Shawna Freels - Annual 2011
CALlFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Please type or print in ink.
NAME OF FILER
Freels
(LAST)
(FIRST)
(MIDDLE)
Shawna
Arlene
1. Office, Agency, or Court
Agency Name
City of Gilroy
Division, Board, Department, District, if applicable
City Clerk's Department
Your Position
City Clerk
~ If filing for multiple positions, list below or on an attachment.
A Gilroy Community Development Agency
gency:
P 't' Agency Clerk
oSllon:
2. Jurisdiction of Office (Check at least one box)
DState
D Multi-County
[81 City of Gilroy
D Judge or Court Commissioner (Statewide Jurisdiction)
D County of
DOther
3. Type of Statement (Check at least one box)
[2SJ Annual: The period covered is January 1, 2011, through
December 31,2011.
-or-
D Leaving Office: Date Left-1-1
(Check one)
o The period covered is January 1, 2011, through the date of
leaving office.
The period covered is -1---1 , through
December 31,2011.
D Assuming Office: Date assumed -1-1
o The period covered is -1-1
the date of leaving office.
Office sought, if different than Part 1:
, through
D Candidate: Election Year
4. Schedule Summary
Check applicable schedules or "None."
~ Total number of pages including this cover page:
D Schedule A.1 - Investments - schedule attached
D Schedule A-2 - Investments - schedule attached
D Schedule B - Real Property - schedule attached
D Schedule C - Income, Loans, & Business Positions - schedule attached
D Schedule 0 - Income - Gifts - schedule attached
D Schedule E - Income - Gifts - Travel Payments - schedule attached
-or-
D 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 Gilroy
DAYTIME TELEPHONE NUMBER E-MAIL ADDRESS (OPTIONAL)
( 831 ) 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 m1kn wledge the information contained
herein and in any attached schedules is true and complete. I acknowledge this is a publi document.
I certify under penalty of perjury under the laws of the State of California that th,e (l
( I
I '
i
Signatur
Ca
95020
Date Signed
February 3,2012
(month, day, year)
FPPC Form 700 (2011/2012)
FPPC Toll-Free Helpline: 866/275-3772 www.fppc.ca.gov