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Blankley, Marie - Annual 2018101500115-NFH-0115 Please type or print in ink. NAME OF FILER (LAST) Blankley, Marie 1. Office, Agency, or Court Agency Name (Do not use acronyms) Gilroy Division, Board, Department, District, if applicable STATEMENT OF ECONOMIC INTERESTS COVER PAGE (FIRST) Your Position City Council Councilmember P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: *SEE ATTACHED FOR ADDITIONAL POSITIONS 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) x❑ Annual:The period covered is January 1, 2018, through December 31, 2018 -or- The period covered is I through December 31, 2018 ❑ Assuming Office: Date assumed ❑ Candidate:Date of Election Position: Date Initial Filing Received Official Use Only E-Filed 02/06/2019 16:15:07 Filing ID: 176485096 (MIDDLE) ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other ❑ Leaving Office: Date Left ----J----J (Check one circle) O The period covered is January 1, 2018, through the date of leaving office. O 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: 4 Schedules attached ❑ Schedule A-1 - Investments — schedule attached ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑x Schedule A-2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑x 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 - Public Document) 7351 Rosanna Street 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 02/06/2019 Signature Marie slankley (month, day, year) (File the originally signed paperstatement with your filing official.) FPPC Form 700 (2018/2019) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 101500115-NFH-0115 STATEMENT OF ECONOMIC INTERESTS COVER PAGE Expanded Statement Attachment Name Marie Blankley * This table lists all positions including the primary position listed in the Office, Agency, or Court section of the Cover Page. (Agency Division/Board/Dept/District Position Type of Statement Gilroy City Council Councilmember Annual 1/l/2018 - 12/31/2018 Gilroy Industrial Board member Annual 1/1/2018 - 12/31/2018 Development Authority FPPC Form 700 (2018/2019) Expanded Statement FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov 101500115-NFH-0115 SCHEDULE A-2 Investments, Income, and Assets of Business Entities/Trusts (Ownership Interest is 10% or Greater) Marie P. Blankley, C.P.A. Name Address (Business Address Acceptable) Check one ❑ Trust, go to 2 X❑ 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 / 18 /18 X❑ $10,001 - $100,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Partnership ❑X Sole Proprietorship ❑ Other YOUR BUSINESS POSITION owner Name Name Blankley, Marie 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 / 18 / 18 ❑ $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 ❑ $0 - $499 X❑ $10,001 - $100,000 ❑ $0 - $499 ❑ $500 - $1,000 ❑ OVER $100,000 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $1,001 - $10,000 • ••• a •. • INCOMEOF $10,000 OR MOREdANNIN ❑X None or ❑ Names listed below ❑ None or ••T MLLU •- LEASED J3.Y THE BUSINESS ENTITY • TRUST - Check one box: Check one box: ❑ INVESTMENT ❑ REAL PROPERTY ❑ INVESTMENT Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Names listed below ❑ REAL PROPERTY Name of Business Entity, if Investment, or Assessor's Parcel Number or Street Address of Real Property Description of Business Activity or Description of Business Activity or City or Other Precise Location of Real Property City or Other Precise Location of Real Property FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $2,000 - $10,000 - / 18 / 18 ❑ $10,001 - $100,000 / 18 / 18 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 ❑ 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 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 Comment• FPPC Form 700 (2018/2019) Sch. A-2 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline:866/275-3772 www.fppc.ca.gov 101500115-NFH-0115 SCHEDULE B Interests in Real Property Name (Including Rental Income) Blankley, Marie ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS 2290 Coral Bell Ct. CITY CITY Gilroy FAIR MARKET VALUE IF APPLICABLE, LIST DATE: FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑X $10,001 - $100,000 -)-) 1 8 -(-( 1 8 ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -)-) 1 8 -)-) � 8 ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST NATURE OF INTEREST ❑X Ownership/Deed of Trust ❑ Easement ❑ Ownership/Deed of Trust ❑ Easement ❑ Leasehold ❑ ❑ 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 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 * You are not required to report loans from a commercial lending institution 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" 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: 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 (2018/2019) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275-3772 www.fppc.ca.gov