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STATEMENT OF ECONOMIC INTERESTS <br />COVER PAGE <br />lvna nr nrint in ink A Public Document <br />MAR 1 9 2010 <br />.,AV of Rlwrside <br />Clerk's vmce <br />NAME (LEAST) (FIR/ST) (MIDDLE) DAYTUE TELEPHONE NUMBER <br />l I & / ~ V N-A C~ L_ <br />> t: <br />MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL E-MAIL ADDRESS <br />(Business Address Acce table <br />1. Office, Agency, or Court <br />Name of Office, Agency, or Court: <br />Division, Board, District, if applicable:. <br />Your Position: <br />M 6 In = <br />► If fling for multiple positions, list additional agency(ies)l <br />position(s): (Attach a separate sheet if necessary.) <br />Agency: <br />Position: <br />2. Jurisdiction of Office (check at least one box) <br />❑ State <br />❑ County of <br />Cf City of tl - _5~ 16 F <br />❑ Multi-County <br />❑ Other <br />13. Type of Statement (Check at least one box) <br />❑ Assuming Office/initial Date: ~ I <br />Annual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is 1 through <br />December 31, 209' <br />❑ Leaving Office Date Left: II <br />(Check one) <br />Q The period covered is January 1, 2009, through the <br />date of leaving office. <br />-or- <br />0 The period covered is - I through <br />the date of leaving office. <br />❑ Candidate Election Year: <br />4. Schedule Summary <br />► Total number of pages <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 schedules: <br />Schedule A-1 ❑ Yes - schedule attached <br />Investments (Less than 10% ownership) <br />Schedule A-2 ❑ Yes - schedule attached <br />investments (10% or Greater Ownership) <br />Schedule B ❑ Yes - schedule attached <br />Rea! Property <br />Schedule C ❑ Yes - schedule attached <br />Income, Loans, & Business Positions (Income other than Gilts <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 />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 />(month, day, year) <br />Sig <br />your <br />FPPC Form 700 (200912010) <br />FP'PC Toll-Free Helpline: 8661ASK-FPPC www.fppc.ca.gov <br />