Mitchell 700CALIFORNIA FORM 700
FAIR POLITICAL PRACTICES COMMISSION
A PUBLIC DOCUMENT
Please type or print in ink.
NAME OF FILER (LAST)
Mitchell
STATEMENT OF ECONOMIC INTERESTS
COVER PAGE
Filed Date: 01/20/2017 07:05 PM
SAN: FPPC
(FIRST) (MIDDLE)
David A
1. Office, Agency, or Court
Agency Name (Do not use acronyms)
City of Alameda
Division, Board, Department, District, if applicable Your Position
Planning Commissioner
■ 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
City of Alameda ❑ Other
3. Type of Statement (Check at least one box)
Annual: The period covered is January 1, 2016, through ❑ Leaving Office: Date Left / /
December 31, 2016. (Check one)
-or-
The period covered is / / , through 0 The period covered is January 1, 2016, through the date of
December 31, 2016. -or- leaving office.
0 The period covered is / / , through
the date of leaving office.
❑ Assuming Office: Date assumed
❑ Candidate: Election year
and office sought, if different than Part 1:
4. Schedule Summary (must complete) ■ Total number of pages including this cover page:
Schedules attached
-or-
❑ Schedule A -1 - Investments — schedule attached
❑ Schedule A -2 - Investments — schedule attached
❑ Schedule B - Real Property — schedule attached
None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET
(Business or Agency Address Recommended - Public Document)
2263 Santa Clara Avenue
DAYTIME TELEPHONE NUMBER
( 510 ) 747 -4800
❑ Schedule C - Income, Loans, & Business Positions — schedule attached
❑ Schedule D - Income — Gifts — schedule attached
❑ Schedule E - Income — Gifts — Travel Payments — schedule attached
CITY
Alameda
STATE
ZIP CODE
CA 94501 -4479
E -MAIL ADDRESS
dmitchell @alamedaca.gov
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
01/20/2017 07:05 PM
Signature Electronic Submission
(month, day, year) (File the originally signed statement with your Ring official.)
FPPC Form 700 (2016/2017)
FPPC Advice Email: advice @fppc.ca.gov
FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov