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Hexagon Transportation - Annual 2014Please type or print in ink. NAME OF FILER Elia 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy STATEMENT OF ECONOMIC INTERESTS COVER PAGE Jeffrey (FIRST) Division, Board, Department, District, if applicable Your Position Engineering, Planning 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 ❑ Multi- County _ ❑✓ City of Gilroy A. Date itial 411111ing �9/ p s ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 04 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left I I December 31, 2014. (Check one) -or- The period covered is I through O The period covered is January 1, 2014, through the date of December 31, 2014. leaving office. ❑ Assuming Office: Date assumed O The period covered is through the date of leaving office. ❑ Candidate: Election year Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments — schedule attached 0 Schedule A -2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached and office sought, if different than Part 1: ► Total number of pages including this cover page: F6� Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - Income — Gifts — 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) Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS ( 408 ) 846 -7413 1 jelia @hextrans.com 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 ) FPPC Form 70012014/2015) FPPC Advice Email: advice@pfppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) m� 1. BUSINESS ENTITY OR Transportation Consultants, Inc. Name San Jose, CA 95113 Address (Business Address Acceptable) Check one ❑ Trust, go to 2 ® Business Entity, complete the box, then go to 2 GENERAL DESCRIPTION OF THIS BUSINESS Transportation Planning /Engineering FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $0 - $1,999 ❑ $2,000 - $10,000 4 ❑ $10,001 - $100,000 ACQUIRED DISPOSED Q $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑✓ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION Partner SHARE OF -e SS INCOME TO ❑ $0 - $499 ❑ $10,001 - $100,000 $500 - $1,000 © OVER $100,000 $1,001 - $10,000 NAME,OF EACH REPORTABLE e OF INCOME OF 0,000 OR MORE ❑ None or [R] Names listed below City of Gilroy INVESTMENTS HELD .- .- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, 2r Assessor's Parcel Number or Street Address of Real Property Description of Business Activity 2[ City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -j-j-14 -j-j-14 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Property Ownership /Deed of Trust ❑ Leasehold ❑ Other Yrs. remaining ❑ Stock ❑ Partnership ❑ Check box if additional schedules reporting investments or real property are attached CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Name Jeffrey A. Elia m- 1. BUSINESS ENTITY OR 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: ❑ $o - $1,999 ❑ $2,000 - $10,000 --J-j-14 11 14 ❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑ Sole Proprietorship ❑ Other YOUR BUSINESS POSITION SHARE OF -e • TO THE ENTITYfTRUST) ❑ $o - $499 ❑ $10,001 - $100,000 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $1,001 - $10,000 1- 3. LIST THE NAME OF -e- TABLE SINGLE SOURCE OF INCOME • 0.000 OR MORE None or Narnes listed below 1� 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY HELD OR LEASED BY THE BUSINESS ENTITY •- Check one box: ❑ INVESTMENT ❑ REAL PROPERTY Name of Business Entity, if Investment, gL Assessor's Parcel Number or Street Address of Real Property Description of Business Activity gi: City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 14 ---j___/ 14 ❑ $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 (2014/2015) Sch. A -2 Comments: 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 Hexagon Transportation Consultants, Inc. ADDRESS (Business Address Acceptable) San Jose, CA 95113 BUSINESS ACTIVITY, IF ANY, OF SOURCE Consulting YOUR BUSINESS POSITION Principal 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 (For self -employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) Name Jeffrey A. Elia NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION 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 (For self -employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car, twat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) * 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 (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence [:]'Real Property ❑ Guarantor ❑ Other Street address city (Describe) FPPC Form 700 (2014/2015) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/2753772 www fppc- ca.gov