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Andy Faber - Annual 2009 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Date Rece~d Offld;J/se OiIl (}ly clifT 2{)J{) ,. ., ~If'$ ""'" ~.;'.,-.;;1' U!,,:,.,'--:--. " A Public Document - 'l,-. Please type or print in ink. \~~ > I NAME (LAST) (FIRST) (MIDDLE) DAYTIME..:r~~f'I:lONE NU,M~ER ~"'" -.. c Faber Andrew L. ( 408 ) 286-5800 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS (Business Address Acceptable) 10 Almaden Boulevard, 11th Floor San Jose CA 95113 alf@berliner.com 1. Office, Agency, or Court Name of Office, Agency, or Court: City of Gilroy Division. Board, District. if applicable: Your Position: Acting City Attorney South County Regional Wastewater Authority Position: Legal Counsel through Berliner Cohen Gilroy Community Development Agency Position: Acting General Counsel 2. Jurisdiction of Office (Check at least one box) o State o County of ~ City of Gilroy o Multi-County o Other 3. Type of Statement (Check at least one box) o Assuming Office/Initial Date: ___L__../_ ~ Annual: The period covered is January 1. 2009, through December 31, 2009. -Of- a The period covered is -.-J-.-J_, through December 31, 2009. o Leaving Office Date Left: -.-J-.-J_ (Check one) a The period covered is January 1, 2009, through the date of leaving office. -Of- a The period covered is -.-J-.-J_. through the date of leaving office. o Candidate Election Year: 4. Schedule Summary .... Total number of pages including this cover page: .... Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A-1 ~ Yes - schedule attached Investments (Less than 10% Ownership) Schedule A-2 0 Yes - schedule attached Investments (10% or Greater Ownership) Schedule BOYes - schedule attached Real Property Schedule C ~ Yes - schedule attached Income. Loans. & Business Positions (Income Other than Gifts and Travel Payments) Schedule D 0 Yes - schedule attached Income - Gifts Schedule E 0 Yes - schedule attached Income - Gifts - Travel Payments -Of- D No reportable interests on any schedule 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 peljury under the laws of the State of California that the foregoing is true and correct. Date Signed /' FebrUary)). 2010 ~ ~ (1:'r-' (File the originally signed statement with your fiHng official.) Signature FPPC Form 700 (2009/2010) FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov SCHEDULE A-' Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10%) Do not attach brokerage or financial statements, CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Andrew L. Faber .... NAME OF BUSINESS ENTITY .... NAME OF BUSINESS ENTITY Building H Associates GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY Industrial building owner FAIR MARKET VALUE o $2,000 - $10,000 0$100,001 - $1,000,000 FAIR MARKET VALUE o $2,000 - $10,000 0$100,001 - $1,000.000 ~ $10,001 - $100,000 DOver $1,000,000 NATURE OF INVESTMENT o Stock 0 Other NATURE OF INVESTMENT o Stock 0 Other (De~cribe) ~ Pannership 0 Income of $0 - $500 o Income Received of $500 or More (Repo1t on Schedule C) o $10,001 .. $100,000 DOver $1,000,000 o Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) (Describe) IF APPLICABLE, LIST DATE: IF APPLICABLE. LIST DATE: --...I--...I...illL ACQUIRED --...I--...I...illL DISPOSED --...I--...I...illL ACQUIRED --...I--...I...!PL DISPOSED .... NAME OF BUSINESS ENTITY Trade Zone Associates GENERAL DESCRIPTION OF BUSINESS ACTIVITY .... NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY Property Holding FAIR MARKET VALUE o $2,000 - $10,000 o S100,OOl - Sl,OOO,OOO ~ S10,001 - S100,OOO DOver Sl.000,Ooo FAIR MARKET VALUE o S2,OOO - S10,OOO o SlOO,OOl - $1,000,000 NATURE OF INVESTMENT o Stock 0 Other NATURE OF INVESTMENT o Stock 0 Other (Describe) IZI Partnership 0 Income of SO - $500 o Income Received of S500 or More (Report on Schedule C) o $10,001 - S100,OOO DOver Sl,OOO,Ooo o Partnership 0 Income of $0 - S500 o Income Received of S500 or More (Report on Schedule C) (DeSCrIbe) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: --...I--...I...illL ACQUIRED --...I--...I...illL DISPOSED --...I--...I...illL ACQUIRED --...I--...I...illL 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 - S10,OOO o S100,OOl - Sl,OOO,OOO o S10.001 - S100,OOO DOver Sl,OOO,Ooo FAIR MARKET VALUE 0$2,000 - $10,000 o SlOO,OOl . $1,000,000 NATURE OF INVESTMENT o Stock 0 Other NATURE OF INVESTMENT o Stock 0 Other (Describe) o Partnership 0 Income of SO . $500 o Income Received of S500 or More (Repolt on Schedule C) o S10,OOl - S100,OOO DOver Sl,OOO,Ooo o Pannership 0 Income of $0 - S500 o Income Received of S500 or More (Report on Sc/Jedule C) (Describe) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: --...I--...I...illL ACQUIRED --...I--...I...illL DISPOSED --...I--...I...illL ACQUIRED Comments: --...I--...I...!PL DISPOSED FPPC Form 700 (2009/2010) Sch. A-1 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Andrew L. Faber .... 1. INCOME RECEIVED .... 1. INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME Berliner Cohen ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) 10 Almaden Blvd., 11th Fir., San Jose, CA 95113 BUSINESS ACTIVITy IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY. OF SOURCE YOUR BUSINESS POSITION YOUR BUSINESS POSITION GROSS INCOME RECEIVED 0$500 - $1,000 0 $1,001 - $10,000 o $10,001 - $100,000 ~ OVER $100,000 GROSS INCOME RECEIVED o $500 - $1.000 0 $1,001 - $10,000 o $10,001 - $100,000 0 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ~ Salary 0 Spouse's or registered domestic partner's income o Loan repayment CONSIDERATION FOR WHICH INCOME WAS RECEIVED o Salary 0 Spouse's or regislered domestic partner's income o Loan repayment o Sale of (Property. car; boat. etc) o Sale of (Property. car; boat. etc) o Commission or D Rental Income, fi.')t each source 0/ $10,000 or more o Commission or o Rental Income, list each source of $70.000 or more o Other (Describe) o Other (Describe) ... 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * 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. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER' INTEREST RATE TERM (MonthslYears) 0(0 D None ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, fF ANY, OF LENDER SECURITY FOR LOAN o None 0 Personal residence o Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD o $500 . $1.000 D $1,001 - $10,000 D $10,001 . $100.000 DOVER $100,000 City D Guarantor D Other (Desenbe) Comments: FPPC Form 700 (2009/2010) Sch. C FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov