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Mary Gutierrez - Annual 2017101500115 —NFH -0115 Date Initial Filing Received CALIFORNIA • - 700 STATEMENT OF ECONOMIC INTERESTS Official Use Only POLITICAL FAIR • • E -Filed A PUBLIC D. CUMENT COVER PAGE 007:53328 Filing ID: Please type or print in ink. 170317849 NAME OF FILER (LAST) (FIRST) (MIDDLE) Gutierrez, Mary 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position Fire Fire Division Chief ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑x City of Gilroy ❑ Other 3. Type of Statement (Check at /east one box) ❑ x Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left I I -or- December 31, 2017 (Check one) The period covered is 1 through O The period covered is January 1, 2017, through the date of December 31, 2017 leaving office. ❑ Assuming Office: Date assumed I I O The period covered is I through the date of leaving office. ❑ Candidate:Date of Election and office sought, if different than Part 1: 4. Schedule Summary (must complete) P. Total number of pages including this cover page: 1 Schedules attached ❑ Schedule A -1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -or- 0 None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 7070 Chestnut Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS ( 408 ) 710 -2942 mary.gutierrez @ci.gilroy.ca.us 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. Date Signed 03/28/2018 (month, day, year) Signature Mary Gutierrez (File the originally signed statement with your filing official.) FPPC Form 700 (2017/2018) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 101500115 —NFH -0115 Date Initial Filing Received STATEMENT OF ECONOMIC INTERESTS Official Use Only CALIFORNIA •- 11 E -Filed POLITICAL FAIR . . COMMISSION COVER PAGE 03/15/2018 AMENDMENT 17:14:25 Filing ID: Please type or print in ink. 169831510 NAME OF FILER (LAST) (FIRST) (MIDDLE) Gutierrez, Mary 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position Fire Fire Division Chief ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of x City of Gilroy ❑ ❑ Other 3. Type of Statement (Check at least one box) x❑ Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left I December 31, 2016 (Check one) -or- The period covered is I through O The period covered is January 1, 2016, through the date of December 31, 2016 leaving office. ❑ Assuming Office: Date assumed l__J O The period covered is I through the date of leaving office. ❑ Candidate: Election Year and office sought, if different than Part 1: 4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1 Schedules attached ❑ Schedule A -1 - Investments — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached asic © 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 (Business or Agency Address Recommended - Public Document) 7070 Chestnut Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -h1AIL ADDRESS ( 408 ) 710 -2942 m 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. Date Signed 03/15 /2018 (month, day, year) Signature Mary Gutierrez (File the originally 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