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Shawna Freels - Annual 2010 COVER PAGE 1\ Date ~teived ~nal Use Only crry C/.fj 2011 ,,, RKS (}t'..,.. ;::-L";J?D,':.; c. j" ,/ . CALIFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION A PUBLIC DOCUMENT STATEMENT OF ECONOMIC INTERESTS Please type or print in ink. NAME OF FILER Freels 1. Office, Agency, or Court Agency Name City of Gilroy Division, Board, Department, District, if applicable Arlene (MIPOLE) Shitwna / (LAST) (FIRST) Your Position City Clerk ~ If filing for multiple positions, list below or on an attachment. Agency: Community Development Agency of Gilroy 2. Jurisdiction of Office (Check at least one box) o State o Multi-County I&l City of Gilroy 3. Type of Statement (Check at least one box) ~ Annual: The period covered is January 1, 2010, through December 31, 2010. -or- The period covered is ---1---1_, through December 31, 2010. Position: Agency Secretary o Judge (Statewide Jurisdiction) o County of o Other o Leaving Office: Date Left ---1---1_ (Check one) o The period covered is January 1, 2010, through the date of leaving office. o Assuming Office: Date ---1---1_ o The period covered is ---1---1_, through the date of leaving office. o Candidate: Election Year Office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." ~ Total number of pages including this cover page: o Schedule A-1 - Investments - schedule attached o Schedule A.2 - Investments - schedule attached o Schedule B - Real Property - schedule attached o Schedule C - Income, Loans, & Business Positions - schedule attached o Schedule D - Income - Gifts - schedule attached o Schedule E - Income - Gifts - Travel Payments - schedule attached -or. I&l None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET (Business or Agency Address Recommended - Public Document) CITY STATE ZIP CODE 7351 Rosanna Street DAYTIME TELEPHONE NUMBER Gilroy CA 95020 E-MAIL ADDRESS ( 408 ) 846-0204 shawna.freels@cLgilroy.ca.us I have used all reasonable diligence In preparing thiS statement. I have reviewed this statement and to the best of my kn01!wed he information contained herein and in any attached schedules is true and complete. I acknowledge this is a public docu~nV I certify under penalty of perjury under the laws of the State of California that the foregoin,.g is true and correct. ., o r ,....I'l/l~.'/1 , .! . . . ile the originally sign 2/22/2011 Signatur Date Signed (month. day, year) FPPC Form 700 (2010/2011) FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov