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STATEMENT OF ECONOMIC INTERESTi,arEls o,7 <br />COVER PAGE <br />, c. Ia <br />A Pltblic Doczl73 ent <br />Please type or print in ink <br />NAME (LAS F) <br />(F!PST) <br />(MIDDLL) ~ ~ <br />L N i ?c , ~L Ci lr Ji GL R <br />Dawson <br />Patricia <br />Ann <br />MAILING AUOI'ES, S REFT <br />C1Ty <br />SWL <br />T h I u z .S <br />Riverside <br />CA - <br />i <br />1. Office, Agency, or Court <br />Name of Office, Agency, or Court: <br />City of Riverside Planning Commission <br />[Division, Board, District, if applicable: <br />Your Position: <br />Planning Commissio-Cr <br />P. If filing for multiple positions, list additional agency(ies)/ <br />position(s): (Attach a separate sheet if necessary.) <br />Agency: Calif. Board of Behavioral Sciences <br />r- siti on I Board Member <br />pt~J <br />. <br />2. Jurisdiction of Office (Check at least one box) <br />X State <br />F-I County of <br />City ofi Riverside <br /> <br />❑ MUlti-County <br />❑ Other <br />4. Schedule Summary <br />o Total number of pages 3 <br />including this cover page: <br />Check applicable schedules or "No reportable <br />interests." <br />i have disclosed interests on one or more of the <br />attached schedLrles: <br />Schedule A-1 ❑ Yes - schedule attached <br />investments (Less than 70',~ pwnershipJ <br />Schedule A-2 X Yes - schedule attached <br />Investments (70 or Glealer ownership) <br />Schedulc u ❑ Yes - scitcdule attached <br />Read Prop,ray <br />Schedule C X Yes - schedule attached <br />Income, Loans, ?Business Positions (rncomc orr::?r the o (-fts <br />and Iravet Payments) <br />Schedule D ❑ Yes - schedule attached <br />Income Gifts <br />Schedule F ❑ Yes - schedule attached <br />Income - Gifts - Travel Payments <br />-or- <br />3. Type of Statement (Check at feast one box) <br />X Assurning Office/Initial Date: 2 110 <br />X Annual: The period covered is January 1. 2009, <br />through December 31. 2009. <br />-or- <br />0 The period covered is J__f through <br />December 31, 2009. <br />❑ Leaving Office Date Left: <br />(Check one) <br />® The period covered is January 1, 2009, through the <br />date of leaving office. <br />-or- <br />The period covered is .1___J , through <br />the date of leaving office. <br />Candidate Election Year: <br />No reportable interests on any schedule <br />5. 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 under the laws of the State <br />of California that the foregoing is true and correct. <br />Date Signed <br />2-20-10 <br />FPPC Form 700 (2003!2010) <br />FPPC Toll-Free Helpline: 8661ASK-FPPG wvvw.fppc.ca.gov <br />