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Danny Mitchell - Annual 2017101500115 -NFH -0115 Date Initial Filing Received CALIFORNIA • - 700 STATEMENT OF ECONOMIC INTERESTS Official Use Only POLITICAL FAIR • • E -Filed A PUBLIC D. CUMENT COVER PAGE 015:00:18 Filing ID: Please type or print in ink. 168429791 NAME OF FILER (LAST) (FIRST) (MIDDLE) Mitchell, Danny 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position General Plan Committee Committee member ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: Position: 2. Jurisdiction of Office (Check at least one box) ❑ State ❑ Judge or Court Commissioner (Statewide Jurisdiction) ❑ Multi- County ❑ County of ❑x City of Gilroy ❑ Other 3. Type of Statement (Check at /east one box) ❑ x Annual: The period covered is January 1, 2017, through December 31, 2017 -or- The period covered is 06 / 30 1 2017, through December 31, 2017 ❑ Assuming Office: Date assumed I I ❑ Leaving Office: Date Left I I (Check one) O The period covered is January 1, 2017, through the date of leaving office. p The period covered is I through the date of leaving office. ❑ Candidate:Date of Election and office sought, if different than Part 1: 4. Schedule Summary (must complete) P. Total number of pages including this cover page: 5 Schedules attached ❑ Schedule A -1 - Investments — schedule attached ❑Q Schedule C - Income, Loans, & Business Positions — schedule attached ❑ Schedule A -2 - Investments — schedule attached ❑ Schedule D - Income — Gifts — schedule attached ❑ x Schedule B - Real Property — schedule attached ❑ Schedule E - Income — Gifts — Travel Payments — schedule attached -or- El None - No reportable interests on any schedule 5. Verification MAILING ADDRESS STREET CITY STATE ZIP CODE (Business or Agency Address Recommended - Public Document) Gilroy CA 95020 DAYTIME TELEPHONE NUMBER E -MAIL ADDRESS ( 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 02/01/2018 (month, day, year) Signature Danny Mitchell (File the originally signed statement with your filing official.) FPPC Form 700 (2017/2018) FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 101500115 -NFH -0115 ► SCHEDULE B Interests in Real Property (Including Rental Income) 4SSESSOR'S PARCEL NUMBER OR STREET ADDRESS 1405 WELBURN AVENUE CITY GILROY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 ❑X $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ X Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None Name Mitchell, Danny ► ASSESSOR'S PARCEL NUMBER OR STREET ADDRESS CITY FAIR MARKET VALUE IF APPLICABLE, LIST DATE: ❑ $2,000 - $10,000 ❑ $10,001 - $100,000 -( -)- ❑ $100,001 - $1,000,000 ACQUIRED DISPOSED ❑ Over $1,000,000 NATURE OF INTEREST ❑ Ownership /Deed of Trust ❑ Easement ❑ Leasehold ❑ Yrs. remaining Other IF RENTAL PROPERTY, GROSS INCOME RECEIVED ❑ $0 - $499 ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 SOURCES OF RENTAL INCOME: If you own a 10% or greater interest, list the name of each tenant that is a single source of income of $10,000 or more. ❑ None * You are not required to report loans from commercial lending institutions made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER* BANK OF AMERICA ADDRESS (Business Address Acceptable) P.O. BOX 31785 TAMPA , FL 33631 -3785 BUSINESS ACTIVITY. IF ANY. OF LENDER INTEREST RATE 4.65% % ❑ None TERM (Months /Years) 30 Years HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ® OVER $100,000 ❑X Guarantor, if applicable Dannv & Nita Mitchell Comments: NAME OF LENDER* ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY. IF ANY. OF LENDER INTEREST RATE % ❑ None TERM (Months/Years) HIGHEST BALANCE DURING REPORTING PERIOD ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 ❑ OVER $100,000 ❑ Guarantor, if applicable FPPC Form 700 (2017/2018) Sch. B FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov 101500115 -NFH -0115 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME HEINZEN LLC ADDRESS (Business Address Acceptable) 405 MAYOCKROAD GILROY, CA 95020 BUSINESS ACTIVITY. IF ANY OF SOURCE FOOD PROCESSING EQUIPMENT MANUFACTURER YOUR BUSINESS POSITION CHIEF FINANCIAL OFFICER GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 X❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) Name Mitchell, Danny NAME OF SOURCE OF INCOME HEINZEN LLC dba HEINZEN MANUFACTURING INTERNATIONAL ADDRESS (Business Address Acceptable) 405 MAYOCK ROAD GILROY, CA 95020 BUSINESS ACTIVITY. IF ANY. OF SOURCE FOOD PROCESSING EQUIPMENT MANUFACTURER YOUR BUSINESS POSITION CHEIF FINANCIAL OFFICER GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 MX OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 101500115 -NFH -0115 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME HEINZEN LLC dba HEINZEN MANUFACTURING INTERNATIONAL ADDRESS (Business Address Acceptable) 405 MAYOCK ROAD GILROY, CA 95020 BUSINESS ACTIVITY. IF ANY OF SOURCE FOOD PROCESSING EQUIPMENT MANUFACTURER YOUR BUSINESS POSITION CHIEF FINANCIAL OFFICER GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 X❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) Name Mitchell, Danny NAME OF SOURCE OF INCOME HEINZEN LLC dba : HEINZEN MANUFACTURING INTERNATIONAL ADDRESS (Business Address Acceptable) 405 MAYOCK ROAD GILROY, CA 95020 BUSINESS ACTIVITY. IF ANY. OF SOURCE FOOD PROCESSING EQUIPMENT MANUFACTURER YOUR BUSINESS POSITION GROSS INCOME RECEIVED ❑ No Income - Business Position Only ❑ $500 - $1,000 ❑ $1,001 - $10,000 ❑ $10,001 - $100,000 MX OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov 101500115 —NFH -0115 SCHEDULE C Income, Loans, & Business Positions (Other than Gifts and Travel Payments) NAME OF SOURCE OF INCOME HEIHZEH LLC ADDRESS (Business Address Acceptable) 405 MAYOCK ROAD GILROY, CA 95020 BUSINESS ACTIVITY. IF ANY OF SOURCE FOOD PROCESSING EQUIPMENT MANUFACTURER. YOUR BUSINESS POSITION CHIEF FINANCIAL OFFICER GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 X❑ OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Q Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) Name Mitchell, Danny NAME OF SOURCE OF INCOME ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY. IF ANY OF SOURCE YOUR BUSINESS POSITION GROSS INCOME RECEIVED No Income - Business Position Only $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 CONSIDERATION FOR WHICH INCOME WAS RECEIVED Salary Spouse's or registered domestic partner's income (For self - employed use Schedule A -2.) ❑ Partnership (Less than 10% ownership. For 10% or greater use Schedule A -2.) ❑ Sale of (Real property, car, boat, etc.) Loan repayment ❑ Commission or ❑ Rental Income, list each source of $10,000 or more ❑ Other (Describe) (Describe) * You are not required to report loans from commercial lending institutions, or any indebtedness created as part of a retail installment or credit card transaction, made in the lender's regular course of business on terms available to members of the public without regard to your official status. Personal loans and loans received not in a lender's regular course of business must be disclosed as follows: NAME OF LENDER` ADDRESS (Business Address Acceptable) BUSINESS ACTIVITY, IF ANY, OF LENDER HIGHEST BALANCE DURING REPORTING PERIOD $500 - $1,000 $1,001 - $10,000 $10,001 - $100,000 OVER $100,000 Comments: INTEREST RATE TERM (Months/Years) % ❑ None SECURITY FOR LOAN ❑ None ❑ Personal residence ❑ Real Property ❑ Guarantor ❑ Other Street address City (Describe) FPPC Form 700 (2017/2018) Sch. C FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov