Scot Smithee - Annual 2011STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
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NAME OF FILER (LAST) (FIRST) (MIDDLE)
Smithee Scot A. -
1. Office, Agency, or Court
Agency Name
t
Division, Board, Department, District, if applicable
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► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County —
❑
X City of Gilroy
Your Position
- Captain
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
F-1 Cniinty of
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left I
December 31, 2011. (Check one)
-or-
The period covered is through O The period covered is January 1, 2011, through the date of
December 31, 2011. leaving office.
❑ Assuming Office: Date assumed O The period covered is I I through
the date of leaving office.
❑ 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:
❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments- schedule attached
.or-
❑X None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
7301 Hanna Street Gilroy CA 95020
DAYTIME TELEPHONE NUMBER E -MAIL ADURESS (UF' I IUNAL)
( 408 ) 846 -0310 scot.smithee @ci.giIroy.ca.us
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 acknowledge this is a public document.
I certify under penalty of perjury under the laws of the State of California that the foregoing i e and correct.
Date Signed / O /� Signat
(m th, day, year) eon g a e w at)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov