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West Coast Code Consultants - Annual 2007 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION ~627Z8 ., ~~''':;'';- <,9:> . /~1... A \:50 1'\1 ... 0- fOlte Re . d \ ! (:JOfficial us~a .. ..;. 1~;1 mr..... ~ iP. 8IIJIJt CA ,J::. ." en OJ 0\1 ~fJ:> STATEMENT OF ECONOMIC INTERESTS COVER PAGE A Public Document Please type or print in ink. NAME (LAST) (FIRST) O'Brien MAILING ADDRESS STREET (May use business address) Susan CITY 2400 Ramon 1. Office, Agency, or Court Name of Office, Agency, or Court: City of Gilroy Division, Board, District, if applicable: Building Department Your Position: Plan Check 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 [gJ City of Gilroy D Multi-County D Other 3. Type of Statement (Check at least one box) D Assuming Office/Initial Date: ----...1----...1_ [gJ Annual: The period covered is January 1, 2007, through December 31, 2007. -or- a The period covered is ----...1----...1_, through December 31, 2007. D Leaving Office Date Left: ----1----...1_ (Check one) a The period covered is January 1, 2007, through the date of leaving office. -or- a The period covered is ----1----1_, through the date of leaving office. D Candidate (MIDDLE) DAYTIME TELEPHO Carol STATE ZIP CODE ( 925 ) 275-1700 OPTIONAL: FAX I E-MAIL ADDRESS CA 94583 (925) 275-0600 4. Schedule Summary - Total number of pages including this cover page: - Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A-1 DYes - schedule attached Investments (Less than 10% Ownership) Schedule A-2 DYes - schedule attached Investments (10% or greater Ownership) Schedule B DYes - schedule attached Real Property Schedule C DYes - schedule attached Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) Schedule D DYes - schedule attached Income - Gifts Schedule E DYes - schedule attached Income - Travel Payments -or- [g] 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 ofthe State of California that the foregoing is true and correct. Signature Date Signed FPPC Form 700 (2007/2008) FPPC Toll-Free Helpline: 866/ASK-FPPC