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Dokken Engineering - Annual 2012
CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS Out 1 ce0,IVd FAIR POLITICAL PRACTICES COMMISSION ate c lv jp� 213 A PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Griggs Matthew N. 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Public Works Department Consultant, Civil Engineer ► If filing for multiple positions, list below or on an attachment. Agency: 2. Jurisdiction of Office (Check at least one box) Position: ❑ 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 December 31, 2012. -or- The period covered is through December 31, 2012. ❑ Assuming Office: Date assumed ❑ Candidate: Election year ❑ Leaving Office: Date Left (Check one) 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 4. Schedule Summary Check applicable schedules or "None." o- 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 CITY STATE ZIP CODE ( Folsom CA 95630 ( 916 ) 858 -0642 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: advice @fppe.ca.gov FPPC Toll -Free Helpline: 866 1275 -3772 www.fppc.ca.gov