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Dion Bracco - Annual 2013° .t Recniveci CALIFORNIA FORm 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS A PUBLIC DOCUMENT COVER PAGE p Please type or print in ink.�R 201a Gib[ NAME OF FILER (LAST) Bracco Anthony Dion 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy uwuwn, Duaro, ueparTment, Uistnct, if applicable City Council Your Position Council Member ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) "Re 5%bv16L I Agency: South County Waste Water Authority Position: Board Member 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County Z City of Gilr 3. Type of Statement (Check at feast one box) Z Annual: The period covered is January 1, 2013, through December 31, 2013. -or- The period covered is through December 31, 2013. !1 "Mr. NMI l J rI L ❑ Leaving Office: Date Left (Check one) 0 The period covered is January 1, 2013, through the date of leaving office. ❑ Assuming Office: Date assumed —J _I Q The period covered is —J_1 through the date of leaving office. ❑ Candidate: Election year and office sought, K 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 Z Schedule C - Income, Loans, & Business POSitions – schedule attached Z Schedule A -2 - Investments – schedule attached ❑ Schedule D •Income –Gifts – schedule attached Z Schedule B - Real Property – schedule attached ❑ Schedule E • Income – Gifts – Travel Payments – schedule attached 'or- None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agee&— nxc�y /Adddd)ress Recgmlinended - Pubdc Document) c f16�1 7'Ci CDUAUC oc I �, l ADDRESS 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 / —_2 6) I / Sig FPPC Form 700 (2013/2014) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www- fppc.ca.gov Date Received STATEMENT OF ECONOMIC INTERESTS Off,c,a) Use Dniy DOCUMENT A PUBLIC COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) (MIDDLE) Bracco Anthony Dion 1. Office, Agency, or Court Agency Name (Do not use acronyms) Santa Clara County Library Powers Authority Division, Board, Department, District, if applicable Your Position Joint Powers Authority Board Board Member ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Gilroy Community Development Position: Board Member 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County County of Santa Clara 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 —J I December 31, 2013. (Check one) -or- The period covered is I I through O The period covered is January 1, 2013, through the date of December 31, 2013. leaving office. ❑ Assuming Office: Date assumed 1 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 [Z] Schedule C - Income, Loans, 8 Business Positions – schedule attached 91 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- ❑ None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) DAYTIME TELEPHONE NUMBER ( E -MAIL ADDRESS (OPTIONAL) 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 � / / Signature (month, day, year) , , e the onginally 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 SCHEDULE A -2 CALIFORNIA FORm 1 Investments, Income, and Assets FAIR POLITICAL PRACTICES COMMISSION of Business Entities /Trusts Name � � (Ownership Interest is 10% or Greater) Bracco's Towing & Transport, Inc. Name P.O. Box 1485 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 is Business Entity, complete the box. then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Towing & Trucking FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 i ❑ $2,000 - $10,000 �� 13 � /13 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 Over $1,000,000 NATURE OF INVESTMENT Corp ❑ Partnership ❑ Sole Proprietorship the YOUR BUSINESS POSITION SHARE OF • SS INCOME IQ THE ENTITY[TRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 OVER $100,000 ❑ $1,001 - $10,000 ep. 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF INCOME OF r OR • ❑ None Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $1o,001 - $1oo,000 3 --J--J-13 ❑ $100,001 - $1,000.000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OFINTEREST ❑ Property Ownership /Deed of Trust ❑ Leasehold ❑ Other ❑ Stock ❑ Partnership ❑ Check box if additional schedules reporting investments or real property are attached Comments: ep 1. BUSINESS ENTITY OR TRUST Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - 510,000 -/ 13 ___/ /13 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT j❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION 2. • EATIFt-YME GROSS IACO V4hWL1DE • • ITITr SHARE OF -• SS INCOME IQ THE ENTITY[TRUST) ❑ $0 - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 10- 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF INCOME OF OR • None lo- 4. INVESTMENTS • INTERESTS IN REAL PROPERTY • OR LEASED BY THE BUSINESS ENTITY •- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 /13 ❑ $100.001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership ❑ Leasehold ❑ Other Yrs. remaining ❑ Check box if additional schedules reporting investments or real property are attached FPPC Form 700 (2013/2014) Sch. A -2 FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 6730 Monterey Street CITY Gilroy CA 95020 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 © $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST Ownership /Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: -1 t 13 ACQUIRED DISPOSED ❑ Easement u Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1.001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 1472 Mantelli Drive CITY Gilroy CA 95020 FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 13 ___j-J 13 O100,001 - $1,000,000 ACQUIRED DISPOSED ver $1,000,000 NATURE OF INTEREST m Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None You are not required to report loans from commercial lending institutions 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 INTEREST RATE TERM (MonthsNears) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY OF LENDER INTEREST RATE TERM (MonthsNears) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1.000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: FPPC Form 700 (2013/2014) Sch. B FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helphne: 965 /275 -3772 www.ippc.ca.gov SCHEDULE B Interests in Real Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 1657 El Dorado Drive CITY Gilroy CA 95020 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 © $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST Ownership /Deed of Trust ❑ Leasehold Yrs. remaining IF APPLICABLE, LIST DATE: _J_1 13 _ /_� 13 ACQUIRED DISPOSED ❑ Easement El Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1.001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust IF APPLICABLE, LIST DATE: � /13 - - - j_/ 13 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None * You are not required to report loans from commercial lending institutions 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 INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) % ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2013/2014) Sch. B 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 Bracco's Towing & Transport Inc. ADDRESS (Business Address Acceptable) P.O. Box 1485 ,1 BUSINESS ACTIVITY, IF ANY, OF S RCE l President / CFO YO R BUSINESS POSITI N 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 OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,00o ❑ $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) w 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 TERM (MonthsNears) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street address ❑ Guarantor ❑ Other City (Describe) FPPC Form 700 (2013/2014) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov