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Shawna Freels - Annual 2013Please type or print in ink NAME of RLER Freels STATEMENT OF ECONOMIC INTERESTS COVER PAGE Arlene Shawna Dale eceived o only (MIDDLE),i 1. Office, Agency, or Court -- Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position City Clerks Office City Clerk If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Gilroy Community Development Agency 2. Jurisdiction of Office (Check at least one box) Position: Secretary ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ® City of Gilroy ❑ Other _ 3. Type of Statement (Check at least one box) m Annual: The period covered is January 1, 2013, through ❑ Leaving Office: Date Left 1 1, December 31, 2013. (Check one) -or- The period covered is 1. 1 through December 31, 2013. ❑ Assuming Office: Date assumed —J_ I ❑ Candidate: Election year O The period covered is January 1, 2013, through the date of leaving office. O The period covered is I I through the date of leaving office. and office sought, if different than Part 1: 4. Schedule Summary Check applicable schedules or "None." o.. Total number of pages including this cover page: 1 ❑ Schedule A -1 - Investments – schedule attached ❑ Schedule C - Income, Loans, & Business Positions – schedule attached ❑ Schedule A -2 - Investments – schedule attached ❑ Schedule D - Income – Gifts – schedule attached ❑ Schedule B - Real Property – schedule attached ❑ Schedule E - Income – Gifts – Travel Payments – schedule attached -or- ® None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) 7351 Rosanna Street Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS (OPTIONAL) ( 408 ) 846 -0204 1 shawna.freels @cityofgilroy.org 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 acknowledge this is a public document. n I certify under penalty of perjury under the laws of the State of California that the foregoing it and Date Signed 01/16/2014 (month, day, year) *0 your filing otBdal ) FPPC Form 700 (2013/2014) FPPC Advice Email: advice @fppc.ca.gov FPPC Toil -Free Helpline: 866/275 -3772 www.fppc.ca.gov