Susan Sweeney - Annual 2012Date Received
STATEMENT OF ECONOMIC INTERESTS if n, Use orgy.
PUBLIC DOCUMENT COVER PAGE FEB 2013
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Please type or print in ink. ER KS C_
NAME OF FILER (LAST) (FIRST)
Sweeney Susan Lee
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable Your Position Physically Challenged Board of Appeals Vice-Chair ►��'�
► If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
W] City of Gilroy
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left
December 31, 2012. (Check one)
-or-
The period covered is I through O The period covered is January 1, 2012, through the date of
December 31, 2012, leaving office.
❑ Assuming Office: Date assumed 1 O The period covered is —J 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-
W1 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
5055 Santa Teresa Blvd
Gilroy CA 95020
DAYTIME TELEPHONE NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 408 ) 848 -4813
ssweeney @gavilan.edu
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 for true and corre
Date Signed 02/13/2013
Signature
(month, day, year)
(Filet or gin sign stat ent with yrour filing official)
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