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Form 700 - Jordan, Daryl - Assuming Office
AM 1, late Initl. Filing Of'cr 1 Received •ly II WI 1� IJII - repo m s on arryy se e 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) 7351 Rosanna Street DAYTIME TELEPHONE NUMBER ( 408 ) 846-0260 CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION Please type or print in ink. NAME OF FILER (LAST) Jordan 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable STATEMENT OF ECONOMIC INTEREST COVER PAGE A PUBLIC DOCUMENT 0, co (FIRST) (MIL (tf Daryl Rao Your Position Public Works Director ► 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 ❑ Multi -County © City of Gilroy ('1li) 114ft4 l,l_t Kh J v I liVd ❑ Judge, Retired Judge, Pro Tem Judge, or Court Commissioner (Statewide Jurisdiction) ❑ County of ❑ Other 3. Type of Statement (Check at least one box) ❑� Annual: The period covered is January 1, 2020, through ❑ Leaving Office: Date Left / / December 31, 2020. (Check one circle.) -or- The period covered is through O The period covered is January 1, 2020, through the date of December 31, 2020. -or- leaving office. 04 12 2021 •Assuming Office: Date assumed / I 0 The period covered is I I through the date of leaving office. ❑ Candidate: Date of Election 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 E3 - Real Property — schedule attached 1W Mr. rfa ' •nresT Pr tftlle Schedule C - income, Loans, & usiness Positions — schedule attached ® Schedule D - Income — Gifts — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached CITY Gilroy STATE ZIP CODE CA 95020 EMAIL ADDRESS daryl.jordan@cityofgilroy.org 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 ) FPPC Form 700 - Cover Rage (2020/2021) advice@fppc.ca.gov • 866-275-3772 • www.fppc.ca.gov Page - 5 Print Clear