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700 Staylor_Peter (Annual_Leaving)
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STATEMENT OF ECONOMIC INTERESTS RE& Recety <br />~ <br />COVER PAGE <br />Please type or print in ink. <br />A Public Document <br />NAME (LAST) (FIRST) (MIDDLE) DAYTIME rTELEPHONE NUMBER <br />Staylor Peter LeRoy OEM_ <br />MAILING ADDRESS STREET CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS <br />(Business Address Acceptable) <br />Riverside Ca <br />1. Office, Agency, or Court <br />Name of Office, Agency, or Court: <br />City of Riverside <br />Division, Board, District, if applicable: <br />Parking, Traffic and Streets <br />Your Position: <br />Commissioner <br />► If filing for multiple positions, list additional agency(ies)I <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 />FA Citv of Riverside <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 I through <br />December 31, 2009. <br />® Leaving Office Date Left: - 3 1 23 1 10 <br />(Check one) <br />Q The period covered is January 1, 2009, through the <br />date of leaving office. <br />-or- <br />* The period covered is I 1 1 / 09 , through <br />the date of leaving office. <br />❑ Candidate Election Year: <br />4. Schedule Summary <br />► Total number of pages 1 <br />including this cover page: <br />► Cheek 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 70% Ownership) <br />Schedule A-2 ❑ Yes - schedule attached <br />investments (i0% or Greater Ownership) <br />Schedule B ❑ Yes - schedule attached <br />Real Property <br />Schedule C ❑ Yes - schedule attached <br />Income, Loans, & Business Positions (Income Other than Gifts <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 />-o r- <br />❑X No reportable interests on any schedule <br />5. Verification <br />have used ail 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 />MAR 2 5 2010 <br />city of Rivi:, _ _ <br />3123/2010 <br />FPPC Form 700 (200912010) <br />FPPC Toll-Free Helpline: 866iASK-FPPC www.fppe.aa.gov <br />
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