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Goodwin Consulting Group - Annual 2014CALIFORNIA FORM 1 1 STATEMENT OF ECONOMIC INTERESTS R FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE MAR Please type or print in ink. EO 25 NAME OF FILER (LAST) (FIRST) �� �0m, Goodwin Susan M �R6 1. Office, Agency, or Court F 2 Agency Name (Do not use acronyms) City of Gilroy Divi ' n, Board, Department, District, if appli able Your Position � ft� -61' Qj �J,� yo Consultant P. If filing for multiple positions), list below or on In attachment. (Do not use acronyms) Agency: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Multi- County ❑ City of Position: ❑ Judge or Court Commissioner (Statewide Jurisdiction) F7 Cniinty of ❑ Other 3. Type of Statement (Check at least one box) 7 Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left —J I -or- December 31, 2014. (Check one) The period covered is I I through O The period covered is January 1, 2014, through the date of December 31, 2014. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is I t through the date of leaving office. ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments – schedule attached ❑ 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: 2 © 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) Sacramento CA 95825 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS ( 916 ) 561 -0890 susan@goodwinconsultinggroup.net 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 Date Signed 03/19/2015 Signature / (month, day year) (File the originally signed statement with your filing official.) FPPC Form 700 (2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C CALIFORNIA.FORM Income, Loans, & Business FAIR ' Positions Name (Other than Gifts and Travel Payments) Susan Marie Goodwin NAME OF SOURCE OF INCOME Goodwin Consulting Group, Inc. ADDRESS (Business Address Acceptable) Sacramento CA 95825 BUSINESS ACTIVITY, IF ANY, OF SOURCE Consulting YOUR BUSINESS POSITION Managing 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 (Describe) m other Consulting Services (Describe) 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, boat, 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 Street address ❑ Guarantor ❑ Other City (Describe) FPPC Form 700 (2014/2015) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov