Tom Haglund - Annual 2011 CDAr,
Efate ji�°c,eived
CALIFORNIA FORm 700 STATEMENT OF ECONOMIC INTERESTS
DOCUMENT FAIR POLITICAL A PUBLIC COVER PAGE�c,��
Please type or print in ink. C'
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Haglund Thomas John
1. Office, Agency, or Court
Agency Name
Association of Bay Area Governments (ABAG) Plan
Division, Board, Department, District, if applicable Your Position
Alternate Board Member
► If filing for multiple positions, list below or on an attachment.
Agency:
Gilroy Community a¢ Position:
�velopment Agency Executive Director /Manager
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
FX1 City of Gilroy ❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left t III
December 31, 2011. (Check one)
-or-
The period covered is _lam through O The period covered is January 1, 2011, through the date of
December 31, 2011. leaving office.
❑ Assuming Office: Date assumed I _1 O The period covered is I through
the date of leaving office.
❑ 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: 1
❑ 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
(Business or Agency Address Recommended - Public Document)
7351 Rosanna Street Gilroy CA 95020
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0202 tom.haglund@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 blic document.
I certify under penalty of perjury under the laws of the State of Califor ' that th foregoing is true and correct.
Date Signed Signature
(month, day, year) (File the on ally signed statement with your filing official.)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov