HomeMy WebLinkAboutDavid Stubchaer - Annual 2012STATEMENT OF ECONOMIC INTERESTS D £
FAIR POLITICAL PRACTICES COMMISS��'t DOCUMENT
COVER PAGE FED 201
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Please type or print in ink.
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Stubchaer David Alan
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Public Works Department Senior Civil Engineer / Ops Manager
P. 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 Gilr
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
❑
✓ Annual: The period covered is January 1, 2012, through ❑ Leaving Office: Date Left I
December 31, 2012. (Check one)
-or-
The period covered is If through O The period covered is January 1, 2012, through the date of
December 31, 2012, leaving office.
❑ Assuming Office: Date assumed O The period covered is I through
the date of leaving office.
❑ Candidate: Election year and office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► Total number of pages including this cover page: 1
❑ 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)
7351 Rosanna St. Gilroy CA 95020
408 ) 846 -0725
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 is true and correct.
Date Signed 02/01/2013 Signature (�� A"444 �
(month, day, year) (File the originally signed statement with your filing official)
FPPC Form 700 (2012/2013)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov