Andy Faber - Annual 2015Rece
STATEMENT OF ECONOMIC INTERESTS Initial Filing )y
Official Use Only
(2.�Xr COVER PAGE MAR' 1 2016
Please type or print in ink.
NAME OF FILER (LAST) (FIRST) NW' ` (MIDDLE) Z
Faber Andrew L. \ �[� ^ 9�
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy (Acting City Attorney)
Division, Board, Department, District, if applicable
Gilroy Community Development Agency (Acting General Counsel)
D. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
T
South County Regional Wastewater Authority , ,4 Position: Legal Counsel through Berliner Cohen
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County _
(?]City of Gilroy
3. Type of Statement (Check at least one box)
7 Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is —J I
December 31, 2015.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
i
Z2
❑ Judge or Court Commissioner (Statewide Jurisdiction)
Z County of Santa Clara (for South County Regional
❑ Other Wastewater Authority)
❑ Leaving Office: Date Left I I
(Check one)
through O The period covered is January 1, 2015, through the date of
-or-
leaving office.
_ O The period covered is I through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page:
Schedules attached
W] Schedule A -1 - Investments – schedule attached
❑ Schedule A -2 - Investments – schedule attached
❑ Schedule B - Real Property – schedule attached
.or-
El None - No reportable interests on any schedule
Schedule C - Income, Loans, & Business Positions – schedule attached
❑ Schedule D - Income – Gifts – schedule attached
❑ Schedule E - Income – Gifts – Travel Payments – schedule attached
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
10 Almaden Boulevard, 11th Floor San Jose CA 95113
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS
( 408 ) 286 -5800 alf @berliner.com
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 03/08/2016 and correct.
� -
Date Signed Signature
(month, day, year) (File the ongina ly signed statement with your (ling official.)
FPPC Form 700(2015/2016)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 wwwJppc.ca.gov
J
I
SCHEDULE A -1 CALIFORNIA O, 700
Investments FAIR POLITICAL PRACTICES COMMISSION
Stocks, Bonds, and Other Interests Name
(Ownership Interest is Less Than 10%) Andrew L. Faber
Do not attach brokerage or financial statements.
Building H Associates
GENERAL DESCRIPTION OF THIS BUSINESS
Industrial building owner
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 Q Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/ 15 — / 15
ACQUIRED DISPOSED
NAME OF BUSINESS ENTITY
Trade Zone Associates
GENERAL DESCRIPTION OF THIS BUSINESS
Property Holding
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 O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
/� 15 _I / 15
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 O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J —/ 15 �_ / 15
ACQUIRED DISPOSED
Comments:
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 O Income Received of $0- $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
I —J 15 // 15
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 O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
Ir / 15 / 15
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 O Income Received of $0 - $499
O Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE,, LIST DATE:
�/ / 15
ACQUIRED DISPOSED
FPPC Form 700 (2015 /2016)Sch. A -1
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
s
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
NAME OF SOURCE OF INCOME
Berliner Cohen
ADDRESS (Business Address Acceptable)
10 Almaden Blvd., 11th Fir., San Jose, CA 95113
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Law Firm
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED
$500 - $1,000 ❑ $1,001 - $10,000
$10,001 - $100,000 m 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 properly, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑ Rental Income, list each source or $10,000 or more
(Describe)
Name
Andrew L. Faber
NAME OF SOURCE OF INCOME
Spouse's Income - University of California
ADDRESS (Business Address Acceptable)
1156 High Street, Santa Cruz, CA 95060
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Education
YOUR BUSINESS POSITION
Professor (Retired)
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
(Rea/ properly, car, boat, etc.)
❑ Loan repayment
❑ Commission or ❑, Rental Income, list each source of $10,000 or more
(Describe)
❑ Other I I ❑ Other
(Describe) Other
LOANS a OR OUTSTANDING DORjN�_THE_REPORTING PERIOD
* 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(2015/2016) Sch. C
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866 /27S -3772 www.fppc.ca.gov