Tom Haglund - Annual 2010
CALlFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
STATEMENT OF ECONOMIC INTERESTS'
COVER PAGE
MAR 2011
en-y ClERKS OF;:tC,:
J~te
Off/cia! Use
Please type or print in ink.
NAME OF FILER
HAGLUND
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable
THOMAS
(MIDDLE)
JOHfi_ . .
II
,
/
(LAST)
(FIRST)
City Administrator
Your Position
~ If filing for multiple positions, list below or on an attachment.
Agency: Gilroy Community Development Agency
2. Jurisdiction of Office (Check at least one box)
o State
o Multi-County
~ City of Gilroy
3. Type of Statement (Check at least one box)
r&I Annual: The period covered is January 1, 2010, through December 31,
2010. -or-
The period covered is __L__-1_, through December 31,
2010.
Position: Executive Director
o Judge (Statewide Jurisdiction)
o County of
o Other
o Leaving Office: Date Left ___L__J_
(Check one)
o The period covered is January 1, 2010, through the date of
leaving office.
o Assuming Office: Date --1--1_
o The period covered is --1--1_, through the date
of leaving office.
o Candidate: Election Year
Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None."
~ Total number of pages including this cover page:
o Schedule A-1 - Investments - schedule attached
o Schedule A-2 . Investments - schedule attached
o Schedule B - Real Property --- schedule attached
o Schedule C - Income, Loans, & Business Positions --- schedule attached
o Schedule D - Income --- Gifts - schedule attached
o Schedule E - Income - Gifts --- Travel Payments - schedule attached
.or.
~ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
CITY
STATE
liP CODE
7351 Rosanna Street
DAYTIME TELEPHONE NUMBER
Gilroy
CA
95020
E-MAIL ADDRESS
( 408 ) 846-0202 tom.haglund@cLgilroy.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 . ocument.
I certify under penalty of perjury under the laws of the State of California t the for
Date Signed -0 ! '1--'3! / I Signature
(month, day year)
FPPC Form 700 (2010/2011)
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov