Andy Faber - Annual 2016STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
Date Initial Filing Received
` R OrMgR — Only
MAR —
ZIP
NAME OF FILER (LAST) (FIRST) g ,
Faber Andrew .10169 L
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy City Attorney
Division, Board, Department, District, if applicable Your Position
► If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency: Gilroy Industrial Development Authority Position: Authority Counsel
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County ❑ County of
City of Gilroy ❑ Other
3. Type of Statement (Check at least one box)
x❑ Annual: The period covered is January 1, 2016, through
December 31, 2016.
-or-
The period covered is through
December 31, 2016.
0 Assuming Office: Date assumed 2 6 2017
❑ Candidate: Election year
❑ Leaving Office: Date Left
(Check one)
0 The period covered is January 1, 2016, through the date of
-or-
leaving office.
0 The period covered is 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
❑x Schedule A -1 - Investments — schedule attached
❑ Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
.or-
F1 None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
10 Almaden Boulevard, 11th Floor
❑x Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY
San Jose
UAY I IME I ELEHHUNE NUMULK E -MAIL ADDRESS
( 408 ) 286 -5800 alf @berliner.com
ZIP CODE
CA 95113
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 and correct.
i- ,
Date Signed ( I Signatures
(month, day, year) (File the onginally signed statement with your filing official.)
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
0.
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1
SCHEDULE A -1 CALIFORNIA FORm 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 ❑X $10,Oo1 - $100,000
❑ $100,001 - $1,000,000 ❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Stock ❑ Other
(Describe)
❑ Partnership O Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
1, /. 16 ��/ 16
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
Trade Zone Associates
GENERAL DESCRIPTION OF THIS BUSINESS
Property Holding
FAIR MARKET VALUE
❑ $2,000 - $10,000 X❑ $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
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
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 Q Income Received of $0 - $499
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
16 f. 16
ACQUIRED DISPOSED
Comments:
► NAME OF BUSINESS
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - 310,000 ❑ $90,001 - $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:
/_ / 16 �_J 16
ACQUIRED DISPOSED
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,o0o - $10,000 p $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
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, LIST DATE:
—J— / 16 16
ACQUIRED DISPOSED
► NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE
❑ $2,000 - $10,00o [3$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
Q Income Received of $500 or More (Report on Schedule C)
IF APPLICABLE, UST DATE: .
1 —/16 16
ACQUIRED DISPOSED
FPPC Form 700 (2016/2017) Sch. A -1
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 POLITICAL PRACTICES CONIt
Positions Name
(Other than Gifts and Travel Payments) Andrew L. Faber
NAME OF SOURCE OF INCOME
Berliner Cohen
ADDRESS (Business Address Acceptable)
10 Almaden Blvd., 11th Flr., San Jose, CA 95113
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Law Firm
YOUR BUSINESS POSITION
Partner
GROSS INCOME RECEIVED ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
p $10,001 - $100,000 ® OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑ Salary ❑ Spouse's or registered domestic partner's income
(For salt- employed use Schedule A -2J
❑X Partnership (Less than 10% ownership. For 10% or greater use
Schedule A-2.)
❑ Sale of
!Real property, car, boat eta!
❑ Loan repayment
❑ Commission or ❑ Rental Income, fist each source of$10,000 or more
(Describe)
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 ❑ No Income - Business Position Only
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ® OVER $100,000
CONSIDERATION FOR WHICH, INCOME WAS RECEIVED
❑ Salary X❑ 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 -2J
❑ Sale of
(Real property, car, boat etc)
❑ Loan repayment
❑ Commission or ❑ Rental Income, fist each source of $10,000 or more
(Describe)
❑Other
( Describe) 0 Other (Describe)
LOANS • OR • • ■ REPORTING - e■
* 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
INTEREST RATE TERM (MonthslYears)
% ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
Street address
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000
❑ $1,001 - $10,000
❑ Guarantor
❑ $10,001 - $100,000
❑ OVER $100,000 ❑ Other
(Describe)
Comments:
FPPC Form 700 (2016/2017) Sch. C
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866 /2753772 www.fppc.ca.gov