Dokken Engineering - Leaving Office 2015STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
*5I Filing R
Ofteal Use Only
,., 1 2016
NAME OF FILER (LAST) (FIRST) A (MIDDLE)
Griggs Matthew N. da /.
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Public Works Department Consultant, Civil Engineer
P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (check at least one box)
❑ State
❑ Multi- County —
El City of Gilroy
3. Type of Statement (check at least one box)
Annual: The period covered is January 1, 2015, through
December 31, 2015.
-or-
The period covered is I I through
December 31, 2015.
❑ Assuming Office: Date assumed I
❑ Candidate: Election year
Position:
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
R1 Leaving Office: Date Left 11 1 30 1 2015
(Check one)
@ The period covered is January 1, 2015, through the date of
-or-
leaving office.
Q 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
❑ Schedule A -1 - Investments – schedule attached
❑ Schedule A -2 - Investments – schedule attached
❑ Schedule B - Real Property – schedule attached
.or-
p 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
(
Folsom CA 95630
DAYTIME TELEPHONE NUMBER I E -MAIL ADDRESS
( 916 ) 858 -0642
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
(month, day, year) (File the originally signed statement with your filing olficiet)
FPPC Form 700 (2015/2016)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov