Loading...
Pacific Municipal Consultants - Annual 2004 STATEMENT OF ECONOMIC INTERESTS CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION J\ t;,6 789701 n''f 1 RecEllted ~"l "Official Use . ~.., I -,' Mf\C ~ t:) MAR L\J\JoJ 1~ g em CLERKS OfflCE ' 7-:, mtROY. CA c COVER PAGE P fLl.-LfCiC, J){U4v; {I pi c~eJtLtd( . Please type or print in ink A PuhZzc Document NAME (lAST) (FIRST) (MIDDLE) DAYTIME'F~eRHoNE NUMBER , - ,......-, ( 916 ) 361~838:r' :' OPTIONAL: FAX I E-MAil ADDRESS Steam Tad MAILING ADDRESS STREET (May use business address) CITY 10461 Old ZIP CODE CA 95827 (916) 361-1574 1. Office, Agency, or Court Name of Office, Agency, or Court: Planning Department Division, Board, District, if applicable: 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) o State o County of 181 City of Gilroy o Multi-County o Other 3. Type of Statement (Check at least one box) o Assuming Office/Initial ~ Date: -.1-.1_ Annual: The period covered is January 1., 2004, through December 31, 2004. -or- a The period covered is -.1-.1_, through December 31, 2004. o 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. o Candidate 4. Schedule Summary (Check applicable schedules or "No reportable interests. '7 _ During the reporting period, did you have any reportable interests to disclose on: 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 B Real Property DYes - schedule attached Schedule C 0 Yes - schedule attached Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) Schedule D (Eliminated - report loans on Schedule C) Schedule E 0 Yes - schedule attached Income - Gifts Schedule F 0 Yes - schedule attached Income - Travel Payments -or- _ 181 No reportable interests on any schedule Total number of pages completed including this cover page: 1 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 ~ ~ ! 0 S (month, day, year) talemenl with your filing official.) FPPC Form 700 ( CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION (MIDDLE) ("",~')789 r.., .' 'i~ate ~ceived " Officia~ Only I STATEMENT OF ECONOMIC INTERESTS {;:;:l ,. Ii I _ COVER PAGE ~ ~.~f;<fr / l . A Public Document M~R ~~ C\T1 C\.ER~ Off\C~ G\\.RO'f. ~ ~CVVvlf f. ~q I Please l;;:e or print in ink NAME (LAST) (FIRST) Spencer MAILING ADDRESS STREET (May use business address) Erika CITY Sacramento 1. Office, Agency, or Court Name of Office, Agency, or Court: Planning Department Division, Board, District, if applicable: 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) o State o County of ~ City of Gilroy o Multi-County o Other 3. Type of Statement (Check at least one box) o Assuming Officellnitial ~ Date: ----1----1_ Annual: The period covered is January 1, 2004, through December 31, 2004, -or- a The period covered is ----1----1_, through December 31,2004. o 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. o Candidate STATE ZIP CODE OPTIONAL: FAX I E-MAIL ADDRESS CA 95827 (916) 361-1574 4. Schedule Summary (Check applicable schedules or "No reportable interests. '1 - During the reporting period, did you have any reportable interests to disclose on: 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 B Real Property DYes - schedule attached Schedule C 0 Yes - schedule attached Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) Schedule D (Eliminated - report loans on Schedule C) Schedule E 0 Yes - schedule attached Income - Gifts Schedule F 0 Yes - schedule attached Income - Travel Payments -or- _ ~ No reportable interests on any schedule Total number of pages completed including this cover page: 1 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. 3>/' /0) (month, day, year) Date Signed Signature FPPC Form 700 (200412005) FPPC Toll-Free Helpline: 866/ASK-FPPC