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Home My WebLink AboutJacqueline Bretschneider - Annual 2013_' �r - ate Received CALIFORNIA • - 700 STATEMENT OF ECONOMIC INTERESTS ?ffcml Use On:y,,,. WP P01 111CAL PRACTICES COMMISSION A PUBLIC DOCUMENT COVER PAGE Please type or print in Ink. ``, f^'. �t -ERWS rJ� NAME OF FILER (LAST) (FIRST) (916OLE) Bretschneider Jacqueline Theresa 1. Office, Agency, or Court Agency, Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position Community Development Fire Marshal If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency. _ - - Position: 2. Jurisdiction of Office (check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑Multi-County m City'of Gilroy 3. Type of Statement (check at least one box) m Annual: The period covered is January 1, 2013, through December 31, 2013. -or- The period covered is I I through December 31, 2013. ❑ Assuming Office: Date assumed —J I ❑ County of ❑ Other ❑ Leaving Office: Date Left I I (Check one) 0 The period covered is January 1, 2013, through the date of leaving office. 0 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: 3 m Schedule A -1 - Investments - schedule attached m Schedule C - Income, Loans, 8 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. El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE ( I E -MAIL ADDRESS (OPTIONAI ) ( 408 ) 846-0439 1 jackiebret @cityofgilro,, 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 FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca..gov SCHEDULE A -1 Investments Stocks, Bonds, and Other Interests (Ownership Interest is Less Than 10°x) Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY IBM GENERAL DESCRIPTION OF THIS BUSINESS COMPUTER MANUFACTURE FAIR MARKET VALUE p $2,000 - $10,000 m $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT m Stock ❑ Other -- - - _ (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: 13 —tom 13 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: I ... J_13- 1. J 13 ACQUIRED DISPOSED GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock []Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: , 13 1, 1, 13 ACQUIRED DISPOSED Comments: CALIFORNIA FORM 700 FAIR POLITICAL PRACnCES'COMMISSION Name J. BRETSCHNEIDER ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE Q $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —/13 _/ /13 ACQUIRED DISPOSED ► NAME OF GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑'$10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE 00 INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: _1._1, 13 _,_1 13 ACQUIRED DISPOSED ► NAME OF BUSINESS ENTITY GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership O Income Received of $0 - $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, UST DATE: _/_/ 13 13 ACQUIRED DISPOSED FPPC Form 700 (2013/2014) FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov 'W"- SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME IBM ADDRESS (Business Address Acceptable) SAN JOSE, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE COMPUTER COMPANY YOUR BUSINESS POSITION EMPLOYEE GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ® OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary m Spouse's or registered domestic partner's income ❑ Loan repayment ❑ Partnership ❑ Sale of _ - (Real propeity ear bb4t, etc.) ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) ame J. BRETSCHNEIDER NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $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 ❑ Sale of (Beat property, ear, boat, etc.) ❑ Commission or ❑ Rental Income, list each source of Sid 000 or more u Other (Describe) 0; 2., LOANS RE-CEIVED OR �,O LITSTAN DING: 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 ❑ None TERM (Months/Years) SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property Street add+ess ❑ Guarantor ❑ Other Oty (Describe) FPPC Form 700 (2013/2014) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov .