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Rick Smelser - Annual 2005 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION (MIDDLE) STATEMENT OF ECONOMIC INTERESTS COVER PAGE G If:' I"j r~ \ ("~ ';~\DAYTIME TELEPHONE NU R ":":: ~0,8 846-9..1~~~ '/'\ .f OPTfoNAi.~I"At:Lt:-1\AAIL ADDRESS Please type or print in ink A Public Document NAME (LAST) (FIRST) Smelser MAILING ADDRESS STREET (May use business address) Rick CITY 7351 Rosanna Street Gilroy 1. Office, Agency, or Court Name of Office, Agency, or Court: Division, Board, District, if applicable: City of Gilroy 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) 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: ----1----1_ 00 Annual: The period covered is January 1, 2005, through December 31, 2005. -or- a The period covered is ----1----1_, through December 31, 2005. o Leaving Office Date Left: ----1----1_ (Check one) a The period covered is January 1, 2005, through the date of leaving office. -or- a The period covered is ----1----1_, through the date of leaving office. o Candidate STATE ZIP CODE CA 95020-6197 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 0 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 0 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 - Travel Payments -or- 00 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 perjury under the laws of the State of California that the foregoing is true and correct. Date Signed Signature FPPC Form 700 (2005/2006) FPPC Toll-Free Helpline: 866/ASK-FPPC