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CSG Consultants - Annual 2012III CALIFORNIA • . STATEMENT OF ECONOMIC INTERESTS i P�f� (R se Oniy POLITICAL FAIR A PUBLIC ' • COVER PAGE 2013 Please type or print in ink. 1; NAME OF FILER (LAST) (FIRST) (MIDDLE) Rider Charles Douglas 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Building Department Consultant ► If filing for multiple positions, list below or on an attachment. Agency: CSG Consultants Inc 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County ❑✓ City of Gilroy Position: Manager ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other — I Type of Statement (Check at least one box) ✓❑ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I I -or- December 31, 2012. (Check one) The period covered is — I through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed O The period covered is _ I I through the date of leaving office. ❑ Candidate: Election year and 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- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) San Mateo CA 94402 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 650 ) 333 -0852 doug @csgengr.com I have used all reasonable diligence in preparing this statement. I have reviewed this Date Signed 02/14/2013 (month, day, year) Signature the originally signed statement with your FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov STATEMENT OF ECONOMIC INTERESTS Date Received Official Use Only DOCUMENT A PUBLIC COVER PAGE Please type or print in ink. i NAME OF FILER (LAST) (FIRST) Brinkman Michael D r .. u.i'IERKS 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Building Department Consultant- Building Inspector ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑✓ City of Gilroy ❑ Other 3. Type of Statement (check at least one box) ✓❑ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —J I -or- December 31, 2012. (Check one) The period covered is I I through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is —J I through the date of leaving office. ❑ Candidate: Election year and 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. R1 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) San Mateo CA 94402 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 209 ) 862 -9511 mikeb @csgengr.com 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 Date Signed 02/14/2013 Signature (month, day, year) (File the originally signed statement with your filing official.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpiine: 866 /275 -3772 www.fppc.ca.gov i STATEMENT OF ECONOMIC INTERESTS Date Received `BAR 20iTlal Use Only COVER PAGE CLERKSf ,4 `. r Please type or print in ink NAME OF FILER (LAST) (FIRST) (MIDDLE) Centeno Henry 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position y Building Department ConsLYjtant - Building Inspectc ► If filing for multiple positions, list below or on an attachment. Agency: z. Juristi &,rlon of Office (Check at least one box) ❑ State ❑ Multi- County © City of Gilr 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 I -`Nsition: ❑ Judge or Court Commissioner (Statewide Jurisdiction) F-1 Cniinty of ❑ Other ❑ Leaving Office: Date Left —J— I (Check one) 0 The period covered is January 1, 2012, through the date of leaving office. 0 The period covered is I I through the date of leaving office. ❑ Candidate: Election year and 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- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) San Mateo CA 94402 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 650 ) 522 -2500 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 ) FPPC Form 700 (2012/2013) FPPC Advice Email: advicePfppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS Date Rece1 �iai Use d DOCUMENT FAIR POLITICAL PRACTICES COMMISSION A PUBLIC COVER PAGE Please type or print in ink. MAR 901 NAME OF FILER (LAST) (FIRST)MMMKS >y J LJ Chan Kevin 1. Office, Agency, or Court Agency Name City of Gilroy Divisi(o�n, Board, Department, District, if applicable Your Position l U4 ! 1 ,� Consultant ► If filing for multiple positions, list below or on an attachment. Agency: Position: _ 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑✓ City of Gilroy ❑ Other 3. Type of Statement (Check at least one box) ❑✓ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —_lam December 31, 2012. (Check one) .or- The period covered is I I through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed __ii O The period covered is through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: 1 ❑ 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- [ None • No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET ( E -MAIL ADDRESS (OPTIONAL) ( 650 ) 522 -2500 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 ) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. Date Received Official Use Only Gam. NAME OF FILER (LAST) (FIRST) ,;.•,► �r ° .1 1,^ Narr t D- ea 1. Office, Agency, or Court Agency N e T'V rov Division, Boyd, Department, District, if applica,* Your Position i�u l loll 117 Dt�+ • C0&'q U ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi - County �+ 5� City of ►7 / Iry 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 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 Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) F-1 Cnunty of ❑ Other ❑ Leaving Office: Date Left I I (Check one) through O The period covered is January 1, 2012, through the date of leaving office. O The period covered is — the date of leaving office. and office sought, if different than Part 1: through ► 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 ( ( '950) 5 -�a -- 25 00 Ca . g41+0) 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. 1 certify under penalty of perjury under the laws of the State of California that the official.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov Date Received CALIFORNIA • - 1 1 STATEMENT OF ECONOMIC INTERESTS FAIR POLITICAL PRACTICES COMMISSION PUBLIC DOCUMENT COVER PAGE 112 2013 Please type or print in ink. NAME OF FILER (LAST) (FIRST) WILEY THOMAS A 1. Office, Agency, or Court Agency Name CITY OF GILROY Division, Board, Department District, if applicable Your Position i lC'11,1�) l � CONSULTANT ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County © City of GILROY Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) F—I (.ni inty of ❑ Other 3. Type of Statement (Check at least one box) [7 Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —J —� December 31, 2012. (Check one) .or- The period covered is I through December 31, 2012. ❑ Assuming Office: Date assumed _J —J ❑ 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 O The period covered is January 1, 2012, through the date of leaving office. Q The period covered is — the date of leaving office. and office sought, if different than Part 1: PP. Total number of pages including this cover page: 9 through ❑ 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 ( SAN MATEO CA 94402 DAYTIME TELEPHONE NUMBER ( 650 ) 522 -2500 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 your filing official.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov CALIFORNIA • ' STATEMENT OF ECONOMIC INTERESTS Date Received O(ricial Use Only ' PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) Campidonica Jon David 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position JU j C1 i Consultant P. If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of © City of Gilroy ❑ Other 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left —J I December 31, 2012. (Check one) -or- The period covered is I t through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is _J— I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: I ❑ 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. 91 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE ( E -MAIL ADDRESS (OPTIONAL) ( 650 ) 522 -2500 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 filing oftal.) FPPC Form 700 (2012/2013) FPPC Advice Email: adviceC&fppc.ca.gov FPPC Toll -Free Helpline: 866 1275 -3772 www.fppc.ca.gov