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CALIFORNIA FORM 700 <br />PAIR POLITICAL PRACTICES COMMISSION <br />Please type or print in ink. <br />a <br />111 1711 :48 IL <br />Davis <br />Address Acceptable) <br />RECHI�'�C� <br />STATEMENT OF ECONOMIC INTERESTS Official Use my <br />COVER PAGE JAN 1 2011 <br />(FIRST) <br />Paul <br />A Public Document <br />Riverside <br />9 . Office, Agency, or Court <br />Name of Office, Agency, or Court: <br />City of Riverside Ward 4 <br />Division, Board, District, if applicable: <br />City Council <br />Your Position: <br />Councilmember <br />► If filing for multiple positions, list additional agency(es)1 <br />position(s): (Attach a separate sheet if necessary,) <br />Agency: Redevelopment Agency <br />Position: Agency Member <br />2. Jurisdiction of Office (C h eck at least one box) <br />State <br />❑ County of <br />Ex City of Riverside <br />❑ Multi- County <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />❑ Assuming Office /Initial Date: <br />Annual: The period covered is January 1, 2009, <br />through December 31, 2009. <br />-or- <br />0 The period covered is �I J through <br />December 31, 2009. <br />[] Leaving Office Date Left: <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 />Marion <br />TATE 211 <br />CA <br />City of Riverside <br />City Clerk's Office <br />DAYTIME TELEPHONE NUMBER <br />OPTIONAL E -MAIL ADDRESS <br />4. Schedule Summary <br />► Total number of pages 7 <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 />InvestmeOtS (10% 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 — Travel Payments <br />-or- <br />L] 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 of <br />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 f <br />(month, day, year) <br />Signatu <br />FPPC Form 700 Amendment (200912010) <br />FPPC Toll -Free Helpline: 8661A5K -FPPC <br />