Tom Haglund - Annual 2009 CDA
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
COVER PAGE
STATEMENT OF ECONOMIC INTERESTS
Date R~eived
Official Use Only
APR 2010
ern- a.ERKS OF;,::,?:;;:
Please type or print in ink.
A Public Document
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NAME (LAST) (FIRST) (MIDDLE) DAYTIME:fELE~l'J~ j\l~V'QI2-'7/
HAGLUND THOMAS J ( 408 ) 846-0202
MAILING ADDRESS STREET CITY STATE ZIP 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 Community Development Agency
Division, Board, District, if applicable:
Your Position:
City Administrator/Executive Director
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
D State
D County of
~ City of Gilroy
D Multi-County
D Other
3. Type of Statement (Check at least one box)
D Assuming Officellnitial
Date: ----1----1_
~ Annual: The period covered is January', 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)
a The period covered is January', 2009, through the
date of leaving office.
-or-
a The period covered is ----1----1_, through
the date of leaving office.
D 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-' DYes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 DYes - schedule attached
Investments (10% or Greater Ownership)
Schedule B DYes - schedule attached
Real Property
Schedule C DYes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D DYes - schedule attached
Income - Gifts
Schedule E DYes - schedule attached
Income - Gifts - Travel Payments
-or-
IZJ 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 perjury under the laws of the State
of California that the foregoing is true and correct.
04/09/2010
Signature
FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov