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HomeMy WebLinkAboutColin Martin - Annual 2012STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. 6y3 Date Received FEB (NITSP ° "'Y C;-,'y CLERKS C:7 -C NAME OF FILER (LAST) (FIRST) (MIDDLE) Martin Colin Kenneth 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Fire Department Division Chief ► If filing for multiple positions, list below or on an attachment. Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County © City of Gilroy ❑ County of ❑ Other 3. Type of Statement (Check at least one box) F,(� Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I December 31, 2012. (Check one) -or- The period covered is December 31, 2012. ❑ Assuming Office: Date assumed ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule B - Real Property — schedule attached through O The period covered is January 1, 2012, through the date of leaving office. O The period covered is _ the date of leaving office. and office sought, if different than Part 1: through ► Total number of pages including this cover page: y ❑ Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule D - income — Gifts — 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) 7070 Chestnut Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 846 -0370 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 for of is true and rrect 02/04/2013 � & Date Signed Signature (month, day, yead (File the onginoy signed statement *Wh your tying offlaal.) FPPC Form 700 (2012/2013) FPPC Advice Email: adviceC@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov