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HomeMy WebLinkAboutDon Gage - Leaving Office 2015Please type or print in ink. NAME OF FILER Gage 1. Office, Agency, or Court (LAST) STATEMENT OF ECONOMIC INTERESTS COVER PAGE Donald (FIRST) Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position City Council Mayor ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency Gilroy Community Development Agency 2. Jurisdiction of Office (Check at least one box) Position: Chairperson F DEC 31 2015 (MIDDLE) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County m City of Gilroy 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2014, through December 31, 2014. -or- The period covered is —J I through December 31, 2014. ❑ Assuming Office: Date assumed ❑ Candidate: Election year 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 ❑ County of ❑ Other ❑ Leaving Office: Date Left 12 i 31 l 2015 (Check one) O The period covered is January 1, 2014, through the date of leaving office. O The period covered is I I through the date of leaving office. and office sought, if different than Part 1: ► Total number of pages including this cover page: 2 ❑ Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached 'or- E] 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 -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 foregoin is true and correct. Date Signed 12/31/2015 Signature (month, day, year) (File the ongmally signed statement with yo ling oKaal.) FPPC Form 700 (2014/2015) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 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 OF INTEREST © Ownership /Deed of Trust ❑ Leasehold Yrs. remaining SCHEDULE B Interests in Real Property (Including Rental Income) OR STREET ADDRESS I I ► IF APPLICABLE, LIST DATE: � /.14 1, 114 ACQUIRED DISPOSED ❑ Easement n Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 g] $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 AL 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 ❑ Leasehold Yrs. remaining ADDRESS IF APPLICABLE, LIST DATE: � /.14 �_/ 14 ACQUIRED DISPOSED ❑ Easement. 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 awn 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 I NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable Comments: ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY. IF ANY OF LENDER INTEREST RATE TERM (Months/Years) ❑ None HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 ❑ $1,001 - $10;000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2014/2015) Sch. B FPPC Advice Email: advice@fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov