $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF INCOME OF $10,000 OR MORE (Anach , ­pxat,t ❑ None 1� 4. INVESTMENTS • INTERESTS IN REAL PROPERTY • OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, 2 Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 _/_/ 12 _/_/ 12 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold [3 Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached Com CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Maria DeLeon W 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 __J__J 12 /12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION SHARE OF •• SS INCOME TO THE ENTITY/TRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $l,00l - $1o,000 1� 3. LIST THE NAME OF ••• TABLE SINGLE SOURCE OF None 1� 4. INVESTMENTS • INTERESTS IN REAL PROPERTY • OR LEASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, Q Assessor's Parcel Number or Street Address of Real Property Description of Business Activity r_r City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 12 _j__J 12 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2012/2013) Sch. A -2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov