HomeMy WebLinkAboutJacqueline Bretschneider - Annual 2007
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
A Public Document
COVER PAGE
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( 408) 84 -
OPTIONAL FAX I E-MAIL ADDRESS
STATEMENT OF ECONOMIC INTERESTS
NAME (LAST)
(FIRST)
Bretschneider
MAILING ADDRESS
(May use business address)
STREET
Jacqueline
CITY
7351 Rosanna Street
Gilroy
1. Court
Name of Office, Agency, or Court:
Gilroy Building Life and Environmental Safety
Division, Board, District, if applicable:
Community Development
Your Position:
Fire Marshal
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
[g] City of Gilroy
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: ------1------1_
[8J Annual: The period covered is January 1, 2007,
through December 31, 2007.
-or-
a The period covered is ------1------1_, through
December 31, 2007.
o Leaving Office Date Left: ------1------1_
(Check one)
a The period covered is January 1, 2007, through the
date of leaving office.
-or-
a The period covered is ------1------1_, through
the date of leaving office.
o Candidate
(MIDDLE)
T
STATE ZIP CODE
CA 95020
4. Schedule Summary
- Total number of pages
including this cover page:
3
- Check applicable schedules or "No reportable
interests."
I have disclosed interests on one or more of the
attached schedules:
Schedule A-1 [g] Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule BOYes - schedule attached
Real Property
Schedule C [8J Yes - schedule attached
Income, Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - Travel Payments
-or-
o No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Signature
Date Signed
FPPC Form 700 (2007/2008)
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE A-1
Investments
Stocks, Bonds, and Other Interests
(Ownership Interest is Less Than 10%)
Do not attach brokerage or financial statements.
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Jacqueline T Bretschneider
> NAME OF BUSINESS ENTITY
IBM
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
Computors
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1,000,000
[81 $10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
0$2,000 - $10,000
0$100,001 - $1,000,000
NATURE OF INVESTMENT
[81 Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
o $10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE
IF APPLICABLE, LIST DATE
(Describe)
(Describe)
---1---1...!lL
ACQUIRED
---1---1JfL
DISPOSED
---1---1JfL
ACQUIRED
---1---1JrL
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
o $2,000 - $10,000
0$100,001 - $1.000,000
FAIR MARKET VALUE
0$2,000 - $10,000
o $100,001 - $1,000,000
0$10,001 - $100,000
DOver $1,000,000
NATURE OF INVESTMENT
o Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
0$10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE
IF APPLICABLE LIST DATE
(Describe)
(Describe)
---1---1JfL
ACQUIRED
---1---1JfL
DISPOSED
---1---1JfL
ACQUIRED
---1---1~
DISPOSED
> NAME OF BUSINESS ENTITY
> NAME OF BUSINESS ENTITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
GENERAL DESCRIPTION OF BUSINESS ACTIVITY
FAIR MARKET VALUE
0$2,000 - $10,000
o $100,001 - $1,000,000
0$10,001 - $100,000
DOver $1,000,000
FAIR MARKET VALUE
o $2,000 - $10,000
o $100,001 - $1,000,000
NATURE OF INVESTMENT
o Stock
o Other
NATURE OF INVESTMENT
o Stock
o Other
0$10,001 - $100,000
DOver $1,000,000
IF APPLICABLE, LIST DATE
IF APPLICABLE, LIST DATE
(Describe)
(Describe)
---1---1JfL
ACQUIRED
---1---1JrL
DISPOSED
---1---1JrL
ACQUIRED
Comments:
---1---1JfL
DISPOSED
FPPC Form 700 (2007/2008) Sch. A-1
FPPC Toll-Free Helpline: 866/ASK-FPPC
SCHEDULE C
Income, Loans, & Business
Positions
(Other than Gifts and Travel Payments)
CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
Name
Jacqueline T Bretschneider
NAME OF SOURCE OF INCOME
> 1. INCOME RECEIVED > 1. INCOME RECEIVED
NAME OF SOURCE OF INCOME
IBM
ADDRESS
San Jose CA
BUSINESS ACTIVITY. IF ANY, OF SOURCE
income
YOUR BUSINESS POSITION
spouse
GROSS INCOME RECEIVED
0$500 - $1.000 0 $1,001 - $10.000
~ $10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED r
/1I'--.Salary ~ Spouse's or registered domestic partner's income
o Loan repayment
o Sale of
(Property, car, boat, etc.)
o Commission or
o Rental Income, list each source of $10,000 or more
o Other
(Describe)
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1,001 - $10,000
o $10,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's or registered domestic partner's income
o Loan repayment
o Sale of
(Property, car, boat, elc.)
o Commission or
o Rental Income, !J:st each source of $10,000 or more
o Other
(Describe)
> 2. LOAN RECEIVED
* You are not required to report loans from commercial lending institutions, or any indebtedness created as part
of a retail installment or credit card transaction, 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 ACTIVITY, IF ANY, OF LENDER
HIGHEST BALANCE DURING REPORTING PERIOD
o $500 - $1,000
0$1,001 - $10,000
o $10,001 - $100,000
DOVER $100,000
Comments:
INTEREST RATE
TERM (MonthsNears)
% 0 None
SECURITY FOR LOAN
o None 0 Personal residence
o Real Properly
Street address
City
o Guarantor
o Other
(Describe)
FPPC Form 700 (2007/2008) Sch. C
FPPC Toll-Free Helpline: 866/ASK-FPPC