Scot Smithee - Annual 2013STATEMENT OF ECONOMIC INTERESTS Date Received'
`Official Use Only ;
COVER PAGE
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Smithee Scot Alan
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Police Department Captain
► 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 ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County —
City of Gilroy
❑ County of
❑ Other _
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2013, through ❑ Leaving office: Date Left I I
December 31, 2013. (Check one)
-or-
The period covered is I I through
December 31, 2013.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
O The period covered is January 1, 2013, through the date of
leaving office.
O The period covered is —J I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." o- 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-
- No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
7301 Hanna Street Gilroy CA 95020
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0310 scot.smithee @ci.giIroy.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 that the foregoing is a and correct -
Date Signed % Signatur _
(month, day, year) (File the odginafly signed statement with your filing official.)
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov