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Andy Faber - Annual 2012Qy to Received CALIFORNIA • 1 I STATEMENT OF ECONOMIC INTERESTS, fficia1 use Only POLITICAL FAIR A PUBLIC 2013 DOCUMENT COVER PAGE�R� ,u Please type or print in ink. T!, NAME OF FILER (LAST) (FIRST) (MIDDLE) Faber Andrew L. 1. Office, Agency, or Court Agency Name City of Gilroy (Acting City Attorney) Gilroy Community Development Agency (Acting General Counsel) Division, Board, Department, District, if applicable Your Position P. If filing for multiple positions, list below or on an attachment. Agency: South County Regional Wastewater Authority 2. Jurisdiction of Office (Check at least one box) Position: Legal Counsel through Berliner Cohen ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County © County of Santa Clara (for SCRWA) © City of Gilroy © Other South County Regional Wastewater Authority 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2012, through December 31, 2012. .or- The period covered is I I through December 31, 2012. ❑ Assuming Office: Date assumed ❑ Candidate: Election year ❑ Leaving Office: Date Left I I (Check one) 0 The period covered is January 1, 2012, through the date of leaving office. 0 The period covered is _ the date of leaving office. and office sought, if different than Part 1: through 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. El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public. Document) 10 Almaden Boulevard, 11th Floor San Jose DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 286 -5800 alf @berliner.com CA 95113 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 co r ct. Date Signed mil/ /� Signature (0ndr, day, year) (Fik the onginally signed statement with your filing official.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10 %) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY Building H Associates GENERAL DESCRIPTION OF BUSINESS ACTIVITY Industrial building owner FAIR MARKET VALUE ❑ $2,000 - $10,000 © $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ® Partnership ® Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: I / 12 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY Trade Zone Associates GENERAL DESCRIPTION OF BUSINESS ACTIVITY Property Holding FAIR MARKET VALUE ❑ $2,000 - $10,000 ® $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) © Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / / 12 _J � 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: J 12 // 12 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Andrew ..- ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � 1 12 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 12 _� � 12 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: � / 12 12 ACQUIRED DISPOSED FPPC Form 700 (2012/2013) Sch. A -1 FPPC Advice Email: adviceCafppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov SCHEDULE C CALIFORNIA Fit Income, Loans, & Business FAIR POLITICAL Positions Name (Other than Gifts and Travel Payments) Andrew L. Faber NAME OF SOURCE OF INCOME Berliner Cohen ADDRESS (Business Address Acceptable) 10 Almaden Blvd., 11th Flr., San Jose, CA 95113 BUSINESS ACTIVITY, IF ANY, OF SOURCE law firm YOUR BUSINESS POSITION Partner GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 © OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ® Partnership ❑ Sale of (Real property, car, boat, etc.) ❑ Commission or ❑ Rental Income, fist each source of $10.000 or more ❑ Other (Describe) NAME OF SOURCE OF INCOME Spouse's Income - University of California ADDRESS (Business Address Acceptable) 1156 High Street, Santa Cruz, CA 95060 BUSINESS ACTIVITY, IF ANY, OF SOURCE Education YOUR BUSINESS POSITION Professor GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 © OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary © Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property car. boat, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) 11- 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 (Months/Years) ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address city (Describe) FPPC Form 700 (2012/2013) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov