HomeMy WebLinkAboutEileen Jacobs - Annual 2013Please type or print in ink.
NAME OF
Jacobs
1. Office, Agency, or Court
(LASH
STATEMENT OF ECONOMIC INTERESTS
Eileen
COVER PAGE
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable Your Position
Finance Department
Budget Analyst
o. If filing for multiple positions, list below or on an attachment. (Do not use acronyms)
Agency:
2. Jurisdiction of Office (Check at least one box)
❑ State
❑ Multi- County _
m City of Gilroy
Position:
Julie
Date,,. cu i ed
G.mc, Use Gmy `\
JAN 0 V� ,
(MIDDLE) /
❑ Judge or Court Commissioner (Statewide Jurisdiction)
❑ County of
❑ Other
3. Type of Statement (Check at least one box)
m Annual: The period covered is January 1, 2013, through ❑ Leaving office: Date Left I
December 31, 2013. (Check one)
-or-
The period covered is I I through O The period covered is January 1, 2013, through the date of
December 31, 2013. leaving office.
❑ Assuming office: Date assumed —J_ 1 O The period covered is —J 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-
m 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
DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL)
( 408 ) 846 -0206
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 t e and correct.
Date Signed 01/16/2014 Signature
(month, day, year) (File Me originally signed statement imm your ffm official)
FPPC Form 700(2013/2014)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov