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STATEMENT OF ECONOMIC INTERESTS Off ,, <br />. 2 <br />COVER PAGE FEB 291d1 <br />Please type or print in ink. CIf Of Riverside <br />NAME OF FILER (LAST) cfprn � (lff tce <br />(FIRST) (MIDDLE) <br />1. Office, Agency, or Court <br />Agency Name <br />Division, Board, Department, District, if applicable Your Position <br />1 M lyll �S��l� P7 <br />► If filing for multiple positions, list below or on an attachment. <br />Agency: <br />Position: <br />2. Jurisdiction of Office (Check at least one box) <br />❑ State <br />❑ Multi- County <br />5d City of r2 A146 Q00 <br />❑ Judge or Court Commissioner (Statewide Jurisdiction) <br />❑ County of <br />❑ Other <br />3. Type of Statement (Check at least one box) <br />[ Annual: The period covered is January 1, 2011, through <br />December 31, 2011. <br />- or- <br />The period covered is through <br />December 31, 2011. <br />❑ Assuming Office: Date assumed <br />❑ Candidate: Election Year <br />❑ Leaving Office: Date Left <br />(Check one) <br />O The period covered is January 1, 2011, through the date of <br />leaving office. <br />O The period covered is — <br />the date of leaving office. <br />Office sought, if different than Part 1: <br />through <br />4. Schedule Summary <br />Check applicable schedules or "None." ► Total number of pages including this cover page: <br />Schedule A -1 - Investments - schedule attached ❑ Schedule C - Income, Loans, & Business Positions - schedule attached <br />Schedule A -2 - Investments - schedule attached ❑ Schedule D - Income - Gifts - schedule attached <br />❑ Schedule B - Real Property- schedule attached ❑ Schedule E - Income - Gifts - Travel Payments - schedule attached <br />-or- <br />❑ None - No reportable interests on any schedule <br />5. Verification <br />MAILING ADDRESS STREET CITY . STATE ZIP CODE <br />I certify under penalty of perjury under the laws of the State of California that t7 <br />Date Signed �/� -l9 - f 0:- Signature <br />(month, day year) <br />FPPC Form 700 (2011/2012) <br />FPPC Toll -Free Helpline: 866/275 -3772 www.fppc.ca.gov <br />iiavc uscu an ieasuiiauc wuyeiux H plepalnly uus staterent. I nave revlewea tnls statement and .to the best of my knowledge the information contained <br />herein and in any attached schedules is true and complete. I acknowledge this is a public document. <br />