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Home My WebLink AboutJacqueline Bretschneider - Annual 2009 ." CALIFORNIA FORM 7 00 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE /<\ , /Date R~'eived Official UltOnly ~?R 2~1~..:.c~ ".17" ClERKS 0, ,- -' ".,1 'J , ;~ Please type or print in ink. A Public Document NAME (LAST) (FIRST) (MIDDLE) DAYTIME TELEPHONE NUMI;IER BRETSCHNEIDER JACQUELINE THERESA ( 408 )8460439 MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS (Business CA 95020 1. Office, Agency, or Court Name of Office, Agency, or Court: FIRE MARSHAL CITY OF GILROY Division. Board. District, if applicable: 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) D State D County of 1&1 City of GILROY D Multi-County D Other 3. Type of Statement (Check at least one box) D Assuming Office/Initial Date: ------1------1_ 1&1 Annual: The period covered is January 1. 2009, through December 31, 2009. -or- a The period covered is ------1------1_. through December 31, 2009. D Leaving Office Date Left: ------1------1_ (Check one) a The period covered is January 1. 2009, through the date of leaving office. -or- a The period covered is ------1------1_, through the date of leaving office. D Candidate Election Year: 4. Schedule Summary ~ Total number of pages including this cover page: ~ Check applicable schedules or "No reportable interests." I have disclosed interests on one or more of the attached schedules: Schedule A-1 1&1 Yes - schedule attached Investments (Less than 10% Ownership) Schedule A-2 DYes - schedule attached Investments (10% or Greater Ownership) Schedule B DYes - schedule attached Real Property Schedule C 1&1 Yes - schedule attached Income, Loans, & Business Positions (Income Other than Gifts and Travel Payments) Schedule D 1&1 Yes - schedule attached Income - Gifts Schedule E DYes - schedule attached Income - Gifts - Travel Payments -or- D 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. Date Signed FPPC Form 700 (2009/2010) FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov 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 Bretschneider ~ NAME OF BUSINESS ENTITY ~ NAME OF BUSINESS ENTITY IBM GENERAL DESCRIPTION OF BUSINESS ACTIVITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY computers FAIR MARKET VALUE D $2,000 - $10,000 1&1 $100,001 - $1,000,000 D $10,001 - $100,000 DOver $1,000,000 FAIR MARKET VALUE D $2,000 - $10,000 D $100,001 - $1,000,000 NATURE OF INVESTMENT 1&1 Stock D Other NATURE OF INVESTMENT D Stock D Other D Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) (Describe) (Describe) D Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: -----1-----1~ ACQUIRED -----1-----1~ ACQUIRED -----1-----1~ DISPOSED -----1-----1~ DISPOSED ~ NAME OF BUSINESS ENTITY ~ NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY D $10,001 - $100,000 DOver $1,000,000 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE D $2,000 - $10,000 D $100,001 - $1,000,000 FAIR MARKET VALUE D $2,000 - $10,000 D $100,001 - $1,000,000 D $10,001 - $100,000 DOver $1,000,000 NATURE OF INVESTMENT D Stock D Other NATURE OF INVESTMENT D Stock D Other D Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) (Describe) (Describe) D Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: -----1-----1~ ACQUIRED -----1-----1~ ACQUIRED -----1-----1~ DISPOSED -----1-----1~ DISPOSED ~ NAME OF BUSINESS ENTITY ~ NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF BUSINESS ACTIVITY D $10,001 - $100,000 DOver $1,000,000 GENERAL DESCRIPTION OF BUSINESS ACTIVITY FAIR MARKET VALUE D $2,000 - $10,000 D $100,001 - $1,000,000 FAIR MARKET VALUE D $2,000 - $10,000 D $100,001 - $1,000,000 D $10,001 - $100,000 DOver $1,000,000 NATURE OF INVESTMENT D Stock D Other NATURE OF INVESTMENT D Stock D Other D Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) (Describe) (Describe) D Partnership 0 Income of $0 - $500 o Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: IF APPLICABLE, LIST DATE: -----1-----1~ ACQUIRED -----1-----1~ DISPOSED -----1-----1~ ACQUIRED Comments: D $10,001 - $100,000 DOver $1,000,000 -----1-----1~ DISPOSED FPPC Form 700 (2009/2010) Sch. A-1 FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) CALIFORNIA FORM 700 FAIR POLITICAL PRACTlcrs COMMISSION Name Jacqueline Bretschneider ~ 1 INCOME RECEIVED ~ 1 INCOME RECEIVED NAME OF SOURCE OF INCOME NAME OF SOURCE OF INCOME spouse ADDRESS (Business Address Acceptable) ADDRESS (Business Address Acceptable) San Jose, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE BUSINESS ACTIVITY, IF ANY, OF SOURCE IBM employer YOUR BUSINESS POSITION YOUR BUSINESS POSITION programmer GROSS INCOME RECEIVED D $500 - $1,000 D $1,001 - $10,000 1&1 $10,001 - $100,000 DOVER $100,000 GROSS INCOME RECEIVED D $500 - $1,000 D $1,001 - $10,000 D $10,001 - $100,000 DOVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary 1&1 Spouse's or registered domestic partner's income D Loan repayment CONSIDERATION FOR WHICH INCOME WAS RECEIVED D Salary D Spouse's or registered domestic partner's income D Loan repayment D Sale of (Property, car, boat, etc-J D Sale of (Property, car, boat, etc.) D Commission or D Rental Income, list each source of $10,000 or more D Commission or D Rental Income, list each source of $10,000 or more D Other (Oescribe) D Other (Describe) ~ 2 LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD * 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' INTEREST RATE TERM (MonthslYears) % D None ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER SECURITY FOR LOAN D None D Personal residence D Real Property Street address HIGHEST BALANCE DURING REPORTING PERIOD D $500 - $1,000 D $1,001 - $10,000 D $10,001 - $100,000 DOVER $100,000 City D Guarantor D Other (Describe FPPC Form 700 (2009/2010) Sch. C FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov