Martha Johanson - 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
021184:26$
Filing ID:
Please type or print in ink.
170391375
NAME OF FILER (LAST)
(FIRST)
(MIDDLE)
Johanson, Martha
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable
Your Position
Physically Challenged Board
Boardmember
► 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
December 31, 2017
-or-
The period covered is / 1 through
December 31, 2017
❑ Assuming Office: Date assumed I I
❑ Leaving Office: Date Left I I
(Check one)
O The period covered is January 1, 2017, through the date of
leaving office.
p 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)
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.
Date Signed 03/28/2018
(month, day, year)
Signature Martha Johanson
(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