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Jim Gillio - Annual 2012Please type or print in ink. NAME OF FILER Gillio 1. Office, Agency, or Court STATEMENT OF ECONOMIC INTERESTS COVER PAGE James (FIRST) ' Datr�Received , O% Use Only Ct`� CLERKS Cs � u� � (MIDD ) Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Police Captain ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi -County ❑ County of ®City of Gilroy El Other 3. Type of Statement (check at least one box) © Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —J December 31, 2012. (Check one) -or- The period covered is I ,through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed O The period covered is 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." ► 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 8 - 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 Agency Address Recommended - Public Document) 7301 Hanna St. Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 846 -0323 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 correct. 3/19/13 Date Signed Signature - (month, day, year) (File the ong),gosigned statement with your filing official.) G FPPC Form 700 (2012/2013) FPPCAdvice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov