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FE a c <br />STATEMENT OF ECONOMIC INTERESTS JAN <br />D OCUMENT A PUBLIC COVER PAGE City of Riverside <br />City Clerk's Office <br />Please type or print Y t in ink. E r V N A! � �p C to f <br />NAME OF FILER {LAST) (FIRST) 1— (MIDDLE) <br />1. Office, Agency, or Court <br />Agency Name <br />Division, Board, Department, District, if applicable Your Position <br />If filing for multiple positions, !ist be!ljw or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction Of Office (Check at least one box) <br />❑ State <br />❑ Judge (Statewide Jurisdiction) <br />❑ Multi- County _ <br />❑ County of <br />® City of t (�' l i� e <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />Annual: The period covered Is January 1, 2010, through December 31, <br />❑ Leaving office: Date Left <br />2010. -or- <br />(Check one) <br />The period covered is J I , through December 31, <br />O The period covered is January 1, 2010, through the date of <br />2010. <br />leaving office. <br />❑ Assuming Office: Date <br />O The period covered is �_ � through the date <br />of leaving office. <br />❑ Candidate: Election Year Office sought, If different than Part 1: <br />4. Schedule Summary <br />Check applicable schedules or "None." P. Total number of pages including this cover page: <br />❑ Schedule A -1 - Investments - schedule attached ❑ <br />Schedule C - Income, Loans, 8 Business Positrons - schedule attached <br />❑ Schedule A -2 - Investments - schedule attached ❑ <br />Schedule D - lncoms - Ci "s - schedule affachhed <br />❑ Schedule B - Real Property -- schedule attached ❑ <br />Schedule E - Income - Gifts - Travel Payments - schedule attached <br />- or- <br />❑ None - No reportable interests <br />on any schedule <br />5, Verification <br />MAILING ADDRLSS STREET CITY <br />STATE 71P nnnF <br />I certify under penalty of perjury under the laws of the State of California that the foregoing is true and correct. <br />Date Signed n Ac I Signatur <br />(month, de f, year) ,no o <br />+ ne s a men w <br />g your r rcra <br />FPPC Form 700 (201012011) <br />FPPC Toll -Free Ftelpline: 8661275 -3772 www.fppc.ca.gov <br />I have used all reasonable diligence in preparing this statement. I have reviewed this statement and to the best of my knowledge the information contained <br />herein and in any attached schedules is true and complete. ! acknowledge this is a public document. <br />