HomeMy WebLinkAboutEileen Jacobs - Annual 20144. Schedule Summary
Check applicable schedules or "None." to. 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 — tiffs — schedule attached
❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-or-
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
( 408 ) 846 -0206 1 eileen.jacobs @cityofgilroy.org
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 foregoing is true and correct.
02/09/2015 /—
Date Signed Signature l� �Q—� --
(month, day, year) (File the originally signed statement with 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
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11
• - • - 1 1 STATEMENT OF ECONOMIC INTERESTS
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FAIR POLITICAL PRACTICES COMMISSION
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A PUBLIC • •
COVER PAGE
".`?Y CLERK'S OFFICE
Please type or print in ink.
NAME OF FILER (LAST)
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Jacobs
Eileen Julie
Z V4,4
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Gilroy
Division, Board, Department, District, if applicable
Your Position
Finance Department
Budget Analyst
► 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
❑ County of
Z City of Gilroy
❑ Other
3. Type of Statement (Check at least one box)
Q Annual: The period covered is January 1, 2014, through
❑ Leaving Office: Date Left I I
December 31, 2014.
(Check one)
-or-
The period covered is I I
through O 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 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." to. 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 — tiffs — schedule attached
❑ Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
-or-
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
( 408 ) 846 -0206 1 eileen.jacobs @cityofgilroy.org
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 foregoing is true and correct.
02/09/2015 /—
Date Signed Signature l� �Q—� --
(month, day, year) (File the originally signed statement with 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