HomeMy WebLinkAboutAnnual 2011STATEMENT OF ECONOMIC INTERESTS PAR Date Received 2012 01ftcja Use Only
COVER PAGE rLFRKSt^
Please type or print in ink.
NAME OF FILER (LAST) (FIRST)
(MIDDLEf
Dillon Robert
T.
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable Your Position
r
l�\ � 1.o. n � L Councilmember
► If filing r multi le positio list below of on a a eqt, �.mmuv�c '�X L (} . r� ►L, ( >t
Agency: S %th County Regional Wastewater Authority � Position: Boardmember
2. Jurisdiction of Office (Check at least one box)
❑ State ❑ Judge (Statewide Jurisdiction)
❑ Multi- County ❑X County of Santa Clara
❑X City of Gilroy
❑ Other
3. Type of Statement (Check at least one box)
❑X Annual: The period covered is January 1, 2014, through December 31, ❑ Leaving Office: Date Left —J_J
2011, -or- (Check one)
The period covered is —� —J , through December 31, O The period covered is January 1, 2010, through the date of
2010. leaving office.
❑ Assuming Office: Date — 1 O The period covered is through the date
of leaving office.
❑ Candidate: Election Year Office sought, if different than Part 1:
4. Schedule Summary
Check applicable schedules or "None." ► 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 - Real Property - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
❑ None - No reportable interests on ary schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended - Public Document)
7335 Wren Avenue Gilroy CA 95020
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS
( 408 ) 842 -6702 RTDillon @garlic.com
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 foregoiq4_-% trLW and correct.
Date Signed
3/15/2012
(month, day, year)
Signature
the
FPPC Form 700 (2010/2011)
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov
SCHEDULE C CALIFORNIA FORM
Income, Loans, & Business FAIR POLITICAL PRACTICES CON
Positions Name
(Other than Gifts and Travel Payments) Robert T. Dillon
NAME OF SOURCE OF INCOME
Gilroy Process Service
ADDRESS (Business Address Acceptable)
7335 Wren Avenue, Gilroy, California,
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Service of Legal Process
YOUR BUSINESS POSITION
Owner
GROSS INCOME RECEIVED
❑ $500 - $1.000 ❑ $1,001 - $10,000
❑X $10.001 - $100,000 ❑ OVER $100,000
CONSIDERATION FOR WHICH INCOME WAS RECEIVED
❑X Salary ❑ Spouse's or registered domestic partner's income
❑ Loan repayment ❑ Partnership
❑ Sale of
(Property, car, boat, etc.)
❑ Commission or ❑ Rental Income, list each source of $10,000 or rnore
❑ Other
(Describe)
NAME OF SOURCE OF INCOME
Bender's Legal Service
ADDRESS (Business Address Acceptable)
1625 The Alameda, #511
BUSINESS ACTIVITY, IF ANY, OF SOURCE
Service of Legal Process
YOUR BUSINESS POSITION
Independent Contractor
GROSS INCOME RECEIVED
❑ $500 - $1,000 ❑ $1,00l - $1o,00o
❑X $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
❑ Sale of
(Property. car boat, etc.)
Q Commission or ❑ Rental Income, list each source of $10,000 or more
❑ Other
(Describe)
10- 2. LOANS RECEIVED OR OUTSTANDING DURING THE REPORTING PERIOD --=
* 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)
°o ❑ None
SECURITY FOR LOAN
❑ None ❑ Personal residence
❑ Real Property
❑ Guarantor
❑ Other
Street address
City
r
(Describe)
FPPC Form 700 (2010/2011) Sch. C
FPPC Toll -Free Helpiine: 866/275 -3772 www.fppc.ca.gov