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Brittany Lehman - Annual 2012Date Rd ceived CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS oft,i 1iIi� OWY POLITICAL FAIR = PRACTICES COVER PAGE Please type or print in ink. ,;+ yl C, NAME OF FILER (LAST) (FIRST) (MIDDLE) Lehman Brittany A 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Parks and Recreation Commissioin Vice Chair ► 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) ❑ Mulfi -County ❑ County of Z City of Gilroy ❑ Other 3. Type of Statement (Check at least one box) Q Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left December 31, 2012. (Check one) •or• The period covered is through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ❑ Assuming Office: Date assumed O The period covered is through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: [] 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- 0 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Publk Document) 7661 Santa Barbara Dr. Gilroy CA 95020 ( 805 ) 704 -0007 breindl11 @hotmaii.com 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 acknowledge this is a public document. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Sianed 04/05/2013 Signature (vmrdh, day, year) (File the originally sgned statement with your hFng olhclal.) FPPC Form 700 (201212013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 8661275 -3772 www.fppc.ca.gov