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Date Roc e <br />MENT <br />STATE OF ECONOMIC INTERESTS <br />COVER PAGE <br />Please type or print in ink. <br />NAME OF FILER (LAST) (FIRST) (MIDDLE) <br />Berg Mark David <br />1. Office, Agency, or Court <br />Agency Name <br />City of Riverside <br />Division, Board, Department, District, if applicable Your Position <br />Parks, Recreation and Community Services Commission Chairman <br />i- If filing for multiple positions, list below or on an attachment <br />FPPC Form 700 (201012011) <br />FPPC ToIll-Free Helpline: 8661275-3772 wvrw.fppr-.ca.qov <br />5. Verification <br />MARLING ADDRESS STREET CITY STATE ZIP CODE <br />(Business or Agency Address Recommended - Publk Document) <br />