Tom Fischer - Annual 2012STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
Date Received
FFR 2013
NAME OF FILER (LAST) (FIRST) U11
Fischer Thomas Allen
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable
Your Position
Planning Commission
Planning Commissioner
► 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, California
_ Other
3. Type of Statement (Check at least one box)
Fv_11 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 :) The period covered is January 1, 2012, through the date of
December 31, 2012.
leaving office.
Assuming Office: Date assumed I — I
:) The period covered is I through
the date of leaving office.
Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
1
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-
❑✓ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
CITY STATE ZIP CODE
(
NUMBER
E -MAIL ADDRESS (OPTIONAL)
( 408 ) 847 -4716
plumberfisch @hotmail.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
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