Susan Martin - Annual 2013Please type or print in ink.
FILER
Martin
(LAST)
STATEMENT OF ECONOMIC INT
Susan
COVER PAGE
(FIRST)
Date Received
S/ L Official use Only\
r taws ` 1
(MIDDLE)
1. Office, Agency, or Court = - %r
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Community Development Department Planning Manager.
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: - Position:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
Gilroy__
� City of --
3. Type of Statement (Check at least one box)
m Annual: The period covered is January 1, 2013, through
December 31, 2013.
-or-
The period covered is I I through
December 31, 2013.
❑ Assuming Office: Date assumed —J - _1
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
❑ Leaving Office: Date Left
(Check one)
0 The period covered is January 1, 2013, through the date of
leaving office.
0 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
Check applicable schedules of "None." o. Total number of pages including. this cover page: 2 —"
m 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.
E] None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE - ZIP CODE
(Business or Agency Address Recommended - Public Document)
Gilroy CA 95020
DAYTIME TELEPHONE NUMBER I E-MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0219
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 01/21/2014 Signature -
(month, day, year) (File the originally signed statement with your filing of dal.)
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free 'Helpline: 866/275 -3772 www.fppc.ca.gov
► NAME OF BUSINESS
AT &T
SCHEDULE A -1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10 %)
Do not attach brokerage or financial statements.
GENERAL DESCRIPTION OF THIS BUSINESS
telecommunications
FAIR MARKET VALUE
❑ $2,000 - $10,000 m $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
m Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
� / 13 13
ACQUIRED DISPOSED
NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 ❑ $10,001 - $100,000
❑ $100,601 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other _ - -
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_/1 13 13
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,060 - $10,000 ❑ $10,001 , $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,00.0
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
__/ )__13_ 13
ACQUIRED DISPOSED
Comments:
CALIFORNIA FORM `700
FAIRPOLITICAL,. PRACTICES COMMISSION
Name
Susan Lee Martin
► NAME OF BUSINESS ENTITY
P.
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,000 p $101001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership Q Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I /, 13 13
ACQUIRED DISPOSED
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,060 ❑ $10,001 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
-- - (Describe) - -
❑ Partnership Q Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I /13 _J�13
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
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)
Fj Partnership Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
_ /_/ 13 _I _/ 13
ACQUIRED DISPOSED
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll-Free Helpline :866 /275 =3772 www.fppc.ca.gov