HomeMy WebLinkAboutAnnual 2002
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CALlfO~NIA FORM 1/00
FAIR POLITICAL PRACTICES COMMISSION
~~
~r{p .A "'?,; ""
\it5ate Rece~d :~'
[;1 Official Use Only
(:;I NAR 2003
:~ CITY CLERKS OFFICE
\'<' GILROY, CA
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
I 1
Please type or print in ink
A Public Document
\
NAME
(LAST)
, (FIRST)
(MIDDLE)
DAYTIMEiEl'!W,H.?NE NUMB",~. ':
408 ) ~~~~7~i:- -,'
OPTIONAL: FAX / ,,-MAiL ADDR,=SS
Dillon
Robert
MAILING ADDRESS
(May be business address)
STREET
CITY
295 Victoria Drive
Gilroy
1. Office, Agency or Court
I Name
I
City of Gilroy, California
Division, Board, District if applicable:
Position:
~.;;::> Councilmember
- If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
r .D,-VI n11A n, '1-''-1
Agency: SCRWA T.)~ \H ( 0 f' .1H'1<A
4~-{AA-c ~\
Position: Board member yv\ ~~y
2. Jurisdiction of Office (Check at least one box)
o State
o County of
00 City of Gilroy, California
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: __L_~_
II! Annual: The period covered is January 1, 2002,
through December 31, 2002. '
-or-
(I The period covered is --.--1--1~, through
December 31, 2002.
o Leaving Office Date Left: --.--1--1-,--
(Check one)
a The period covered is January 1, 2002, through
the date of leaving office.
-or-
a The period covered is --.--1--1_, through
the date of leaving office.
o Candidate
1.
ZIP CODE
95020
408-847-0338
4. Schedule Summary
(Check applicable schedules or "No reportable interests. ")
_ During the reporting period, did you have any reportable
interests to disclose on:
Schedule A-1 0 Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 00 Yes - schedule attached
Investments (10% or greater Ownership)
Schedule B
Real Property
DYes - schedule attached
Schedule C 00 Yes - schedule attached
Income & Business Positions (Income Other than Loans, Gi,Ts, end Tr?:vel)
Schedule D DYes - schedule attached
Income - Loans
Schedule E 0 Yes - schedule attached
Income - Gifts
Schedule F 0 Yes - schedule attached
Income - Travel Payments
-or-
_ 0 No reportable interests on any schedule
Total number of pages completed inciuding this
cover page: 3
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
Signature
(Fil t
FPPC Form 700 (2002/2003)
FPPC Toil-Free Heipline: 866iASK-fPPC
SCHEDULE A-2
Investments, Income, and Assets
of Business Entities/Trusts Na
(Ownership Interest is 10% or Greater)
'1. BUSINESS-ENTIl'Y OR T sf ,- " . .
Gilroy Process Service
Name
295 Victoria Drive, Gilroy, California, 95020
Address
IF APPLICABLE, LIST DATE:
~~02
ACQUIRED
~~02.
DISPOSED
NATURE OF INVESTMENT
l1fI Sole Proprietorship 0 Partnership 0
Other
YOUR BUSINESS POSITION
)> 1. BUSINESS ENTITY OR TRUST" -- - -'-, ",:' ---', ,." ,,,. - ~;--:~T~';:
Name
Address
Check one
o Trust. go to 2
o Business Entity, complete the box. then go to 2
GENERAL DESCRIPTION OF BUSINESS ACTIV:TY
I:
il
II
II
~~/02Ii
DISPOSED II
Ii
Ii
I,
II
Ii
ii
"
IF APPLICABLE, liST DATE:
FAIR MARKET VALUE
o $2,000 - $10,000
0$10,001 - $100000
o $100,001 - $1,000,000
DOver $1,000,000
NATURE OF INVESTMENT
o Sole Proprietorship 0 Partnership
~---.l~
ACQUIRED
o
Other
YOUR BUSINESS POSITiON
~~"Z'!L1S~A'MEOF:e~9 RE1>ORlABLESINGLE SOURCE OF - ,
. INCOME/LOANS OF $10,0 0 OR MORE (attach a separate sheet,. necessary)
~ !l'-:INvfSfME~is AND INT' ESTS IN RE;AL PROPERTY HELD BY THE -
" . BU~IN~SS ENTI'T;Y OR T S"f. . ~' ,
Check one box'
o INVESTMENT
o REAL PROPERTY
none
Name of Business Entity QL
Street Address or Assessor's Pa:-cel Number of Real Property
DeSCription of Business Activity QL
City or Other Precise Location of Real Property
FAIR MARKET VALUE
0$2,000 - $10.000
0110,001 - $100000
0$100,001 - $1,000000
Dover $1,000,000
NATURE OF INTEREST
o Property Ownership/Deed of Trust
IF APPLlCABLE,L1ST DATE:
---.l~02 I ~~~
ACQUIRED DISPOSED
o Stock
o Partnership
o Leasehoid
o Other
Yrs. relnalning
o Check oox If additional schedules reporting investments or real property
are attached
Comments'
)> 3. L1ST"THE NAME OF EACH REPOR'mBI,;E~rNGt.t-S0URC'E'O~~""! . ~
INCOME/LOANS OF $10.000 OR MORE jattjch a separate sheet If necesisary)
)> 4: INVESTMENTS ANI} INTERESTS IN REAL p,'t'R9PERTY HEbO' By.,fI-tE'''!l~
BUSINESS ENTITY OR TRUST I ; . .
Check one box:
o INVESTMENT
o REAL PROPERTY
Name of Business Entity QL
Street Address or Assessor's Parcel Number of Keal Property
Description of Business Activity .Q[
City or Other Precise LocatIOn of Real Property
FAIR MARKET VALUE
o $2,000 - $10,000
0$10,001 - $100,000
0$100,001 - $1,000,000
DOver $1,000,000
NATURE OF INTEREST
o Property Ownership/Oeed of Trust
iF APPL:CABLE, LIST DATE:
~~02 ~~ Q2
ACQUIRED DISPOSeD
o Stock
o Partnership
o Leasehold
o Other
Yrs. ~emalning
o Check box If additional schedules reporting ;n'iestments 0, real peop""y
are attached
FPPC Form 700 (2002/2003) Sch. A-2.
FPPC Toll-Free HelDline: 866!ASK-FPPC
SCHEDULE C
Income & Business Positions
(Income Other than Loans, Gifts, and
Travel Payments)
> NAME OF SOURCE
Bender's Legal Service
ADDRESS
1625 The Alameda, #511, San Jose, CA, 95125
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Service of Legal Process
YOUR BUSINESS POSITION
Independent Contractor
GROSS INCOME RECEIVED
o S500 - 51,000 0 $1,001 - $10,000
00 510,001 - $100,000 0 OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
o Salary 0 Spouse's income q Loan repayment
o Sale of
(Property, car, boat. etc)
o Commission or
o Rental Income, list each SOU ICe of $10,000 or more
[RJ Other Service of legal process.
(Describe)
> NAME OF SOURCE
Gilroy City Council
ADDRESS
7351 Rosanna Street, Gilroy, California, 95020
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Municipal Government
YOUR BUSINESS POSITIO'J
Council Member
GROSS INCOME RECEIVED
0$500 - $1.000 IRJ $1001 - $10,000
o 810,001 - S100,000 0 OVER $100,000
CONSIOERATION FOR WrllCH INCOME WAS RECEIVED
[R] Salary 0 Spouse's income 0 Loan repayment
o Sale of
D Commission or
(Property, car, boat, et~.)
o Rental Income, fist each source of $10,000 or more
o Other
(Describe)
Comments:
N
")JJ
)- NAME OF SOURCE
ADDRESS
BUSINESS ACTIViTY, IF ANY, OF SOURCE
YOUR BUSINESS POSITION
GROSS INCOME RECEIVED
0$500 - $1.000 051,001 - 510,000
0$10,001 - S100,000 0 OVER $100,000
CONSIDERATION FOR WHICH iNCOME WAS RECEIVED
o Salary 0 Spouse's income 0 Loan repaymer.t
o Sale of
(Propeny, car, beat, etc)
D Commission or
o Rental Income, Ust each source of $10,OOC or more
o Other
(Oescnbe)
)- NAME OF SOURCE
ADDRESS
BUSINESS ACTIVITY, IF ANY, OF SOURCE
YOUR BUSINESS POS'TION
GROSS INCOME RECEIVED
0$500 - $1,000 0 $1001 - 510,000
o $10,001 - 5100.000 0 OVER $100000
CONSIDERATION FOR WHICH INCOME W!',S RECEIVED
D Salary D Spouse's income 0 Loan repayme"t
o Sale of
(Property car, toat, etc)
o Rental Income. list each scu,.-ce of $10,OOC or riicr~
D Commission or
o Other
(Descnte)
~ FPPC :ocm 7?OYOQ2!~~!)3J. S;~;..C::
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