Laserfiche WebLink
Please type or print in ink. <br />NAME (LAST) <br />Murrieta <br />MAILING ADDRESS STREET <br />(Business Address Acceptable) <br />STATEMENT OF ECONOMIC INTERESTS E= O dale <br />COVER RAGE r ~ 10 <br />A Public Document <br />(FIRST) (MIDDLE) DAYTIME TELEPHONE NUMBER <br />Hector R <br />CITY STATE ZIP CODE OPTIONAL: E-MAIL ADDRESS <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 />Cultural Heritage Board <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 least one box) <br />❑ State <br />❑ County of <br />W r.lty of Riverside <br />❑ Multi-County <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑X_ Assuming Office/Initial Date: 03 1_01 l 10 <br />❑ Annual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is -J , through <br />December 31, 2009. <br />❑ Leaving Office Date Left: -J.-~ <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 -J , through <br />the date of leaving office. <br />❑ Candidate Election Year: <br />4. Schedule Summary <br />► Total number of pages I <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 70% ownership) <br />Schedule A-2 ❑ Yes - schedule attached <br />investments {70% 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 Gins <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 />® 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 Sinr~ 05/04/10 <br />Sig <br />FFPL; orm 7uu 10) <br />FPPC Toll-Free Helpline: 8661ASK-FPPC www.fppc.ca.gov <br />