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Rick Smelser - Annual 2011 COVER PAGE c;ff:s "'< f; c:e 'I '" ,j "~\t H.~ ~~ I\t\:'i~\:.. .cR~';,v'" N"\\'(C\J;.; .,_ (-\ Vi -l Y CI'0II'~ \,;, ~ G:h;~~~';....;o 13 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT STATEMENT OF ECONOMIC INTERESTS Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Glenn Smelser Rick 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Public Works Department Your Position Director of Public Works/City Engineer ~ If filing for multiple positions, list below or on an attachment. A Community Development Agency of City of Gilroy gency: P .. Director of Public Works/City Engineer oSition: 2. Jurisdiction of Office (Check at least one box) DState D Multi-County [8] City of Gilroy D Judge or Court Commissioner (Statewide Jurisdiction) D County of DOther 3. Type of Statement (Check at least one box) ~ Annual: The period covered is January 1, 2011, through December 31,2011. .or. The period covered is ~~ 2011 ,through December 31,2011. D Assuming Office: Date assumed ----1----1 D Leaving Office: Date Left ----1----1 (Check one) o The period covered is January 1, 2011, through the date of leaving office. o The period covered is ----1----1 the date of leaving office. , through D Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ~ Total number of pages including this cover page: D Schedule A.1 . Investments - schedule attached o Schedule A-2 - Investments - schedule attached o Schedule B - Real Property - schedule attached o Schedule C . Income, Loans, & Business Positions - schedule attached o Schedule D - Income - Gifts - schedule attached o Schedule E . Income - Gifts - Travel Payments - schedule attached .or. ~ None. No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE 7351 Rosanna Street DAYTIME TELEPHONE NUMBER Gilroy CA E-MAIL ADDRESS (OPTIONAL) 95020 ( 408 ) 846-0451 rsmelser@cLgilroy.ca.us I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the bes herein and in any attached schedules is true and complete. I acknowledge this is a public docume I certify under penalty of perjury under the laws of the State of California that the fore Date Signed 2/1/2012 n contained (month, day, year) Signature FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov CALlFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT Please type or print in ink. NAME OF FILER (LAST) (FIRST) Dat.~.~,ceived ~g,9 ~ (0ti,,,!A'S (),'";;" 4'.'~:':"l,,/' r:..c t"t(;p , llj '" (MIDDLE) Glenn STATEMENT OF ECONOMIC INTERESTS COVER PAGE Smelser Rick 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Public Works Department Your Position Director of Public Works/City Engineer ~ If filing for multiple positions, list below or on an attachment. A South County Regional Wastewater Authority gency: P 't' SCRWA Engineer OSllon: 2. Jurisdiction of Office (Check at least one box) DState D Multi-County [8] City of Gilroy o Judge or Court Commissioner (Statewide Jurisdiction) I8J County of Santa Clara DOther 3. Type of Statement (Check at least one box) ~ Annual: The period covered is January 1, 2011, through December 31,2011. .or. The period covered is ~~ 2011 ,through December 31,2011. D Assuming Office: Date assumed ----1----1 D Leaving Office: Date Left ----1----1 (Check one) o The period covered is January 1, 2011, through the date of leaving office. o The period covered is ----1----1 the date of leaving office. Office sought, if different than Part 1: , through D Candidate: Election Year 4. Schedule Summary Check applicable schedules or "None." ~ Total number of pages including this cover page: o Schedule A.1 . Investments - schedule attached o Schedule A.2 . Investments - schedule attached o Schedule B . Real Property - schedule attached D Schedule C - Income, Loans, & Business Positions - schedule attached o Schedule D . Income - Gifts - schedule attached o Schedule E . Income - Gifts - Travel Payments - schedule attached .or. ~ None. No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE 7351 Rosanna Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL) ( 408 ) 846-0451 rsmelser@cLgilroy.ca.us I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge th 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 foregoi Date Signed 1/1/2012 Signature (month, da~ year) FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov