Chris Weber - Assuming Office 2012Please type or print in ink.
NAME OF FILER
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
(FIRST)
Date Received
Official Use Only
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Weber Christopher T
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Fire Department Fire Division Chief
► If filing for multiple positions, list below or on an attachment.
Agency: Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County —
❑R City of Gilroy
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County 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 I
December 31, 2011. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2011, through the date of
December 31, 2011. leaving office.
0 Assuming Office: Date assumed 04 t 02 / 2012 O The period covered is J 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)
7070 Chestnut Street Gilroy CA 95020
DAYTIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0370
1 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 true and correct.
Date Signed 04 -02 -12
(month, day, year)
Signature
your
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov