Rick Smelser - Annual 2004
STATEMENT OF ECONOMIC INT
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COVER PAGE ;'
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700
OMMISSION
CALIFORNIA FORM
FAIR POLITICAL PRACTICES C
Please type or print in ink
NAME
(LAST)
(FIRST)
Smelser
Rick
CITY
MAILING ADDRESS STREET
(May use business address)
City of Gilroy, 7351 Rosanna Street
Gilroy
1. Office, Agency, or Court
Name of Office, Agency, or Court:
City of Gilroy
Division, Board, District, if applicable:
Your Position:
City Engineer
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
D State
D County of
~ City of Gilroy
D Multi-County
D Other
3. Type of Statement (Check at least one box)
D Assuming Office/lnitial
Date: ---1---1_
00 Annual: The period covered is January 1, 2004,
through December 31, 2004.
-or-
a The period covered is ---1---1_, through
December 31, 2004.
D 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
CA 95020
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 DYes - 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 DYes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E DYes - schedule attached
Income - Gifts
Schedule F DYes - schedule attached
Income - Travel Payments
-or-
_ ~ No reportable interests on any schedule
Total number of pages
completed including this cover page:
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.
Signature
Date Signed
FPPC Form 700 (2004/2005)
FPPC Toll-Free Helpline: 866/ASK-FPPC