Elizabeth Sanford - Annual 2011Date Received
STATEMENT OF ECONOMIC INTERESTS Oifca, Use oniy
DOCUMENT A PUBLIC COVER PAGE
Please type or print in ink. # _
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Sanford Elizabeth Petrinovich
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 —
❑ City of Gilroy
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
x❑ Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left I I
December 31, 2011. (Check one)
.or-
The period covered is
December 31, 2011.
❑ Assuming Office: Date assumed
❑ Candidate: Election Year
through O The period covered is January 1, 2011, through the date of
leaving office.
O The period covered is I I through
the date of leaving office.
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 x❑ Schedule C - Income, Loans, & Business Positions – schedule attached
❑x 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-
7 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
70 West Hedding Street San Jose CA 95110
DAYTIME TELEPHONE NUMBER I E -MAIL ADDRESS (OPTIONAL)
( 408 ) 960 -9200 1 elizabeth .sanford @ci.gilroy.ca.us
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 Signed ` Signature
(month, day, year) (File the onginally sign with your filing official.)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
SCHEDULE A -2 CALIFORNIA FOJ
Investments, Income, and Assets FAIR POLITICAL PRACIT,4
of Business Entities/Trusts Name
(Ownership Interest is 10% or Greater) I Elizabeth Sanford
111k, 1. BUSINESS ENTITY OR
Consulting, LLC
Name
1492 Quail Walk Drive, Gilroy, CA 95020
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Public affairs consulting
i
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 __J__J 11
❑X $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑X Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION President
❑ $0 - $499 X❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
1p- 3. LIST THE NAME OF ••- TABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach a separate sheet if necessary.)
lo, 4. INVESTMENTS ■ INTERESTS IN REAL PROPERTY ■ BY THE
BUSINESS ENTITY •-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
110- 1. BUSINESS ENTITY OR
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
F RAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $o - $1,999
❑ $2,000 - $10,000 __j___/ 11
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Sole Proprietorship ❑ Partnership ❑
Other
YOUR BUSINESS POSITION
• -• • •
700$$Cl
- $499 ❑ $10,001 - $100,000
00 - $1, 000 ❑ OVER $100,000
,001 - $10,000
lo- 3. LIST THE NAME OF ••- TABLE SINGLE SOURCE OF
INCOME OF $10,000 OR MORE (Attach . separate sheet if necessary.)
Do- 4. INVESTMENTS ■ INTERESTS IN REAL PROPERTY ■ BY THE
BUSINESS ENTITY •-
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, or
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity or
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold [] Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2011/2012) Sch. A -2
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE
C CALIFORNIA FORM 1 1
Income, Loans, &
Business FAIR POLITICAL PRACTICES COMMISSION
Positions Name
(Other than Gifts and Travel Payments) Elizabeth Sanford
llb- 1. INCOME RECEIVED
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
NAME OF SOURCE OF INCOME
Bay Area Printer and Data Services
ADDRESS (Business Address Acceptable)
ADDRESS (Business Address Acceptable)
1460 Tully Road, Suite 607 San Jose, CA
BUSINESS ACTIVITY, IF ANY, OF SOURCE
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Printer services
YOUR BUSINESS POSITION
YOUR BUSINESS POSITION
n/a
GROSS INCOME RECEIVED
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $500 - $1,000 ❑ $1,001 - $10,000
X $10,001 - $100,000 ❑ OVER $100,000
❑
❑ $10,001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ salary ❑ spouse's or registered domestic partner's income
❑ Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Loan repayment ❑ Partnership
❑ Sale of
❑ Sale of
(Real property, car, boat, etc.)
(Real property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
❑ Other
(Describe)
(Describe)
1� 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a
retail installment or credit card transaction, made in the lender's
regular course of business on terms available to
members of the public without regard to your official status.
Personal loans and loans received not in a lender's
regular course of business must be disclosed as follows:
NAME OF LENDER`
INTEREST RATE TERM (MonthsiYears)
% ❑ None
ADDRESS (Business Address Acceptable)
SECURITY FOR LOAN
BUSINESS ACTIVITY, IF ANY, OF LENDER
❑ None ❑ Personal residence
❑ Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
City
❑ $1,001 - $10,000
❑ Guarantor
❑ $10,001 - $100,000
❑ OVER $100,000
❑ Other
(Describe)
Comments:
FPPC Form 700 (2011/2012) Sch. C
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov