Shawna Freels - Annual 2009
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STATEMENT OF ECONOMIC INTERESTSt~>~ D~*~s~e~~;Q~~\
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CALIFORNIA FORM 7 00
FAIR POLITICAL PRACTICES COMMISSION
Please type or print in ink.
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NAME (lAST) (FIRST) (MIDDLE) D~"tI~l~lEPH~f\j~~ER
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Arlene Shawna "'-'-'"--"~.'--
Freels ( 408 ) 846-0204
MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL, E-MAil ADDRESS
(Business Address Acceptable)
7351 Rosanna Street Gilroy CA 95020 shawna. freels@ci.gilroy.ca.u
1. Office, Agency, or Court
Name of Office, Agency, or Court:
City of Gilroy
Division. Board. District. if applicable:
Your Position:
City Clerk
~ If filing for multiple positions, list additional agency(ies)/
position(s): (Attach a separate sheet if necessary.)
Agency:
Position:
2. Jurisdiction of Office (Check at least one box)
o State
o County of
18I City of Gilroy
o Multi-County
o Other
3. Type of Statement (Check at least one box)
o Assuming Office/Initial
Date: ------1------1_
18I Annual: The period covered is January 1. 2009,
through December 31, 2009.
-or-
a The period covered is ------1------1_. through
December 31, 2009.
o Leaving Office Date Left: ------1------1_
(Check one)
a The period covered is January 1. 2009. through the
date of leaving office.
-or-
a The period covered is ------1------1_, through
the date of leaving office.
o Candidate Election Year:
4. Schedule Summary
~ Total number of pages
including this cover page:
~ Check applicable schedules or "No reportable
interests. "
I have disclosed interests on one or more of the
attached schedules:
Schedule A- 1 0 Yes - schedule attached
Investments (Less than 10% Ownership)
Schedule A-2 0 Yes - schedule attached
Investments (10% or Greater Ownership)
Schedule BOYes - schedule attached
Real Property
Schedule C 0 Yes - schedule attached
Income. Loans, & Business Positions (Income Other than Gifts
and Travel Payments)
Schedule D 0 Yes - schedule attached
Income - Gifts
Schedule E 0 Yes - schedule attached
Income - Gifts - Travel Payments
-or-
~ No reportable interests on any schedule
5. Verification
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 certify under penalty of perjury under the laws of the State
of California that the foregoing is true and correct.
Date Signed
?
./
Signature
, FPPC Form 700 (2009/2010)
FPPC Toll-Free Helpline: 866/ASK-FPPC www.fppc.ca.gov