Scot Smithee - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE
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DatW<eceived
Official Use Only
~?R 2010..
I'r~ CLERKS OF: t..'
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STATEMENT OF ECONOMIC INTERESTS
Please type or print in ink.
A Public Document
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NAME (lAST) (FIRST) (MIDDLE) DAYTi~ 'tS;LEPHONE .NUM8ER
--"---
Smithee Scot Alan ( 408 ) 846-0310
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E-MAil ADDRESS
(Business Address Acceptable)
7301 Hanna Street Gilroy CA 95020 scot.sm ithee@ci.gilroy.ca.us
1. Office, Agency, or Court
Name of Office, Agency, or Court:
Gilroy Police Department
Division, Board, District, if applicable:
Your Position:
Police Captain
~ 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
IZI City of Gilroy
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: ---.1---.1_
IZI Annual: The period covered is January 1, 2009,
through December 31, 2009.
-or-
a The period covered is ---.1---.1_, through
December 31, 2009.
o Leaving Office Date Left: ---.1---.1_
(Check one)
a The period covered is January 1, 2009, through the
date of leaving office.
-or-
a The period covered is ---.1---.1_, through
the date of leaving office.
o Candidate Election Year:
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 - Gifts - Travel Payments
-or-
IZI 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
Signatur
FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov