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HomeMy WebLinkAboutBarbara Voss - Annual 2011Gate- Received CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS,;` FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE Please type or print in ink.G���- _ n NAME OF FILER (LAST) (FIRST) (MI DILf)' Voss Barbara Joan 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Your Position Assistant Finance Director ► 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 ❑ County of 0 City of Gilroy ❑ Other 3. Type of Statement (Check at least one box) ❑x Annual: The period covered is January 1, 2011, through ❑ Leaving Office: Date Left —J I December 31, 2011. (Check one) -or- The period covered is I through O The period covered is January 1, 2011, through the date of December 31, 2011. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is I through the date of leaving office. ❑ Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." o. Total number of pages including this cover page: 2 ❑ Schedule A -1 - Investments - schedule attached ❑x Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule B - Rea/ Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached -or- 0 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 Street Gilroy CA 95020 -6197 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 846 -0540 barbara.voss @ci.gilroy.ca.us 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 2/15/12 Signature (month, day, year) (File the originally Jgk ed statement with your filing official) FPPC Form 700 (2011/2012) FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C CALIFORNIA Income, Loans, & Business FAIR POLITICAL PRAM Positions Name (Other than Gifts and Travel Payments) Barbara J Voss NAME OF SOURCE OF INCOME JN Abbott Distributor ADDRESS (Business Address Acceptable) 6001 Rossi Lane, Gilroy, CA 95020 BUSINESS ACTIVITY, IF ANY, OF SOURCE Wholesale Gas Distributor YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑X $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑X Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of (Real property, car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) NAME OF SOURCE OF INCOME Yoga Bella ADDRESS (Business Address Acceptable) 8060 Santa Teresa Blvd Ste 130, Gilroy, CA 95020 BUSINESS ACTIVITY, IF ANY OF SOURCE Yoga Studio YOUR BUSINESS POSITION Yoga Instructor GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑X $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary ❑ Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership r1 Sala of `r (Real property, car, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more Q Other Per Diem (Describe) * 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 Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2011/2012) Sch. C FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov