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STATEMENT OF ECONOMIC INTERESTS <br />COVER RAGE <br />Please type or print in ink. <br />NAME (LAST) <br />(FIRST) <br />Ament Darrell <br />MAILING ADDRESS STREET CITY <br />(Buz-ness Ad&ess Acceptat;'e) <br />Riverside <br />A Public Document <br />1. Office, Agency, or Court <br />Dame of Office, Agency., or Court: <br />Board of Public Utilities <br />Division, Board, District, if applicable: <br />Your Position: <br />Board Member <br />If filing for multiple positions, list additional agency(ies)/ <br />position(s): (Attach a separate sheet if necessary.) <br />Agency: <br />Position: <br />2. Jurisdiction of Office (Check at feast one box) <br />State <br />❑ County of <br />❑X City of Riverside <br />❑ Multi-County <br />❑1' Other <br />3. Type of Statement (Check at least one box) <br />X Assuming Office/Initial Date: 03 / 05 1 10 <br />Annual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is !I through <br />December 31, 2009. <br />❑ Leaving Office Date Left: ,lam <br />(Check one) <br />O The period covered is January 1. 2009, through the <br />date of leaving office. <br />-or- <br />0 The period covered is through <br />the date of leaving office. <br />Candidate Election Year: <br />(MIDDLE) <br />Lee <br />STATE ZIP CODE <br />CA. <br />R96 WNED <br />MAR 2 6 2010 <br />lity Qi Rivers= <br />City Clerk';, Office <br />DAYTIME TELEPHONE NUMBER <br />OPTIONAL E-MAIL ADDRESS <br />4. Schedule Summary <br />► Total number of pages 1 <br />including this cover page: <br />i► Check applicable schedules or "No reportable <br />interests." <br />I have disclosed interests on one or more of the <br />attached schedules: <br />Schedule A-1 ❑ Yes - schedule attached <br />Investments (Less than IG?. o~.nersh,p) <br />Schedule A-2 ❑ Yes - schedule attached <br />Investments (10% or Greater Ownership) <br />Schedule B ❑ Yes - schedule attached <br />Real Property <br />Schedule C ❑ Yes - schedule attached <br />Income, Loans, & Business Positrons /1rco1__;e o€her than sifts <br />and Travel Payments) <br />Schedule D ❑ Yes - schedule attached <br />Income - Gifts <br />Schedule E ❑ Yes - schedule attached <br />Income - Gifts - Travel Payments <br />-or- <br />© No reportable interests on any schedule <br />a, Verification <br />I have used all reasonable diligence in preparing this <br />statement. I have reviewed this statement and to the best <br />of my knowledge the information contained herein and in any <br />attached schedules is true and complete. <br />I certify under penalty of perjury underthe laws of the State <br />of California that the foregoing is true and correct. <br />Date Signed 0312412010 <br />(month, day, year) <br />Signature <br />( i e e ongina y s~gnod statement U=it ycur filing oricra;.) <br />FPPC Form 700 (2009/2010) <br />FPPC Toll-Free Helpline: 8661ASK-FPPC www,fppc.ca.gov <br />