EMC Planning Group - Annual 2004
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
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STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
FrB 2005
CITY CLERKS omCE
GILROY. CA
Please~!~int i~~
A Public Document
NAME (LAST)
(FIRST)
Wissler Adam
Teri
MAILING ADDRESS STREET
(May use business address)
CITY
Monterey
1. Office, Agency, or Court
Name of Office, Agency, or Court:
City of Gilroy
Division, Board, District, if applicable:
Planning Division
Your Position:
Planning Consultant
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary,)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
D State
D County of
00 City of Gilroy
D Multi-County
D Other
3. Type of Statement (Check at least one box)
D Assuming Office/lnitial
Date: __L_---1_
00 Annual: The period covered is January 1, 2004,
through December 31,2004,
-or-
a The period covered is -----1-----1_, through
December 31, 2004.
D Leaving Office Date Left: -----1-----1_
(Check one)
a The period covered is January 1, 2004, through the
date of leaving office,
-or-
a The period covered is -----1-----1_, through
the date of leaving office,
D Candidate
(MIDDLE)
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OPTIONAL: FAX I E-MAIL ADDRESS
A
STATE ZIP CODE
CA 93940
4. Schedule Summary
(Check applicable schedules or "No reportable interests.'J
- During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 DYes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 DYes - schedule attached
Investments (10% or greater Ownership)
Schedule B
Real Property
DYes - schedule attached
Schedule C DYes - schedule attached
Income, Loans, & Business Positions (income Other than Gifts and
Travel Payments)
Schedule D (Eliminated - report loans on Schedule C)
Schedule E DYes - schedule attached
Income - Gifts
Schedule F DYes - schedule attached
Income - Travel Payments
-or-
- 00 No reportable interests on any schedule
Total number of pages
completed including this cover page:
5. Verification
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 certify under penalty of perjury under the laws ofthe State
of California that the foregoing is true and correct.
Date Signed February 10,2005
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