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Susan Martin - Annual 2014STATEMENT OF ECONOMIC INTERESTS /atRerc COVER PAGE Please type or print in ink. 22015 NAME OF FILER (LAST) (FIRST) X40 (MI S'Q Martin Susan L A NYC FfJCE 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position Community Development Department Planning Division Manager ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: South County Regional Wastewater Authority 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Multi- County — ❑ City of Gilroy 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2014, through December 31, 2014. -or- The period covered is I I through December 31, 2014. ❑ Assuming Office: Date assumed —J— I ❑ Candidate: Election year Schedule Summary Check applicable schedules or "None." 0 Schedule A -1 - Investments – schedule attached ❑ Schedule A -2 - Investments – schedule attached ❑ Schedule B - Real Property – schedule attached Position: Planning Division Manager ❑ Judge or Court Commissioner (Statewide Jurisdiction) FA Cnunty of Santa Clara ❑ Other ❑ Leaving Office: Date Left I I (Check one) O The period covered is January 1, 2014, through the date of leaving office. O The period covered is I I through the date of leaving office. and office sought, if different than Part 1: ► Total number of pages including this cover page: 2 ❑ Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached 'or- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY (Business or Agency Address Recommended - Public Document) 7351 Rosanna Street Gilroy DAYTIME TELEPHONE NUMBER ( 408 ) 846 -0219 STATE ZIP CODE CA 95020 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 03/02/2015 Signature a \ —i (month, day, year) (File the originally signed statement with your filing orficiaQ FPPC Form 700 (2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -1 OR , . 00 NiA Investments FAiR -. .. Stocks, Bonds, and Other Interests. Name (Ownership Interest is Less Than 10 %) Susan Lee Martin Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY AT &T 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 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —l— 1 14 / 14 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) ❑ ,Partnership 0 Income Received of $0 $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J 1 14 _/ 14 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) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 11 14 / 14 ACQUIRED DISPOSED Comments: BUSINESS 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) ❑ Partnership 0 Income Received of $0 -,$499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 1 14 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) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —J 1 14 _/ / 14 ACQUIRED DISPOSED ► NAME OF 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) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: — / 14 _1 14 ACQUIRED DISPOSED FPPC Form 700 (2014/2015) Sch. A -1 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov