Marie Blankley - Assuming 2018STATEMENT OF ECONOMIC I
COVER PAGE
Please type or print in ink.
� � I
/STSIRECTE �EB� ia'
JAN 2 4 2018
CITY CLEpv ,o OFFICE
GILROY, CA
NME OF FILER (LAST) (FIRST) - - - - S `�tane
Blankley Marie Z
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
Gilroy
Division, Board, Department, District, if applicable
Your Position
City Council M r�
► If filing for multi�le positions, list below or on an attachment. (Do not use acronyms)
1
Agency: �� I Y ;; I / Position: _� U/i r d
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County
x City of Gilroy
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2017, through
December 31, 2017.
-or-
The period covered is —l— I , through
December 31, 2017.
Assuming Office: Date assumed. J
❑ Candidate: Date of Election
❑ Judge or Court Commissioner (Statewide Jurisdiction)
F-1 County of
❑ Other
❑ Leaving Office: Date Left —!_1
(Check one)
Q The period covered is January 1, 2017, through the date of
leaving office.
-or-
O The period covered is —lam , through
the date of leaving office.
and office sought, if different than Part 1:
4. Schedule Summary (must complete) P. Total number of pages including this cover page:
Schedules attached
❑ Schedule A -1 - Investments — schedule attached ❑ Schedule C - Income, Loans: & Business Positions — schedule attached
ri7r c � .� A „�� r ,I +a w, n r, r u
ache"dulc A -� - J,i'�' �t„iE i. - SC,aE.:,'!c auac.,,c. �ui'iB.cGl% — - 1, *VV 11V - GXI - S�:ac�u�c alWQAlcla
0 Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-or-
❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Pubfrc Document)
Gilroy CA 95020
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS
(
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
Signature
Date Signed % -1 \' r;
(mqdth. day. year) (Fite die originally signed statement with your flf f'roal )
FPPa- orm 700 (2017/2018)
FPPC Advice Email: advice@fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov
SCHEDULE A -2 CALIFORNIA FORM
Investments, Income, and-Assets FAIR POLITICAL PRACTICES . COMMISSION
Name
of Business Entities/Trusts
(Ownership Interest is 10% or Greater) Blankley, Marie Patane
No- 1. BUSINESS ENTITY OR TRUST
Marie P. Blankley, CPA
Name
2290 Coral Bell Ct., Gilroy, CA 95020
Address (Business Address Acceptable)
Check one
❑ Trust., go to 2 ® Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
public accounting practice
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 1 .. j 17 /17
❑
X $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF .INVESTMENT
❑ Partnership ® Sole Proprietorship ❑
Other
YOUR BUSINESS POSITION Owner
GROSS 0- 2. IDENTIFY THE • . (INCLUDE YOUR -• RATA
SHARE OF -• SS INCOME JO THE ENTITYITRUST)
❑ $0 - $499 0 $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
ilo- 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF
INCOME OF iii OR MORE (Attach a separate sheet if necessary.)
❑X None or ❑ Names listed below
PROPERTY 10- 4. INVESTMENTS AND INTERESTS IN REAL .•
LEASED BY OR
Check one box:
7,1 NIVESTMENIT ❑ REAL PROPERTY
Name of Business Entity', if Investment, 2[
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity of
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 17 /17
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
1. BUSINESS ENTITY OR
Address (Business Address Acceptable)
Check one
❑ Trust, go to 2 ❑ Business Entity, complete the box, then go to 2
GENERAL DESCRIPTION OF THIS BUSINESS
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $0 - $1,999
❑ $2,000 - $10,000 /17 17
❑ $10,001 - $100,000 ACQUIRED DISPOSED
❑ $100,001 - $1,000,000
❑ Over $1,000,000
NATURE OF INVESTMENT
❑ Partnership ❑ Sole Proprietorship ❑
they
YOUR BUSINESS POSITION
-• • • . • -•
❑ $0 - $499 ❑ $10,001 - $100,000
❑ $500 - $1,000 ❑ OVER $100,000
❑ $1,001 - $10,000
it- 3. LIST THE NAME OF • RTABLE SINGLE SOURCE OF
INCOME OF iii OR MORE
❑ None or Names listed below
lo. 4. INVESTMENTS AND INTERESTS IN REAL PROPERTY .•
LEASED By THE BUSINESS ENTITY OR
Check one box:
❑ INVESTMENT ❑ REAL PROPERTY
Name of Business Entity, if Investment, 2r
Assessor's Parcel Number or Street Address of Real Property
Description of Business Activity 91
City or Other Precise Location of Real Property
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 /17 17
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Property Ownership /Deed of Trust ❑ Stock ❑ Partnership
❑ Leasehold ❑ Other
Yrs. remaining
❑ Check box if additional schedules reporting investments or real property
are attached
FPPC Form 700 (2017/2018) Sch. A -2
Comments: FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
J
SCHEDULE B
Interests in Real Property
(Including Rental Income)
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
l
2290 Coral Bell Court
CITY
Gilroy
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑x $10,001 - $100,000 �� 17 �� 17
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑X Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a 10% or greater
interest, list the name of each tenant that is a single source of
income of $10,000 or more.
❑ None
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS
CITY
FAIR MARKET VALUE IF APPLICABLE, LIST DATE:
❑ $2,000 - $10,000
❑ $10,001 - $100,000 /17
❑ $100,001 - $1,000,000 ACQUIRED DISPOSED
❑ Over $1,000,000
NATURE OF INTEREST
❑ Ownership /Deed of Trust ❑ Easement
❑ Leasehold ❑
Yrs. remaining Other
IF RENTAL PROPERTY, GROSS INCOME RECEIVED
❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
SOURCES OF RENTAL INCOME: If you own a. 10% or greater
interest, list the. name of each tenant that is a single source of
income of $10,000 or more.
❑ None
II
* You are not required to report loans from commercial lending institutions 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 (Months/Years)
% ❑ None
HIGHEST BALANCE DURING REPORTING PERIOD
❑ $500 - $1,000 ❑ $1,001 - $10,000
❑ $10,001 - $100,000 ❑ OVER $100,000
❑ Guarantor, if applicable
Comments: .
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
❑ Guarantor, if applicable
FPPC Form 700 (2017/2018) Sch. B
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov