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Kurt Svardal - Annual 2012CALIFORNIA ' • • 700 STATEMENT OF ECONOMIC INTERESTS °Official Useeived PUBLIC FAIR POLITICAL PRACTICES COMMISSION DOCUMENT COVER PAGE Win ^4 'yVIZ. Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Svardal Kurt m 1. Office, Agency, or Court Agency Name City Of Gilroy - Police Department Police Captain Division, Board, Department, District, if applicable ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) Your Position Position: ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi-County © City of Gilroy 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2012, through December 31, 2012. -or- The period covered is I I through December 31, 2012. ❑ Assuming Office: Date assumed ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached ❑ County of ❑ Other ❑ Leaving Office: Date Left I (Check one) O The period covered is January 1, 2012, through the date of leaving office. O The period covered is I I through the date of leaving office. and office sought, if different than Part 1: ► Total number of pages including this cover page: I_ ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -or- 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 St Gilroy Ca 95020 DAYTIME TELEPHONE NUMBER I E -MAIL ADDRESS (OPTIONAL) ( 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 ue a correct. Date Signed Signature (month, day, year) (File the originally signed statement with your fling official) FPPC Form 700 (201212013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov