Tom Haglund - Annual 2009
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
A Public Document
COVER PAGE
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STATEMENT OF ECONOMIC INTERESTS
NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER
HAGLUND Thomas John ( 408 ) 846-0202
MAILING ADDRESS STREET CITY STATE liP CODE OPTIONAL: E-MAIL ADDRESS
(Business Address Acceptable)
7351 Rosanna Street Gilroy CA 95020 tom.haglund@cLgilroy.ca.us
1. Office, Agency, or Court
Name of Office, Agency, or Court:
City of Gilroy
Division, Board, District, if applicable:
Your Position:
City Administrator
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency: South County Regional Wastewater Auth.
Position: SCRWA Manager
2. Jurisdiction of Office (Check at least one box)
D State
D County of
IZJ City of Gilroy
D Multi-County
D Other
3. Type of Statement (Check at least one box)
[] Assuming Office/lnitial
Date: __J___-1___
~ Annual: The period covered is January 1, 2009,
through December 31,2009.
-or-
a The period covered is ---1_----1_, through
December 31, 2009.
D Leaving Office Date Left: _.1---1__
(Check one)
o The period covered is January 1, 2009, through the
date of leaving office.
-or-
o The perioe] covered is _____L______L____., througll
the date of leaving office.
[J Candidate Election Year:
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-l DYes - schedule attached
Investments (Less tllan 70% OwnerS/lip)
Schedule A-2 DYes - schedule attached
Investments (70% or Greater Ownersllip)
Schedule B DYes - schedule attached
Real Property
Schedule C DYes - schedule attached
Income, Loans, & Business Positions (Income Otller than Gifts
and Travel Payments)
Schedule D DYes - schedule attached
Income - Gifts
Schedule E DYes - schedule attached
Income - Gifts - Travel Payments
-or-
IZI 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 peljury under the laws of the State
of California that the foregoing is true and correct.
3/15/2010
(mont/J. day, year)
Signature
FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASI<-FPPC www.fppc.ca.gov