Andy Faber - Annual 2004
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE
STATEMENT OF ECONOMIC INTER
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OPTIONAL: FAX I E-MAIL ADDRESS
Please type or print in ink
A Public Document
NAME (LAST)
Faber
(FIRST)
Andrew
MAILING ADDRESS STREET
(May use business address)
CITY
10 Almaden Boulevard, 11th Floor
San Jose
1. Office, Agency, or Court
Name of Office, Agency, or Court:
City of Gilroy
Division, Board, District, if applicable:
Your Position:
Acting City Attorney
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
County Regional Wastewater
Authority
2. Jurisdiction of Office (Check at least one box)
o State
o County of
[JtCity of Gi 1 roy
o Multi-County
o Other
3. Type of Statement (Check at least one box)
D Assuming Officellnitial
Date: .----1.----1_
Q Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
a The period covered is .----1.----1_. through
December 31.2004.
o Leaving Office Date Left: .----1.----1_
(Check one)
a The period covered is January 1, 2004, through the
date of leaving office.
-or-
a The period covered is .----1.----1_. through
the date of leaving office.
D Candidate
STATE
ZIP CODE
CA
95113
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
- During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 ot Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 DYes - schedule attached
Investments (10% or greater Ownership)
Schedule B
Real Property
DYes - schedule attached
Schedule C []eYes - schedule attached
Income. Loans, & Business Positions (Income Other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E
Income - Gifts
DYes - schedule attached
Schedule F DYes - schedule attached
Income - Travel Payments
-or-
_ 0 No reportable interests on any schedule
,Total number of pages
completed including this cover page:
3
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
-, fJ JR5:y, year)
~-
Signature
(File the originally signed statement with your filing officiaL)
FPPC Form 700 (2004/2005)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
00 not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Andrew L Fabpr
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
Building H Associates
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Industrial luilding Owner
FAIR MARKET VALUE
D $2,000 - $10,000
0$100,001 - $1,000,000
0$10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
D $2,000 - $10,000
D $100,001 - $1,000,000
D $10,001 - $100,000
DOver $1.000.000
C;!X Other
Partnpr~h;g
( escribe)
NATURE OF INVESTMENT
D Stock
D Other
(Describe)
NATURE OF INVESTMENT
D Stock
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1~
ACQUIRED
---1---1~
DISPOSED
---1---1~
ACQUIRED
---1---1~
DISPOSED
> NAME OF BUSINESS ENTITY
Trade Zone Associates
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
D $2,000 - $10,000
D $100,001 - $1,000,000
IX] $10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
D $2.000 - $10,000
D $100,001 - $1,000,000
D $10,001 - $100,000
DOver $1,000,000
Q Other
Partnership'
( escribe)
NATURE OF INVESTMENT
D Stock
D Other
(Describe)
NATURE OF INVESTMENT
D Stock
IF A!:'PLlCABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1~
ACQUIRED
---1---1~
DISPOSED
---1---1~
ACQUIRED
---1---1~
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
D $100,001 - $1,000,000
D $10,001 - $100.000
DOver $1,000,000
FAIR MARKET VALUE
D $2,000 - $10.000
D $100,001 - $1,000,000
D $10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
D Stock
D Other
NATURE OF INVESTMENT
D Stock
D Other
(Describe)
(Describe)
IF APPLICABLE, LIST DATE:
IF APPLICABLE, LIST DATE:
---1---1~
ACQUIRED
---1---1~
DISPOSED
---1---1~
ACQUIRED
---1---1~
DISPOSED
Comments:
FPPC Form 700 (2004/2005) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC
. ,
. .
SCHEDULE C
Income, Loans* & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
> 1. NAME OF SOURCE OF INCOME
Berliner Cohen
ADDRESS
10 Almaden Blvd, 11th Fir., San Jose, CA
BUSINESS ACTIVITY, IF ANY, OF SOURCE
95113
Prnvi~p l~eRl R~rvires
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
D $500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 g OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Q Salary 0 Spouse's income 0 Loan repayment
o Sale of
(Property, car, boat, etc)
o Commission or D Rental Income, /1st each source of $10,000 or more
o Other
(Describe)
o LOAN RECEIVED (complete box 2)
Name
Andrew L. Faber
> 1. NAME OF SOURCE OF INCOME
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSiTION
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
0$500 - $1,000 0 $1,001 - $10,000
0$10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's income 0 Loan repayment
o Sale of
(Property, car, boat, etc)
o Commission or 0 Rental Income, lis/ each source of $10.000 or more
D Other
(Describe)
D LOAN RECEIVED (complete box 2)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED/HIGHEST BALANCE DURING
REPORTING PERIOD, IF LOAN
0$500-$1,000 0$1,001-$10,000
D $10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
D Salary D Spouse's income D Loan repayment
D Sale of
(Property, car, boat, etc)
o Commission or D Rental Income, fist each source of $/0,000 or more
D Other
(Describe)
D LOAN RECEIVED (complete box 2)
INTEREST RATE
TERM (Months/Years)
% D None
SECURITY FOR LOAN
o None D Personal residence
D Real Property
Street address
City
D Guarantor
D Other
(Describe)
* You are not required to report loans from
commercial lending institutions, or any indebtedness
created as part of a retail installment or credit card
transaction, made in the lender's regular course of
business on terms available to members of the
public without regard to your official status.
Comments:
FPPC Form 700 (2004/2005) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC