Drake Haglan & Associates - Annual 2013STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
�1
Date Recew
-)yrcial Use Only
vpp
Q
NAME OF FILER (LAST)
(FIRST) (MID E)
Haglan
Dennis Mark
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable
Your Position
Engineering Division
Engineering Consultant
P. 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
❑ County of
Z City of Gilroy
❑ 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
through O The period covered is January 1, 2013, through the date of
December 31, 2013.
leaving office.
❑ Assuming Office: Date assumed
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
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
'Or.
W1 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
Rancho Cordova CA 95670
DAYTIME TELEPHONE NUMBER rdlhagian@drakehaglan.com AIL ADDRESS (OPTIONAL)
( 916 ) 363-4210
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
your filing officiat.)
FPPC Form 700 (2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov