EMC Planning Group - Annual 2005
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE
STATEMENT OF ECONOMIC INTERESTS
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Please type or print in ink
A Public Document
NAME
( ~n1 C)
(FIRST)
(LAST)
Wissler Adam
MAILING ADDRESS STREET
(May use business address)
Teri
CITY
301
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)1
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
~ City of Gilroy
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/lnitial
Date: ------1------1_
~ Annual: The period covered is January 1, 2005,
through December 31, 2005.
-or-
a The period covered is ------1------1_, through
December 31, 2005.
o Leaving Office Date Left: ------1_1_
(Check one)
a The period covered is January 1, 2005, through
the date of leaving office.
-or-
a The period covered is ------1------1_, through
the date of leaving office.
o Candidate
(MIDDLE)
A
STATE ZIP CODE
OPTIONAL: FAX I E-MAIL ADDRESS
CA 93940
4. Schedule Summary
- Total number of pages
including this cover page:
1
- Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 0 Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule BOYes - schedule attached
Real Property
Schedule C 0 Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - Travel Payments
-or-
[Xl No reportable interests on any schedule
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 of the State
of California that the foregoing is true and correct.
Date Signed
January 9, 2006
(month, day, year) I.
-r-
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