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Barbara Voss - Assuming Office 2016
STATEMENT OF ECONOMIC INTERESTS PUBLIC DOCUMENT COVER PAGE Please type or print in ink. NAME OF FILER (LAST) (FIRST) Voss Barbara J. 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position Finance Interim Finance Director ► 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 © City of Gilroy 3. Type of Statement (Check at least one box) ❑ Annual: The period covered is January 1, 2015, through December 31, 2015. .or- The period covered is —J I through December 31, 2015. © Assuming Office: Date assumed 03 1 07 1 2016 Position: tial Filing R Official Use Only MAR 1 2016 ❑ Judge or Court Commissioner (Statewide Jurisdiction) F� County of ❑ Other ❑ Leaving Office: Date Left I I (Check one) p The period covered is January 1, 2015, through the date of -or- leaving office. p 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 (must complete) ► Total number of pages including this cover page: Schedules attached ❑ Schedule A -1 - Investments – schedule attached ❑ Schedule A -2 - Investments – schedule attached ❑ Schedule B - Real Property – schedule attached .or- El None - No reportable interests on any schedule © Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached U. VCrI1lGduon 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 -0540 barbara.voss @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 fore oing is true and correct. Date Signed 03/14/2016 Si 9 nature 4 (month, day, year) (File the originally signecUtatement with your riling official.) FPPC Form 700(2015/2016) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME JN Abbott Distributor ADDRESS (Business Address Acceptable) 6001 Rossi Lane, Gilroy, CA 95020 BUSINESS ACTIVITY, IF ANY, OF SOURCE Wholesale Gas Distributor YOUR BUSINESS POSITION Driver 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 (For self -employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) Sale of (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) NAME OF SOURCE OF INCOME Yoga Bella ADDRESS (Business Address Acceptable) 8060 Santa Teresa Blvd., Ste 130, Gilroy, CA 95020 BUSINESS ACTIVITY, IF ANY, OF SOURCE Yoga Studio YOUR BUSINESS POSITION Yoga Instructor GROSS INCOME RECEIVED m $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 (For self- employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A-2.) ❑ Sale of (Real property, car, boat, etc.) ❑ Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more (Describe) ❑Other Other � (Describe) ❑ (Describe) LOANS t oR buTsTANDING bukmd THEREPbRTN6 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' (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 TERM (Months/Years) ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor Street address City ❑ Other (Describe) FPPC Form 700 (2015/2016) Sch. C FPPC Advice Email: advice@fppc.ca.gov FPPCToll-Free Helpline: 866 /275 -3772 www.fppc.ca.gov