Tom Haglund - Leaving Office 2015Please type or print in ink.
NAME OF FILER (LAST)
HAGLUND
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
THOMAS
OCT 19 2015
(FIRST)
Division, Board, Department, District, if applicable Your Position
City Adminstrator
► 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)
❑ State
❑ Multi- County
Z City of Gilroy
Position: Executive Director
❑ Judge or Court Commissioner (Statewide Jurisdiction)
I-) Cniinty of
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2014, through Leaving Office: Date Left 10 1 16 1 2015
December 31, 2014. (Check one)
.or-
The period covered is I I through
December 31, 2014.
❑ Assuming Office: Date assumed
❑ 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
40 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:
❑ Schedule C - Income, Loans, 8 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)
7351 Rosanna Street Gilroy CA 95020
UNT I Mt I CLrrr1UNr NUM11rM
( 408 ) 846 -0202
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 is document.
I certify under penalty of perjury under the laws of the State of Calif g is true and correct.
Date Signed 10/16/2015 Signature
(month, day, year) (File the orgi lly 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