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Rick Smelser - Annual 2009 CALlFORNIA FORM 700 FAIR POI11ICAI PRACTICES COMMISSION Please type or print in ink. A Public Document COVER PAGE ~- ~~;;\:!_7.E; -; G / rfi.f~~;)" , I ,..uct~ Receiv~ ~.....'.('/' Official useonfltl C', FJ E c".. to 2010 :;, C~~f't" \' C:. ...a(/t' c.~ "'IC \ c'~ STATEMENT OF ECONOMIC INTERESTS NAME (LAST) (FIRST) Smelser MAILING ADDRESS STREET (Business Address Acceptable) Rick CITY 7351 Rosanna Street Gilroy 1. Office, Agency, or Court Name of Office, Agency, or Court: City of Gilroy Division, Board, District, if applicable: Community Development Department Your Position: City Engineer ~ If filing for multiple positions, list additional agency(ies)/ position(s): (Attach a separate sheet if necessary.) Agency: South County Regional Wastewater Authority Po~ition: SCRWA Engineer 2. Jurisdiction of Office (Check at least one box) o State o County of ~ City of Gilroy o Multi-County ~ Other South County Regional Wastewater Authority 3. Type of Statement (Check at least one box) o Assuming Office/Initial Date: ----1----1_ ~ Annual: The period covered is January 1, 2009, through December 31, 2009. -or- o The period covered is ----1----1_, through December 31, 2009. o Leaving Office Date Left: ----1----1_ (Check one) o The period covered is January 1, 2009, through the date of leaving office. -or- o The period covered is ----1----1_, through the date of leaving office. o Candidate Election Year: (MIDDLE) DAYTIM'r~HONE NUMBER.>t';',y l~~ [J (' r Z ~~1" t:~~>.. ( 408 ) 84fr.:0451:~:~- / OPTIONAL: E-MAIL ADDRESS Glenn STATE ZIP CODE CA 95020 rsmelser@ci.gilroy.ca.us 4. Schedule Summary ~ Total number of pages including this cover page: 2 ~ Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A-l 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 - Gifts - Travel Payments -or- ~ 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. Signature Date Signed FPPC Form 700 (2009/2010) FPPC Toll-Free Helpline: 866/ASK.FPPC www.fppc.ca.gov