Patricia Bentson - Assuming Office 2017 Date Left //
(Check one)
The period covered is //, through the date
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
FPPC Form 700 (2016/2017)
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
(month, day, year)
(Check at least one box)
State
Multi-County County of
City of Other
(Check at least one box)
Election Year and o
//
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
Agency Name
Division, B
()
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Investments – schedule attached
Investments – schedule attached
Real Property – schedule attached
( )
(Business or Agency Address Recommended - Public Document)
Income, Loans, & Business Positions – schedule attached
– schedule attached
– schedule attached
No reportable interests on any schedule
A PUBLIC DOCUMENT
CourtCommissioner
The period covered is January 1, 2016, through
The period covered is //, through
December 31, 2016
-ILDDRESS
Date assumed
FPPC Advice Email: advice fppc.ca.gov@
Dnotuseacronyms
Dnotuseacronyms
December 31, 2016
the date of The period covered is January 1, 2016, through
lntiallng
Received
101500115-NFH-0115
Bentson, Patricia
City of Gilroy
Parks & Recreation Commission Commissioner
X Gilroy
X 01 23 2017
3
X
7661 Forest Street Gilroy CA 95020
408 607-5276 patbentson@aol.com
04/23/2017 Patricia Bentson
E-Filed
04/23/2017
23:00:08
Filing ID:
164736842
SCHEDULE C
Positions
(Other than Gifts and Travel Payments)
GROSS INCOME RECEIVED
Name
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
OVER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000
OVER $100,000
GROSS INCOME RECEIVED
OVER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
Comments:
2. LOANS RECEIVED OR OUTSTANDING DURING 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:
SECURITY FOR LOAN
None Personal residence
Real Property
Guarantor
Other
Street address
City
(Describe)
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse’s or registered domestic partner’s income
Partnership (Less than 10% ownership. For 10% or greater use
Sale of
Commission or Rental Income, list each source of $10,000 or more
Other (Describe)
FPPC Form 700 (2016/2017) Sch. C
Realp
FPPC Advice Email: advice fppc.ca.gov@
(For self-employed use Schedule A-2.)
Loan repayment
(Describe)
Schedule A-2.)
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse’s or registered domestic partner’s income
Partnership (Less than 10% ownership. For 10% or greater use
Sale of
Commission or Rental Income, list each source of $10,000 or more
Other (Describe)
Realp
(For self-employed use Schedule A-2.)
Loan repayment
(Describe)
Schedule A-2.)
No Income - Business Position OnlyNo Income - Business Position Only
101500115-NFH-0115
Bentson, Patricia
City of Gilroy
7351 Rosanna Street
Gilroy, CA 95020
Municipal government
Retiree
X
X Longevity
Lane Bryant Outlet
8375 Arroyo Circle
Gilroy, CA 95020
Retail
Part time sales associate
X
X
SCHEDULE C
Positions
(Other than Gifts and Travel Payments)
GROSS INCOME RECEIVED
Name
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov
OVER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
700
FAIR POLITICAL PRACTICES COMMISSION
CALIFORNIA FORM
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
NAME OF LENDER*
ADDRESS (Business Address Acceptable)
BUSINESS ACTIVITY, IF ANY, OF LENDER
INTEREST RATE TERM (Months/Years)
None
HIGHEST BALANCE DURING REPORTING PERIOD
$500 - $1,000
$1,001 - $10,000
$10,001 - $100,000
OVER $100,000
GROSS INCOME RECEIVED
OVER $100,000
$500 - $1,000 $1,001 - $10,000
$10,001 - $100,000
Comments:
2. LOANS RECEIVED OR OUTSTANDING DURING 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:
SECURITY FOR LOAN
None Personal residence
Real Property
Guarantor
Other
Street address
City
(Describe)
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse’s or registered domestic partner’s income
Partnership (Less than 10% ownership. For 10% or greater use
Sale of
Commission or Rental Income, list each source of $10,000 or more
Other (Describe)
FPPC Form 700 (2016/2017) Sch. C
Realp
FPPC Advice Email: advice fppc.ca.gov@
(For self-employed use Schedule A-2.)
Loan repayment
(Describe)
Schedule A-2.)
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
Salary Spouse’s or registered domestic partner’s income
Partnership (Less than 10% ownership. For 10% or greater use
Sale of
Commission or Rental Income, list each source of $10,000 or more
Other (Describe)
Realp
(For self-employed use Schedule A-2.)
Loan repayment
(Describe)
Schedule A-2.)
No Income - Business Position OnlyNo Income - Business Position Only
101500115-NFH-0115
Bentson, Patricia
CalPERS
400 Q Street
Sacramento, CA 95811
California Public Employee Retirement System
pension administration
Retiree
X
X Pension