James Pace - Assuming Office 2013' Date Received
STATEMENT OF ECO NVIC I V T FES S
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OCUMEN T DOVER PAGE 2013
Please type or print in ink.
NAME OF RLER (LAST) (F1FST) (MIDDLE)
Pace
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable
/ 1 A . „ -
► If filing for multiple positions, list below or on an attachment.
Agency
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
✓❑ City of Gilr
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2012, through
December 31, 2012,
.or-
James
The period covered is through
December 31, 2012.
❑✓ Assuming Office: Date assumed
❑ Candidate: Election year
4. Schedule Summary
Check applicable schedules or `None."
/ . � ./ 2013
✓❑ Schedule A -1 - Investments – schedule attached
❑ Schedule A -2 - Investments – schedule attached
Schedule B - Real Property – schedule attached
Eric
Your Position
Member, General Plan Advisory Committee
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left _J— I
(Check one)
O The period covered is January 1, 2012, through the date of
leaving office.
O The period covered is through
the date of leaving office.
and office sought, if different than Part 1:
► Total number of pages including this cover page. 3
❑
✓ Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule D - Income – Gifts – 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
(
Gilroy CA 95020
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 408 ) 605 -3896 1 trustee@PaceHouse.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
)
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 -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
► NAME OF BUSINESS ENTITY
McDonald's Corporation
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Restaurants
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑✓ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑✓ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
Hewlett- Packard
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Computers and services
FAIR MARKET VALUE
0 $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
✓❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I / 12 �_� 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR - MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1 12 —J� 12
ACQUIRED DISPOSED
Comments:
Name
Pace, James Eric
► NAME OF BUSINESS ENTITY
Neff IN
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Video Rental Service
FAIR MARKET VALUE
❑ $2,000 -.$10,000 ❑✓ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
Q Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
. 12 1. 1 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received'of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
�/� 12 �_/ 12
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership 0 Income Received of $0 - $499
0 Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST 'DATE:
/ 12 12
ACQUIRED DISPOSED
FPPC Form 700 (2012/2013) Sch. A -1
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Satellite Dialysis
ADDRESS (Business Address Acceptable)
Gilroy, CA 95020
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Healthcare
YOUR BUSINESS POSITION
Spouse of employee
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)
Name
Pace, James Eric
NAME OF SOURCE OF INCOME
Gilroy Unified School District
ADDRESS (Business Address Acceptable)
Gilroy, CA 95020
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Education
YOUR BUSINESS POSITION
Trustee on Board of Education
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)
10- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD
* 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
❑ None
TERM (MonthsNears)
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
city
❑ Guarantor
❑ Other
(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