Goodwin Consulting Group - Annual 2011CALIFORNIA • - 700
oo d
STATEMENT
OF ECONOMIC INTERESTS
CLERKS ti t�
FAIR POLITICAL PRACTICES COMMISSION
Ci l'
A PUBLIC DOCUMENT
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST)
(FIRST) (MIDDLE)
Goodwin
Susan Marie
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable
Your Position
IVi5lit
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, 2011, through
❑ Leaving Office: Date Left —J 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.
❑ Assuming Office: Date assumed I 1
O The period covered is I 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: 2
❑ 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-
El None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
Sacramento CA 95825
DAYTIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 916 ) 561 -0890
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
)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Goodwin Consulting Group, Inc.
ADDRESS (Business Address Acceptable)
Sacramento CA 95825
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Consulting
YOUR BUSINESS POSITION
Managing Principal
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑X $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
n Cal. of
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
x❑ Other Consulting Services
(Describe)
Name
Susan Marie Goodwin
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
❑ Other
(Describe)
1� 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's regular course of business on terms available to
members of the public without regard to your official status. Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER'
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY. IF ANY. OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ $10,001 - $100,000
❑ OVER $100,000
Comments:
INTEREST RATE TERM (Months /Years)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
City
(Describe)
FPPC Form 700 (2011/2012) Sch. C
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov