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Shawna Freels - 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 01249:258 Filing ID: Please type or print in ink. 168474512 NAME OF FILER (LAST) (FIRST) (MIDDLE) Freels, Arlene Shawna 1. Office, Agency, or Court Agency Name (Do not use acronyms) City of Gilroy Division, Board, Department, District, if applicable Your Position City Clerk City Clerk ► If filing for multiple positions, list below or on an attachment. (Do not use acronyms) Agency: *SEE ATTACHED FOR ADDITIONAL POSITIONS 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 ❑x Other Gilroy Industrial Development Authority 3. Type of Statement (Check at /east one box) ❑ x Annual: The period covered is January 1, 2017, through ❑ Leaving Office: Date Left I I -or- December 31, 2017 (Check one) The period covered is 1 through O The period covered is January 1, 2017, through the date of December 31, 2017 leaving office. ❑ Assuming Office: Date assumed I I O 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: 2 Schedules attached ❑ 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- 0 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 ( 408 ) 846 -0204 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. I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signed 02/02/2018 (month, day, year) Signature Shawna Freels (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 STATEMENT OF ECONOMIC INTERESTS COVER PAGE Expanded Statement Attachment Name Arlene Shawna Freels * This table lists all positions including the orimary position listed in the Office, Aaencv, or Court section of the Cover Pacxe. Agency Division /Board /Dept /District Position Type of Statement City of Gilroy City Clerk City Clerk Annual 1/1/2017 - 12/31/2017 Gilroy Industrial Development Authority Secretary Annual 1/1/2017 - 12/31/2017 FPPC Form 700 (2017/2018) Expanded Statement FPPC Advice Email: advice @fppc.ca.gov FPPC Toll -Free Helpline: 866 /275 -3772 www.fppc.ca.gov