Mitchell 700 Leaving Office CALIFORNIA FORM 700 STATEMENT OF ECONOMIC INTERESTS
FAIR POLITICAL PRACTICES COMMISSION COVER PAGE
Filed Date: 08/01/2019 05:25 PM
Please type or print in ink. A PUBLIC DOCUMENT SAN: 121700195-STH-0195
NAME OF FILER (LAST) (FIRST) (MIDDLE)
Mitchell 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 Board Boardmember
► 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 Alameda ❑Other
3. Type of Statement (Check at least one box)
❑ Annual: The period covered is January 1, 2018, through x❑ Leaving Office: Date Left 07 / 02 / 2019
December 31, 2018. (Check one circle.)
-or-
The period covered is I I , through 0 The period covered is January 1, 2018, through the date of
December 31, 2018. -or-leaving office.
❑ Assuming Office: Date assumed I I The period covered is 01 / 01 / 2019 , through
the date of leaving office.
❑ Candidate: Date of Election and office sought, if different than Part 1:
4. Schedule Summary (must complete) ► Total number of pages including this cover page: 1
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- x❑ None - No reportable interests on any schedule
5. Verification
MAILING ADDRESS STREET CITY STATE ZIP CODE
(Business or Agency Address Recommended-Public Document)
1129 Versailles Avenue Alameda CA 94501
DAYTIME TELEPHONE NUMBER EMAIL ADDRESS
( 510 )409-2288 davidmitchellalameda@gmail.com
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 08/01/2019 05:25 PM Signature Electronic Submission
(month,day,year) (File the originally signed paper statement with your filing official.)
FPPC Form 700(2018/2019)
FPPC Advice Email:advice@fppc.ca.gov
FPPC Toll-Free Helpline:866/275-3772 www.fppc.ca.gov
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