Tom Haglund - Annual 2013STATEMENT OF ECONOMIC INTERESTS
MAR 2014
COVER PAGE l 'MRKSoi;7i7xc
Please type or print in ink.
NAME of FILER (LAST) (FIRST) (MIDDLE)
Haglund Thomas John
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable
Your Position
City Administrator
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
Community Development Agency of City of Gilroy
2. Jurisdiction of Office (Check at least one box)
Position: Executive Director
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County
® City of Gilr
❑ 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 —J I
December 31, 2013. (Check one)
-or-
The period covered is _
December 31, 2013.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
through O The period covered is January 1, 2013, through the date of
leaving office.
O The period covered is 11 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 8 - 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)
7351 Rosanna Gilroy CA 95020
( 408 ) 846 -0202
tom.haglund @ci.gilroy.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 cument.
I certify under penalty of perjury under the laws of the State of California t is true and correct.
Date Signed 03/07/2014 Signature
(month. day, year) (file the odginelly signed statement with your filing official.)
FPPCForm 700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov