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Scott Golden - Assuming Office 20131�V CALIFORNIA FORm 1 STATEMENT OF ECONOMIC INTERESTS jot 2013 DOCUMENT FAIR POLITICAL PRACTICES COMMISSION A PUBLIC COVER PAGE ��" Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Golden James Scott 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, 9 applicable Your Position Finance - Information Technology Division Information Technology Manager ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of [21 City of Gilroy ❑ Other 3. Type of Statement (Check at least one box) naual:..7he period covered is January 1, 2012, through ❑ Leaving Office: Date Left _J I December 31, 2012. (Check one) -or- The period covered is through O The period covered is January 1, 2012, through the date of December 31, 2012. leaving office. ©" Assuming Office: Date assumed —J O The period covered is _J I through the date of leaving office. ❑ Candidate: Election year and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ► Total number of pages including this cover page: ❑ 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 wor- m None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 818 Grove Acre Ave. Pacific Grove CA 93950 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 846 -0237 1 scott.golden @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 a public document. I certify under penalty of perjury under the laws of the State of California th<the going true a c ect. Date Signed 07/01 /2013 7/'Z/ 3 75&-- Signat (month, day, year) (File the 'My signed statement w th your Ming otficiaL) FPPC Form 700 (2012/2013) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov