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Dion Bracco - Annual 2012D e Received STATEMENT OF ECONOMIC INTERESTS a al use Only • • • COVER PAGE ljy�(y�013_`'" r N��� Please type or print in ink.b "�` NAME OF FILER (LAST) (FIRST) (MIDDtE) Bracco Anthony Dion 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Council Council Member ► If filing for multiple positions, list below or on an attachment. Agency: South County Waste Water Authority Position: 2. Jurisdiction of Office (Check at least one box) Board Member ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of z City of Gilroy CA 95020 ❑ Other South County Waste Water Authority 3. Type of Statement (Check at least one box) ® Annual: The period covered is January 1, 2012, through December 31, 2012. -or- The period covered is --I _ —I through December 31, 2012. ❑ Assuming Office: Date assumed ❑ Leaving Office: Date Left —J -1 (Check one) O The period covered is January 1, 2012, through the date of leaving office. O The period covered is I I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary 5 Check applicable schedules or "None." P- Total number of pages including this cover page: ❑ Schedule A -1 - Investments – schedule attached W] Schedule C - Income, Loans, & Business Positions – schedule attached 0 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) P.O. Box 1485 Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 422 -1734 1 dionbracco @yahoo.com 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 / $I ) FPPC Form 700 (2012/2013) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov Date Received STATEMENT OF ECONOMIC INTERESTS ° "C"I, U58 Dllll, PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Bracco Anthony Dion 1. Office, Agency, or Court Agency Name Santa Clara County Library District Joint Powers Authority Division, Board, Department, District, if applicable Your Position Joint Powers Authority Board Board Member P. If filing for multiple positions, list below or on an attachment. Gilroy Community Development Agency Position: Board Member Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County © County of Santa Clara © City of Gilroy CA 95020 ❑ Other 3. Type of Statement (Check at least one box) Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left _I December 31, 2012. (Check one) -or- The period covered is _J _J O The period covered is January 1, 2012, through the date of , through December 31, 2012. leaving office. ❑ Assuming Office: Date assumed _ —!_ -1 O The period covered is — I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary 5 Check applicable schedules or "None." III,, Total number of pages including this cover page: ❑ Schedule A -1 - Investments - schedule attached © Schedule C - Income, Loans, & Business Positions - schedule attached W1 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- F-1 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) P.O. Box 1485 Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 422 -1734 1 dionbracco @yahoo.com 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 originatly signed statement with your fling offidal.) FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) Fol 1 BUSINESS ENTITY OR TRUST Bracco's Towing & Transport, Inc. Name P.O. Box 1485 Gilroy CA 95021 -1485 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 171 Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY Towing & Trucking FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 -J -J 12 --( -( 12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 © Over $1,000,000 NATURE OF INVESTMENT Corp ❑ Partnership ❑ Sole Proprietorship Other President YOUR BUSINESS POSITION 11� 2 IDENTIFY THE GROSS INCOME RFCFI\/FD (ING[ UDE YotJR PRO RATA ❑ $0- $499 ❑ $1o,00l - $100,000 ❑ $500 - $1,000 171 OVER $100,000 ❑ $1,001 - $10,000 ❑ None P- 4 INVESTMENT', AND INTF RE I TS IN RF Ai PROPERTY HE[ D OR [EASED BY THE BUSINESS ENTITY OR TRUST Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, grr Assessor's Parcel Number or Street Address of Real Property Description of Business Activity Qr City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -/�12 ❑ $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 Comments: CALIFORNIA FORM 00 Name Anthony Bracco o. 1 BUSINE SS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $o - $1,999 ❑ $2,000 - $10,000 _1 -1 12 _�- /12 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ er YOUR BUSINESS POSITION ❑ so- $499 ❑ $10,001 - $1oo,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 INCOME OF $10,000 OR MORE None Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, gf Assessor's Parcel Number or Street Address of Real Property Description of Business Activity grr City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,00l - $100,000 12 ❑ $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 (2012/2013) Sch. A -2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 6730 Monterey St CITY Gilroy CA 95020 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 © $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST [Ownership /Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: _j_J 12 _/_/ 12 ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $o - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None Name Anthony Bracco I► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 1472 Manteili Dr CITY Gilroy CA 95020 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 0 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST Ownership /Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: _�- / 12 ACQUIRED DISPOSED ❑ Easement Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None 11 * You are not required to report loans from commercial lending institutions 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* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2012/2013) Sch. B FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc,ca.gov. SCHEDULE C CALIFORNIA Income, Loans, & Business Positions Name (Other than Gifts and Travel Payments) Anthony Bracco NAME OF SOURCE OF INCOME Bracco's Towing & Transport, Inc. ADDRESS (Business Address Acceptable) P.O. Box 1485 Gilroy CA 95021 BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION President/CFO GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED © Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boat. etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more N • (Describe) t NAME OF SOURCE OF INCOME City of Gilroy ADDRESS (Business Address Acceptable) 7351 Rosanna St Gilroy CA 95020 BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ® $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED © Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of $10.000 or more ❑ Other (Describe) 2, LOANS RECITIVED OR OUTSTANDING DURING THF REPORTING PFRIOD * 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' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other city (Describe) FPPC Form 700 (2012/2013) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov