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Kurt Svardal - Annual 2011 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT STATEMENT OF ECONOMIC INTERESTS COVER PAGE f', ii::.. Date Received Official Use Only PC~ ?~\~ CLtRV-S (j, ' (MIDDLE) Please type or print in ink. NAME OF FILER Svardal (LAST) (FIRST) Kurt M 1. Office, Agency, or Court Agency Name City of Gilroy-Police Department Division, Board, Department, District, if applicable Your Position Police Captain ~ If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) o State o Multi-County ~ City of Gilroy o Judge or Court Commissioner (Statewide Jurisdiction) o County of o Other 3. Type of Statement (Check at least one box) ~ Annual: The period covered is January 1, 2011, through December 31.2011. -or- o Leaving Office: Date Left ----1----1 (Check one) o The period covered is January 1, 2011, through the date of leaving office. The period covered is ----1----1 , through December 31,2011. o Assuming Office: Date assumed ----1----1 o The period covered is ----1----1 the date of leaving office. Office sought, if different than Part 1: , through o Candidate: Election Year 4. Schedule Summary Check applicable schedules or "None." ~ Total number of pages including this cover page: i- o 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 D 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 ZI P CODE 7301 Hanna St DAYTIME TELEPHONE NUMBER Gilroy ca E-MAIL ADDRESS (OPTIONAL) 95020 ( 408 ) 846-0322 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 is tr e a d correct. Date Signed 1~ 3~! L- (month, day, year) Signature FPPC Form 700 (2011/2012) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov