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Don Gage - Annual 2014
STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink. 4 �eC4 V �ng y Cay �S LR OFFICE Q NAME OF FILER (LAST) (FIRST) I Gage Donald F 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position City Council Mayor P. If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Gilroy Community Development Agency Position: Chairperson 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County County of Santa Clara © City of Gilroy Other South County Regional Wastewater Authority 3. Type of Statement (Check at least one box) © Annual: The period covered is January 1, 2014, through ❑ Leaving Office: Date Left —J_ I -or- December 31, 2014. (Check one) The period covered is I I through • The period covered is January 1, 2014, through the date of December 31, 2014. leaving office. ❑ Assuming Office: Date assumed I 1 O The period covered is _ I through the date of leaving office. ❑ Candidate: Election year 4. Schedule Summary Check applicable schedules or "None." ❑ Schedule A -1 - Investments – schedule attached ❑ Schedule A -2 - Investments – schedule attached 0 Schedule B - Real Property – schedule attached and office sought, if different than Part 1: ► Total number of pages including this cover page: ❑ Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached 'or- El None - No reportable interests on any schedule 5. ventication 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 ( 408 ) 846 -0227 don.gage @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 foregoi" true and corre4 Date Signed 02/04/2015 (month, day, year) Signature (File the originally signed statement if your filing official.) FPPC Form 700 (2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov ► ASSESSOR'S PARCEL NUMBER OR 8440 Murray Avenue CITY Gilroy, CA. 95020 FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OFINTEREST ❑ Ownership /Deed of Trust SCHEDULE B Interests in Real Property (Including Rental Income) IF APPLICABLE, LIST DATE: _/_) 14 _/_j 14 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining M IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 $499 ❑ $500 - $1,000 R] $1,001 - $10,000 $10,001 $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None less than 10% interest Donald F. Gage I► ASSESSOR'S PARCEL NUMBER OR STREET CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100;000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership/Deed of Trust IF APPLICABLE, LIST DATE: =J 114 --J-j14 ACQUIRED DISPOSED ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None * You are not required to report loans from commercial lending institutions 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' i j NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE % ❑ None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD p $500 - $1,000 ❑ $1,001- $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, It appiicabie Comments: ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE % ❑ None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,Ooo ❑ $1,001 - $106000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if appiicable FPPC Form 700 (2014/2015) Sch. B FPPC Advice Email: advice @fppc.ca.gov FPPC Toll-Free Helpline:866 /27S -3772 www.fppc.ca.gov