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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