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Shawna Freels - Assuming Office 2007 CALlFORNIA FORM 700 FAIR POLITICAL PRACTICES COMMISSION STATEMENT OF ECONOMIC INTERESTS COVER PAGE Please type or print in ink A Public Document NAME (LAST) (FIRST) Freels MAILING ADDRESS STREET (May use business address) Arlene CITY 7351 Rosanna Street Gilroy 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 IZI City of City of Gilroy o Multi-County o Other 3. Type of Statement (Check at least one box) IZI Assuming Office/Initial Date: ~~l.J~ o Annual: The period covered is January 1, 2006, through December 31, 2006. -Of- a The period covered is --1--1_, through December 31, 2006. o Leaving Office Date Left: --1--1_ (Check one) a The period covered is January 1, 2006, through the date of leaving office. -or- a The period covered is --1--1_, through the date of leaving office. o Candidate (MIDDLE) DAYTIME TELEPHONE NUMBER Shawna ( 408 ) 846-0204 OPTIONAL: FAX I E-MAil ADDRESS STATE ZIP CODE CA 95020 shawna. freels@ci.gilray.ca.us 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 - Travel Payments -or- IX] 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 underthe laws ofthe State of California that the foregoing is true and correct. Signature ~, Date Signed FPPC Form 700 (2006/2007) FPPC Toll-Free Helpline: 866/ASK-FPPC