HomeMy WebLinkAboutColin Martin - Assuming Office 2012STATEMENT OF ECONOMIC INTERESTS ° Received
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ERR 2012
COVER PAGE CLERP C', --
Please type or print in ink. . _ I .)
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Martin Colin K
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Fire Department Fire Division Chief
P. If filing for multiple positions, list below or on an attachment.
Agency:
2. Jurisdiction of Office (Check at least one box)
Position:
❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ Multi- County —
❑x City of Gilroy
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left I
December 31, 2011. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2011, through the date of
December 31, 2011. leaving office.
X❑ Assuming Office: Date assumed 04 t 01 1 2012 O The period covered is I I through
the date of leaving office.
❑ Candidate: Election Year Office sought, if different than Part 1:
4. Schedule Summary I
Check applicable schedules or "None." ► Total number of pages including this cover page:
❑ Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached
❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached
❑ 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)
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 foregoing i true and correct.
1 -
Date Signed 04 -02 -12 Signature
(month, day, year) (File the odginally signed statemen w th your filing o�cial.)
FPPC Form 700 (2011/2012)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov