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HomeMy WebLinkAboutDaniel Harney - Assuming Office 2016STATEMENT OF ECONOMIC INTERESTS Ci /�ca, Use A PUBLIC DOCUMENT COVER PAGE N Please type or print in ink. '- APR 2 8 2016 NAME OF FILER (LAST) (FIRST) Q -ADDLE) Harney Daniel 1. Office, Agency, or Court 000 Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position City Council City I1 � member - ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: G����'l�> Position:�YLh� 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 through December 31, 2015. © Assuming Office: Date assumed 01 1 25 1 2016 ❑ Candidate: Election year ❑ Judge or Court Commissioner (Statewide Jurisdiction) n Countv of ❑ Other ❑ Leaving Office: Date Left I I (Check one) O The period covered is January 1, 2015, through the date of leaving office. .or- 0 The period covered is —J I through the date of leaving office. and office sought, if different than Part 1: I4. Schedule Summary (must complete) ► Total number of pages including this cover page: 4 Schedules affached © 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 anv schedule o. venncavon MAILING ADDRESS STREET CITY (Business or Agency Address Recommended - Public Document) 1565 Calabrese way Gilroy © Schedule C - Income, Loans, & Business Positions - schedule attached ❑ Schedule D - Income - Gifts - schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached UAY I ]ME I ELLPHUNE NUMBER E -MAIL ADDRESS ( 408 ) 613 -8744 djharn @yahoo.com I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the 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 PPC orm 700(2015/2016) FPPC Advice ail: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov SCHEDULE A -1 70-0,: Investments Stocks, Bonds, and Other Interests Name (Ownership Interest is Less Than 10 %) D_ aniel Harney Do not attach brokerage or financial statements. ► NAME OF BUSINESS ENTITY eBay GENERAL DESCRIPTION OF THIS BUSINESS e- commerce technology FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ® $1oo,001 - $1,000,00o ❑ Over $1,000,000 NATURE OF INVESTMENT ® Stock ❑ Other ( Desaibe) ❑ Partnership 0 Income Received of $0 $499 O Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: /� 15 I t' 15 ACQUIRED DISPOSED ► NAME GENERAL DESCRIPTION OF THIS BUSINESS FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $1oo,000 ❑ $100,001 - $1,000,000 ❑ Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE; LIST DATE: _/_/ 15 �_ / 15 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 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on sdwule C) IF APPLICABLE, LIST DATE: _/ /, 15 _/_ . 15 ACQUIRED DISPOSED Comments: 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 E] Other (Describe) ❑ Partnership O Income Received of $0 - $499 0 Income Received of'$500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: —t, 1� 15 t. 1 15 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 E] Over $1,000,000 NATURE OF INVESTMENT ❑ Stock ❑ Other (Describe) ❑ Partnership 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report ; on Schedule C) IF APPLICABLE, LIST DATE: 15 _�_I 15 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 0 Income Received of $0 - $499 0 Income Received of $500 or More (Report on Schedule C) IF APPLICABLE, LIST DATE: / 15 _�_� 15 ACQUIRED DISPOSED FPPC Form 700 (2015/2016) Sch. A-1 FPPC Advice Email: advice @fppc ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov SCHEDULE B Interests in Real. Property (Including Rental Income) ► ASSESSOR'S PARCEL NUMBER OR STREET 17172 Creekside circle CITY Morgan Hill FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,00l - $100,0oo $100,001 - $1,000,000 ❑ Oyer $1,006,000 NATURE OF INTEREST ® Ownership/Deed of Trust ❑ Leasehold Yis, remaining IF APPLICABLE, LIST DATE: --J-JA-5 ---J--J 15 ACQUIRED DISPOSED ❑ Easement - ❑ Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED E1$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 J. Wilcox Name Daniel Harney ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 S1o0,001 - $1,000,0oo ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership/Deed of Trust IF APPLICABLE, LIST DATE: 1, J 15 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' Wells Fargo ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE TERM (MonthsNears) 4.25 % [] None 30 years HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ stool - $10,000 ❑ $10,001 - $100,000 ® OVER $100,000 ❑ Guarantor, if applicable Comments: NAME OF LENDER' ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER INTEREST RATE % ❑ None TERM (Months(Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, H applicable FPPC Form 700 (2015/2016) Sch. S 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 eBay Inc. ADDRESS (Business Address Acceptable) 2145 hamilton ave, San Jose BUSINESS ACTIVITY, IF ANY, OF SOURCE e- commerce technology YOUR BUSINESS POSITION Manager GROSS INCOME RECEIVED ❑ $500 - $1,0oo ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 © OVER $100,000 CONgIDERATION FOR WHICH INCOME WAS RECEIVED Q 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 Name Daniel Harney INCOME 1. NAME OF SOURCE OF INCOME Lucille Packard Childrens Hospital ADDRESS (Business Address Acceptable) 725 Welch road, Palo Alto, CA BUSINESS ACTIVITY, IF ANY, OF SOURCE Hospital YOUR BUSINESS POSITION Rn GROSS INCOME RECEIVED ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 © OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED ❑ Salary EZ 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 pescnoe/ I I (Describe) 10- 2. LOANS RECEIVED OR OUTSTANDING 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 TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2015/2016) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll-Free Helpline: 866/275 -3772 www.fppc.ca.gov